Inhibitory effect of luminal saccharides on glucose absorption from an adjacent jejunal site in rats: a newly described intestinal neural reflex

Nutrients in the lumen of the small intestine are sensed by special cells in the epithelial lining. The ensuing neurohumoral reflexes affect gastrointestinal absorption/secretion, motility, and vascular perfusion. To study in vivo the effect of a monosaccharide (glucose) or polysaccharide (starch) p...

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Veröffentlicht in:Pflügers Archiv 2019-04, Vol.471 (4), p.595-603
Hauptverfasser: Mourad, Fadi H., Barada, Kassem A., Saade, Nayef E.
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Barada, Kassem A.
Saade, Nayef E.
description Nutrients in the lumen of the small intestine are sensed by special cells in the epithelial lining. The ensuing neurohumoral reflexes affect gastrointestinal absorption/secretion, motility, and vascular perfusion. To study in vivo the effect of a monosaccharide (glucose) or polysaccharide (starch) present in the jejunum on glucose absorption from an adjacent part of the intestine and investigate the possible underlying mechanisms. Using the single pass intraluminal perfusion technique, a segment of jejunum (perfusion segment) was continuously perfused with 20 mM glucose to determine glucose absorption. One hour later, a bolus of a saccharide was instilled in an isolated adjacent jejunal segment and the change in glucose absorption was monitored for a further 2 h. The contribution of neural mechanisms in this process was investigated. Instillation of glucose (20 mM or 40 mM) in either distal or proximal jejunal pouch elicited immediate and sustained inhibition of glucose absorption (a decrease by 25%; P  
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Comparable inhibition was obtained with instillation of other monosaccharides or starch in the jejunal pouch. This inhibition was abolished by adding tetrodotoxin to the pouch or to the perfused jejunal segment and also by pretreatment with sympathetic blockers (guanethidine or hexamethonium) and by chemical ablation of capsaicin-sensitive primary afferent fibers. Glucose absorption within the jejunum is auto-regulated through backward and forward mechanisms. This regulation is mediated by neural reflexes involving capsaicin-sensitive afferent and sympathetic efferent fibers. 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subjects Animals
Biological Transport - drug effects
Biomedical and Life Sciences
Biomedicine
Capsaicin
Capsaicin - pharmacology
Cell Biology
Fibers
Glucose
Glucose - metabolism
Human Physiology
Hyperglycemia
Intestinal Absorption - drug effects
Intestinal Mucosa - drug effects
Intestinal Mucosa - metabolism
Jejunum
Jejunum - drug effects
Jejunum - metabolism
Molecular Medicine
Monosaccharides
Neurosciences
Nutrients
Organ Physiology
Perfusion
Polysaccharides
Polysaccharides - pharmacology
Rats
Rats, Sprague-Dawley
Receptors
Reflex - drug effects
Reflexes
Rodents
Secretion
Sensory neurons
Small intestine
Starch
Tetrodotoxin
Tetrodotoxin - pharmacology
title Inhibitory effect of luminal saccharides on glucose absorption from an adjacent jejunal site in rats: a newly described intestinal neural reflex
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