D-Glucose Acts via Sodium/Glucose Cotransporter 1 to Increase NHE3 in Mouse Jejunal Brush Border by a Na plus/H plus Exchange Regulatory Factor 2-Dependent Process

被引:69
|
作者
Lin, Rong [1 ,3 ]
Murtazina, Rakhilya [1 ]
Cha, Boyoung [1 ]
Chakraborty, Molee [1 ]
Sarker, Rafiquel [1 ]
Chen, Tian-E [1 ]
Lin, Zhihong [1 ]
Hogema, Boris M. [4 ]
de Jonge, Hugo R. [4 ]
Seidler, Ursula [5 ]
Turner, Jerrold R. [6 ]
Li, Xuhang [1 ]
Kovbasnjuk, Olga [1 ]
Donowitz, Mark [1 ,2 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Med, Div Gastroenterol, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Physiol, Baltimore, MD 21205 USA
[3] Huazhong Univ Sci & Technol, GI Div, Wuhan Union Hosp, Tongji Med Sch, Wuhan 430074, Peoples R China
[4] Erasmus Univ, Dept Biochem, Med Ctr, NL-3000 DR Rotterdam, Netherlands
[5] Hannover Med Sch, Dept Gastroenterol, D-3000 Hannover, Germany
[6] Univ Chicago, Dept Pathol, Chicago, IL 60637 USA
基金
美国国家卫生研究院;
关键词
Intestinal Na Absorption; Cholera Toxin; Exocytosis; Ezrin; NHERF2; PROXIMAL TUBULE; INTESTINAL EPITHELIA; NA+/H+ EXCHANGER-3; OK CELLS; MEMBRANE; ACTIVATION; EZRIN; TRAFFICKING; MOBILITY; TRANSLOCATION;
D O I
10.1053/j.gastro.2010.10.042
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUND & AIMS: Oral rehydration solutions reduce diarrhea-associated mortality. Stimulated sodium absorption by these solutions is mediated by the Na+/H+ hydrogen exchanger NHE3 and is increased by Na+-glucose co-transport in vitro, but the mechanisms of this up-regulated process are only partially understood. METHODS: Intracellular pH was measured in jejunal enterocytes of wild-type mice and mice with disrupted Na+/H+ exchange regulatory co-factor 2 (NHERF2-/- mice) by multiphoton microscopy. Diarrhea was induced by cholera toxin. Caco-2BBe cells that express NHE3 and the sodium/glucose cotransporter 1 (SGLT1) were studied by fluorometry, before and after siRNA-mediated knockdown of NHERF1 or NHERF2. NHE3 distribution was assessed by cell-surface biotinylation and confocal microscopy. Brush-border mobility was determined by fluorescence recovery after photobleaching and confocal microscopy. RESULTS: The nonmetabolized SGLT1 substrate alpha-methyl-D-Glu (alpha-MD-G) activated jejunal NHE3; this process required Akt and NHERF2. alpha-MD-G normalized NHE3 activity after cholera toxin-induced diarrhea. alpha-MD-G-stimulated jejunal NHE3 activity was defective in NHERF2-/- mice and cells with NHERF2 knockdown, but occurred normally with NHERF1 knockdown; was associated with increased NHE3 surface expression in Caco-2 cells, which also was NHERF2-dependent; was associated with dissociation of NHE3 from NHERF2 and an increase in the NHE3 mobile fraction from the brush border; and was accompanied by a NHERF2 ezrin-radixin-moesin-binding domain-dependent increase in co-precipitation of ezrin with NHE3. CONCLUSIONS: SGLT1-mediated Na-glucose cotransport stimulates NHE3 activity in vivo by an Akt- and NHERF2-dependent signaling pathway. It is associated with increased brush-border NHE3 and association between ezrin and NHE3. Activation of NHE3 corrects cholera toxin-induced defects in Na absorption and might contribute to the efficacy of oral rehydration solutions.
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页码:560 / 571
页数:12
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