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Volume 271, Number 38,
Issue of September 20, 1996
pp. 23138-23145
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.
Activation of Na+/H+ Exchange Is Required
for Regulatory Volume Decrease after Modest ``Physiological'' Volume
Increases in Jejunal Villus Epithelial Cells*
(Received for publication, April 16, 1996, and in revised form, July 3, 1996)
R. John
MacLeod
and
J. Richard
Hamilton
From the Department of Pediatrics, McGill University, Montreal
Children's Hospital Research Institute, Montreal,
Quebec H3H 1P3, Canada
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
Acknowledgments
REFERENCES
ABSTRACT
Epithelial cell volume increases that
occur because of the uptake of Na+-cotransported solutes or
hypotonic dilution are followed by a regulatory volume decrease (RVD)
due to the activation of K+ and Cl channels.
We studied the relationship of Na+/H+ exchange
(NHE) to this RVD in suspended guinea pig jejunal villus cells, using
electronic sizing to measure cell volume changes and fluorescent
spectroscopy of cells loaded with
2 ,7 -bis(carboxyethyl)-5(6)-carboxyfluorescein to monitor
intracellular pH (pHi). When the volume increase achieved by
these cells during Na+ solute absorption was duplicated by
a modest 5-7% hypotonic dilution, their pHi first acidified
and then alkalinized. This alkalinization was blocked by
5-(N-methyl-N-isobutyl) amiloride (MIA; 1 µ), an inhibitor of NHE. The RVD subsequent to 5-7%
hypotonic dilution was prevented by Na+-free medium and by
amiloride and non-amiloride derivatives. The order of potency of these
inhibitors was as follows: MIA > 5-(N,N-dimethyl) amiloride > cimetidine > clonidine, in keeping with the pattern attributable
to NHE-1 as the isoform of NHE responsible for increase in pHi
after modest volume increases. A substantial 30% hypotonic dilution
caused acidification, and RVD following this larger volume increase was
not affected by MIA. To assess the effect of hypotonicity on the
activity of NHE, we measured the rate of MIA-sensitive pHi
recovery from an acid load (dpHi/dt) in 5 and 30%
hypotonic media. pHi recovery was faster in 5% hypotonic
medium compared with isotonic medium and slowest in 30% hypotonic
medium, which suggested that the activity of NHE was stimulated in the
slightly hypotonic medium, but inhibited in the 30% hypotonic medium.
To determine the role of activated NHE in RVD after a modest volume
increase, cells were hypotonically diluted 7% in MIA to prevent RVD
and then alkalinized by NH4Cl or acidified by propionic
acid addition. Only after alkalinization was there complete volume
regulation. We conclude that in Na+-absorbing enterocytes,
the NHE-1 isoform of Na+/H+ exchange is
stimulated by volume increases that duplicate the ``physiological''
volume increase occurring when these cells absorb
Na+-cotransported solutes. The subsequent alkalinization of
pHi is a required determinant of the osmolyte loss that
underlies this distinct volume regulatory mechanism.
INTRODUCTION
A modest 5-7% volume increase in a jejunal villus epithelial
cell is of interest because it duplicates the size to which these cells
swell during absorption of Na+ solute (1, 2, 3). With any such
volume increase, these cells activate K+ and
Cl channels, causing a regulatory volume decrease
(RVD)1; the resultant KCl efflux returns
the volume to normal (4, 5). Because reports using symmetrical
mammalian cells have suggested that intracellular pH (pHi) is a
determinant of volume regulation (6, 7, 8), our efforts to characterize
RVD after modest 5-7% swelling focused on pHi and its
relationship to Na+/H+ exchange (NHE) activity
as cell volume was increased experimentally. In this report, using
suspended jejunal villus epithelial cells exposed to a slight hypotonic
challenge (0.95 × isotonic dilution) to duplicate the volume
increase occurring because of Na+ solute absorption (5-7%
swelling), we show a precise relationship between NHE activity,
pHi, and the activation of ion channels for RVD. This sequence
of events differs greatly from that observed after a ``standard''
hypotonic challenge (0.70 to 0.50 × isotonic dilution), where after
cell swelling of 15-20%, NHE activity is inhibited (9, 10, 11).
NHE has been identified in many cell types (12, 13), and four distinct
isoforms have been cloned (14, 15, 16, 17, 18). We have characterized NHE
activation and its relationship to RVD by measuring changes in cell
volume, pHi, 22Na influx, and rates of pHi
recovery from an acid load. By showing distinct differences in the
response to cell swelling of different magnitudes, we have provided new
insight into the mechanism of signal transduction for volume regulation
in absorptive epithelial cells.
