1. Deficient Active Transport Activity in Healing Mucosa After Mild Gastric Epithelial Damage
- Author
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Matthis, Andrea L, Kaji, Izumi, Engevik, Kristen A, Akiba, Yasutada, Kaunitz, Jonathan D, Montrose, Marshall H, and Aihara, Eitaro
- Subjects
Medical Physiology ,Biomedical and Clinical Sciences ,Digestive Diseases ,Acetic Acid ,Animals ,Disease Models ,Animal ,Electric Impedance ,Epithelial Cells ,Female ,Gastric Mucosa ,Hydrogen-Ion Concentration ,Hypertonic Solutions ,Male ,Mice ,Inbred C57BL ,Mice ,Knockout ,Re-Epithelialization ,Sodium Chloride ,Sodium-Hydrogen Exchangers ,Stomach Ulcer ,Time Factors ,Trefoil Factor-2 ,Wound Healing ,Ulcer ,Gastric ,Epithelial cell ,Repair ,TFF2 ,NHE2 ,Ussing chamber ,Confocal microscopy ,Photodamage ,Actin ,Clinical Sciences ,Gastroenterology & Hepatology ,Clinical sciences - Abstract
BackgroundPeptic ulcers recur, suggesting that ulcer healing may leave tissue predisposed to subsequent damage. In mice, we have identified that the regenerated epithelium found after ulcer healing will remain abnormal for months after healing.AimTo determine whether healed gastric mucosa has altered epithelial function, as measured by electrophysiologic parameters.MethodUlcers were induced in mouse gastric corpus by serosal local application of acetic acid. Thirty days or 8 months after ulcer induction, tissue was mounted in an Ussing chamber. Transepithelial electrophysiologic parameters (short-circuit current, Isc. resistance, R) were compared between the regenerated healed ulcer region and the non-ulcerated contralateral region, in response to luminal hyperosmolar NaCl challenge (0.5 M).ResultsIn unperturbed stomach, luminal application of hyperosmolar NaCl transiently dropped Isc followed by gradual recovery over 2 h. Compared to the starting baseline Isc, percent Isc recovery was reduced in 30-day healing mucosa, but not at 8 months. Prior to NaCl challenge, a lower baseline Isc was observed in trefoil factor 2 (TFF2) knockout (KO) versus wild type (WT), with no Isc recovery in either non-ulcerated or healing mucosa of KO. Inhibiting Na/H exchanger (NHE) transport in WT mucosa inhibited Isc recovery in response to luminal challenge. NHE2-KO baseline Isc was reduced versus NHE2-WT. In murine gastric organoids, NHE inhibition slowed recovery of intracellular pH and delayed the repair of photic induced damage.ConclusionHealing gastric mucosa has deficient electrophysiological recovery in response to hypertonic NaCl. TFF2 and NHE2 contribute to Isc regulation, and the recovery and healing of transepithelial function.
- Published
- 2020