Published online May 15, 2017. doi: 10.4291/wjgp.v8.i2.59
Peer-review started: February 8, 2017
First decision: March 9, 2017
Revised: April 12, 2017
Accepted: April 23, 2017
Article in press: April 24, 2017
Published online: May 15, 2017
Processing time: 109 Days and 9 Hours
To assess whether higher sensitivity of colonic epithelium to hypoxia at the serosal side is associated with oxygen transfer asymmetry.
Rats were fed either with normal chow or a low-sodium diet. Tissues were mounted as flat sheets in a modified, airtight Ussing chamber with oxygen meters in each hemichamber. Mucosal samples from normal diet animals were studied under control conditions, in low-chloride solution and after adding chloride secretion inhibitors and chloride secretagogues. Samples from sodium-deprived rats were studied before and after ouabain addition. In separate experiments, the correlation between short-circuit current and oxygen consumption was analyzed. Finally, hypoxia was induced in one hemichamber to assess the relationship between its oxygen content and the oxygen pressure difference between both hemichambers.
In all studied conditions, oxygen consumption was larger in the serosal hemichamber than in the mucosal one (P = 0.0025 to P < 0.0001). Short-circuit current showed significant correlation with both total oxygen consumption (r = 0.765; P = 0.009) in normoxia and oxygen consumption in the serosal hemichamber (r = 0.754; P = 0.011) during mucosal hypoxia, but not with oxygen consumption in the mucosal hemichamber. When hypoxia was induced in the mucosal hemichamber, an oxygen pressure difference of 13 kPa with the serosal hemichamber was enough to keep its oxygen content constant. However, when hypoxia was induced in the serosal hemichamber, the oxygen pressure difference with the mucosal hemichamber necessary to keep its oxygen content constant was 40 kPa (P < 0.0001).
Serosal oxygen supply is more readily available to support short-circuit current. This may be partly due to a rectifying behavior of transepithelial oxygen transfer.
Core tip: The physiological dependence of the colonic epithelium on oxygen provided from the serosal side is not only due to the structure of its blood supply and the low oxygen pressure of colonic intraluminal contents, since it is also observed in isolated mucosa preparations. This study demonstrates for the first time that a much larger partial pressure difference is needed for oxygen transfer from the mucosal side to the serosal side of the epithelium than for transfer in the opposite direction, a phenomenon that may be considered a rectifying behavior.