MATERIALS AND METHODS
Solutions and Reagents
Volume measurements were made on
cells suspended in Na+ medium at a density of 30,000 cells/ml. This medium contained 140 m NaCl, 3 m KCl, 1 m CaCl2, 1 m MgCl2, 10 m
-glucose, and 10 m Hepes (pH 7.3; 295 mosm).
Na+-free medium and K+-rich medium were made by
iso-osmotic replacement of NaCl with the chloride salts of
N-methyl--glucamine and K+,
respectively, and titrated to pH 7.3 with the corresponding bases.
Isotonic low Na+ medium contained 25 m NaCl
with 115 m N-methyl--glucamine and
was used in all pHi recovery from ammonium prepulse
experiments. Hypotonic solutions (5 and 30%) were made by an
appropriate addition of distilled water. Na+ uptake buffer
was Na+ medium supplemented with bovine serum albumin (type
V) at 1 mg/ml.
We purchased bafilomycin A1 from Dr. K. Altendorf
(Universitat Osnabrück, Osnabrück, Germany). The
acetoxymethyl ester of 2 ,7 -bis(carboxyethyl)-5(6)-carboxyfluorescein
was obtained from Molecular Probes, Inc. (Eugene, OR).
5-(N-Methyl-N-isobutyl) amiloride (MIA) and
5-(N,N-dimethyl) amiloride were from Research
Biochemicals Inc. (Natick, MA), and
N-methyl--glucamine was from Aldrich.
Nigericin, cimetidine, and clonidine were from Sigma,
and RPMI 1640 medium (10×) was from Life Technologies, Inc.). Dinonyl
phthalate was from Pfaltz and Bauer Inc. (Waterbury, CT), and
22NaCl was purchased from Amersham (Montreal, Quebec).
Villus Cell Isolation and Volume Determination
Villus cells
were isolated from segments of adult male (200-300 g) guinea pig
jejunum by mechanical vibration as described previously (19). We
resuspended isolated cells at 0.8-1.5 × 106
cells/µl in RPMI 1640 medium (without HCO3) containing 1 mg/ml bovine serum albumin (type V) and 20 NaHepes (pH
7.3) at 37 °C. Three hours after suspension in medium, viability was
85% as assessed by trypan blue exclusion. Cell volume was measured
using a Coulter Counter (model ZM) with an attached Channelyzer (C-256)
as described previously (1, 2, 4). Villus cell volume measured
electronically over a range of tonicities correlated (r = 0.967) with direct measurements of cell water (4). The effect of
amiloride and non-amiloride inhibitors illustrated in Fig. 8 was
measured using an attenuation setting of 32. We determined relative
cell volume as the ratio of cell volume under study conditions to the
volume under basal conditions in isotonic medium.
Fig. 8.
Effect of non-amiloride and amiloride
analogues on RVD after 0.93 × isotonic dilution. A:
, clonidine (50 µ); , cimetidine (25 µ) (n = 7; p < 0.05).
B: , clonidine; , cimetidine; ,
5-(N,N-dimethyl) amiloride; , MIA
(n = 7). Volume was measured electronically and is
expressed relative to the isotonic control.
[View Larger Version of this Image (15K GIF file)]
pHi Measurement and Manipulation
For the
fluorometric determination of pHi, villus cell suspensions
(1 × 106 cells/ml in Hepes/RPMI 1640 medium) were
loaded with 2 ,7 -bis(carboxyethyl)-5(6)-carboxyfluorescein by
incubation with the parent acetoxymethyl ester (3.7 µ)
for 15 min at 37 °C. After washing, 0.5-0.8 × 106
cells were used for fluorescence determination in 2 ml of the indicated
medium using a Hitachi F-4000 fluorometer with excitation at 495 nm and
emission at 525 nm using 5- and 10-nm slits, respectively. We
acid-loaded cells by preincubating 106 cells/ml for 5 min
in RPMI 1640 medium containing 2.5 m NH4Cl at
37 °C, followed by sedimentation and resuspension in 2 ml of the
indicated NH+4-free medium. For
experiments using acid-loaded cells, loading with
NH+4 and
2 ,7 -bis(carboxyethyl)-5(6)-carboxyfluorescein was performed
simultaneously as described (20). The MIA-sensitive rate of pHi
recovery was the difference between pHi recovery in the
presence of bafilomycin (100 n) and Zn2+ (100 µ) and pHi recovery in the presence of these
inhibitors and 1 µ MIA. Rates of pHi recovery
were determined in low Na+ medium (25 m) as
described above. Calibration was performed in K+ medium
with nigericin (21) using a quench correction factor as described
(22).
