1993
DOI: 10.1172/jci116462
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5'-adenosine monophosphate is the neutrophil-derived paracrine factor that elicits chloride secretion from T84 intestinal epithelial cell monolayers.

Abstract: Neutrophil transmigration across intestinal epithelia is thought to contribute to epithelial dysfunction and characterizes many inflammatory intestinal diseases. Neutrophils activated by factors, normally present in the lumen, release a neutrophilderived secretagogue activity to which intestinal epithelia respond with an electrogenic chloride secretion, the transport event which underlies secretory diarrhea. Using sequential ultrafiltration, column chromatographic, and mass and Raman spectroscopic techniques, … Show more

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Cited by 272 publications
(202 citation statements)
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References 15 publications
(16 reference statements)
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“…Recent studies have revealed that when coincubated with endothelia or epithelia, neutrophils release micromolar concentrations of 5Ј-AMP (4,7). 5Ј-AMP is rapidly converted to adenosine (via surface-expressed CD73), and adenosine liberated in this fashion directly activates surface adenosine A 2B receptors (4,7,10) and promotes endothelial barrier function through elevation of intracellular cAMP (4,11).…”
mentioning
confidence: 99%
“…Recent studies have revealed that when coincubated with endothelia or epithelia, neutrophils release micromolar concentrations of 5Ј-AMP (4,7). 5Ј-AMP is rapidly converted to adenosine (via surface-expressed CD73), and adenosine liberated in this fashion directly activates surface adenosine A 2B receptors (4,7,10) and promotes endothelial barrier function through elevation of intracellular cAMP (4,11).…”
mentioning
confidence: 99%
“…Diarrhea has been attributed both to villus atrophy-associated malabsorption and to mucosal inflammation-induced alteration in intestinal water and electrolyte transport. Neutrophils are a source of mediators, including reactive oxygen metabolites (4), TNF-␣ (17), 5Ј-AMP (24), and prostaglandins (1,2,4,12), that may directly or indirectly promote epithelial secretion and diarrhea in C. parvum infection. Neutrophil depletion of C. parvum-infected piglets had no effect on clinical severity of diarrhea or epithelial Cl Ϫ secretion, suggesting that mediators derived from or stimulated by neutrophils do not play a significant role in the genesis of diarrhea in the infection.…”
Section: Discussionmentioning
confidence: 99%
“…64 At the apical surface of IECs, 5 0 ectonucleotidase (CD73) converts 5 0 AMP into adenosine. Adenosine then interacts in a paracrine manner with the A2b adenosine receptor, which by its association with G-protein as, indirectly activates adenylyl cyclase.…”
Section: Disruption Of Epithelial Barrier Structure and Functionmentioning
confidence: 99%
“…Adenosine then interacts in a paracrine manner with the A2b adenosine receptor, which by its association with G-protein as, indirectly activates adenylyl cyclase. 64,65 The subsequent increase in cAMP results in the activation of PKA and CFTR, promoting Cl À secretion and enhancing luminal movement of water. 64,65 In addition, another study showed that EPEC is able to induce the cellular release and rapid breakdown of ATP into adenine nucleotides and adenosine, feeding into the earlier described signaling cascade.…”
Section: Disruption Of Epithelial Barrier Structure and Functionmentioning
confidence: 99%
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