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1 Department of Internal
Medicine I,
Rabbit parietal
cells express three
Na+/H+
exchanger isoforms (NHE1, NHE2, and NHE4). We investigated the effects
of carbachol, histamine, and forskolin on
Na+/H+
exchange activity and acid formation in cultured rabbit parietal cells
and tested the effect of NHE isoform-specific inhibition on
agonist-induced
Na+/H+
exchange. Carbachol (10
4 M)
was the weakest acid secretagogue but caused the strongest Na+/H+
exchange activation, which was completely blocked by 1 µM HOE-642 (selective for NHE1); histamine
(10
4 M) and forskolin
(10
5 M) were stronger
stimulants of
[14C]aminopyrine
accumulation but weaker stimulants of
Na+/H+
exchange activity. HOE-642 (1 µM) reduced forskolin-stimulated Na+/H+
exchange activity by 35%, and 25 µM HOE-642 (inhibits NHE1 and -2)
inhibited an additional 13%, but 500 µM dimethyl amiloride (inhibits
NHE1, -2, and -4) caused complete inhibition. The presence of 5%
CO2-HCO
3
markedly reduced agonist-stimulated H+ efflux rates, suggesting that
the anion exchanger is also activated. Hyperosmolarity also activated
Na+/H+
exchange. Our data suggest that, in rabbit parietal cells,
Ca2+-dependent stimulation causes
a selective activation of NHE1, whereas cAMP-dependent stimulation
activates NHE1, NHE2, and more strongly NHE4. Because intracellular pH
(pHi) did not change in the
presence of
CO2-HCO
3
and concomitant activation of
Na+/H+
and anion exchange is one of the volume regulatory mechanisms, we
speculate that the physiological significance of secretagogue-induced Na+/H+
exchange activation may not be related to
pHi but to volume regulation during acid secretion.
NHE1; NHE2; NHE4; stomach; acid secretion; histamine; forskolin; carbachol; intracellular pH; volume regulation
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