Measurements of luminal pH in the normal gastrointestinal tract have shown a progressive increase in pH from the duodenum to the terminal ileum, a decrease in the cecum, and then a slow rise along the colon to the rectum [11]. The relatively acidic pH range of 5.8-6.7 in the human proximal colon (cecum, right colon), the principle site of microbial colonization, has been repeatedly reported using various methods of pH analysis [12–15]. Importantly, pH has been found to be markedly increased in the proximal colon after severe insults such as sepsis,

trauma, shock, and inflammatory bowel disease in human [1, 11] as well as in mouse models of physiological stress induced by major surgery [16]. Yet whether changes in luminal pH correspond to changes within

the colon mucosa, the primary site of a colonization and invasion of P. aeruginosa is unknown. C59 wnt concentration As changes in pH in the proximal colon mucosa have the potential to affect the valence state and hence availability of both phosphate and iron to P. aeruginosa during intestinal colonization, the aims of the present study were to examine if pH changes in the proximal colon mucosa develop in mice following surgical injury that affect the ability of oral phosphate supplementation to protect against lethal sepsis due to intestinal P. aeruginosa. Methods Bacterial strains Studies were performed with P. aeruginosa PAO1 BIBF 1120 mouse strains obtained from two laboratories, MPAO1 (B. Iglewski, the original strain used to create the transposon mutant library at the University of Washington), and CorPAO1 (P. Cornelis), as well as with the CorPAO1 derivative mutant ΔPvdD/ΔPchEF. Mouse model of lethal gut-derived sepsis Animal experiments were approved by the Animal Care and Use Committee at the University of Chicago (IACUC protocol 71744). Male C57BL6/HSD mice VX-680 mw weighing 18 to 22 g were used for all experiments. Gut-derived sepsis was modeled by performing a 30% surgical

left lateral hepatectomy with simultaneous injection of 107 CFU P. aeruginosa into cecum of mice pre-fasted 18 hours prior to surgery as previously described [16]. Mice were allowed access to either tap water, or 25 mM potassium phosphate-buffer (PB) pH 7.5, or 25 mM PB pH 6.0 through over the course of the experimental period. Measurement of intestinal mucosal pH Intestinal mucosa (overlying mucus and triclocarban intestinal epithelial cells) pH was measured with phenol red. Following 24 hrs after surgery, mice were sacrificed, and distal intestine of mice was harvested from rectum to jejunum, gently washed with water to remove loose luminal contents and then stained by flashing 5 times with 0.4% phenol red in buffer (0.145 M NaCl, 0.002 M KH2PO4, 0.003 M Na2HPO4). The intestine was opened longitudinally and mucosal pH measured semi-quantitatively using pH standards stained with phenol red. C. elegans model C. elegans killing assays were performed as we previously reported [9] with modifications. Briefly, P.