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Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, and the Harvard Digestive Diseases Center, Boston, Massachusetts 02215
Ammonia profoundly inhibits cAMP-dependent
Cl
secretion in model T84
human intestinal crypt epithelia. Because colonic lumen concentrations
of ammonia are high (10-70 mM), ammonia may be a novel regulator
of secretory diarrheal responsiveness. We defined the target of ammonia
action by structure-function analysis with a series of primary amines
(ammonia, methylamine, ethylamine, propylamine, butylamine,
pentylamine, hexylamine, heptylamine, and octylamine) that vary
principally in size and lipid solubilities. The amine concentrations
required for 50% inhibition of
Cl
secretion in intact
monolayers and 50% inhibition of outward K+ current
(IK) in
apically permeabilized monolayers vs. the logs of the respective amine
partition coefficients give two plots that are strikingly similar in
character. Half-maximal inhibition of short-circuit current
(Isc) by
ammonia was seen at 6 mM and for
IK at 4 mM;
half-maximal inhibition for octylamine was 0.24 mM and 0.19 mM for
Isc and
IK, respectively.
The preferentially water-soluble hydrophilic amines (ammonia,
methylamine, ethylamine) increase in blocking ability with decreasing
size and lipophilicity. Conversely, the preferentially lipid-soluble
hydrophobic (propylamine, butylamine, pentylamine, hexylamine,
heptylamine, octylamine) amines increase in blocking ability with
increasing size and lipophilicity. Ammonia does not affect isolated
apical Cl
conductance;
amine-induced changes in cytosolic and endosomal pH do not correlate
with secretory inhibition. We propose that ammonia in its protonated
ammonium form (NH+4) inhibits
cAMP-dependent Cl
secretion
in T84 monolayers by blocking basolateral
K+ channels.
ammonia; chloride; diarrhea; T84 cells; pH
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