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Simulation studies on the kinetics of intestinal absorption.

1. A model has been used to simulate the absorption of solutes from perfused intestines. The model makes possible the numerical solution of the differential equations describing absorption processes along the length of the intestine which cannot be solved analytically. It allows for water absorption and the non-linear fall in solute concentration down the intestine. It can be modified easily to include other features, e.g. a change in V (maximum rate of absorption) or K (solute concentration at V/2) along the intestine. 2. 90 perfect data sets have been simulated using the model. The Michaelis-Menten equation was fitted to a quarter of them using different algebraic expressions for the apparent solute concentration. The fit of the equation was very good in every case and it was not possible to explain the poorness-of-fit encountered during an earlier survey (Atkins, G.L. and Gardner, M.L.G. (1977) Biochim, Biophys. Acta 468, 127--145) in terms of the fall in solute concentration described above. 3. The equation was also fitted to all the data sets in order to compare the use of several algebraic expressions for the apparent solute concentration. It has been shown that the current practice of using either the initial concentration or the effluent concentration can lead to estimates of V and K up to amost twice their true value. It has been shown that in one situation (glucose absorption by perfused rat intestine) it is possible to use an empirical expression that will reduce the errors considerably. 4. It is also possible, and perhaps preferable, to use a computer program to fit the model directly to data from the simulated experiments and obtain precise estimates of V and K. 5. In order to show that the model can be easily modified to incorporate other characteristics of perfused intestines, simulations were performed in which V decreased linearly down the intestine. In this example, it was concluded that an inhomogeneity due to non-constancy of V cannot be detected by single-pass perfusions.

Animals↗

Intestinal absorption of oxalic acid in ileostomized patients.

The diagnostic usefulness of an intestinal oxalic acid absorption test was evaluated in nine patients with ileostomy. They received an oral overload of 250 mg sodium oxalate and 4 Ci oxalic acid-C14 and a controlled diet. The urinary levels of cold and radioactive oxalic acid were measured 24 and 48 hours after the overload. Intestinal oxalic acid absorption in the ileostomized patients was found to be normal, with 16.13 +/- 5.1% of the administered dose being eliminated/recovered in the urine 48 hours after the overload (control value = 14.5 +/- 2.8%). The dose of radioactivity excreted on the second day after the overload was smaller in the ileostomy group than in the control group, possibly connected with the absence of colon. The results suggest that in ileostomized patients whose colon has been removed, oxalic acid absorption is normal. Hence there appears to be no risk of oxalic lithiasis in this group.

Adult↗

The intestinal absorption of folates.

Dietary folates, existing primarily in the form of pteorylpolyglutamates, are absorbed in the jejunum by a process involving hydrolysis and subsequent intestinal transport of pterolymonoglutamyl folate. Current evidence indicates that one (or more) intestinal mucsoal enzyme(s), termed folate conjugase, is required for the hydrolysis of pteroylpolyglutamate to pteroylmonoglutamyl folate. Unresolved controversies include the mucosal location of hydrolysis (surface versus intracellular), whether the transport of pteroylmonoglutamate is active or passive, and the relation of intestinal mucosal metabolism of pteroylmonoglutamate to its intestinal transport.

Anemia, Megaloblastic↗