Mechanism and regulation of CFTR-dependent epithelial Cl- and HCO3- transport

University of Newcastle (2003) J Physiol 549P, SA9

Research Symposium: Mechanism and regulation of CFTR-dependent epithelial Cl- and HCO3- transport

Shigeru B.H. Ko*, Nikolay Shcheynikov*, Philip J Thomas*, Satoru Naruse† and Shmuel Muallem*

*Department of Physiology, UT Southwestern Medical Center, Dallas, TX 75390, USA and †Department of Internal Medicine II, Nagoya University School of Medicine, Showa-ku, Nagoya 466-8550, Japan

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Cl absorption and HCO3 secretion are central functions of secretory epithelia. CFTR mediates and/or regulate these transport activities as evident from the aberrant Cl and HCO3 transport is cystic fibrosis (CF). However, the exact role of CFTR in Cl absorption and HCO3 secretion and its regulation are not well understood. In a previous work we showed that CFTR stimulates Cl-dependent HCO3 transport and this activity is aberrant in CFTR mutants associated with CF. The identity of the protein mediating HCO3 transport and the mechanism of this stimulation are obscure. Characterized net Cl and HCO3 fluxes and Cl and HCO3 currents in HEK293 cells and Xenopus oocytes expressing WT-CFTR show that the bulk of the CFTR-supported Cl and HCO3 transport are coupled. However, HCO3 current could not account for net CFTR-stimulated HCO3 transport. In search of this mechanism we found that CFTR does not regulate the activity of any of the anion exchangers, AE1, AE2, AE3 or AE4. By contrast, CFTR markedly activated Cl and HCO3 by all members of the luminal SLC26 transporters tested DRA, Pendrin and SLC26A6. Current and voltage measurements revealed that the all SLC26 transporters are electrogenic Cl and HCO3 transporters with isoform specific stoichiometry. DRA activity occurred at a stoichiometry of Cl/HCO3 ≥ 2. By contrast SLC26A6 activity occurred at stoichiometry of HCO3/Cl ≥ 2. DRA/CLD activity was responsible for the Cl and HCO3 transport stimulated by CFTR, since mutations in DRA/CLD that are associated with congenital chloride diarrhoea (CLD) had no Cl/HCO3 exchange activity in either the presence or absence of CFTR. To identify domains in CFTR responsible for regulation of the SLC26 transporters the activity of ΔR-CFTR and ΔC-CFTR from which the PDZ ligand was deleted were examined. ΔR-CFTR was unable to activate DRA/CLD. ΔC-CFTR at low expression levels could not be co-immunoprecipitated with DRA/CLD or activate the transporter. However, at high expression levels ΔC-CFTR and ΔC-DRA interacted with each other and ΔC-CFTR activated Cl and HCO3 transport by ΔC-DRA, indicating multiple interacting domains between CFTR and the SLC26 transporters. These findings provide a molecular mechanism for epithelial HCO3 transport. Expression of one SLC26 transporter and its activation by CFTR will result in electrogenic transport, whereas expression of two SLC26 transporters with opposite stoichiometry in the same membrane domain will result in electroneutral transport. Furthermore, these findings are relevant to the CF-associated aberrant Cl and HCO3 transport, and reveal a new function of CFTR with implications for CF and congenital chloride diarrhoea.



Where applicable, experiments conform with Society ethical requirements.

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