Uptake of 22Na
We measured the initial rate of
22Na influx with a modified version of a procedure
previously described (19). Each villus cell preparation was divided in
half and resuspended at a final concentration of 5-6 mg of protein/ml
in prewarmed uptake medium in a continuously stirred cuvette. This
medium contained 10 µ bumetanide to inhibit
NaKCl2 cotransport. Uptake was initiated by the addition of
22Na at a concentration of 8-10 µCi/ml. Immediately
afterwards, a 500-µl cell suspension was removed and added to 500 µl of ice-cold 0.1 MgCl2. This aliquot,
which took <5 s to obtain, was taken to represent extracellular
22Na associated with the cell pellet. Uptake was terminated
after 90 s by diluting 500 µl of cell suspension in an equal
volume of ice-cold 0.1 MgCl2, which was then
gently layered on a 100-µl layer of di-n-butyl
phthalate/di-n-nonyl phthalate (3:2, v/v) and centrifuged in
an Eppendorf microcentrifuge for 20 s. Aliquots of the supernatant
were saved for counting, and the cell pellet was processed as described
previously (2, 4, 19). Prior to the addition of 22Na,
duplicate samples were taken and processed as described above, but
following aspiration of the supernatant and oil, 100 µl of Triton
X-100 was added to the pellet. After vigorous shaking and cell lysis,
we measured protein concentration using the Bio-Rad protein assay
reagent with bovine -globulin as a standard. All uptake experiments
were done in the presence and absence of 1 µ MIA. For
the uptake experiments performed under 5% hypotonic conditions, the
medium was diluted with distilled H2O; 60 s later, the
isotope was added, and uptake was allowed to proceed for 90 s. In
preliminary experiments, we determined that 22Na uptake was
first-order for 110 s. The extracellular 22Na
associated with the cell pellet was subtracted from the 90-s values.
Rates, expressed as nmol/min/mg of protein, were based on five to seven
experiments performed in duplicate.
Statistics
Data are reported as means ± S.E. of 5 to
16 experiments performed in duplicate. Differences in means were
determined using Student's t test.
RESULTS
Changes in pHi with Villus Cell Swelling
The
resting pHi of villus cells in Hepes-buffered RPMI 1640 medium
(nominally HCO3-free) was 7.39 ± 0.04 (n = 45). Fig. 1 illustrates the changes
in pHi of villus cells in suspension hypotonically diluted 5 or
30%. To mimic the volume increase that occurs because of the uptake of
either -alanine or -glucose (2, 3), the
villus cells were diluted 0.95 × isotonic (Fig. 1A).
This dilution, which generated a modest volume increase and caused the
pHi to acidify 0.03 ± 0.01 pH units (n = 16), was followed by alkalinization. This alkalinization after
0.95 × isotonic dilution was prevented by 1 µ MIA
(Fig. 1B). After 0.70 × isotonic dilution, which
generated a substantial volume increase, the cells acidified 0.105 ± 0.041 pH units (n = 16) (Fig. 1C). Unlike
cells suspended at 0.95 × isotonic dilution, these cells
continued to acidify over 3 min, and MIA (1 µ) increased
this acidification (Fig. 1D). These pHi changes are
summarized in Fig. 2. 0.95 × isotonic dilution
caused a pHi/3 min of 0.070 ± 0.010 pH units, which
was abolished by 1 µ MIA (0.020 ± 0.10 pH units;
p < 0.005). Similarly, 0.93 × basal dilution
caused MIA-sensitive alkalinization ( pHi = 0.050 ± 0.010 versus 0.01 ± 0.01, n = 16;
p < 0.001). In contrast, 0.70 × isotonic
dilution caused acidification that was increased by MIA (1 µ) ( pHi = 0.016 ± 0.005 versus 0.030 ± 0.005, n = 16;
p < 0.005).
Fig. 1.
Effect of 0.95 × isotonic or 0.70 × isotonic dilution on pHi of villus cells in suspension.
A, 0.95 × isotonic dilution; B, MIA (1 µ) + 0.95 × isotonic dilution; C,
0.70 × isotonic dilution; D, MIA + 0.70 × isotonic dilution. Tracings were corrected for dilutional artifact and
are representative of 16 replicate experiments. Results of one
experiment are illustrated.
[View Larger Version of this Image (10K GIF file)]
Fig. 2.
Summary of pHi changes in absence or
presence of MIA after 0.95 × isotonic, 0.93 × isotonic, or
0.70 × isotonic dilution.
