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(Journal of Nutrition. 2000;130:83-89.)
© 2000 The American Society for Nutritional Sciences


Article

Contribution of the Cecum and Colon to Zinc Absorption in Rats

Hiroshi Hara1, Ayako Konishi and Takanori Kasai

Department of Bioscience and Chemistry, Faculty of Agriculture, Hokkaido University, Sapporo 060-8589, Japan

1To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We examined the role of the large intestine in zinc absorption in rats in three separate experiments. In the first experiment, we examined apparent zinc absorption in rats fed diets containing graded levels of zinc carbonate (0.015–0.535 mmol Zn/kg diet) and evaluated zinc status on the basis of the zinc concentrations in serum and several tissues. The zinc absorption and the serum zinc concentration increased with the zinc content of the diet up to 0.153 mmol Zn/kg diet. Femoral and pancreatic zinc levels increased linearly up to 0.229 mmol Zn/kg diet. In the second experiment, a zinc carbonate suspension was administered into the cecum via an implanted cannula or into the stomach via an orogastric tube, and the rats were fed diets with or without a highly fermentable fiber, guar gum hydrolysate (GGH, 50 g/kg diet), with coprophagy prevention. The amount of instilled zinc corresponded to the amount of zinc ingested as a component of the diet by the rats of a control group, 0.229 mmol Zn/kg diet. Apparent absorption of cecally instilled zinc was approximately half that observed when zinc was administered into the stomach in both diet groups. Serum and femur zinc concentrations in the cecum-administered groups were ~50 and 25% lower, respectively, than those in rats administered zinc into the stomach. The results demonstrate that, in vivo, the absorptive efficiency in the large intestine is not sufficient to satisfy the rat’s zinc requirement and does not change when the luminal environment is substantially altered by feeding GGH. In Experiment 3, the effects of cecocolonectomy on zinc absorption were examined in rats with gastric acid suppression. In the cecocolonectomized groups, serum zinc concentration was lower as a result of treatment with a proton pump inhibitor, omeprazole, than in vehicle-treated rats, but not in sham-operated groups. These findings suggest that the cecum and colon contribute to zinc absorption when absorption in the small intestine is impaired.


KEY WORDS: • zinc absorption • large intestine • coprophagy prevention • cecocolonectomy • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Zinc is an essential element involved in many important body functions. Zinc deficiency results in retardation of growth (Giugliano and Millward 1984Citation ) and impairment of many functions, including those of the immune system and antioxidative systems (Bray and Bettger 1990Citation ). Moderate zinc deficiency results in a reduction of immune capacity (Fraker et al. 1987Citation , Keen and Gershwin 1990Citation ). Recently, the mechanism of intestinal absorption of zinc was partially elucidated (Hempe and Cousins 1992Citation ), yet it is not fully understood. It is evident that zinc is absorbed by a carrier-mediated process; however, there are several controversial results concerning the major intestinal site involved (Antonson et al. 1979Citation , Davies 1980Citation , Meneely and Ghishan 1982Citation , Wapnir et al. 1985Citation ). We demonstrated previously that large intestinal absorption of calcium compensates for lowered absorption in the small intestine in rats (Hara et al. 1996Citation , Shiga et al. 1998Citation ). The large intestine has a high capacity for zinc absorption (Meneely and Ghishan 1982Citation , Seal and Mathers 1989Citation ); however, the contribution of the large intestine to zinc absorption in vivo remains to be clarified.

The aim of this study was to clarify the role of the large intestine in zinc absorption. We determined whether the large intestine absorbs zinc administered into the cecum as an insoluble salt, under conditions that prevented coprophagy. Also, we examined the contribution of the large intestine to zinc absorption when zinc absorption was reduced in the small intestine by determining the effects of resection of the large intestine (cecocolonectomy) in rats. It has been reported that inhibition of gastric acid secretion reduces zinc absorption (Sturniolo et al. 1991Citation ). We used a proton pump inhibitor to suppress gastric acid secretion. We also measured apparent zinc absorption and tissue zinc concentrations in an effort to determine the zinc status of rats when they were fed diets containing graded levels of zinc.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals and diets.

