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Endocrinology Vol. 141, No. 7 2594-2599
Copyright © 2000 by The Endocrine Society


ARTICLES

Release of Guanylin Immunoreactivity from the Isolated Vascularly Perfused Rat Colon1

F. Moro, F. Levenez, E. Nemoz-Gaillard, S. Pellissier, P. Plaisancie and J. C. Cuber

INSERM, U-45, Hôpital Edouard Herriot (F.M., E.N.-G., P.P., J.C.C.), 69437 Lyon; Laboratoire de Physiologie et Pharmacologie, Université de Savoie (S.P.), 73376 Le Bourget du Lac; and Unité d’Ecologie et de Physiologie du Système Digestif, Institut National de la Recherche Agronomique (F.L., P.P., J.C.C.), 78352 Jouy-en-Josas, France

Address all correspondence and requests for reprints to: Dr. Jean-Claude Cuber, INSERM, U-45, Hôpital Edouard-Herriot, Pavillon Hbis, 69437 Lyon Cedex 03, France. E-mail: cuber{at}lyon151.inserm.fr


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The intestinal peptide guanylin regulates the electrolyte/water transport in the intestinal epithelium. The aim of the present study was to investigate the mechanisms that modulate its secretion in the isolated vascularly perfused rat colon by using a specific guanylin RIA. Intraarterial infusion of bethanechol (10-4 M) or bombesin (10-7 M) elicited a significant 6-fold increase in the release of guanylin immunoreactivity (G-IR) in the lumen. Bombesin-stimulated G-IR secretion was strongly reduced by tetrodotoxin, whereas atropine had no effect. VIP (10-7 M) induced a moderate release of G-IR, whereas substance P, calcitonin gene-related peptide, peptide YY, somatostatin, and neurotensin were without effect. Dimethyl-PGE2 (1.4 x 10-5 M) or interleukin-1ß (2.5 x 10-10 M) induced a 3-fold increase in G-IR in the lumen, whereas the degranulator compound bromolasalocid did not stimulate guanylin secretion. Forskolin (10-5 M) or sodium nitroprusside (10-4–10-3 M) induced a significant release of G-IR. In contrast, PMA (10-7 M) or ionophore A23187 (10-6 M) did not modify basal secretion of G-IR. Upon stimulation of guanylin release with bombesin or bethanechol, an increase in G-IR in the portal effluent was also detected. The release of G-IR in the portal effluent was 40-fold lower than that of G-IR into the luminal perfusate. Additionally, analysis with gel chromatography revealed that the immunoreactive material released in the lumen or in the portal effluent coeluted with the 15-amino acid peptide originally isolated from rat intestine. In conclusion, the present data suggest that the enteric nervous system and immune cells may modulate guanylin release from the rat colon. The release of guanylin in the lumen and portal effluent suggests that this peptide may exert both luminal/paracrine and hormonal effects.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INFANT AND TRAVELER’S diarrheas are often caused by Escherichia coli heat-stable enterotoxins (STa) that bind to and activate the guanylyl cyclase receptor located on the apical membrane of the gut epithelium. The consequence of guanylyl cyclase receptor activation is an increase in intracellular cGMP levels and a subsequent phosphorylation of the cystic fibrosis transmembrane conductance regulator, resulting in net water and chloride secretion (for review, see Ref. 1). Using a bioassay to identify activators of the STa receptor present in the intestinal mucosa, Currie et al. isolated the peptide guanylin, which is predominantly expressed within the colonic mucosa (2). Together with the structurally related uroguanylin, which is primarily expressed in the mucosa of the small intestine, guanylin is thought to form a local system that modulates intestinal water and salt transport (1). Interestingly, these peptides were also detected in other tissues, including the lung and the hypothalamo-hypophyseal system (3, 4), but their physiological role is not clearly established. The precise cellular source of guanylin (and uroguanylin as well) is still a matter of controversy. Immunohistochemical and in situ hybridization studies have localized guanylin in several cell types, including Paneth cells, enterocytes, goblet cells, and enterochromaffin cells (5, 6, 7, 8, 9).

Despite the presumed important role of guanylin in the homeostasis of water and electrolytes, little is known about the factors that modulate guanylin secretion. A recent study showed that it is markedly enhanced in response to salt loading (10), suggesting that luminal factors may induce guanylin release. In addition, guanylin-producing cells are located in the vicinity of endocrine cells, immune cells, and enteric nerves, which could secrete guanylin-releasing factors. The cholinergic agonist carbachol was identified as a potent stimulant of guanylin release in a model of isolated rat colonic mucosa mounted in Ussing chambers (11). The colonic wall contains many other candidates that may influence guanylin secretion. Therefore, the first aim of this study was to investigate in detail the potential influence of various neurotransmitters, inflammatory mediators, and hormonal peptides on the secretion of guanylin immunoreactivity (G-IR). Our second aim was to test the possibility that guanylin could be released from the gut into the bloodstream under certain circumstances. The rationale behind this question relies on the observation that proguanylin-derived peptides circulate in blood (12) and are released to both sides of the isolated epithelia of rat mucosa (11).

To specifically address these two questions, we used an isolated vascularly perfused rat colon preparation (13). This model maintains the polarity of peptide secretion and allows separate sampling of the luminal and vascular effluents. Additionally, the guanylin-producing cells may be submitted to well defined luminal, neural, and blood-borne stimuli in a manner that eliminates influences potentially encountered in vivo.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
BSA was purchased from Biovalori (Cassen, France). Azonutril 25, a mixture of amino acids, was obtained from Laboratoires Roger Bellon (Neuilly-sur-Seine, France). Bromolasalocid was provided by Roche Discovery Welwyn (Welwyn Garden City, UK). EDTA was supplied by Merck & Co., Inc. (Nogent-sur-Marne, France). 125Iodine was supplied as sodium iodine from Amersham Pharmacia Biotech (Les Ulis, France). Human and rat guanylins were purchased from Bachem (Bubendorf, Switzerland) and Saxon Biochemicals GmbH (Bachem, Hanover, Germany). Human uroguanylin was obtained from Peninsula Laboratories, Inc. (Merseyside, UK). Rat uroguanylin and Tyr0-guanylin were gifts from Dr. Nakazato (Miyazaki, Japan). All other reagents were obtained from Sigma (St. Louis, MO).

Surgical procedure
The procedure used to prepare an isolated vascularly perfused rat colon was described previously (13). Briefly, male Wistar rats (250–350 g) were anesthetized with pentobarbital sodium (50 mg/kg, ip), and the abdomen was opened with a midline incision. Colonic loops (10 cm in length) were prepared and rinsed twice with 10 ml isotonic saline, flushed with 20 ml air, and ligated at both ends. A metal cannula and a SILASTIC brand cannula (Dow Corning, Midland, MI) were then quickly inserted into the superior mesenteric artery and portal vein, respectively. The arterial perfusion started immediately at a rate of 2.5 ml/min with Krebs-Henseleit buffer (2 mM CaCl2, 6 mM KCl, 3.18 mM NaH2PO4, 104 mM NaCl, 1 mM MgSO4, and 41.6 mM NaHCO3, pH 7.4) containing 25% washed bovine erythrocytes, 3% BSA, 5 mM glucose, and 1% azonutril 25 (vol/vol). The preparation was removed and transferred to a bath containing isotonic saline at 37 C.

Experimental protocol to study luminal release of G-IR
The experiments consisted of a 6-min equilibration period, followed by a 30-min period of stimulation. Immediately after the equilibration period, the loops were filled by injection with 1.0 ml prewarmed saline (37 C). All vascularly perfused drugs and peptides were dissolved in the Krebs-Henseleit buffer supplemented with 3% BSA. They were delivered at a rate of 0.25 ml/min through a catheter close to the vascular inflow. The drug concentrations represented the final concentrations in the arterial inflow cannula. The control group underwent a 6-min equilibration period, followed by a 30-min period during which Krebs-Henseleit buffer supplemented with 3% BSA was administered to the vascular inflow at a rate of 0.25 ml/min. In some experiments, 1 µM TTX or 10 µM atropine was infused for a 20-min equilibration period and continued for the 30-min period of secretagogue perfusion. These experiments had a total duration of 50 min. At the end of the experimental period, loops were cut at both ends, and the luminal fluid content was carefully collected, sonicated, and frozen at -20 C for subsequent determination of G-IR by RIA.

