Skip to main content
Gut logoLink to Gut
. 1979 Nov;20(11):1001–1007. doi: 10.1136/gut.20.11.1001

Quantitative study of mucosal structure, enzyme activities and phenylalanine accumulation in jejunal biopsies of patients with early and late onset diabetes.

E O Riecken, A Zennek, A Lay, H Menge
PMCID: PMC1412670  PMID: 527868

Abstract

A study of the three-dimensional structure of the upper jejunal mucosa in diabetics has been carried out. The structural findings were related to 14C-L-phenylalanine uptake in vitro, sucrase activity in mucosal homogenates, and the enzyme content of the absorptive cells as measured cytophotometrically. A low grade mucosal transformation of the sprue-type was found, which was associated with decreased sucrase activity, and with no reduction in phenylalanine accumulation. On the other hand the specific activities of alkaline phosphatase, non-specific esterase, and succinic dehydrogenase in the surface cells remained unchanged.

Full text

PDF
1003

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aulsebrook K. A. Intestinal transport of glucose and sodium: changes in alloxan diabetes and effects of insulin. Experientia. 1965 Jun 15;21(6):346–347. doi: 10.1007/BF02144708. [DOI] [PubMed] [Google Scholar]
  2. Beck I. T., Da Costa L. R., Beck M. Sugar absorption by small bowel biopsy samples from patients with primary lactase deficiency and with adult celiac disease. Am J Dig Dis. 1976 Nov;21(11):946–952. doi: 10.1007/BF01071905. [DOI] [PubMed] [Google Scholar]
  3. Bloch R., Menge H., Schaarschmidt W. D., Gottesbüren H., Schaumlöffel E., Goebell H., Riecken E. O. Biochemische, histochemische, histologische und funktionelle Untersuchungen zue Phenforminwirkung auf ide Dünndarmschleimhaut bei Ratte und Mensch. Klin Wochenschr. 1973 Mar 1;51(5):235–241. doi: 10.1007/BF01467773. [DOI] [PubMed] [Google Scholar]
  4. CRANE R. K. An effect of alloxan-diabetes on the active transport of sugars by rat small intestine, in vitro. Biochem Biophys Res Commun. 1961 Apr 28;4:436–440. doi: 10.1016/0006-291x(61)90304-7. [DOI] [PubMed] [Google Scholar]
  5. Caspary W. F., Winckler K., Creutzfeldt W. Intestinal brush border enzyme activity in juvenile and maturity onset diabetes mellitus. Diabetologia. 1974 Aug;10(4):353–355. doi: 10.1007/BF02627738. [DOI] [PubMed] [Google Scholar]
  6. Chaudhary M. A., Olsen W. A. Jejunal disaccharidase activity in maturity onset diabetes. Am J Dig Dis. 1973 Mar;18(3):199–200. doi: 10.1007/BF01071973. [DOI] [PubMed] [Google Scholar]
  7. Clarke R. M. Mucosal architecture and epithelial cell production rate in the small intestine of the albino rat. J Anat. 1970 Nov;107(Pt 3):519–529. [PMC free article] [PubMed] [Google Scholar]
  8. Csáky T. Z., Fischer E. Induction of an intestinal epithelial sugar transport system by high blood sugar. Experientia. 1977 Feb 15;33(2):223–224. doi: 10.1007/BF02124079. [DOI] [PubMed] [Google Scholar]
  9. DAHLQVIST A. METHOD FOR ASSAY OF INTESTINAL DISACCHARIDASES. Anal Biochem. 1964 Jan;7:18–25. doi: 10.1016/0003-2697(64)90115-0. [DOI] [PubMed] [Google Scholar]
  10. Fromm D., Field M., Silen W. Effect of insulin on sugar and amino acid transport cross isolated small intestine. Am J Physiol. 1969 Jul;217(1):53–57. doi: 10.1152/ajplegacy.1969.217.1.53. [DOI] [PubMed] [Google Scholar]
  11. Galjaard H., Bootsma D. The regulation of cell proliferation and differentiation in intestinal epithelium. II. A quantitative histochemical and autoradiographic study after low doses of x-irradiation. Exp Cell Res. 1969 Nov;58(1):79–92. doi: 10.1016/0014-4827(69)90118-9. [DOI] [PubMed] [Google Scholar]
  12. Genel M., London D., Holtzapple P. G., Segal S. Uptake of alpha-methylglucoside by normal and diabetic human jejunal mucosa. J Lab Clin Med. 1971 May;77(5):743–750. [PubMed] [Google Scholar]
  13. Gottesbüren H., Leising H., Menge H., Lorenz-Meyer H., Riecken E. O. Einfluss von Glucagon auf die Glucose-, Wasser- und Elektrolytresorption des menschlichen Jejunums. Klin Wochenschr. 1974 Oct 1;52(19):926–929. doi: 10.1007/BF01468939. [DOI] [PubMed] [Google Scholar]
  14. Gottesbüren H., Schmitt E., Menge H., Bloch R., Lorenz-Meyer H., Riecken E. O. Untersuchungen zum Einfluss des Insulins auf die intestinale Resorption beim Menschen. II. Der Einfluss endogenen und intravenös injizierten Insulins auf die Resorption. Res Exp Med (Berl) 1973 Nov 23;161(4):262–271. doi: 10.1007/BF01851450. [DOI] [PubMed] [Google Scholar]
  15. Jervis E. L., Levin R. J. Anatomic adaptation of the alimentary tract of the rat to the hyperphagia of chronic alloxan-diabetes. Nature. 1966 Apr 23;210(5034):391–393. doi: 10.1038/210391a0. [DOI] [PubMed] [Google Scholar]
