This is a competing renewal application for continuation of studies to further enhance our understanding of electrolyte transport across the gastrointestinal tract during the infancy period. Specifically the studies are designed to investigate the molecular mechanism underlying the ontogenic changes in two apical sodium-hydrogen exchangers (NHE2 and NHE-3), which are highly expressed in the gastrointestinal tract. The physiological importance of NHE-2 and NHE-3 has been documented by the phenotypic changes seen in mice lacking those isoforms. Our studies during the last funding period have defined the ontogenic changes in NHE-2 and NHE-3 at the molecular level and suggested that their regulation occurs at the transcriptional level. These studies form the foundation for the proposed studies. Preliminary studies in our laboratory suggested an important role for epidermal growth factor (EGF) and short chain fatty acids (SCFA's) in the regulation of NHE-2 and NHE-3 respectively. To further expand these studies, we plan to test the hypothesis that transcriptional regulation is critical for the ontogenic changes seen in NHE-2 and NHE-3. To test this hypothesis we plan to pursue three specific aims:
Specific aim 1 is designed to identify and characterize ciselement and transacting factors involved in NHE-2 and NHE-3 mammalian intestine.
Specific aim 2 is designed to decipher the molecular mechanisms of transcriptional regulation of NHE-2 by EGF and NHE-3 by SCFA's.
Specific aim 3 is designed to identify and characterize cis-elements and transacting factors involved in the ontogenic change seen in NHE-2 and NHE-3 gene expression. State of the art molecular tools will be utilized to address the three specific aims. The proposed studies will significantly enhance our understanding of the transcriptional regulation of these two important NHE's during early life. The findings will have significant relevance to further enhance our knowledge in understanding the pathophysiology of diarrheal disorders in the infancy period, which causes significant morbidity and mortality worldwide.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK041274-19
Application #
7084511
Study Section
General Medicine A Subcommittee 2 (GMA)
Program Officer
May, Michael K
Project Start
1988-09-01
Project End
2007-06-30
Budget Start
2006-07-01
Budget End
2007-06-30
Support Year
19
Fiscal Year
2006
Total Cost
$343,499
Indirect Cost
Name
University of Arizona
Department
Pediatrics
Type
Schools of Medicine
DUNS #
806345617
City
Tucson
State
AZ
Country
United States
Zip Code
85721
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
Ghishan, Fayez K; Kiela, Pawel R (2017) Vitamins and Minerals in Inflammatory Bowel Disease. Gastroenterol Clin North Am 46:797-808
Gurney, Michael A; Laubitz, Daniel; Ghishan, Fayez K et al. (2017) Pathophysiology of Intestinal Na+/H+ exchange. Cell Mol Gastroenterol Hepatol 3:27-40
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
Kiela, Pawel R; Ghishan, Fayez K (2016) Physiology of Intestinal Absorption and Secretion. Best Pract Res Clin Gastroenterol 30:145-59
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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