T cell activation altersintestinal structure and function
J. Clin. Invest. Michael Field, et al. 116:2580 doi:10.1172/JCI29985 [
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Figure 1Influence of anti-CD3 or TNF on murine jejunal Na
+ absorption, paracellular permeability, and fluid homeostasis.
Upon comparison with normal intestinal epithelial cell homeostasis (
A), Clayburgh et al. (
5) observed the following changes after injection into the jejunum of anti-CD3 or TNF: endocytosis of NHE3, Na
+/H
+ exchanger, member 3 (NHE3) with a resulting decrease in Na
+ absorption; increased paracellular permeability to protein, smaller solutes, and water; and a shift from fluid absorption to fluid secretion (
B). Also suggested are endocytosis of sodium-glucose cotransporter 1 (SGLT1) with resulting decreases in sugar and Na
+ absorption (
3), increased vascular permeability (
15,
16), and increased smooth muscle contractility (
2), the latter effects increasing subepithelial hydrostatic pressure, providing a driving force for fluid secretion. G, glucose.