Key role of aldosterone and pericryptal myofibroblast growth in colonic permeability

J Pediatr Gastroenterol Nutr. 2007 Dec:45 Suppl 2:S127-30. doi: 10.1097/MPG.0b013e31812e680b.

Abstract

When sodium intake diminishes, both the kidney and distal colon contribute directly to sodium homeostasis. In response to a diet with low amounts of sodium, the body hormonal profile changes to produce different effects on crypt-colon permeability and absorption and in the pericryptal sheath surrounding distal colonic crypts. This adaptation produces an increase in Na absorption, a decreased crypt-wall permeability, and an activation of the growth of pericryptal myofibroblasts. The separate roles of the 2 main hormones implicated in the process, aldosterone and angiotensin II, until now have been unclear. Experiments conducted on adrenalectomized rats on low- and high-sodium diets, implanted with osmotic pumps perfusing either aldosterone or angiotensin II, allow us to discriminate between the effects of these hormones. In the distal colon, aldosterone acts as a trophic agent on the myofibroblasts layer and is the key hormone controlling colonic permeability, but angiotensin II alone has no discernable direct role in the process.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adaptation, Physiological
  • Aldosterone / pharmacology
  • Aldosterone / physiology*
  • Angiotensin II / pharmacology
  • Angiotensin II / physiology*
  • Colon / metabolism*
  • Colon / physiology
  • Humans
  • Intestinal Absorption / drug effects*
  • Myocytes, Smooth Muscle / metabolism
  • Myocytes, Smooth Muscle / physiology
  • Permeability
  • Sodium, Dietary / administration & dosage
  • Sodium, Dietary / metabolism*
  • Sodium, Dietary / pharmacokinetics

Substances

  • Sodium, Dietary
  • Angiotensin II
  • Aldosterone