Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Alerts
  • Advertising/recruitment
  • Subscribe
  • Contact
  • Current Issue
  • Past Issues
  • By specialty
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All...
  • Videos
    • Conversations with Giants in Medicine
    • Author's Takes
  • Reviews
    • View all reviews...
    • Mechanisms Underlying the Metabolic Syndrome (Oct 2019)
    • Reparative Immunology (Jul 2019)
    • Allergy (Apr 2019)
    • Biology of familial cancer predisposition syndromes (Feb 2019)
    • Mitochondrial dysfunction in disease (Aug 2018)
    • Lipid mediators of disease (Jul 2018)
    • Cellular senescence in human disease (Apr 2018)
    • View all review series...
  • Collections
    • Recently published
    • In-Press Preview
    • Commentaries
    • Concise Communication
    • Editorials
    • Viewpoint
    • Scientific Show Stoppers
    • Top read articles
  • Clinical Medicine
  • JCI This Month
    • Current issue
    • Past issues

  • About
  • Editors
  • Consulting Editors
  • For authors
  • Current issue
  • Past issues
  • By specialty
  • Subscribe
  • Alerts
  • Advertise
  • Contact
  • Conversations with Giants in Medicine
  • Author's Takes
  • Recently published
  • Brief Reports
  • Technical Advances
  • Commentaries
  • Editorials
  • Hindsight
  • Review series
  • Reviews
  • The Attending Physician
  • First Author Perspectives
  • Scientific Show Stoppers
  • Top read articles
  • Concise Communication
Intestinal ion transport and the pathophysiology of diarrhea
Michael Field
Michael Field
Published April 1, 2003
Citation Information: J Clin Invest. 2003;111(7):931-943. https://doi.org/10.1172/JCI18326.
View: Text | PDF
Category: Science in Medicine

Intestinal ion transport and the pathophysiology of diarrhea

  • Text
  • PDF
Abstract

Authors

Michael Field

×

Figure 1

Options: View larger image (or click on image) Download as PowerPoint
Ileal absorptive cell. Multiple brush border transporters couple ion inf...
Ileal absorptive cell. Multiple brush border transporters couple ion influxes (Na+ and, in one instance, H+) to organic solute influxes or exchange one ion for another. Basolateral-membrane carriers facilitate diffusion of organic solutes and are not coupled to ion movements. Na/K-ATPase in the basolateral membrane uses energy from ATP hydrolysis to drive Na+ extrusion and K+ uptake (3:2 stoichiometry), both moving against their electrochemical gradients. K+ and Cl– channels in the basolateral membrane open in response to cell swelling and elevations of intracellular Ca2+. Some of the cellular H+ and HCO3– extruded in exchange for Na+ and Cl– is provided through the action of carbonic anhydrase (CA). Additional HCO3– may enter the cell through the basolateral membrane NHE1 or the Na(HCO3)3 cotransporter (not shown). The cell electric potential is 30–40 mV negative relative to the lumen, providing an electric, as well as a chemical, driving force for Na+ entry via Na–organic solute cotransport. G, glucose or galactose; AA, amino acid (there are actually several amino acid carriers); BA, bile acid anion; OP, oligopeptide; OPase, oligopeptidase (almost all oligopeptides entering the cell intact are quickly hydrolyzed).
Follow JCI:
Copyright © 2019 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts