Diarrheal disorders during the infancy period accounts for a significant percentage of morbidity and mortality. The reasons underlying such a high incidence of complications are not well known. Because the small intestine plays a major role in regulating ion transport, it is possible that the function of the small intestine during maturation in regard to ion transport may be different from the adult. The purpose of this proposal is to investigate in detail the maturational aspects of ion transport using brush border and basolateral membrane vesicles. Our laboratory has been actively engaged in the study of nutrient transport using membrane vesicles for the last several years. We have validated the use of brush border and basolateral membrane vesicles during maturation (suckling, weaning and adolescent rats). Our preliminary studies suggest the presence of Na+-H+ exchanger in the small intestine of rats during maturation. However the characteristics and the kinetics of this exchanger shows developmental pattern. We plan to use these established techniques to investigate further the process of Na+ and C1-entry and exit across brush border and basolateral membranes, respectively. In particular, the maturational aspects of Na+/H+ exchanger, Na+-C1- coupled transport and C1-HCO3-/or OH-exchanger at the brush border level and C1--HCO3-/or OH exchanger and the role of the two Na+ pumps at the basolateral membrane level will be investigated. Furthermore, we plan to probe the role of epidermal growth factor in modulating the process of Na+/H+ exchanger which has been shown to be the initiator for Na+ entry and subsequent alkalinization of the cell resulting in protein phosphorylation and DNA synthesis. The role of epidermal growth factor will be investigated in vivo in anew infant rat model in which rat pups are fed by orogastric tub an artifical foumula identical in composition to rat brest milk except for the absence of epidermal growth factor and in vitro by new system which involves preparing membrane vesicles from freshly prepared enterocytes primed with epidermal growth factor and agaents that modulate its effects.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
1R01DK041274-01
Application #
3241949
Study Section
General Medicine A Subcommittee 2 (GMA)
Project Start
1988-09-01
Project End
1992-08-31
Budget Start
1988-09-01
Budget End
1989-08-31
Support Year
1
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Vanderbilt University Medical Center
Department
Type
Schools of Medicine
DUNS #
004413456
City
Nashville
State
TN
Country
United States
Zip Code
37203
Harrison, Christy A; Laubitz, Daniel; Ohland, Christina L et al. (2018) Microbial dysbiosis associated with impaired intestinal Na+/H+ exchange accelerates and exacerbates colitis in ex-germ free mice. Mucosal Immunol 11:1329-1341
Gurney, Michael A; Laubitz, Daniel; Ghishan, Fayez K et al. (2017) Pathophysiology of Intestinal Na+/H+ exchange. Cell Mol Gastroenterol Hepatol 3:27-40
Ghishan, Fayez K; Kiela, Pawel R (2017) Vitamins and Minerals in Inflammatory Bowel Disease. Gastroenterol Clin North Am 46:797-808
Kiela, Pawel R; Ghishan, Fayez K (2016) Physiology of Intestinal Absorption and Secretion. Best Pract Res Clin Gastroenterol 30:145-59
Laubitz, Daniel; Harrison, Christy A; Midura-Kiela, Monica T et al. (2016) Reduced Epithelial Na+/H+ Exchange Drives Gut Microbial Dysbiosis and Promotes Inflammatory Response in T Cell-Mediated Murine Colitis. PLoS One 11:e0152044
Wang, Aiping; Ling, Zongxin; Yang, Zhixiang et al. (2015) Gut microbial dysbiosis may predict diarrhea and fatigue in patients undergoing pelvic cancer radiotherapy: a pilot study. PLoS One 10:e0126312
Larmonier, C B; Shehab, K W; Ghishan, F K et al. (2015) T Lymphocyte Dynamics in Inflammatory Bowel Diseases: Role of the Microbiome. Biomed Res Int 2015:504638
Johansson, Malin E V; Gustafsson, Jenny K; Holmén-Larsson, Jessica et al. (2014) Bacteria penetrate the normally impenetrable inner colon mucus layer in both murine colitis models and patients with ulcerative colitis. Gut 63:281-91
Ghishan, Fayez K; Kiela, Pawel R (2014) Epithelial transport in inflammatory bowel diseases. Inflamm Bowel Dis 20:1099-109
Larmonier, Claire B; Laubitz, Daniel; Hill, Faihza M et al. (2013) Reduced colonic microbial diversity is associated with colitis in NHE3-deficient mice. Am J Physiol Gastrointest Liver Physiol 305:G667-77

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