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Division of Gastroenterology, Department of Medicine, University of Washington and Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108
Pancreatic duct epithelial cells
(PDEC) mediate the secretion of fluid and electrolytes and are exposed
to refluxed bile. In nontransformed cultured dog PDEC, which express
many ion transport pathways of PDEC, 1 mM taurodeoxycholic acid (TDCA)
stimulated an 125I
efflux inhibited by DIDS
and 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB) and a
86Rb+ efflux inhibited by charybdotoxin.
Inhibition by
1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid (BAPTA)-AM suggests mediation via increased intracellular Ca2+ concentration, whereas the absence of lactate
dehydrogenase release excludes cellular toxicity. At 1 mM, TDCA
stimulated a larger 125I
efflux than
glycodeoxycholate; two dihydroxy bile acids, taurochenodeoxycholate and
TDCA, were similarly effective, whereas a trihydroxy 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 1) a
short-circuit current (Isc) increase from
basolaterally permeabilized PDEC subject to a serosal-to-luminal
Cl
gradient that was inhibited by BAPTA-AM, DIDS, and
NPPB and 2) 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 1 mM serosal and 2 mM luminal TDCA but decreased after 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.
taurocholate; iodide and rubidium efflux; pancreatitis; Ussing chamber; transepithelial resistance
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