Male Sprague-Dawley rats (Japan SLC, Hamamatsu, Japan), weighing ~100 g (Experiment 1) or 150 g (Experiments 2 and 3), were given free access to deionized water and a semipurified stock diet, shown in Table 1Citation , for 3–7 d. The stock diet and all test diets were sucrose-based semipurified diets containing 150 g powdered egg white/kg diet (Taiyo Kagaku, Yokkaichi, Japan). D-Biotin was added up to 8.19 µmol/kg diet to prevent its deficiency. The rats were divided into several groups by randomized block design based on body weight for three separate experiments after acclimation (Experiment 1) or recovery from surgery (Experiments 2 and 3). The rats used in all experiments were housed individually in stainless steel cages with mesh bottoms. The cages were placed in a room with controlled temperature (22–24°C), relative humidity (40–60%) and lighting (lights on 0800–2000h).


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Table 1. Composition of stock and test diets

 
A silicone catheter (Silascon no. 0; i.d., 1.0 mm; o.d., 2.0 mm; Dow Corning, Kanagawa, Japan) was implanted through a fistula in the cecum and led subcutaneously behind the neck for instillation of zinc carbonate or water into the cecum (Experiment 2). In the study in which cecal-cannulated rats were used, coprophagy was prevented by means of a wire-mesh anal cup as previously described by Ohta et al. (1996)Citation so that zinc excreted into feces would not pass through the upper intestine as a result of reingestion.

The cecum and colon were removed after ligation of several vessels that supplied blood to those organs, and a surgical procedure was performed to obtain end-to-end anastomosis between the cut edge of the ileum (end of the ileum) and the rectum (cecocolonectomy, Lambert 1965Citation ). In rats of the other group, the end of the ileum was transected and anastomosed (sham operation). The rats were deprived of food and water for 24 h before and after surgery. Both operations were performed in rats under pentobarbital anesthesia (Nembutal: sodium pentobarbital, 40 mg/kg body weight, Abbott Laboratories, North Chicago, IL, Experiment 3).

Guar gum hydrolysate (GGH, Guar fiber, Meiji Seika Kaisha, Tokyo, Japan) is a partial hydrolysate of guar gum, prepared by ß-1,4-mannanase treatment, with an average molecular weight of 15,000; this fiber source was added to the test diet at the expense of the whole diet (50 g/kg diet) in Experiment 2. In all experiments, rats were allowed free access to the assigned test diet and deionized water during the test period. Body weight and food intake were measured daily. Spilled portions of the diet were carefully collected and weighed, and food intake values for all periods were corrected accordingly.

Feces were collected during the last 3 d (Experiment1) or 4 d (Experiment 2) to evaluate apparent absorption of zinc. The feces were sampled via stainless wire mesh set under the cages (Experiment 1) or were collected from the anal cup (Experiment 2). The collected feces were freeze-dried. In Experiment 3, feces could not be collected because of severe diarrhea.

At the end of all experiments, the rats were killed by withdrawal of aortic blood while under anesthesia with Nembutal (pentobarbital sodium, 50 mg/kg body weight; Abbott); some organs were removed in Experiment 1. The right femur was removed and carefully cleaned of adherent tissue in all experiments. The cecum and colon were removed without loss of their contents; contents were collected, frozen immediately with liquid nitrogen and stored at -40°C until subsequent analyses (Experiment 2).

The study was approved by the Hokkaido University Animal Committee, and animals were maintained in accordance with the guidelines for the care and use of laboratory animals of Hokkaido University.

Experimental protocols.

In Experiment 1 (effects of zinc levels in diets), acclimated rats divided into five groups (n = 6) were fed diets containing five levels of zinc carbonate [0.015 (1), 0.076 (5), 0.153 (10), 0.229 (15) and 0.535 (35) mmol (mg) Zn/kg diet] for 3 wk. To create graded levels of zinc in the diets, zinc carbonate was added at the expense of sucrose.

