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Originally published In Press as doi:10.1074/jbc.M003931200 on June 30, 2000
J. Biol. Chem., Vol. 275, Issue 40, 30813-30816, October 6, 2000
Basolateral K-Cl Cotransporter Regulates Colonic Potassium
Absorption in Potassium Depletion*
Pitchai
Sangan,
Susan R.
Brill,
Sheela
Sangan,
Bliss
Forbush III, and
Henry J.
Binder
From the Departments of Internal Medicine and Cellular and
Molecular Physiology, Yale University, New Haven,
Connecticut 06520
Received for publication, May 8, 2000, and in revised form, June 26, 2000
 |
ABSTRACT |
Active potassium absorption in the rat
distal colon is electroneutral, Na+-independent,
partially chloride-dependent, and energized by an apical
membrane H,K-ATPase. Both dietary sodium and dietary potassium depletion substantially increase active potassium absorption. We
have recently reported that sodium depletion up-regulates H,K-ATPase -subunit mRNA and protein expression, whereas potassium
depletion up-regulates H,K-ATPase -subunit mRNA and
protein expression. Because overall potassium absorption is
non-conductive, K-Cl cotransport (KCC) at the basolateral membrane may
also be involved in potassium absorption. Although KCC1 has not been
cloned from the colon, we established, in Northern blot analysis with
mRNA from the rat distal colon using rabbit kidney KCC1 cDNA as
a probe, the presence of an expected size mRNA in the rat colon.
This KCC1 mRNA is substantially increased by potassium depletion
but only minimally by sodium depletion. KCC1-specific antibody
identified a 155-kDa protein in rat colonic basolateral membrane.
Potassium depletion but not sodium depletion resulted in an increase in
KCC1 protein expression in basolateral membrane. The increase of
colonic KCC1 mRNA abundance and KCC1 protein expression in
potassium depletion of the rat colonic basolateral membrane suggests
that K-Cl cotransporter: 1) is involved in transepithelial potassium
absorption and 2) regulates the increase in potassium absorption
induced by dietary potassium depletion. We conclude that active
potassium absorption in the rat distal colon involves the coordinated
regulation of both apical membrane H,K-ATPase and basolateral membrane
KCC1 protein.
 |
INTRODUCTION |
The K-Cl cotransporter
(KCC),1 a member of the
cation-chloride cotransporter family, mediates the electroneutral,
coupled transport of potassium and chloride (1, 2). The K-Cl
cotransporter is important in the regulation of cell volume in
non-epithelial cells and transepithelial potassium movement in
epithelial cells (3-7). Four cDNAs encoding K-Cl cotransporter
isoforms KCC1, KCC2, KCC3, and KCC4 have been cloned and characterized
(8-12). Although KCC1 and KCC2 exhibit approximately 67% sequence
homology, they are differentially expressed in rat tissues. Rat KCC1 is widely expressed in most tissues, whereas rat KCC2 is expressed only in
brain. It has been proposed that KCC1 is a "housekeeping" isoform
that regulates cell volume as well as transepithelial salt transport
(8). The neuron-specific K-Cl cotransporter isoform KCC2 has recently
been characterized as a K-Cl cotransporter and is a primary chloride
extruder that promotes fast hyperpolarizing post-synaptic
inhibition in the brain (13). K-Cl cotransport is also
responsible for electroneutral K-Cl absorption in both proximal tubules
and the cortical thick ascending limb of rabbit kidney (14).
Potassium transport is an important function of the mammalian large
intestine, with evidence of both active potassium absorption and
secretion in the distal colon. Active potassium absorption is
electroneutral, Na+-dependent,
chloride-dependent (in part), and is generally believed to
be energized by an apical membrane H,K-ATPase (15-17). Because overall
transepithelial potassium absorption is not conductive (18), the
involvement of an electroneutral process (e.g. K-Cl cotransport) at the basolateral membrane has been proposed (19).
Both dietary sodium depletion (as a result of an increase in serum
aldosterone) and dietary potassium depletion enhance active potassium
absorption in the rat distal colon (16, 17). Apical membrane H,K-ATPase
activity is increased in dietary sodium depletion but not in dietary
potassium depletion (20). In addition to the increase in H,K-ATPase
activity in sodium depletion, we have recently demonstrated that an
up-regulation of colonic H,K-ATPase subunit mRNA and protein
expression may be responsible for the increase in active potassium
absorption in dietary sodium depletion. Although an increase in either
H,K-ATPase activity or its subunit was not observed in potassium
depletion, an up-regulation of H,K-ATPase subunit expression at
both mRNA and protein levels in dietary potassium depletion may be
one of the factors responsible for the enhancement of potassium
absorption in potassium depletion (21).
Because the increase in active potassium absorption by dietary
potassium depletion that is observed in in vitro studies
requires the presence of chloride (17), a role for basolateral K-Cl
cotransport in transepithelial potassium movement is an interesting
possibility (19). It is not known whether other factor(s) also
contribute to the enhanced potassium absorption induced by dietary
potassium depletion in the rat distal colon. To date, there are no
reports of K-Cl cotransport protein expression in the rat distal colon, although the rabbit kidney KCC1 cDNA identified a mRNA
in the rat distal colon (8). Because the up-regulation of active
potassium absorption in dietary potassium depletion is
chloride-dependent, suggesting that K-Cl cotransport may
have a physiological role in colonic potassium absorption, the present
study was designed to examine K-Cl cotransport protein expression in
normal conditions and in dietary potassium depletion. These
present experiments report the expression of KCC1 message and protein
in the rat distal colon and its up-regulation by dietary potassium depletion.
 |
MATERIALS AND METHODS |
Male Harlan Sprague-Dawley rats weighing ~200-250 g
were purchased from Charles River Laboratories (Wilmington, MA). The
animals were divided into three groups. The control group was
fed normal rat food that contained 4.4 g of sodium/kg and 9.5 g of potassium/kg. The sodium-depleted group was given a sodium-free
diet for 1 week. The potassium-depleted group was given a
potassium-free diet (0.6 mg of potassium/kg) for 3 weeks. All rats were
allowed free access to water. On the last day of the experimental diet
periods, the animals were killed, and their distal and proximal colons
were immediately removed and washed with diethyl pyrocarbonate-treated sterilized saline. Colonocytes were prepared as described previously (20).
