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Articles in PresS, published online ahead of print August 14, 2002
Am J Physiol Gastrointest Liver Physiol, 10.1152/ajpgi.00436.2001
Submitted on October 11, 2001
Accepted on July 3, 2002
1 Department of Medicine (Gastroenterology), University of Washington, Seattle, WA, USA; Department of Medicine (Gastroenterology), Puget Sound VA Health Care System, Seattle, WA, USA
* To whom correspondence should be addressed. E-mail: t1nguyen{at}u.washington.edu.
Pancreatic duct epithelial cells (PDEC) mediate secretion of fluids and electrolytes and are exposed to refluxed bile. In non-transformed cultured dog PDEC, which express many ion transport pathways of PDEC, 1 mM taurodeoxycholic acid (TDCA) stimulated an 125I- efflux inhibited by DIDS and NPPB, and a 86Rb+ efflux, inhibited by charybdotoxin. Inhibition by BAPTA/AM suggests mediation via increased [Ca2+]i while absence of lactate dehydrogenase release excludes cellular toxicity. At 1 mM, TDCA stimulated a larger 125I- efflux than glycodeoxycholate; two di-hydroxy bile acids, taurochenodeoxycholate and TDCA, were similarly effective while a tri-hydroxy bile acid, taurocholate, was ineffective. In Ussing chambers, 1 mM serosal or 2 mM luminal TDCA stimulated an Isc increase from confluent PDEC monolayers. TDCA also stimulated a) an Isc increase from basolaterally permeabilized PDEC subject to a serosal-to-luminal Cl- gradient that was inhibited by BAPTA/AM, DIDS, and NPPB, and b) an Isc increase from apically permeabilized PDEC subject to a luminal-to-serosal K+ gradient, inhibited by BAPTA/AM and charybdotoxin. Along with the efflux studies, these findings suggest that TDCA interacts directly with PDEC to stimulate Ca2+-activated apical Cl- channels and basolateral K+ channels. Monolayer transepithelial resistance was only minimally affected by these concentrations but decreased following exposure to higher TDCA concentrations (2 mM serosal and 4 mM luminal). A secretory role for bile acids should be considered in pancreatic diseases associated with bile reflux.
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