Effects of okadaic acid (OA) on mucosal damage were examined in rat co
lon. OA was sprinkled on rat colon mucosa under observation with an el
ectronic-endoscopic system, and OA was also applied to the in vivo mic
roscopic field. The OA-induced changes in transepithelial conductance
(G(t)) were measured by the Ussing voltage clamp technique. By endosco
pic observation, the luminal sprinkling of OA (60 nmol/kg) evoked tran
sient microthrombi in the submucosal venule, which was followed by muc
osal edema. Histological study after endoscopic observation showed sub
mucosal fluid retention, suggesting an increase of vascular permeabili
ty. The microthrombi were also detected by in vivo microscopy. By elec
trophysiological study after endoscopic observation with and without O
A addition, the basal G(t) values were 54 +/- 6.2 and 36.2 +/- 4.2 mS/
cm(2), respectively (P < 0.01). Furthermore in control rats, the seros
al addition of OA evoked an increase in G(t) in a concentration-depend
ent manner without increasing lactate dehydrogenase release. 2,4,6-Tri
aminopyrimidinium inhibited OA-induced G(t) change by 60%. These resul
ts indicate that OA evokes an increase in paracellular permeability of
epithelium. We conclude that the developed microthrombi are the first
key event of OA-induced mucosal damage, followed by an increase in pe
rmeability in the submucosal venule and in the paracellular pathway of
the epithelium.