[View Larger Version of this Image (27K GIF file)]
5-(N-Methyl-N-isobutyl) Amiloride-sensitive Regulatory Volume
Decrease
Fig. 3 illustrates the relationship
between RVD, the amiloride derivative MIA, and extracellular
Na+. In regular Na+ medium (140 m
Na+), villus cells diluted 0.95 × isotonic rapidly
swell and then exercise RVD, returning to their basal volume in 4
min (Fig. 3A). This RVD was prevented by 1 µ
MIA (final relative volume = 1.03 ± 0.01, n = 6; p < 0.001). When we replaced all medium
Na+ isotonically with
N-methyl--glucamine, RVD following 0.95 × isotonic dilution was prevented (final relative volume = 1.04 ± 0.01, n = 6; p < 0.001) (Fig.
3B). RVD after 0.93 × isotonic dilution was also
prevented by 1 µ MIA (final relative volume = 1.05 ± 0.01, n = 6; p < 0.001)
(Fig. 3C). RVD after 0.93 × isotonic dilution was also
prevented in Na+-free medium (final relative volume = 1.05 ± 0.01, n = 6; p < 0.001)
(Fig. 3D).
Fig. 3.
Effect of MIA and Na+-free medium
on RVD after 5 or 7% hypotonic dilution. A: , 0.95 × isotonic dilution; , 0.95 × isotonic dilution + MIA (1 µ). B: , 0.95 × isotonic dilution in
Na+-free medium. C: , 0.93 × isotonic
dilution; , 0.93 × isotonic dilution + MIA (1 µ). D, , 0.93 × isotonic dilution in
Na+-free medium. p < 0.001 in all cases
where RVD was inhibited (n = 6). Volume was measured
electronically and is expressed relative to the isotonic control.
[View Larger Version of this Image (18K GIF file)]
The effect of Na+-free medium on RVD following greater
volume increases occurring in a very hypotonic medium is illustrated in
Fig. 4. After 0.7 × isotonic dilution or 0.8 × isotonic dilution, the subsequent RVD was complete. Consistent with
these findings, MIA (1 µ) had no effect on RVD of villus
cells after 0.7 × isotonic dilution in Na+-containing
medium (extent of volume decrease = 19 ± 1 versus
19 ± 1%, n = 6). Together, the data illustrated
in Figs. 1, 2, 3, 4 suggest that when the villus cell swells after 5%
hypotonic dilution, the pHi undergoes a MIA-sensitive
alkalinization, and complete volume recovery is both
Na+-dependent and MIA-sensitive.
Fig. 4.
Effect of Na+-free medium on RVD
after greater volume increases. , 0.70 × isotonic
dilution; , 0.8 × isotonic dilution (n = 6).
Volume was measured electronically and is expressed relative to the
isotonic control.
[View Larger Version of this Image (13K GIF file)]
22Na Influx Increased by 0.95 × Isotonic
Dilution
We measured the initial rate of 22Na influx
of villus cells in suspension that was MIA-sensitive under isotonic
conditions or after 0.95 × isotonic dilution. Under isotonic
conditions (140 m Na+) measured in the
presence of bumetanide (10 µ) to block
NaKCl2 cotransport, the initial rate of 22Na
influx was attenuated by 1 µ MIA (46.8 ± 7.1 versus 29.7 ± 2.5 nmol of 22Na/min/mg of
protein; p < 0.05). When the cell medium was diluted
0.95 × isotonic, this 22Na influx rate was
accelerated (73.5 ± 10.6 nmol of 22Na/min/mg;
p < 0.05 versus isotonic), a response that
was blocked by 1 µ MIA (37.7 ± 6.1 nmol of
22Na/min/mg; p < 0.02). Clearly, the 1 µ MIA-sensitive fraction of 22Na influx was
increased 2-fold after 5% hypotonic dilution.
Recovery from Intracellular Acidification
Since 0.95 × isotonic dilution caused the villus cells to acidify, we sought to
determine if the activation of MIA-sensitive NHE during the 5% volume
increase was secondary to this acidification. The villus cells were
acidified using the ammonium prepulse technique (23, 24). As
illustrated in Fig. 5, villus cells acidified to a
pHi of 6.95 by ammonium prepulse exhibit recovery. The
addition of 2.5 m NH4Cl to these cells caused
an alkalinization of 0.15 ± 0.02 pH units (n = 4)
(Fig. 5A). The pHi then declined (0.09 ± 0.02 pH units) over the next 5 min and did not change thereafter. When these
cells were resuspended in isotonic medium
(NH4Cl -free), the time course of recovery was
first-order for 5 min and was ~41% complete in 10 min (Fig.
5B). When cells were suspended in 0.95 × isotonic
medium, they recovered their pHi with a time course that was
first-order for 5 min and 57% complete in 10 min (Fig.
