Summary: | Many nutrients are absorbed via Na<sup>+</sup> cotransport systems, and therefore it is predicted that nutrient absorption mechanisms require a large amount of luminal Na<sup>+</sup>. It is thought that Na<sup>+</sup> diffuses back into the lumen via paracellular pathways to support Na<sup>+</sup> cotransport absorption. However, direct experimental evidence in support of this mechanism has not been shown. To elucidate this, we took advantage of claudin-15 deficient (<i>cldn15<sup>−/−</sup></i>) mice, which have been shown to have decreased paracellular Na<sup>+</sup> permeability. We measured glucose-induced currents (Δ<i>I</i><sub>sc</sub>) under open- and short-circuit conditions and simultaneously measured changes in unidirectional <sup>22</sup>Na<sup>+</sup> fluxes (Δ<i>J</i><sup>Na</sup>) in Ussing chambers. Under short-circuit conditions, application of glucose resulted in an increase in Δ<i>I</i><sub>sc</sub> and unidirectional mucosal to serosal <sup>22</sup>Na<sup>+</sup> (∆<i>J</i><sup>Na</sup><sub>MS</sub>) flux in both wild-type and <i>cldn15<sup>−/−</sup></i> mice. However, under open-circuit conditions, Δ<i>I</i><sub>sc</sub> was observed but ∆<i>J</i><sup>Na</sup><sub>MS</sub> was strongly inhibited in wild-type but not in <i>cldn15<sup>−/−</sup></i> mice. In addition, in the duodenum of mice treated with cholera toxin, paracellular Na<sup>+</sup> conductance was decreased and glucose-induced ∆<i>J</i><sup>Na</sup><sub>MS</sub> increment was observed under open-circuit conditions. We concluded that the Na<sup>+</sup> which is absorbed by Na<sup>+</sup>-dependent glucose cotransport is recycled back into the lumen via paracellular Na<sup>+</sup> conductance through claudin-15, which is driven by Na<sup>+</sup> cotransport induced luminal negativity.
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