In Experiment 2 (instillation of zinc into the cecum), with the use of a 2 x 2 factorial design, acclimated rats (n = 32) were implanted with a cecal catheter as described above and were divided into four groups (n = 8) after a 3-d recovery period. Rats of two groups were fed a test diet containing GGH (50 g/kg diet); the rats of the other two groups were fed a test diet without GGH. Two subgroups of each diet group received a suspension of zinc carbonate in water administered into the stomach via an orogastric tube and water administered into the cecum via the implanted catheter daily for 7 d (Stomach). Another two subgroups of each diet group received zinc carbonate suspension administered via the catheter implanted in the cecum and water administered into the stomach daily for 7 d (Cecum). The suspension and the water were administered once a day at 0900–1000 h. Coprophagy was prevented from 1 d before zinc instillation into the cecum or the stomach. We prepared a control group of six rats fed a diet without GGH, containing 0.229 mmol Zn/kg diet as zinc carbonate, by the same protocol as that described above for the test groups (Stomach and Cecum), without the operation. The average amount of zinc carbonate ingested by the rats of this control group was instilled daily into the stomach or the cecum of the test groups.

In Experiment 3 (effects of cecocolonectomy and omeprazole treatment) again with a 2 x 2 factorial design, acclimated rats (n = 36) were divided into two groups of 20 and 16 rats. In the case of the first group, cecocolonectomy was performed; the second group underwent a sham operation as described above. All of these rats were fed the stock diet for a 12- to 13-d recovery period postsurgery. Two cecocolonectomized rats and one sham-operated rat were killed because of surgical damage. The rats of each surgically treated group were divided into two subgroups. Two of the subgroups, i.e., one subgroup each of the cecocolonectomized and sham-operated groups, were administered omeprazole (15 mg/kg body weight, kindly provided by Astra Japan, Osaka, Japan) subcutaneously; the other two subgroups were administered its vehicle (polyethylene glycol 400/10 mmol/L NaHCO3, 1:1). Omeprazole or vehicle was injected once a day at 1600–1700 h for 7 d.

Analyses.

Freeze-dried feces and organs were milled. Powdered feces and organs (~70 mg) and freeze-dried whole femur specimens were wet-ashed with a nitric acid (10 mol/L) and perchloric acid (2.3 mol/L) mixture; zinc concentrations in these solutions were measured by atomic absorption spectrometry (AA-6400F, Shimadzu, Kyoto, Japan) after adequate dilution with water.

The cecal and colonic contents, diluted with 9 vol of deionized water, were homogenized by means of a teflon homogenizer. The total zinc in each of the homogenates was measured after the samples had been wet-ashed in the same way as for feces. Soluble zinc was assayed in the supernatant obtained upon centrifugation (30,000 x g for 20 min) of the homogenate.

Serum zinc concentration was measured by means of a commercially available kit (Zn test-Wako, Wako Pure Chemical Industries, Osaka, Japan).

Calculations and statistics.

Calculations were performed as follows: apparent zinc absorption (%) = 100 x [total zinc intake - fecal zinc excretion]/total zinc intake.

The results of Experiment 1 (effects of zinc levels) were analyzed by one-way ANOVA. The effects of GGH feeding and administration site (Experiment 2) and the effects of cecocolonectomy and omeprazole treatment (Experiment 3) were analyzed by two-way ANOVA. Duncan’s multiple range test was used to determine whether mean values were significantly different (Duncan 1995Citation , P < 0.05). These statistical analyses were done by the General Linear Models procedure of SAS (SAS version 6.07, SAS Institute, Cary, NC).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Effects of graded levels of zinc in diets (Experiment 1).

Body weight and food intake were not different among groups fed diets with graded levels of zinc, except for rats fed the lowest level of zinc (0.015 mmol Zn/kg diet, a deficient level, Table 2Citation ). In this zinc-deficient group, both body weight and food intake were lower than in the other groups. Apparent zinc absorption (µmol/d) reached a maximum at a zinc concentration of 0.153 mmol/kg diet. Apparent absorption rates (%) were very high in rats fed 0.076 and 0.153 mmol Zn/kg diet, then gradually decreased as the zinc concentration of the diet was increased towards the highest level.