5C). The rate of pHi recovery measured over the
first 5 min was faster in 0.95 × isotonic medium than in isotonic
medium (dpHi/dt × 10 2 pH
units/min = 3.48 ± 0.27 versus 1.59 ± 0.25, n = 6; p < 0.001). We then assessed
the effect of MIA on the rate of pHi recovery. In isotonic
medium (Fig. 5D), MIA slightly diminished pHi
recovery (Fig. 5E). In 0.95 × isotonic medium, MIA
substantially diminished pHi recovery (Fig. 5, F and
G). The MIA-sensitive rate of pHi recovery was
greater in 0.95 × isotonic medium compared with isotonic medium
((1.18 ± 0.15) versus (0.43 ± 0.03) × 10 2 pH units/min, n = 5;
p < 0.001). Because the MIA-sensitive rate of
pHi recovery in isotonic medium was low, we speculated that
identifying and controlling amiloride-insensitive sources of
pHi recovery would better resolve the MIA-sensitive component
of pHi recovery from an acid load in these cells.
Fig. 5.
Effect of NH4Cl prepulse on
pHi of villus cells (A-C) and effect of MIA on
pHi recovery of acidified cells (D-G).
A, 2.5 m NH4Cl; B and
C, pHi recovery of acidified cells in low sodium (25 m) medium that was isotonic or 5% hypotonic,
respectively; D, isotonic dilution; E, isotonic
dilution + MIA (1 µ); F, 5% hypotonic
dilution; G, 5% hypotonic dilution + MIA. The
bars indicate 1 min. Tracings are from one experiment.
Comparable results were obtained in five to six experiments performed
in duplicate.
[View Larger Version of this Image (14K GIF file)]
The effects on pHi recovery following ammonium prepulse of
bafilomycin A, a potent and selective inhibitor of type V
H+-ATPase, and of Zn2+, an inhibitor of
H+ conductance, are illustrated in Fig. 6.
The initial rate of pHi recovery was first-order and 18%
complete (Fig. 6, A). Bafilomycin (100 n)
reduced the extent of pHi recovery ( pHi/2 min = 64.1 ± 9.1%; p < 0.005) (Fig. 6, A
and C). The inclusion of Zn2+ (100 µ) in the presence of bafilomycin further diminished the
extent of pHi recovery ( pHi/2 min = 25.4 ± 2.9%; p < 0.02) (Fig. 6, B and
C). These results suggest that 75% of pHi
recovery in isotonic medium is amiloride-insensitive.
Fig. 6.
Effect of bafilomycin and Zn2+ on
pHi recovery from acidified cells. A, control;
B, bafilomycin (100 n); C,
Zn2+ (100 µ) + bafilomycin; D,
cumulative effects of bafilomycin and of bafilomycin and
Zn2+ on pHi recovery from an acid load. *,
p < 0.005 versus no additions; **,
p < 0.001 versus bafilomycin. Results are
means ± S.E. of five experiments performed in duplicate.
[View Larger Version of this Image (19K GIF file)]
Effect of Hypotonicity on Initial Rate of MIA-sensitive
pHi Recovery from Intracellular Acidification
To
determine the effect of hypotonicity on the activity of NHE, we
measured the initial rate of MIA (1 µ)-sensitive
pHi recovery following ammonium prepulse in the presence of
bafilomycin and Zn2+ in media of different tonicities (Fig.
7). In isotonic media, MIA (1 µ) had only
a slight effect on pHi recovery (Fig. 7A), but in
0.95 × isotonic medium, MIA completely blocked pHi
recovery (Fig. 7B). In 0.70 × isotonic medium, the
villus cells continued to acidify; MIA attenuated this acidification
(Fig. 7C). The initial rates of MIA-sensitive pHi
recovery are summarized in Table I. In all cases, the
starting pHi was the same. In isotonic medium, the initial rate
of MIA-sensitive pHi recovery was (1.16 ± 0.23) × 10 2 pH units/min. This rate was substantially increased
in 0.95 × isotonic medium ((3.25 ± 0.26) × 10 2 pH units/min; p < 0.001). In
0.70 × isotonic medium, the rate was inhibited ((0.31 ± 0.20) × 10 2 pH units/min; p < 0.02).
Clearly, the activation of MIA-sensitive Na+/H+
exchange by 5% hypotonic swelling was not due to intracellular
acidification.
Fig. 7.
