Active chloride secretion in the normal human jejunum.

GR Davis, CA Santa Ana, S Morawski… - The Journal of …, 1980 - Am Soc Clin Investig
GR Davis, CA Santa Ana, S Morawski, JS Fordtran
The Journal of Clinical Investigation, 1980Am Soc Clin Investig
To determine whether the small intestine normally secretes fluid, it would be necessary to
reduce or inhibit the greater absorptive processes that would otherwise mask such secretion
if present. To do this, we perfused bicarbonate-free solutions in the jejunum of normal
subjects, because it has been shown that active absorption from this part of the human small
intestine is dependent on luminal bicarbonate. We found that the jejunum did secrete
sodium chloride and water when isotonic bicarbonate-free solutions were perfused. Further …
To determine whether the small intestine normally secretes fluid, it would be necessary to reduce or inhibit the greater absorptive processes that would otherwise mask such secretion if present. To do this, we perfused bicarbonate-free solutions in the jejunum of normal subjects, because it has been shown that active absorption from this part of the human small intestine is dependent on luminal bicarbonate. We found that the jejunum did secrete sodium chloride and water when isotonic bicarbonate-free solutions were perfused. Further studies revealed that the sodium secretion was passive, but that chloride was secreted against an electrochemical gradient and that observed chloride flux ratios did not agree with the flux ratios calculated for passive chloride movement. We conclude, therefore, that the normal jejunum actively secretes chloride, but that this is masked by greater absorptive processes when balanced electrolyte solutions are perfused. The rate of this active chloride secretion may be one of the factors that regulate the rate of fluid absorption in the normal human intestine.
The Journal of Clinical Investigation