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Table 2. Body weight gain, food intake, zinc absorption of rats on d 18–21 after the start of feeding test diets containing various levels of zinc (Experiment 1)12

 
Serum zinc concentrations were very low in rats fed 0.015 mmol Zn/kg diet and increased with the dietary zinc levels up to 0.153 mmol/kg diet (Fig. 1Citation ). The value in rats fed this zinc level was not different from that in rats fed 0.229 mmol/kg diet, whereas the value in rats fed 0.535 mmol/kg diet, the highest level, was slightly but significantly higher than that of rats fed 0.153 or 0.229 mmol/kg diet. The kidney zinc concentrations differed in a manner similar to that seen in serum concentrations. Femoral and pancreatic zinc concentrations increased linearly as the dietary zinc concentration increased to 0.229 mmol/kg diet from the zinc-deficient level (0.015 mmol Zn/kg diet). In contrast, the liver zinc concentration was highest in rats fed the diet with the lowest zinc content, and the values in the case of rats fed diets with other levels of zinc did not differ.



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Figure 1. Zinc concentrations in serum and various organs in rats fed graded doses of zinc as a component of the diet (0.015, 0.076, 0.153, 0.229 and 0.535 mmol Zn/kg diet) for 3 wk (Experiment 1). Each value shown is the mean for six rats. Pooled SEM are shown. P-values estimated by one-way ANOVA were <0.001 for serum, femur and kidney, 0.008 for pancreas and 0.012 for liver. Mean values not sharing a letter are significantly different (P < 0.05).

 
Effects of zinc administration into the cecum (Experiment 2).

Body weight gain and food intake in the groups that received zinc instilled into the cecum were lower than those in the groups that received zinc instilled into the stomach, with or without feeding GGH (Table 3Citation ). Body weight gains in rats fed a zinc-containing diet and in rats administered zinc into the stomach in this experiment were lower than those in rats fed the diet (zinc levels > 0.229 mmol/kg diet) of Experiment 1 (Tables 2Citation and 3)Citation . The lower body weight gain in Experiment 2 may have resulted from the prevention of coprophagy. The amount and rates of zinc absorption in the cecally instilled rats were each half of those observed in the case of stomach-instilled rats, and feeding GGH did not influence these values. The amount of zinc absorbed when administered into the stomach (µmol/d) was similar to that observed in rats fed a diet containing 0.229 mmol Zn/kg diet (shown on the bottom line in Table 3Citation ).


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Table 3. Body weight gain, food intake and zinc absorption in groups of rats with zinc carbonate instilled into the stomach or the cecum for 7 d and fed a zinc-deficient diet with or without guar gum hydrolysate (GGH, 50 g/kg diet) under conditions that prevented coprophagy (Experiment 2)12

 
The serum zinc concentration in rats that received zinc instilled into the cecum were also half that in stomach-instilled rats, with or without feeding GGH (Fig. 2Citation , upper panel). Femur zinc concentrations were significantly lower in the cecally instilled groups than in the stomach-instilled groups, with or without feeding GGH (Fig. 2Citation , lower panel).



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Figure 2. Zinc concentrations in the serum and femur of rats with zinc carbonate instilled into the stomach or cecum and fed a diet with or without guar gum hydrolysate (GGH, 50 g/kg diet) for 7 d under conditions in which coprophagy was prevented (Experiment 2). Details are provided in Materials and Methods. Each value shown is the mean for eight rats. Pooled SEM are shown. P-values estimated by two-way ANOVA were 0.240 for diet (D), <0.001 for site of instillation (S) and 0.646 for D x S in serum, and were 0.568 for diet (D), <0.001 for site of instillation (S) and 0.697 for D x S in femur. Mean values not sharing a letter are significantly different (P < 0.05).

 
The amounts of zinc in the cecal and colonic contents were higher in the cecally instilled groups than in the stomach-instilled groups (Table 4Citation ); however, there was no difference in the amount of soluble zinc in the cecal contents among all of the groups. The amount of soluble zinc in the colonic contents was influenced by the site of instillation.


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Table 4. Weight of cecal contents, and total and soluble zinc pools in the cecal and colonic contents of rats in groups with zinc carbonate instilled into the stomach (Stomach) or the cecum (Cecum) for 7 d and fed a zinc-deficient diet with or without guar gum hydrolysate (GGH, 50 g/kg diet) under conditions that prevented coprophagy (Experiment 2)12

 
Effects of cecocolonectomy and omeprazole treatment (Experiment 3).

