Increased concentrations of reactive oxygen species in children with d
epleted antioxidant defences have been implicated in a cycle of malnut
rition, malabsorption, and infection leading to protracted diarrhoea.
A rat model of chronic vitamin E deficiency has been used to study the
effects of antioxidant depletion on jejunal structure and function in
vitro. Basal intestinal short circuit current (Isc), a measure of net
electrogenic ion movement across the intestinal eqithelium, was great
er in chronically vitamin E deficient jejuna than controls, as was the
electrogenic secretory response to aminophylline and Escherichia coli
STa but not to bethanecol. The galactose stimulated current was also
greater in vitamin E deficient jejuna. Indices of lipid peroxidation (
concentrations of thiobarbituric acid reactive substances and malondia
ldehyde) were increased in the vitamin E deficient small bowel. Small
intestinal brush border membranes from vitamin E deficient animals dis
played changes in both static and dynamic components of membrane fluid
ity measured by steady state fluorescence polarography. The results of
these studies support the hypothesis that oxidative stress in subject
s with compromised antioxidant defences results in small intestinal hy
persecretion, which could predispose to or perpetuate protracted diarr
hoea.