Antiabsorptive effects of 16, 16 dimethyl prostaglandin E2 and isolated rat colon

Ulcerative colitis is distinguished by abundant prostaglandin E₂ (PGE₂) in the stools and by severe diarrhea. To determine whether luminal PGE₂ alters normal colonic absorption, Na⁺ and Cl⁻transport across isolated rat proximal colon were studied before and after 16, 16 dimethyl PGE₂ (dmPGE₂) addition to flux chambers. Luminal administration of dmPGE₂ significantly reduced the net mucosal to serosal fluxes of Na⁺ and Cl⁻. These antiabsorptive tive effects of dmPGE₂ on Na⁺ and Cl⁻ active transport were reflected by a reduced metabolic rate of colonic tissue slices incubated with dmPGE₂. Addition of dmPGE₂ significantly reduced oxidation of glucose by the colon. Structurally, dmPGE₂ reduced the length of colonic mucosal microvilli, thereby decreasing absorptive surface area. These results suggest that PGE₂ released into the colonic lumen of patients with ulcerative colitis exerts antiabsorptive effects on the colon and in this way contributes to the associated diarrhea.