Body weight gain was not influenced by cecocolonectomy or omeprazole treatment; however, food intake and stomach wall weight were higher in the omeprazole-treated group than in the vehicle group in the case of cecocolonectomized rats (Table 5Citation ).


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Table 5. Body weight gain, food intake and stomach weight in the groups of sham-operated or cecocolonectomized rats administered omeprazole or its vehicle (Experiment 3)12

 
Serum zinc concentration was influenced by both cecocolonectomy and omeprazole treatment. Serum zinc concentrations were lower in the omeprazole group than in the vehicle group in the case of cecocolonectomized rats, but not in the case of sham-operated rats (Fig. 3Citation ).



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Figure 3. Zinc concentrations in serum in groups of sham-operated or cecocolonectomized rats administered omeprazole (+) or its vehicle (-) for 7 d (Experiment 3). Each value shown is the mean ± SEM for seven and eight sham rats of vehicle- and omeprazole-treated groups, respectively, and for nine rats of the cecocolonectomized groups. P-values estimated by two-way ANOVA were 0.030 for cecocolonectomy (C), 0.003 for omeprazole (O) treatment and 0.519 for C x O. Mean values not sharing a letter are significantly different (P < 0.05).

 
The dry weight and the zinc content of the femur were influenced by omeprazole treatment (Table 6Citation ). Cecocolonectomy also influenced bone dry weight. The values of both variables were lower in the omeprazole group of cecocolonectomized rats than in the vehicle group of sham-operated rats. Zinc concentrations were not different among the groups.


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Table 6. Femur dry weight and zinc concentration and content in groups of sham-operated or cecocolonectomized rats administered omeprazole or its vehicle (Experiment 3)12

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We first determined the marginally deficient level of dietary zinc in rats fed diets with various zinc levels (Experiment 1). Body weight gain reached a maximum at 0.076 mmol Zn/kg diet (Table 2)Citation , which shows that this low level of zinc is possibly the minimum dietary zinc requirement. However, zinc absorption and the concentrations of zinc in the femur and pancreas increased gradually upon consumption of diets containing higher levels of zinc and reached a plateau at 0.229 mmol/kg diet. Serum zinc concentrations increased substantially as the dietary zinc levels were increased from 0.076 to 0.153 mmol Zn/kg diet and did not change as the dietary levels were increased from 0.153 to 0.229 mmol Zn/kg diet. These results suggest that rats fed the diet containing 0.153 mmol Zn/kg diet were marginally zinc deficient even though their body weight gain was the same as that of rats fed diets containing > 0.153 mmol Zn/kg diet. These results agree with those reported by Hunt and Johnson (1992)Citation . Prasad et al. (1993)Citation showed that zinc concentrations in granulocytes and lymphocytes are diminished when the plasma zinc concentration is normal in elderly subjects. Southon et al. (1988)Citation also established that a diet containing 0.153 mmol (10 mg) Zn/kg was a diet with a marginally deficient level of zinc. Very high absorptive efficiencies were shown in rats fed low zinc diets (0.076 and 0.153 mmol/kg diet). This finding also suggests that these levels of zinc are below zinc requirements and that the absorptive capacity adapts to the low dose of zinc. Our results also support the view that serum zinc concentration reflects intestinal zinc absorption and is a sensitive indicator of the body zinc status, as shown by Wilkins et al. (1972)Citation .

Zinc absorption in the large intestine has been examined in in vitro and in situ experiments, and it has been reported that the zinc absorption capacity of the large intestine is high (Meneely and Ghishan 1982Citation , Seal and Mathers 1989Citation ). Meneely and Ghishan (1982)Citation showed that the large intestine is the site showing the highest levels of zinc absorption in the intestinal tract of rats. In this study, we examined the zinc absorption capacity of the large intestine in vivo by direct instillation of an insoluble zinc salt into the cecum under conditions that prevented coprophagy. Absorption of cecally administered zinc was only half of that observed when zinc was administered into the stomach (Table 3)Citation . This was consistent with the decreased concentrations of zinc observed in the serum and femur of rats in the group that received cecally administered zinc vs. the group administered zinc by the gastric route (Fig. 2)Citation . The amount of zinc absorbed when administered into the cecum (µmol/d, Table 3Citation ) was lower than that observed in rats fed a diet containing 0.076 mmol Zn/kg diet (Table 2)Citation . This indicated that rats of the cecally administered group had zinc deficiency, which might cause growth retardation in this group. More zinc absorption is required in these rats. This suggests that, at this level of zinc, in spite of the high absorptive capacity of the large intestine, the zinc absorption of the large intestine is insufficient to meet the zinc requirement for maximum growth of the rats.