  16. LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
  17. Levinson R. A., Englert E., Jr Intestinal absorption of sugars, water and sodium in alloxan diabetic rats. Diabetes. 1970 Oct;19(10):683–687. doi: 10.2337/diab.19.10.683. [DOI] [PubMed] [Google Scholar]
  18. Lorenz-Meyer H., Menge H., Riecken E. O. Untersuchungen zuf Funktion und Morphologie der Dünndarmschleimhaut der Ratte unter chronischem Glukagoneinfluss. Res Exp Med (Berl) 1977 Jun 29;170(2):181–192. doi: 10.1007/BF01851389. [DOI] [PubMed] [Google Scholar]
  19. Lorenz-Meyer H., Thiel F., Menge H., Gottesbüren H., Riecken E. O. Structural and functional studies on the transformation of the intestinal mucosa in rats with experimental diabetes. Res Exp Med (Berl) 1977 Jun 29;170(2):89–99. doi: 10.1007/BF01851379. [DOI] [PubMed] [Google Scholar]
  20. MALINS J. M., FRENCH J. M. Diabetic diarrhoea. Q J Med. 1957 Oct;26(104):467–480. [PubMed] [Google Scholar]
  21. McNally E. F., Reinhard A. E., Schwartz P. E. Small bowel motility in diabetics. Am J Dig Dis. 1969 Mar;14(3):163–169. doi: 10.1007/BF02235877. [DOI] [PubMed] [Google Scholar]
  22. Menge H., Robinson J. W., Mirkovitch V. Influence of the colonic contents on the structure and function of the rat jejunal mucosa. Exp Mol Pathol. 1977 Apr;26(2):204–213. doi: 10.1016/0014-4800(77)90050-8. [DOI] [PubMed] [Google Scholar]
  23. Menge H., Robinson J. W., Riecken E. O. Anpassungsmöglichkeiten der Dünndarmschleimhaut an verschiedene intraluminale Milieuveränderungen. Z Gastroenterol. 1976 May;14(3):420–433. [PubMed] [Google Scholar]
  24. Nakabou Y., Okita C., Takano Y., Hagihira H. Hyperplastic and hypertrophic changes of the small intestine in alloxan diabetic rats. J Nutr Sci Vitaminol (Tokyo) 1974;20(3):227–234. doi: 10.3177/jnsv.20.227. [DOI] [PubMed] [Google Scholar]
  25. Necheles H., Sporn J., Walker L. Effect of glucagon on gastrointestinal motility. Am J Gastroenterol. 1966 Jan;45(1):34–39. [PubMed] [Google Scholar]
  26. Olsen W. A., Rogers L. Jejunal sucrase activity in diabetic rats. J Lab Clin Med. 1971 May;77(5):838–842. [PubMed] [Google Scholar]
  27. Olsen W. A., Rosenberg I. H. Intestinal transport of sugars and amino acids in diabetic rats. J Clin Invest. 1970 Jan;49(1):96–105. doi: 10.1172/JCI106227. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. ROBINSON J. W., TAMINELLI F., FELBER J. P., MAGNENAT P. IN VITRO MEASUREMENT OF AMINO-ACID UPTAKE BY THE HUMAN SMALL INTESTINE. Med Exp Int J Exp Med. 1964;10:157–163. doi: 10.1159/000135411. [DOI] [PubMed] [Google Scholar]
  29. Riecken E. O., Martini G. A. Die Klassifizierung pathologischer Dünndarmschleimhautbilder. Morphologis, Funktion und diagnostische Bedeutung. Dtsch Med Wochenschr. 1973 May 11;98(19):998–1004. doi: 10.1055/s-0028-1106951. [DOI] [PubMed] [Google Scholar]
  30. Riecken E. O., Menge H. Nutritive effects of food constituents on the structure and function of the intestine. Acta Hepatogastroenterol (Stuttg) 1977 Oct;24(5):389–399. [PubMed] [Google Scholar]
  31. Riecken E. O., Sahlfeld M., Lorenz-Meyer H. Quantitative Untersuchungen zur dreidimensionalen Struktur der Dünndarmschleimhaut bei Besunden und Patienten mit einheimischer Sprue. Dtsch Med Wochenschr. 1976 Jan 9;101(2):51–53. [PubMed] [Google Scholar]
  32. Riecken E. O., Stewart J. S., Booth C. C., Pearse A. G. A histochemical study on the role of lysosomal enzymes in idiopathic steatorrhoea before and during a gluten-free diet. Gut. 1966 Aug;7(4):317–332. doi: 10.1136/gut.7.4.317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Ruppin H., Domschke W., Domschke S., Classen M. Intestinale Disaccharidasen bei juvenilem Diabetes mellitus. Klin Wochenschr. 1974 Jun 15;52(12):568–570. doi: 10.1007/BF01468497. [DOI] [PubMed] [Google Scholar]
  34. Schedl H. P., Wilson H. D. Effects of diabetes on intestinal growth and hexose transport in the rat. Am J Physiol. 1971 Jun;220(6):1739–1745. doi: 10.1152/ajplegacy.1971.220.6.1739. [DOI] [PubMed] [Google Scholar]
  35. Schedl H. P., Wilson H. D. Effects of diabetes on intestinal growth in the rat. J Exp Zool. 1971 Apr;176(4):487–495. doi: 10.1002/jez.1401760410. [DOI] [PubMed] [Google Scholar]
  36. Varró V., Csernay L. The effect of intra-arterial insulin and glucagon on the glucose metabolism of the small intestine in the dog. Scand J Gastroenterol. 1966;1(3):232–237. [PubMed] [Google Scholar]
  37. Younoszai M. K., Schedl H. P. Effect of diabetes on intestinal disaccharidase activities. J Lab Clin Med. 1972 Apr;79(4):579–586. [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES