“…Osmotic alterations are associated with several human diseases, including brain edema, dry eye syndrome, inflammatory bowel disease, diabetes, and its complications (e.g., diabetic nephropathy) (Kawamata et al, 2007;Brocker et al, 2012;Johnson et al, 2014;Pasquel and Umpierrez, 2014;Umpierrez and Korytkowski, 2016). Experimental evidence has pointed out that changes in osmolarity (hypo or hyperosmolality) can affect epithelial transport (Ikari et al, 2013(Ikari et al, , 2015Tokuda et al, 2016). However, these studies are highly controversial: while some results indicate a significant disruption of the paracellular barrier (H€ ogman et al, 2002;Brown et al, 2004;Inokuchi et al, 2009), others show an enhancement of this barrier mediated by TJ after increasing the osmolarity (Ikari et al, 2012(Ikari et al, , 2013(Ikari et al, , 2015.…”