Experimental design to study the release of G-IR in the portal vein
The isolated, vascularly perfused rat colon was prepared as described above and transferred to a bath containing isotonic saline at 37 C. The venous effluent was immediately collected as 2-min fractions (5-ml blood samples) in tubes containing 250 µl 200 mM EDTA. Plasma was rapidly separated by centrifugation and frozen at -20 C. The experiments consisted of a 20-min basal period, followed by a 30-min period of stimulation and a subsequent 10-min recovery control period. Guanylin release was induced by vascular infusion of either bombesin or bethanechol; the lumen was continuously perfused with isotonic saline at a rate of 50 µl/min.

Because G-IR levels were low in the portal blood, the individual fractions were pooled to provide two consecutive samples, representing 6-min collection fractions during the basal period and five consecutive 6-min fractions collected immediately after the start of bombesin or bethanechol infusion. Nine-milliliter plasma samples of each individual pool were loaded onto C18 Sep-Pak cartridges (Waters Corp., Milford, MA) at a rate of 1 ml/min. After washing with 0.05% trifluoroacetic acid (TFA), guanylin was eluted with 1.5 ml 80% acetonitrile containing 0.05% TFA. The samples were dried and reconstituted in 1 ml RIA buffer. After Sep-Pak extraction, the recovery of guanylin added to plasma samples to final concentrations of 250 and 1000 pM was 82.3 ± 11.3% (n = 4).

RIA
Antiserum 6C was obtained from a New Zealand White rabbit after repeated injection of rat guanylin-(101–115) conjugated to bovine albumin through ethyl-carbodiimide condensation and used in the assay at a final dilution of 1:7500. Rat guanylin was radioiodinated using the lactoperoxidase technique. Briefly, 5 µg synthetic peptide were dissolved in 10 µl 0.5 M ammonium acetate (pH 5.5), added with 1 mCi Na125I, 5 µg lactoperoxidase, and 5 µl 0.06% hydrogen peroxide for 15 min. The radiolabeled peptide was purified by reverse phase HPLC (C18 µBondapak) with a linear gradient of acetonitrile (10–50%, vol/vol) in 0.1% TFA. The flow rate was 1 ml/min. The specific activity of the radioactive ligand was about 2000 Ci/mmol. Synthetic rat guanylin was used as a standard. The reactivity of the antiserum was 100% for rat guanylin, 5% for human guanylin and Tyr0-guanylin, and <0.1% for STa and human or rat uroguanylin. The detection limit and ID50 were 15 and 120 pM, respectively. The recovery of exogenous guanylin was 83% over the range 20–300 fmol/tube. The guanylin antiserum detected, in dose-dependent fashion, G-IR contained in diluted extracts of rat intestinal mucosa (jejunum, ileum, and colon) and a perfusate collected from isolated vascularly perfused rat colon. The displacement curves for the G-IR contained in these samples were parallel to the synthetic guanylin standard line.

Gel chromatography
Acetic extracts of the colonic wall, colonic perfusate, and portal effluents after Sep-Pak treatment were permeated on a 1.5 x 100-cm Sephadex G-50 superfine column equilibrated in 0.05 M phosphate buffer (pH 7.5) containing 5% horse serum and 0.2 mg/ml sodium azide. The flow rate was 8 ml/h at 4 C. The column was calibrated with bovine albumin, 22Na, and synthetic rat guanylin. Fractions of 2.8 ml were collected and stored at -20 C for subsequent RIA.

Calculations and statistics
Data in all figures are presented as the mean ± SE. The comparison between mean values was performed using Student’s t test. P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Release of G-IR in the colonic lumen by neurotransmitters
The guanylin-producing cells are in contact with intramural nerves. We therefore studied the effects of various neurotransmitters on guanylin release. The mean release of G-IR in the control group was 66 ± 14 pmol/30 min (n = 10). As shown in Fig. 1Go, intraarterial infusion of 10-4 M bethanechol provoked a dramatic release of G-IR (389 ± 66 pmol/30 min; n = 8; P < 0.05). The first significant response was observed with 10-5 M bethanechol (126 ± 13 pmol; n = 5; P < 0.05 vs. control group). The bethanechol-induced guanylin release was blocked upon intraarterial infusion of 10-5 M atropine (data not shown).



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Figure 1. Effects of intraarterial infusion of bethanechol on G-IR release from the isolated vascularly perfused rat colon. Values are the mean ± SE. *, P < 0.05 vs. control group.

