Adenosine scavenging: a novel mechanism of chloride secretory control in intestinal epithelial cells.

Abstract:

BACKGROUND:Adenosine released by cells during ischemia typically serves as a feedback inhibitor of further organ work. However, in ischemic intestine, adenosine appears to act via stimulatory A2b receptors to increase work in the form of chloride ion (Cl-) secretion. This unusual response may contribute to luminal fluid sequestration in intestinal ischemia. In nonischemic cells feed-forward activation of Cl- secretion does not occur despite the fact that adenosine may be continuously generated during normal cell metabolism. Thus we postulated that intestinal epithelia normally control the disposition of adenosine to prevent inappropriate activation of secretion. METHODS:Model T84 intestinal epithelia were studied by means of electrophysiologic and isotopic techniques. RESULTS:Dipyridamole and nitrobenzylthioinosine (inhibitors of nucleoside transport) and iodotubercidin (an inhibitor of adenosine kinase) caused adenosine to accumulate extracellularly and induced a Cl- secretory response that was prevented by adenosine receptor blockade. Uptake of exogenous adenosine was restricted to the basolateral compartment and was blocked by nucleoside transport inhibitors. CONCLUSIONS:Adenosine released from nonischemic intestinal epithelial cells is scavenged by a basolaterally restricted adenosine transporter. This system maintains extracellular adenosine levels below the prosecretory threshold and thus limits adenosine-elicited activation of Cl- secretion (and hence diarrhea) under normal conditions).

journal_name

Surgery

journal_title

Surgery

authors

Tally KJ,Hrnjez BJ,Smith JA,Mun EC,Matthews JB

doi

10.1016/s0039-6060(96)80295-9

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

248-54

issue

2

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(96)80295-9

journal_volume

120

pub_type

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