The role of paracellular pathways in isotonic fluid transport.

Paracellular pathways across "leaky" epithelia are the major route for transepithelial ionic diffusion. The permselective properties of these pathways suggest that they offer a watery environment through which ions diffuse in their hydrated forms. There is also suggestive evidence that, at least in some tissues, paracellular pathways provide a significant route for transepithelial water flow in response to an osmotic pressure difference; however, this has not as yet been definitively established. The effect of junctional complexes that are permeable to ions and water on the predictions of the standing-osmotic gradient model for isotonic water absorption is considered.