Advertisement
Original article| Volume 108, ISSUE 1, P30-36, July 1986

Polyethylene glycol polymers of low molecular weight as probes of intestinal permeability. II. Application to infants and children with intestinal disease

  • Carlos H. Lifschitz
    Correspondence
    Reprint requests: Carlos H. Lifschitz, M.D., Medical Towers Building, 6608 Fannin, Suite 601, Houston, TX 77030.
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
  • Charles S. Irving
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
  • Lisa M. Marks
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
  • Peter D. Klein
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
  • Milton J. Finegold
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
  • Buford L. Nichols
    Affiliations
    From the U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas, U.S.A.

    From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, Texas, U.S.A.
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      We used a mixture of low molecular weight polymers of polyethylene glycol (PEG) to study intestinal permeability in children with chronic diarrhea. After an oral load, urinary recovery of the longer chain, higher molecular weight polymers was significantly decreased compared with that in healthy adults and infants without disease of the gastrointestinal mucosa. A correlation was observed between clinical severity of disease, histopathologic condition of the small bowel mucosa, and PEG scores. These results indicate that intestinal permeability in children can be studied by noninvasive means and that an assessment of mucosal integrity can be obtained.

      Abbreviations:

      PCD (percent dose recovery), PEG (polyethylene glycol), PEG-M (polyethylene glycol mixture), PEG 400 (polyethylene glycol of a mean molecular weight of 400)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Translational Research
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Pearson ADJ
        • Eastham EJ
        • Laker MF
        • Craft AW
        • Nelson R
        Intestinal permeability in children with Crohn's disease and coeliac disease.
        Br Med J. 1982; 285: 20-21
        • Menzies IS
        • Pounder R
        • Heyer S
        • et al.
        Abnormal intestinal permeability to sugars in villous atrophy.
        Lancet. 1979; 2: 1107-1109
        • Cobden I
        • Dickinson RJ
        • Rothwell J
        • Axon ATR
        Intestinal permeability assessed by excretion ratios of two molecules: results in coeliac disease.
        Br Med J. 1978; 2: 1060
        • Robinson GM
        • Orrego H
        • Israel Y
        • Devenyi P
        • Kapur BM
        Low-molecular-weight polyethylene glycol as a probe of gastrointestinal permeability after alcohol ingestion.
        Dig Dis Sci. 1981; 26: 971-975
        • Sundqvist T
        • Lindstrom F
        • Magnusson K-E
        • Skoldstam L
        • Stjernstom I
        • Tagesson C
        Influence of fasting on intestinal permeability and disease activity in patients with rheumatoid arthritis.
        Scand J Rheumatol. 1982; 11: 33-38
        • Chadwick VS
        • Phillips SF
        • Hofmann AF
        Measurements of intestinal permeability using low molecular weight polyethylene glycols (PEG) 400.
        Gastroenterology. 1977; 73: 247-251
        • Irving CS
        • Lifschitz CH
        • Marks LM
        • Nichols BL
        • Klein PD
        Polyethylene glycol polymers of low molecular weight as probes of intestinal permeability. I. Innovations in analysis and quantitation.
        J Lab Clin Med. 1986; 107: 290-298
        • Lifschitz CH
        • Smith EO
        • Garza C
        Delayed complete functional lactase sufficiency in breast-fed infants.
        J Pediatr Gastroenterol Nutr. 1983; 2: 478-482
        • Weaver LT
        • Chapman PD
        • Madeley CR
        • Laker MF
        • Nelson R
        Intestinal permeability changes and excretion of micro-organisms in stools of infants with diarrhoea and vomiting.
        Arch Dis Child. 1985; 60: 326-332
        • Ford RPK
        • Menzies IS
        • Phillips AD
        • Walker-Smith JA
        • Turner MW
        Intestinal sugar permeability: relationship to diarrhoeal disease and small bowel morphology.
        J Pediatr Gastroenterol Nutr. 1985; 4: 568-574
        • Jalili F
        • Smith EO
        • Nichols VN
        • Nichols BL
        A comparison of acquired monosaccharide intolerance and acute diarrheal syndrome.
        J Pediatr Gastroenterol Nutr. 1982; 1: 81-89
        • Lifschitz CH
        • Irving CS
        • Gopalakrishna GS
        • Evans K
        • Nichols BL
        Carbohydrate malabsorption in infants with diarrhea studied with the breath hydrogen test.
        J Pediatr. 1983; 102: 371-375
        • Sundqvist T
        • Magnusson K-E
        • Sjodahl R
        • Stjernstrom I
        • Tagesson C
        Passage of molecules through the wall of the gastrointestinal tract.
        Gut. 1980; 21: 208-214
        • Wheeler PG
        • Menzies IS
        • Creamer B
        Effect of hyperosmolar stimuli and coeliac disease on the permeability of the human gastrointestinal tract.
        Clin Sci Mol Med. 1978; 54: 495-501
        • Menzies IS
        Transmucosal passage of inert molecules in health and disease.
        in: Skadhauge E Heintze K Intestinal absorption and secretion. MTP Press, London1983: 527
        • Klish WJ
        • Udall JN
        • Rodriguez JT
        • Singer DB
        • Nichols BL
        Intestinal surface area in infants with acquired monosaccharide intolerance.
        J Pediatr. 1978; 92: 566-571
        • Tagesson C
        • Sjodahl R
        Passage of molecules through the wall of the gastrointestinal tract. Urinary recovery of different-sized polyethylene glycols after intravenous and intestinal deposition.
        Scand J Gastroenterol. 1984; 19: 315-320
        • Lifschitz CH
        Intestinal permeability: an editorial review.
        J Pediatr Gastroenterol Nutr. 1985; 4: 520-522