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Robert C. De Lisle
Published in Volume 119, Issue 9
J Clin Invest. 2009; 119(9):2535–2537 doi:10.1172/JCI40598
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Jci40598
Figure 2
Schematic model summarizing potential sites of action of CFTR and HCO3 in mucin release.

HCO3 is taken up from the serosal space and transported into the gut lumen in a CFTR-dependent manner by the enterocyte. CFTR acts as an HCO3 channel to directly transport HCO3 and also acts indirectly by supplying Cl to the lumen, which is then exchanged for HCO3 (arrow) by Cl/HCO3 exchangers. The study in this issue by Garcia et al. (6) reports that HCO3 and CFTR are required for mucin secretion. The authors propose that, upon mucin secretion from goblets cells into the lumen, the mucins (previously condensed into mucin granules) rapidly disassociate from Ca2+ and H+ ions, which allows mucin expansion and disaggregation and the formation of a normal mucus layer. However, Garcia et al. also report that direct addition of HCO3 to the gut lumen is insufficient to support mucin release. This suggests the possibility that HCO3 does not act at the luminal surface in mucin release. Are there intracellular functions of HCO3 and CFTR, such as fostering intercellular communication between the enterocyte and the goblet cell (e.g., intracellular pH regulation and gap junction communication), that potentiate mucin granule exocytosis?