(a) Life-threatening diarrhea is a shockingly common problem in the developing
world. People with life-threatening diarrhea are often
\(\mathrm{Na}^{+}\)-depleted, and to save their lives, replacing
\(\mathrm{Na}^{+}\)is essential. However, "raw" \(\mathrm{Na}^{+}\)in the
intestines is not absorbed. Drinking a solution of \(\mathrm{NaCl}\) does not,
therefore, replenish body \(\mathrm{Na}^{+}\). In fact, drinking such a solution
can actually worsen a person's situation by osmotically dehydrating the blood
and other body fluids. Explain how the drinking of a \(\mathrm{NaCl}\) solution
could have this effect. (b) One of the greatest physiological discoveries of
the twentieth century was that drinking a solution of mixed glucose and
\(\mathrm{NaCl}\) can promote restoration of the body's \(\mathrm{Na}^{+}\). With
the glucose concentration high enough in the solution, glucose "drives" the
glucose-Na+ cotransporter in the apical membranes of intestinal epithelial
cells, promoting \(\mathrm{Na}^{+}\)uptake in sick people. Explain the concept
behind this manipulation of the cotransporter for therapeutic ends. The
approach has saved millions of lives.