 
Vascular infusion of bombesin induced a dose-dependent increase in the release of luminal G-IR over the range 10-8–10-7 M. Upon stimulation with 10-7 M bombesin, the secretion of G-IR was about 5-fold higher than that in the control group (Fig. 2Go). The bombesin-induced release of G-IR was strongly reduced by TTX [151 ± 25 pmol/30 min (n = 7); control with bombesin alone, 318 ± 33 pmol/30 min (n = 7); P < 0.05], whereas atropine (10-5 M) had no significant effect on the bombesin-evoked release of G-IR (239 ± 62 pmol/30 min; n = 6).



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Figure 2. Effects of increasing doses of bombesin on guanylin secretion in the isolated vascularly perfused rat colon. Data are the mean ± SE. *, P < 0.05 vs. control group.

 
Vascular infusion of 10-7 M VIP elicited a significant increase in G-IR in the colonic lumen (167 ± 33 pmol/30 min; n = 7; P < 0.05 vs. control group). In contrast, VIP (10-8 M), calcitonin gene-related peptide (5 x 10-9 M), substance P (10-7 M), somatostatin (10-7 M), neurotensin (10-11 M), or PYY (10-10 M) did not modify the basal secretion rate of G-IR (data not shown).

Release of G-IR by proinflammatory agents
As fluid electrolyte secretion is often observed during the inflammatory process of the gut, we examined the effect of proinflammatory agents on guanylin secretion. Intraarterial administration of dimethyl-PGE2 (1.4 x 10-5 M) or interleukin-1ß (2.5 x 10-10 M) induced a 3- to 4-fold increase in guanylin secretion compared with that in the control group, whereas bromolasalocid, a degranulator of connective and mucosal mast cells, induced a modest and statistically insignificant release of G-IR (Fig. 3Go).



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Figure 3. Intraarterial administration of bromolasalocid, dimethyl-PGE2 (dmPGE2), or interleukin-1ß stimulates the release of G-IR release in the lumen of the isolated vascularly perfused rat colon. Values are the mean ± SE. *, P < 0.05 vs. control group.

 
Postreceptor activation of the release of luminal guanylin
Intraarterial infusion of 10-5 M forskolin or sodium nitroprusside (10-5–10-4 M) induced a 3-fold increase in luminal G-IR compared with that in the control group (Fig. 4Go). In contrast, PMA (10-7 ) or ionophore A23187 (10-6 M), alone or in combination, did not increase G-IR secretion (data not shown).



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Figure 4. Effects of intraarterial infusion of the postreceptor-activating agents forskolin and sodium nitroprusside on guanylin secretion in the colonic lumen. Data are the mean ± SE. *, P < 0.05 vs. control group.

 
Release of G-IR in the portal effluent
To study the possibility that guanylin could be release in the circulation, we measured G-IR levels in the portal effluent. The mean basal level of G-IR in 18 preparations was close to the detection limit of the assay and amounted to 135 ± 12 fmol/6 min. Bombesin (10-7 M) or bethanechol (10-4 M) induced a sharp rise in portal G-IR levels within 6 min (10-fold increase over basal value). Portal G-IR levels then tended to decline until the end of stimulation (Fig. 5Go).



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Figure 5. Effects of intraarterial administration of 10-4 M bethanechol (n = 6) or 10-7 M bombesin (n = 6) on the release of guanylin in the portal effluent of the isolated vascularly perfused rat colon (femtomoles per 6 min). Results are the mean ± SE.

 
As the levels of G-IR were considerably lower in the portal effluent than in the luminal perfusate, the possibility that these small amounts of guanylin could result from transepithelial, passive diffusion of the apically released peptide was evaluated. As shown in Fig. 6Go, placement of 1 ml isotonic saline with 5 nmol synthetic guanylin in the lumen of the isolated vascularly perfused rat colon induced a slow and gradual increase in portal G-IR. This pattern of G-IR appearance in portal effluent is reminiscent of a passive diffusion process and was markedly different from that described above upon stimulation with bethanechol or bombesin, which is evocative of an active secretory process.



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Figure 6. G-IR in the portal effluent of the isolated vascularly perfused rat colon in response to a luminal load of 5 nmol synthetic guanylin. Results are expressed as picomoles per 2 min (mean ± SE of six experiments).

