1. Hypertonic saline alters electrical barrier of the airway epithelium
- Author
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Shintaro Yamaguchi, Noriyuki Nakajima, Mayumi Matsunaga, Kensuke Watanabe, and Masato Miwa
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Macromolecular Substances ,Guinea Pigs ,Biological Transport, Active ,Mucous membrane of nose ,Respiratory Mucosa ,In Vitro Techniques ,Membrane Potentials ,Guinea pig ,03 medical and health sciences ,0302 clinical medicine ,In vivo ,Animals ,Humans ,Medicine ,030223 otorhinolaryngology ,Ion transporter ,Fluorescent Dyes ,Saline Solution, Hypertonic ,Ion Transport ,business.industry ,Dextrans ,Epithelium ,Hypertonic saline ,Trachea ,medicine.anatomical_structure ,Otorhinolaryngology ,Mucociliary Clearance ,030220 oncology & carcinogenesis ,Biophysics ,Respiratory epithelium ,Tonicity ,Surgery ,business ,Fluorescein-5-isothiocyanate - Abstract
Objective The effect of tonicity changes in nebulizer solutions and irrigations on nasal mucosa is not well known. The present study aims to determine the basic mechanism of hypertonic solution on airway epithelial barrier. Study design and setting We investigated the electrical potential difference (PD) that is influenced by both active transport and the transepithelial electrical resistance of the epithelial mucosa in the human nose in vivo. The short circuit current (SCC) revealed net ion transport across the epithelium in the guinea pig trachea in vitro. Finally, the size dependency of macromolecules across the tracheal mucosa was determined in vitro using FITC-labeled dextrans of different sizes. Results PD was significantly decreased after topical application of hypertonic solution both in human and in guinea pig nose. SCC was significantly decreased after application of hypertonic solution. The transport of these dextrans from the basolateral to the apical side was not increased significantly after apical application of hypertonic saline. Conclusions Hypertonic saline enhances the electrical permeability of the airway epithelial mucosa but not transport of macromolecule in the short term.
- Published
- 2007