Abstract
A method of perfusing the isolated human colonin vitro was developed to study the effect of the short-chain fatty acidn-butyrate on sodium absorption under controlled conditions. The isolated colon was viablein vitro provided that ischemia to the colon prior to perfusion was less than 40 min. Viability was judged on glucose utilization, mucosal potential difference, and sodium absorption. Sodium absorption from the lumen was observed either with or without 20 mMn-butyrate. In a control group sodium absorption (nmol/min/cm2±sem) was 320±10 (four perfusions, nine observation intervals) and potassium secretion 26±3 (four perfusions, nine observation intervals). With 20 mMn-butyrate sodium absorption was 1960±480 (four perfusions, ten observation intervals) (PPJ m→s ) of sodium (linear coefficient of 0.714,P=<0.001). These results suggest that the presence of bacterial short-chain fatty acids may determine the efficiency of sodium absorption in the colon and also indicate that an absence of short-chain fatty acids in the colon could be one factor leading to diminished sodium absorption in the colon of man.