 
Nature of the immunoreactive material released in the lumen and the portal effluent
Gel chromatography revealed three immunoreactive peaks in rat colonic extracts. One immunoreactive form eluted in the position of authentic guanylin (Kav = 0.76). Another eluted in a volume similar to that of the previously described 10-kDa proguanylin (14). A third immunoreactive peak was intermediate in size (Kav = 0.60). In contrast, a single peak coeluting with the synthetic peptide was revealed in the eluate of bethanechol-stimulated guanylin release in both the lumen and the portal effluent (Fig. 7Go).



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Figure 7. Gel chromatography pattern of the G-IR material in extracts of the colon (A), in the luminal perfusate upon intraarterial infusion of bethanechol, (B) and in portal effluents after Sep-Pak concentration (see Materials and Methods) of bethanechol-stimulated rat perfused colon (C).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Studies providing direct evidence of guanylin release from the colonic epithelium by neurotransmitters and neuropeptides are scarce. This work demonstrates that several transmitters of the enteric nervous system, as well as compounds involved in the inflammatory process are potent stimulants of guanylin release. In addition, our data support the idea that guanylin secretion occurs into both the luminal space and the capillary network of the colon.

Guanylin has been isolated as a 15-amino acid peptide from intestinal extracts (2). On the basis of the human and rat complementary DNA sequences, a 94-amino acid proguanylin of 10.4 kDa was predicted to be produced after cleavage of the signal peptide in the 115-amino acid preproguanylin (5, 15, 16, 17). This pro form and an 8.7-kDa molecular variant were detected in intestinal extracts of several species (14, 18, 19). The present study reveals the presence of the 10.4-kDa proguanylin in rat colonic extracts. An immunoreactive form that eluted at gel chromatography in a position similar to that of authentic guanylin was also revealed in colonic extracts. Besides guanylin-15, several native C-terminal forms of rat guanylin, including guanylin-16 and guanylin-14, an N-terminal truncation of guanylin-15, have been previously reported in intestinal extract and perfusate, respectively (14, 20). Our chromatographic experiments do not distinguish among the three. However, the observation that Tyr0-rat guanylin poorly cross-reacts in our RIA suggests that the N-terminal part of guanylin-15 is crucial for antibody recognition. The development of antiserum specifically directed against the N-terminal part of guanylin-14 and -16 is required to fully answer this question. In the gel permeation study, a third immunoreactive peak eluted between the position of proguanylin and guanylin-15, corresponding to a predicted size of 3–4 kDa on the basis of the elution constant. In HPLC performed by Yamaguchi et al. (14), an immunoreactive form intermediate in size between proguanylin and guanylin-15 was revealed in rat intestinal extracts.

A circulating form of guanylin has been purified from human hemofiltrate. Mass spectral analysis of this peptide showed the molecular mass to be 10.3 kDa, which corresponds to the proguanylin from position 22 to the C-terminus of the peptide predicted from the complementary DNA sequence (12). As guanylin is expressed in tissues other than the gut, including the pars tuberalis-specific cells and gonadotrophs of rat adenohypophysis (4), the exact origin of circulating guanylin cannot be stated. In a recent study performed with isolated rat colonic mucosa mounted in a Ussing chamber, proguanylin was shown to be released at the apical side, but not at the basolateral side, of the epithelium in the basal state. Low amounts of guanylin-15 were released from the same tissue on both sides of the Ussing chamber (11). In contrast, the present study shows that large amounts of guanylin were released in the lumen of the isolated, vascularly perfused rat colon, whereas minute amounts of the peptide were secreted in the portal effluent. Additionally, proguanylin was not detectable in either the luminal perfusate or the portal effluent. As the antiserum used in the present study recognized proguanylin immunoreactivity in the colonic extract, it is unlikely that luminal proguanylin does not cross-react in the assay unless the processing and/or sorting of this proform in the luminal and portal effluent are accompanied by profound conformational changes strongly reducing its binding to the antiserum. An alternative explanation is that in the model used by Martin et al. (11), the stress induced by microdissection of the colonic mucosa and mounting in the Ussing chamber produced a discharge of proguanylin from intracellular stores. The preferential accumulation of the peptide immunoreactivity at the apical side of the epithelium in this study is compatible with the extensive data indicating that peptides are preferentially released into the luminal solution in these models. Interestingly, by measuring biologically active guanylin release from rat colon explants, Li et al. (21) revealed two biologically active peaks by HPLC. The major one coeluted with synthetic guanylin-15. Taken together, these data suggest that the short forms of guanylin may be released from intestinal stores of guanylin. The possibility that proguanylin is coreleased with guanylin in the luminal and portal effluents remains an open question that requires the isolation of sufficient proguanylin to determine whether our guanylin RIA is sensitive enough to measure proguanylin in the luminal perfusate and the portal effluent. Interestingly, luminal placement of synthetic guanylin induced a slow and gradual increase in portal G-IR. About 2% of the total amount of peptide administered into the colonic lumen was recovered in the portal effluent at the end of the 30-min experimental period. This indicates that small amounts of guanylin could be transported from the lumen of the colon to the circulation. Although our chromatographic study indicated that this immunoreactive material coeluted with the synthetic peptide, additional work is required to identify the nature of this immunoreactivity.

