BackgroundBile acid malabsorption (BAM) is a condition where excess amounts of bile acids (BA) in the colon cause chronic watery diarrhea. BAM occur following resection or inflammation of the terminal ileum, cholecystectomy or as a primary condition, where the feedback regulation of bile acid (BA) synthesis is defective. The mechanisms by which BAs in the large intestine cause diarrhea are largely unknown. My aim is to determine if aquaporin water channels (AQPs) in the colonic epithelium are involved in the development of diarrhea during BAM.MethodsSix rats kept in metabolic cages were fed a diet containing 1% BA for 10 days as a model for BAM. Six other rats fed standard chow served as controls. Colonic epithelial cells were isolated by Ca2+‐chelation. Cells were processed for RNA and protein analyses. Colonic tissue was also prepared for histology.ResultsBA‐fed rats had greater feces dry weight and feces water content compared to rats fed standard chow. BA rats also had a higher water intake than controls. There were no differences in urine output or urine osmolality between groups. In contrast to controls, BA rats did not gain weight over time. The difference in weight was significant at the end of the experiment. Semi‐quantitative real‐time PCR of epithelial cells showed that organic solute transporter β (Slc51b) mRNA was increased in the colonic epithelium from the BA‐treated group compared to the control group indicating activation of the nuclear bile acid receptor (FXR). Aqp3 mRNA was increased in the distal colonic epithelium in the BA‐treated group, while mRNA for Aqp8 was increased in both the proximal and the distal colonic epithelium. mRNA for Aqp1, ‐4 and ‐7 was not different between groups. AQP3 was detected as a non‐glycosylated and a glycosylated form by western blotting. The glycosylated form was significantly reduced in the distal colonic epithelium of BA rats compared to controls. AQP8 was significantly increased in the distal colonic epithelium of BA rats compared to controls.PAS‐staining showed no clear differences in the histology of the colons from BA rats compared to colons from control rats. The expression pattern of AQP3 and ‐8 as shown with immunohistochemistry was not different between BA rats and controls.ConclusionIn a rat model of BAM we find increased expression of Aqp3 and Aqp8 mRNA and alterations of protein expression of AQP3 and ‐8 in the distal colon indicating a role for AQPs in the development of diarrhea during BAM.Support or Funding InformationSupport for my PhD‐study comes from the Faculty of Health's Research training supplement as well as from my main supervisor, Hanne Moeller, who received a Starting grant from Aarhus University Research Foundation, when she was hired as associate professor.
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