MIA-sensitive pHi recovery from
acid load in media of different tonicities. A, isotonic
medium containing bafilomycin and Zn2+ compared with MIA (1 µ), bafilomycin, and Zn2+; B,
0.95 × isotonic medium, bafilomycin, and Zn2+
compared with MIA (1 µ), bafilomycin, and
Zn2+; C, 0.70 × isotonic medium,
bafilomycin, and Zn2+ compared with MIA, bafilomycin, and
Zn2+. Results of a single experiment are illustrated.
[View Larger Version of this Image (11K GIF file)]
Determination of NHE Isoform Activated by 5%
Hypotonicity
We measured the relative pharmacological
sensitivities of RVD after 0.95 × isotonic dilution to several
NHE inhibitors, both amiloride and non-amiloride derivatives.
Cimetidine (25 µ) attenuated the rate of RVD in
comparison with clonidine (50 µ) (Fig.
8A). The relative volume of cells treated
with cimetidine at 5 min was greater than that of cells treated with
clonidine (relative volume = 1.02 ± 0.01 versus
1.00, n = 7; p < 0.05).
Concentration-response profiles for inhibition of RVD after 0.95 × isotonic dilution are illustrated in Fig. 8B. Cimetidine
was six times more potent than clonidine. The EC50 values
of cimetidine (20 µ) and clonidine (130 µ) were greater than those of
5-(N,N-dimethyl) amiloride (1 µ)
and 5-(N-methyl-N-isobutyl) amiloride (220 n). The order of potency of these inhibitors of the
isoform of NHE activated by the 5% volume increase was as follows:
MIA > 5-(N,N-dimethyl) amiloride > cimetidine > clonidine.
To determine the effect of extracellular K+ on the isoform
of NHE activated by 5% hypotonicity, we measured the change in
pHi of the villus cells suspended in isotonic
K+-rich medium. After 0.95 × isotonic dilution, the
increase in pHi was substantially diminished in 140 m K+ compared with 3 m
K+ ( pHi/3 min = 0.020 ± 0.010 versus 0.070 ± 0.010 pH units, n = 6;
p < 0.001).
NH4Cl-induced Alkalinization Allows RVD When NHE Is
Inhibited
Since increasing osmolyte influx (Na+) when
the villus cells are losing K+ and Cl for RVD
seems counterintuitive, we measured the volume and pHi in
cells hypotonically diluted 7% in the presence of MIA (1 µ) and following the addition of 1 m
NH4Cl (Fig. 9). As previously observed, MIA
(1 µ) prevented RVD after cell swelling following 7%
hypotonic dilution (Fig. 9A). The addition of 1 m NH4Cl to the swollen cells caused RVD in the
presence of MIA. Within 2 min of the addition of NH4Cl,
these cells started to shrink, and RVD was complete in the next 3 min
(relative volume = 1.03 ± 0.01 versus 1.00 ± 0.01; p < 0.001). Immediately after the addition of
1 m NH4Cl, the villus cells alkalinized (Fig.
9B). This alkalinization (0.086 ± 0.010 pH units,
n = 15) was no different than that measured in these
cells following 5% hypotonic dilution (Fig. 2). We then acidified the
pHi of comparably treated cells to show the converse of the
alkalinization experiment (Fig. 9, C and D).
Sodium propionate (2 m) added to cells hypotonically
diluted 7% in the presence of MIA had no effect on the inhibited RVD
(Fig. 9C). The addition of sodium propionate to these
cells caused an acidification (0.086 ± 0.016 pH units,
n = 10) that remained stable for the next 5 min
of the experiment (Fig. 9D). This experiment suggests that
it is alkalinization of pHi caused by the NHE activated by
modest swelling that signals the ion conductances for the subsequent
volume regulation.
Fig. 9.
NH4Cl-induced alkalinization
allows RVD when NHE-1 is inhibited. A, RVD blocked by MIA is
by-passed with NH4Cl (1 m) addition. , MIA
(1 µ) + 0.93 × isotonic dilution; ,
NH4Cl (1 m) added immediately after 2 min
volume measurement, MIA (1 µ) + 0.93 × isotonic
dilution. Volume was measured electronically and is expressed relative
to the isotonic control. *, p < 0.001, MIA
versus MIA + NH4Cl at 7 and 10 min.
B, shown is a pHi tracing of NH4Cl (1 m) addition. Cells were diluted 0.93 × isotonic in
the presence of MIA (1 µ); 1 min later,
NH4Cl was added. The tracing, corrected for dilutional
artifact, is from a single representative experiment. Net
alkalinization by this maneuver was 0.086 ± 0.010 pH units
(n = 15). C, sodium propionate (2 m) added to MIA-treated cells. D, shown is a
pHi tracing of sodium propionate (2 m) addition to
cells treated as described for C. The tracing is from one
representative experiment.