Little is known about the factors that modulate guanylin secretion. The guanylin-producing cells are located in the vicinity of enteric nerves, and cholinergic innervation is abundant in the gut mucosa. The potential implication of this cholinergic network in the regulation of guanylin release was therefore investigated with the cholinergic muscarinic agonist bethanechol. A 6-fold increase in guanylin secretion was observed in the luminal perfusate in response to bethanechol. This was accompanied by a significant augmentation of guanylin immunoreactivity in the portal effluent. Over the 30-min stimulation period with intraarterial infusion of bethanechol, the release of guanylin immunoreactivity into the luminal effluent was about 40-fold higher than that in the portal effluent. In the isolated rat mucosa, the cholinergic agonist carbachol also produced a marked increase in guanylin release (11). Taken together, these results suggest that the release of guanylin is under vagal control.

The neuropeptide gastrin-releasing peptide (bombesin) is found in the enteric nervous network. It stimulates secretion from the endocrine I, L, and N cells (13, 22, 23). Our recent data indicate that this peptide also markedly increases the discharge of colonic mucins (24). This work presents the novel finding that bombesin is capable of eliciting a pronounced release of guanylin, thus underlying the idea that bombesin-containing nerves of the gut play a key role in essential functions of the intestinal epithelium. Interestingly, the bombesin-induced release of guanylin was significantly reduced upon TTX treatment, but was not modified by atropine. Overall, these data indicate that bombesin evokes guanylin secretion through the activation of enteric noncholinergic nerves.

VIP is a strong stimulant of intestinal water and electrolyte secretion (25), an effect thought to be mediated through activation of the cAMP-dependent pathway. The guanylin release observed upon VIP perfusion suggests that VIP-induced hydroelectrolytic secretion could involve guanylin release in combination with a direct effect of VIP on the enterocytes. The observation that forskolin stimulates guanylin release indicates that the release of this peptide may be dependent on activation of the cAMP pathway.

The inflammatory process is generally accompanied by a loss of fluid and electrolytes in the lumen, which involves the production of a variety of mediators, such as interleukins, PGs, and nitric oxide-generating compounds (26). The involvement of guanylin in inflammatory responses has not yet been described. Here, we identified interleukin-1ß, PGE2, and sodium nitroprusside as potent stimulants of guanylin release, indicating that guanylin may contribute significantly to the loss of fluid and electrolytes generally observed in the inflammatory process. Interestingly, bromolasalocid-induced mast cell degranulation did not significantly increase guanylin release. These cells release a variety of compounds, including histamine, serotonin, and mast cell protease-2. Further investigations are required to delineate the individual contributions of these mediators to guanylin release.

The surgery for preparation of isolated colon requires frequent handling of the bowel. These maneuvers perturb the movements of fluid and electrolytes across the epithelium. The measurement of fluid accumulation in the lumen, therefore, does not represent a reliable parameter to be presented in this study. However, we observed that guanylin secretion grossly correlated with fluid secretion upon stimulation with the various secretagogues.

In conclusion, the present study identified several mediators of the enteric and immune systems as potent modulators of guanylin release. This peptide may therefore play a pivotal role in control of the homeostasis of intestinal water and electrolytes in physiological and pathological situations by a paracrine/luminocrine mechanism. Additionally, the identification of guanylin immunoreactivity in the portal effluent raises the possibility that intestinal guanylin could also operate as a hormonal peptide.


    Acknowledgments
 
We are grateful to Kurt Schillinger for correction of the English.


    Footnotes
 
1 This work was supported by La Fondation de la Recherche Médicale (to F.M.). Back

Received February 15, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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