Low potassium disrupt intestinal barrier and result in bacterial translocation

Abstract Background Bacterial translocation was observed in critical illness and patients with chronic diseases such as liver cirrhosis and chronic kidney disease (CKD). Hypokalemia is a common complication in these diseases. Whether low potassium diet may increase intestinal permeability and result...

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Main Authors: Haishan Wu, Rong Huang, Jinjin Fan, Ning Luo, Xiao Yang
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-022-03499-0
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author Haishan Wu
Rong Huang
Jinjin Fan
Ning Luo
Xiao Yang
author_facet Haishan Wu
Rong Huang
Jinjin Fan
Ning Luo
Xiao Yang
author_sort Haishan Wu
collection DOAJ
description Abstract Background Bacterial translocation was observed in critical illness and patients with chronic diseases such as liver cirrhosis and chronic kidney disease (CKD). Hypokalemia is a common complication in these diseases. Whether low potassium diet may increase intestinal permeability and result in bacterial translocation lack of evidence. The present study was aimed to investigate the potential effects of LK on intestinal permeability. Methods Grade 8-week-old male Bal B/C mice were randomly placed either on a normal potassium (NK) mouse chow or a low potassium (LK) diet for 28 days. Intestinal permeability and expression of tight junction proteins were compared between the two groups. Results Compared with the NK group, the mice in LK group had significantly lower serum potassium level, increased levels of plasmas endotoxin and plasma d-lactate. The bacterial translocation was higher and in occurred mainly in mesenteric lymph nodes (MLN), liver and spleen. The pathologic change of small intestine was obvious with thinner villus lamina propria, shorter crypt depth and thinner intestinal wall. Slight increases in the expression of proteins and mRNA levels of both claudin-1 and claudin-2 were observed in LK group. Conclusions Low potassium diet could increase intestinal permeability and thereby lead to bacterial translocation, which was suspected to result from impaired intestinal epithelial barrier and biological barrier.
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spelling doaj.art-cd779a10837c4e6682ba51842f3aeff12022-12-22T03:39:43ZengBMCJournal of Translational Medicine1479-58762022-07-0120111110.1186/s12967-022-03499-0Low potassium disrupt intestinal barrier and result in bacterial translocationHaishan Wu0Rong Huang1Jinjin Fan2Ning Luo3Xiao Yang4Department of Nephrology, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Nephrology, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Nephrology, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Nephrology, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Nephrology, The First Affiliated Hospital, Sun Yat-Sen UniversityAbstract Background Bacterial translocation was observed in critical illness and patients with chronic diseases such as liver cirrhosis and chronic kidney disease (CKD). Hypokalemia is a common complication in these diseases. Whether low potassium diet may increase intestinal permeability and result in bacterial translocation lack of evidence. The present study was aimed to investigate the potential effects of LK on intestinal permeability. Methods Grade 8-week-old male Bal B/C mice were randomly placed either on a normal potassium (NK) mouse chow or a low potassium (LK) diet for 28 days. Intestinal permeability and expression of tight junction proteins were compared between the two groups. Results Compared with the NK group, the mice in LK group had significantly lower serum potassium level, increased levels of plasmas endotoxin and plasma d-lactate. The bacterial translocation was higher and in occurred mainly in mesenteric lymph nodes (MLN), liver and spleen. The pathologic change of small intestine was obvious with thinner villus lamina propria, shorter crypt depth and thinner intestinal wall. Slight increases in the expression of proteins and mRNA levels of both claudin-1 and claudin-2 were observed in LK group. Conclusions Low potassium diet could increase intestinal permeability and thereby lead to bacterial translocation, which was suspected to result from impaired intestinal epithelial barrier and biological barrier.https://doi.org/10.1186/s12967-022-03499-0Low potassiumGut permeabilityIntestinal barrierDysbacteriosisTight junction
spellingShingle Haishan Wu
Rong Huang
Jinjin Fan
Ning Luo
Xiao Yang
Low potassium disrupt intestinal barrier and result in bacterial translocation
Journal of Translational Medicine
Low potassium
Gut permeability
Intestinal barrier
Dysbacteriosis
Tight junction
title Low potassium disrupt intestinal barrier and result in bacterial translocation
title_full Low potassium disrupt intestinal barrier and result in bacterial translocation
title_fullStr Low potassium disrupt intestinal barrier and result in bacterial translocation
title_full_unstemmed Low potassium disrupt intestinal barrier and result in bacterial translocation
title_short Low potassium disrupt intestinal barrier and result in bacterial translocation
title_sort low potassium disrupt intestinal barrier and result in bacterial translocation
topic Low potassium
Gut permeability
Intestinal barrier
Dysbacteriosis
Tight junction
url https://doi.org/10.1186/s12967-022-03499-0
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AT ronghuang lowpotassiumdisruptintestinalbarrierandresultinbacterialtranslocation
AT jinjinfan lowpotassiumdisruptintestinalbarrierandresultinbacterialtranslocation
AT ningluo lowpotassiumdisruptintestinalbarrierandresultinbacterialtranslocation
AT xiaoyang lowpotassiumdisruptintestinalbarrierandresultinbacterialtranslocation