[View Larger Version of this Image (19K GIF file)]
DISCUSSION
Our results indicate that a modest cell volume increase of 5-7%
activates NHE, while an increase of 15% caused by standard hypotonic
dilution inhibits NHE. Furthermore, RVD following the modest volume
increase of 5-7% absolutely requires activated NHE. We base this
interpretation of our results on experiments that isolated the function
of NHE during modest volume increases to show amiloride-sensitive
alkalinization of pHi and increases in both 22Na
influx and pHi recovery from an acid load in slightly hypotonic
(0.95 × isotonic) medium. Evidence that activated NHE was
required for this RVD came from experiments showing that extracellular
Na+ was required for the subsequent cell shrinkage and
inhibitor sensitivity of RVD. Our results also indicate that it is the
alkalinization of pHi from activated NHE that is required for
RVD after modest volume increases as transient alkalinization of
pHi caused cell shrinkage when an amiloride derivative had
prevented volume regulation.
RVD following a modest volume increase was prevented by the
non-amiloride derivatives cimetidine and clonidine, with cimetidine
being six times more potent than clonidine. This observation provides
strong evidence that NHE-1 is the isoform activated by the 5-7%
volume increase. Studies using transfectants of NHE isoforms have shown
that clonidine is more potent than cimetidine in inhibiting NHE-2 and
NHE-3, while only with NHE-1 is this order of potency reversed (25,
26). K+, a weak competitive inhibitor of NHE-1, but not of
NHE-2 or NHE-3 (26), prevented the alkalinization of pHi
stimulated by the slight (0.95 × isotonic) hypotonic dilution,
supporting the interpretation that the isoform responsible for these
pHi effects is NHE-1. Jejunal villus epithelial cells possess
three isoforms of NHE (17, 27, 28). NHE-3 and NHE-2 are found on the
apical membrane and are both more sensitive to clonidine than to
cimetidine, while NHE-1, which is more sensitive to cimetidine than to
clonidine, has been localized to the basolateral membrane of villus
cells (27, 28, 29). We found that MIA was more potent than dimethyl
amiloride in preventing RVD after the modest 5-7% volume increase,
but this hierarchy is the same for NHE-1, -2, and -3 (26). After a 5%
volume increase, but not a 15% volume increase, RVD, the
alkalinization of pHi, the increased 22Na influx,
and recovery of pHi from an acid load were all prevented by a
low concentration of the N-5-alkyl amiloride derivative. As
cimetidine was more potent than clonidine in preventing this RVD, when
taken together, our data strongly suggest that NHE-1 is the isoform of
NHE activated during the modest 5-7% volume increase in the villus
cells.
The fact that the MIA-sensitive rate of pHi recovery from an
acid load was accelerated in cells suspended in 0.95 × isotonic
medium but inhibited in cells suspended in the standard hypotonic
(0.70 × isotonic) medium suggests that intracellular
acidification is not directly related to activation of NHE-1. The well
documented kinetic asymmetry of NHE-1 in symmetrical cells (12),
evidenced by a sigmoidal relationship between the
Na+/H+ exchange rate and internal
H+ concentration, suggests that such cooperativity is
because of an intracellular H+ modifier site, distinct from
the H+ transport site, and that regulation of NHE occurs
via changes in the affinity of this internal H+ modifier
site for intracellular H+ (12, 30). We measured differences
in the rate of pHi recovery from an acid load after
resuspending the villus cells in media of different tonicities, but
with [Na+]o reduced to 25 m. We used
these conditions because others, using A6 cells, an epithelial cell
line that exhibits both apical and basolateral NHE (31), have observed
that pHi changes due to basolateral NHE are greatest at low
Na+ concentrations (32). Our findings of a substantial
increase in pHi recovery in 0.95 × isotonic medium
compared with isotonic low Na+ medium are in accord with
these data from A6 cells. The inhibition of MIA-sensitive pHi
recovery in 0.70 × isotonic medium but with the same
Na+ concentration is consistent with reports of the effect
of substantial hypotonicity on NHE in symmetrical cells. In nominally
HCO3-free medium, after acid loading, osteosarcoma cell
suspensions undergo amiloride-sensitive pHi changes that are
diminished in 0.70 × isotonic medium (9). Kinetic analysis of
these data demonstrated that inhibition of the exchanger was due to
decreased Vmax without a change in apparent
affinity for H+ or Na+. Single cell analysis of
pHi after 0.70 × hypotonic dilution confirmed that NHE
was inhibited following cell swelling (10). We have clearly shown that
the MIA-sensitive pHi recovery from an acid load increased in
0.95 × isotonic medium, but decreased in 0.70 × isotonic
medium compared with isotonic controls. We conclude that the activation
of basolateral NHE-1 during the modest 5-7% volume increase in the
villus cells is not a consequence of the intracellular acidification
normally observed after cell swelling.
