2004
DOI: 10.1016/j.jcf.2004.05.034
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Ex vivo CF diagnosis by intestinal current measurements (ICM) in small aperture, circulating Ussing chambers

Abstract: Intestinal current measurements (ICM) on rectal suction biopsies are a tool for the ex vivo diagnosis of classical and atypical cystic fibrosis (CF). We present the basic ICM protocol, typical tracings and their interpretation. The ICM technique allows the registration of CF-induced changes in electrogenic transepithelial ion transport (Cl-, HCO3-, K+) in a Cl- secretory epithelium, and on the basis of pharmacological criteria, is able to discriminate between CFTR-mediated Cl- secretion and secretion through a… Show more

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Cited by 75 publications
(88 citation statements)
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“…In shortcircuited colon of Cftr ϩ/ϩ mice (Fig. 9A), the application of 500 M amiloride inhibited the resting Na ϩ current set by the activity of the amiloride-sensitive ENaC channels (De Jonge et al, 2004). After the serosal application of 10 M fsk, ⌬I sc increased by 19 Ϯ 3.6 A ⅐ cm Ϫ2 (N ϭ 7), which corresponds to Cl Ϫ secretion.…”
Section: Activation Of a Linear CLmentioning
confidence: 92%
“…In shortcircuited colon of Cftr ϩ/ϩ mice (Fig. 9A), the application of 500 M amiloride inhibited the resting Na ϩ current set by the activity of the amiloride-sensitive ENaC channels (De Jonge et al, 2004). After the serosal application of 10 M fsk, ⌬I sc increased by 19 Ϯ 3.6 A ⅐ cm Ϫ2 (N ϭ 7), which corresponds to Cl Ϫ secretion.…”
Section: Activation Of a Linear CLmentioning
confidence: 92%
“…In ICM of healthy individuals, the apical potassium efflux in reaction to carbachol and histamine is masked by the much larger chloride efflux. In cystic fibrosis, the response is reversed due to the apical potassium efflux in the absence of a chloride efflux, or biphasic due to residual CFTR-mediated chloride efflux in milder forms of cystic fibrosis [35][36][37].…”
Section: Scope and Purpose Of The Guidelinementioning
confidence: 99%
“…Intestinal epithelia of CF subjects have been evaluated by two different laboratory methods (circulating vs. continuously perfused) (De Jonge et al, 2004;Mall et al, 2004). The common finding of both approaches demonstrates absent or diminished chloride secretion after stimulation with agonists that act via intracellular cAMP.…”
Section: Intestinal Ion Channel Measurementmentioning
confidence: 99%