Prostaglandins I-2 and E-2 have a synergistic role in rescuing epithelial barrier function in porcine ileum

Prostaglandins (PG) are cytoprotective for gastrointestinal epithelium, possibly because they enhance mucosal repair, The objective of the present studies was to assess the role of prostaglandins in intestinal repair, intestinal mucosa from porcine ileum subjected to 1 h of ischemia was mounted in Ussing chambers, Recovery of normal transepithelial electrical resistance occurred within 2 h, and continued to increase for a further 2 h to a value twice that of control, The latter response was blocked by inhibition of prostaglandin synthesis, and restored by addition of both carbacyclin (an analog of PGI(2)) and PGE(2), whereas the addition of each alone had little effect. Histologically, prostaglandins had no effect on epithelial restitution of villous contraction, indicating that elevations in transepithelial resistance were associated with increases in paracellular resistance. Furthermore, prostaglandin-stimulated elevations in resistance were inhibited with cytochalasin D, an agent known to stimulate cytoskeletal contraction. Synergistic elevations in transepithelial resistance, similar to those of carbacyclin and PGE(2), were also noted after treatment with cAMP and A23187 (a calcium ionophore). We conclude that PGE(2) and PGI(2) have a synergistic role in restoration of intestinal barrier function by increasing intracellular cAMP and Ca2+, respectively, which in turn signal cytoskeletal-mediated tight junction closure.