Approximately 75% of the pHi recovery from a moderate acid
load in the villus cells was insensitive to the N-5-alkyl
amiloride derivative. Our finding that bafilomycin inhibited 36% of
the pHi recovery suggests that a type V H+-ATPase
contributes to pHi homeostasis in these cells (33). This
ATPase, which has been localized to the apical membrane of urinary
bladder epithelial cells (34) and the plasma membrane of peritoneal
macrophages (35), has been shown to contribute to pHi recovery
from acid loads in the presence of amiloride in both peritoneal (20)
and alveolar (36) macrophages. We also observed that Zn2+,
in the presence of this selective inhibitor of vacuolar
H+-ATPase, further reduced by ~39% the pHi
recovery of the villus cells. The concentration of Zn2+
used in our experiments has been shown by others to block
H+ conductance in snail neurons (37) and human granulocytes
(38). Furthermore, unequivocal results using transfectants of NHE-1
have shown that H+ conductance, which is
Zn2+-sensitive, may be dissociated from NHE activity and
that substantial alkalinizations of pHi due to NHE-1 still
occur in the presence of ZnCl2 (39). As such, the
sensitivities of pHi recovery from an acid load to bafilomycin
and to Zn2+ suggest that both H+ conductance
and a type V ATPase substantially contribute to pHi homeostasis
in villus cells.
Cellular acidification after cell swelling because of hypotonic
dilution (0.70 to 0.50 × isotonic) has been observed in several
symmetrical cell types. The source of acidification has been speculated
to be conductive OH efflux through volume-activated
Cl channels (10), increased glycolytic metabolic activity
(8), or inhibited NHE activity (9). We found that cell swelling of 15%
following this standard hypotonic dilution inhibited NHE activity.
Clearly, several mechanisms contribute to swelling-induced cellular
acidification since modest 5-7% volume increases similar to swelling
caused by Na+ solute absorption cause villus cells to
acidify as well as to activate NHE-1. Far from being a
``housekeeping'' function, the activation of NHE-1 may be an
essential requirement for RVD following ``physiological'' volume
increases, when these cells swell during Na+ solute
absorption.
Alkalinizing the pHi of cells swollen 5% in the presence of
MIA by-passed inhibition and allowed complete RVD, whereas acidifying
the pHi had no effect on the inhibited volume reduction. The
extent of this alkalinization, induced by NH4Cl addition,
was comparable to that observed in cells swollen after 0.95 × isotonic dilution. This finding suggests that Na+ influx
resulting from activated NHE-1 is osmotically neutral and that it is
the change in pHi that is a determinant of the osmolyte loss
(K+ and Cl ) required for volume regulation.
Previously, we reported that RVD following swelling because of the
uptake of -glucose was sensitive to the high conductance
Ca2+-activated (maxi-K) K+ channel blocker
charybdotoxin, while RVD following a greater swelling of 15% caused by
the standard 0.70 × isotonic dilution was insensitive to the
toxin (3). Since the calcium gating of charybdotoxin-sensitive
K+ conductance is exquisitely sensitive to alkaline
pHi (40), the activation of NHE-1 during the modest 5-7%
volume increase may serve as the source of the required alkalinization
for Ca2+ gating of the charybdotoxin-sensitive
K+ loss. Because villus cells acidify as they swell 15% of
their isotonic volume, we speculate that a different K+
conductance is activated for RVD following larger,
``non-physiological'' volume increases. As villus cells swell, the
extent of that swelling is a key determinant of changes in
pHi, which in turn serve to signal the subsequent volume
regulation.
FOOTNOTES
*
This work was supported by an operating grant from the
Medical Research Council of Canada. The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
``advertisement'' in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
To whom correspondence should be addressed: McGill University,
Montreal Children's Hospital Research Inst., 2300 Tupper St.,
Montreal, Quebec H3H 1P3, Canada. Tel.: 514-934-4400 (ext. 3299); Fax:
514-934-4331.
1
The abbreviations used are: RVD, regulatory
volume decrease; pHi, intracellular pH; NHE,
Na+/H+ exchange; MIA,
5-(N-methyl-N-isobutyl) amiloride.
Acknowledgments
We thank Peter Lembessis for technical
assistance, C. Mandel for manuscript preparation, and Drs. P. Cala and
J. Adorante for suggesting the experiment illustrated in Fig. 9.
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