Abolition of Ca2+‐mediated intestinal anion secretion and increased stool dehydration in mice lacking the intermediate conductance Ca2+‐dependent K+ channel …

CA Flores, JE Melvin, CD Figueroa… - The Journal of …, 2007 - Wiley Online Library
The Journal of physiology, 2007Wiley Online Library
Intestinal fluid secretion is driven by apical membrane, cystic fibrosis transmembrane
conductance regulator (CFTR)‐mediated efflux of Cl–that is concentrated in cells by
basolateral Na+− K+− 2Cl–cotransporters (NKCC1). An absolute requirement for Cl–efflux is
the parallel activation of K+ channels which maintain a membrane potential that sustains
apical anion secretion. Both cAMP and Ca2+ are intracellular signals for intestinal Cl–
secretion. The K+ channel involved in cAMP‐dependent secretion has been identified as the …
Intestinal fluid secretion is driven by apical membrane, cystic fibrosis transmembrane conductance regulator (CFTR)‐mediated efflux of Cl– that is concentrated in cells by basolateral Na+−K+−2Cl– cotransporters (NKCC1). An absolute requirement for Cl– efflux is the parallel activation of K+ channels which maintain a membrane potential that sustains apical anion secretion. Both cAMP and Ca2+ are intracellular signals for intestinal Cl– secretion. The K+ channel involved in cAMP‐dependent secretion has been identified as the KCNQ1–KCNE3 complex, but the identity of the K+ channel driving Ca2+‐activated Cl– secretion is controversial. We have now used a Kcnn4 null mouse to show that the intermediate conductance IK1 K+ channel is necessary and sufficient to support Ca2+‐dependent Cl– secretion in large and small intestine. Ussing chambers were used to monitor transepithelial potential, resistance and equivalent short‐circuit current in colon and jejunum from control and Kcnn4 null mice. Na+, K+ and water content of stools was also measured. Distal colon and small intestinal epithelia from Kcnn4 null mice had normal cAMP‐dependent Cl– secretory responses. In contrast, they completely lacked Cl– secretion in response to Ca2+‐mobilizing agonists. Ca2+‐activated electrogenic K+ secretion was increased in colon epithelium of mice deficient in the IK1 channel. Na+ and water content of stools was diminished in IK1‐null animals. The use of Kcnn4 null mice has allowed us to demonstrate that IK1 K+ channels are solely responsible for driving intestinal Ca2+‐activated Cl– secretion. The absence of this channel leads to a marked reduction in water content in the stools, probably as a consequence of decreased electrolyte and water secretion.
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