Wood creosote, a mixture of guaiacol, creosol and related phenolic compounds, has been used in Japan as a traditional drug for the treatment of diarrhea for more than a century.
1)However, only during the last decade, have the mechanisms of antidiarrheal action of wood creosote become the subject of thorough investigation. The therapeutic effect of wood creosote was first linked to its ability to reduce intestinal motility. 2,3) In addition, an antisecretory and/or pro-absorptive effect of wood creosote was suggested by findings in animal models of diarrhea. Wood creosote was found to prevent castor oil-induced diarrhea in rats 4) and to reduce fluid secretion induced by an Escherichia coli (E. coli) enterotoxin applied into loops of rabbit jejunum in vivo. 5) In previous studies, using in vitro electrophysiologic measurements of electrogenic ion transport in isolated intestinal mucosal sheets, we demonstrated that, while having a moderate effect on basal secretion, wood creosote completely inhibited secretory responses to exogenous acetylcholine. 6,7) The goal of the present investigation was to extend our knowledge about the mechanism of antisecretory action of wood creosote using an in vitro model of enterotoxin-induced hypersecretory conditions. Since secretory diarrhea occurs when the balance between intestinal absorption and secretion is disturbed by excessive secretion caused by enterotoxins produced by the pathogen, we consider the experiments relevant to the clinical cases of infectious secretory diarrhea. The active net electrogenic transport was measured electrophysiologically as the short circuit current passed via a voltage clamp to eliminate the transmucosal potential difference.
MATERIALS AND METHODS
AnimalsMale Sprague-Dawley rats (body weight 250-300 g) were used in the experiments. The animals were purchased from Charles River Laboratories (Wilmington, Massachusetts, U.S.A.) and were housed under standard conditions (21°C and a 12-h light/dark cycle) at the animal facility for at least one week prior to initiating the experiments. On the day of experiment the rats were killed by decapitation and the jejunum and mid portion of the colon were immediately removed and placed in aerated ice-cold Krebs solution. The experimental protocol of the study was approved by the Oklahoma City V.A. Medical Center Animal Care Committee.Electrophysiological Measurement of Net Electrogenic Transport Small intestinal and colonic segments (20 mm long) were used for the preparation of mucosal sheets as described previously.7) Muscle-stripped mucosal sheets were placed in modified Ussing chambers (0.6 cm 2 exposed surface area) that were filled with Krebs bicarbonate buffer (pH 7.2), containing 10 mM mannitol on the mucosal (intraluminal) side and 10 mM glucose at the serosal side. The lack of glucose at the intraluminal side avoided alterations in mucosal transport due to glucose absorption. The Krebs buffer was maintained at 37°C and was continuously aerated with 95% O 2 and 5% CO 2 . An equilibration period of at ...