A possible factor contributing to the poor functional efficiency of the large intestine in absorption of zinc is a low concentration of soluble zinc in the luminal contents. The level of soluble zinc in the cecal contents in the experiment shown in Table 4Citation was 100–200 mmol/cecum. When the percentage of water in the cecal contents was taken to be 70% (result of a separate experiment), zinc concentration in the cecal contents was 75–150 µmol/L. This value is higher than the Kt value of the saturable zinc transporter in the small intestine (Blakeborough and Salter 1987Citation , Raffaniello and Wapnir 1989Citation ) and much higher than the serum zinc concentrations shown in Figure 2Citation . It is not likely that zinc solubilization in the lumen of the large intestine is the limiting factor for zinc absorption in the large intestine.

The luminal environment of the large intestine is influenced considerably by dietary components, especially highly fermentable indigestible substances. These dietary ingredients enhance absorption of some minerals, e.g., calcium and magnesium salts (Ohta et al. 1997Citation , Younes et al. 1996Citation ). The increase in intestinal fermentation produces large amounts of organic acids, such as short-chain fatty acids. These acids also promote calcium absorption in the colon (Hara et al. 1999aCitation , Trinidad et al. 1996Citation ). Recently, Lopez et al. (1998)Citation showed that feeding resistant starch increases zinc absorption; the authors suggested that intestinal fermentation may be involved in the increment. We examined the effects of guar gum hydrolysate, which is a highly fermentable dietary fiber (Takahashi et al. 1994Citation ), on zinc absorption in the large intestine. However, in this study, we did not find that zinc absorption was increased by feeding this source of highly fermentable dietary fiber. In addition, we confirmed this result in a separate experiment using fructooligosaccharides, that is, the feeding of highly fermentable oligosaccharides did not increase zinc absorption in rats (unpublished results). Our results suggest that zinc absorption in the large intestine is not influenced by intestinal fermentation.

In Experiment 3, we demonstrated that the large intestine contributes to zinc absorption in rats treated with a proton pump inhibitor, omeprazole. In this experiment, we could not collect feces because of severe diarrhea, and serum zinc concentration was used as an indicator of zinc status. The zinc concentration in the diet was at a marginally deficient level as described above, and serum zinc concentrations changed sharply to a level below that of the minimum requirement for zinc in the diet (Fig. 1)Citation . Suppression of gastric acid secretion by omeprazole treatment reduces insoluble salt absorption in the small intestine (Hara et al. 1999bCitation ). Sturniolo et al. (1991)Citation reported that suppression of gastric acid secretion reduced zinc absorption. In this study, omeprazole treatment significantly reduced serum zinc concentrations compared with vehicle treatment in cecocolonectomized rats, but not in sham-operated rats. This result suggests that impaired zinc absorption induced by omeprazole is compensated for by an elevated efficiency of zinc absorption in the large intestine, and also that such compensation was lost as a result of cecocolonectomy. In Experiment 1, we showed that the serum zinc concentration reflects intestinal zinc absorption (Fig. 1Citation and Table 2Citation ). It has been reported that serum zinc concentrations may be decreased temporarily as a result of infection or drug stress, and it is suggested that the serum concentration is not an appropriate indicator of zinc status (Lowe et al. 1991Citation , Sato et al. 1984Citation ). However, omeprazole treatment did not influence zinc concentration in the sham-operated rats, and the rats that underwent cecocolonectomy recovered completely from surgical damage before the start of consumption of the test diet in our experiment. Drug and surgical damage probably did not affect the results of this study.

In conclusion, the cecum and colon do not show sufficient zinc absorptive efficiency; however, these sites of the intestine compensate for impaired zinc absorption in the small intestine.

Manuscript received May 3, 1999. Initial review completed June 30, 1999. Revision accepted August 30, 1999.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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