The azo dye Evans blue (EB; molecular weight, 960.83) is widely used a
s an indicator of increased capillary permeability. In the present stu
dy, however, rat gut absorption of EB was investigated after dye insti
llation in either the small or large intestine. During a brief period
of ether anaesthesia, EB was injected either into jejunal loops with a
challenge period of 30 or 60 min or into a proximal and a distal colo
n loop with a challenge period of 30, 60, or 120 min. After the rats h
ad been killed the intestinal specimens were washed with 6 mM acetylcy
steine dissolved in phosphate-buffered saline, which efficiently clear
ed the tissues of mucus, and thus of EB trapped in mucus. Only EB abso
rbed by the gut wall remained to be estimated, and this absorption was
found to be both dose- and time-dependent in the jejunum and the colo
n. After instillation in the colon, but not in jejunum, EB could be de
tected in the blood. EB absorption from the jejunum remained unaffecte
d by the addition of either ouabain (1 mM) or lidocaine (0.38 mM). Eit
her of these compounds inhibited EB uptake in the proximal part of the
colon, while enhancing it in the distal part. Fluorescence microscopy
showed penetration into the intestinal wall to be a prerequisite for
EB to become fluorescent, and EB fluorescence increased with time. It
is proposed that EB is transported over the mucosa by the paracellular
route and that the amount of absorbed EB reflects epithelial permeabi
lity differently in different parts of the gastrointestinal tract. The
results suggest that active mechanisms also contribute to the EB upta
ke in the large intestine. A particularly noteworthy finding was the e
xistence of a functional heterogeneity between the proximal and distal
colon.