ABSTRACT. We measured the response of jejunal sodium (Na) absorption to neutral amino acid (L-alanine) and to dipeptides (L-alanyl-L-alanine, glycylsarcosine) in normal piglets and in piglets with acute viral diarrhea after experimental infection with transmissible gastroenteritis (TGE) virus. In the TGE jejunum villi were blunted, crypts were deepened, and the epithelium was composed of relatively undifferentiated cells with reduced disaccharidase, decreased sodium-potassium-stimulated ATPase, and elevated thymidine kinase activities. The response of Na absorption to a maximal concentration of L-alanine (20 mM) or D-glucose (30 mM) was significantly blunted in TGE jejunum in Ussing chambers. However, the addition of L-alanine together with D-glucose caused a significantly greater increment of Na absorption than either L-alanine or D-glucose alone in control and TGE tissue. The effect of Na absorption of the dipeptide L-alanyl-L-alanine (10 mM), which was rapidly hydrolyzed by control and TGE mucosa, was similar to that of L-alanine (20 mM), while glycylsarcosine, a poorly hydrolyzed dipeptide, did not change net Na absorption in the jejunum. Our data support the concept of separate carrier systems for neutral amino acid and hexose in the crypt-type intestinal epithelium characterizing viral enteritis. We speculate that a sodiumcotransporting amino acid, if added to oral glucose-electrolyte solutions, could benefit oral rehydration therapy in acute viral diarrhea; neither of the dipeptides tested here can be expected to enhance absorption to any greater extent than its constituent amino acids. (Pediatr Res 20: 879-883,1986) Abbreviations Isc, short-circuit current Na, sodium JE:, Na flux from mucosa to serosa Jr;, Na flux from serosa to mucosa JPJ, net Na flux AJZ, increment in net Na flux Na+-K+-ATPase, sodium-potassium-stimulated adenosinetriphosphatase ORT, oral rehydration therapy TGE, transmissible gastroenteritis WHO, World Health Organization Received January 23, 1986; accepted April 30, 1986. Supported by a grant from the Medical Research Council of Canada. J.M.R. was a recipient of a research fellowship from the Canadian Cystic Fibrosis Foundation.All correspondence and requests for reprints should be addressed to J. Richard Hamilton, M.D., Division of Gastroenterology, The Hospital for Sick Children, 555 University Avenue. Toronto, Ontario, Canada M5G 1x8.ORT has greatly improved the outlook for millions of babies aMicted each year with acute enteritis. The current WHO/ UNICEF formulation for oral rehydration has been very effective in restoring the water and electrolyte status of patients with diarrhea, but it does not diminish stool losses (l,2). To accelerate clinical recovery and promote general acceptance of ORT, a solution that actually reduces diarrheal volume would be very desirable.One theoretical approach to improving standard ORT is to incorporate additional nonionic solute in its formulation to promote water and salt absorption in the diseased intestine. To evaluate the pathophysiologica...