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Cystic Fibrosis/Pulmonary Research and Treatment Center, University of North Carolina, Chapel Hill, North Carolina 27599-7248
The
Na+-K+-2Cl
cotransporter (NKCC1)
located on the basolateral membrane of intestinal epithelia has been
postulated to be the major basolateral Cl
entry pathway.
With targeted mutagenesis, mice deficient in the NKCC1 protein were
generated. The basal short-circuit current did not differ between
normal and NKCC1
/
jejuna. In the
/
jejuna, the forskolin
response (22 µA/cm2; bumetanide insensitive) was
significantly attenuated compared with the bumetanide-sensitive
response (52 µA/cm2) in normal tissue. Ion-replacement
studies demonstrated that the forskolin response in the NKCC1
/
jejuna was HCO3
dependent, whereas in the normal
jejuna it was independent of the HCO3
concentration
in the buffer. NKCC1
/
ceca exhibited a forskolin response that did
not differ significantly from that of normal ceca, but unlike that of
normal ceca, was bumetanide insensitive. Ion-substitution studies
suggested that basolateral HCO3
as well as
Cl
entry (via non-NKCC1) paths played a role in the NKCC1
/
secretory response. In contrast to cystic fibrosis mice, which
lack both basal and stimulated Cl
secretion and exhibit
severe intestinal pathology, the absence of intestinal pathology in
NKCC1
/
mice likely reflects the ability of the intestine to
secrete HCO3
and Cl
by basolateral
entry mechanisms independent of NKCC1.
sodium-potassium-chlorine ion cotransporter; chloride secretion; bicarbonate secretion; jejunum; cecum
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