RNA Preparation--
Total RNA was isolated from colonocytes
using Trizol reagent (Life Technologies, Inc.) as recommended by the
manufacturer. Poly(A)+ mRNA was prepared from total RNA
using Oligotex reagent (Qiagen) according to the manufacturer's recommendations.
Northern Blot Analysis--
Northern blot analyses were
performed using poly(A)+ mRNA as described previously
(20) except that a 32P-labeled 1.5-kilobase
BamHI and EcoRI fragment of rabbit KCC1 cDNA was used as a probe (1 × 106 cpm/ml).
Hybridization was performed at 42 °C in a Hybaid oven for 18 h.
Blots were washed for 15 min in 1× SSC (0.15 M NaCl and
0.015 M sodium citrate, pH 7.0) and 0.1% SDS at 65 °C,
exposed to x-ray film, and developed.
Isolation of Apical and Basolateral Membranes--
Apical and
basolateral membranes were isolated by methods previously described in
detail (22, 23). Purity of apical membranes was assessed by H,K-ATPase
(10-12-fold enrichment compared with homogenate) (15, 24), whereas
that of basolateral membranes was assessed by Na,K-ATPase (12-15-fold
enrichment) (24). H,K-ATPase activity was not detected in basolateral
membranes, and Na,K-ATPase activity was only minimally present
in apical membranes (15, 24).
Western Blot Analysis--
Western blot analyses were performed
as described previously (20, 21) except for the use of rabbit KCC1
polyclonal antibody.2 A
cDNA fragment corresponding to the 42-kDa C terminus of rabbit KCC1
protein was bacterially expressed as a GST-KCC1 fusion protein. The
affinity purified GST-KCC1 fusion protein was used to raise antibodies
in goats. This antibody was specific for KCC1, as determined by Western
blot analysis including an immunocompetition experiment with the
GST-KCC1 fusion protein, and did not react with related Na-K-2Cl
constransport proteins. The KCC1-specific antibody identified an
~150-kDa protein in rabbit kidney, colon, lung, heart, and brain that
correlated with the distribution of KCC1 mRNA (8). The details of
KCC1 antibody production and specificity will be presented
elsewhere.2 However, a competition experiment using the
C-terminal 42-kDa peptide and the KCC1 antibody was performed. A
preincubated mixture of this peptide with the antibody in a 1:1 molar
ratio completely prevented the identification of KCC1 protein in
basolateral membranes of the distal colon (data not shown). Apical and
basolateral membrane proteins (50 µg) were electrophoresed on
SDS-polyacrylamide gel and transferred to nitrocellulose membranes. The
membranes were incubated with 1:2000 diluted KCC1 antibody in
Tris-buffered saline/Tween 20 containing 5% nonfat dry milk;
anti-goat IgG horseradish peroxidase conjugate (1:5000 dilution) was
used as the secondary antibody. KCC1-specific protein bands were
visualized by an enhanced chemiluminescence procedure.
mRNA and protein abundances in colonic membranes from normal,
dietary sodium-depleted, and dietary potassium-depleted animals were
quantitated on Northern and Western blot analyses, respectively, using a personal densitometer SI with ImageQuant software (Molecular Dynamics, Sunnydale, CA). Statistical analyses were performed to
compare the control and the two experimental groups using Student's t test.
 |
RESULTS |
Expression of KCC1 mRNA--
Northern blot analysis of
mRNA prepared from the distal colons of control,
sodium-depleted, and potassium-depleted
rats using KCC1 cDNA as a probe is shown in Fig. 1A, and
a densitometric analysis is presented in Fig. 1B.
mRNA expression of KCC1 in the distal colon of potassium-depleted
rats was substantially increased compared with that of controls
(p < 0.001). KCC1 mRNA expression in the
distal colon of sodium-depleted rats was minimally increased compared with that of controls (p < 0.05).

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Fig. 1.
A, expression of KCC1 mRNA in distal
colons of control, dietary sodium-depleted, and dietary
potassium-depleted rats. Lanes 1-3, control; lanes
4-6, sodium-depleted; lanes 7-9, potassium-depleted.
Each lane represents mRNA from an individual rat; therefore, three
rats were used for each experimental group. The blot was stripped
and reprobed with glyceraldehyde-3-phosphate dehydrogenase
(GAPDH) to indicate approximately equal loading of
samples. KCC1 mRNA is shown by the arrow. B,
densitometric analysis of KCC1 mRNA. *, p < 0.001 compared with control; **, p < 0.05 compared with
control.
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|
The abundance of mRNA prepared from rat proximal colons of control,
sodium-depleted, and potassium-depleted rats using KCC1 cDNA as a
probe was assessed by Northern blot analysis and is shown in Fig.
2A; a densitometric analysis
is presented in Fig. 2B. mRNA expression of KCC1
in the proximal colon of potassium-depleted rats was not altered
compared with that of controls. KCC1 mRNA expression in the
proximal colon was also not affected by dietary sodium depletion
compared with that of controls.

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Fig. 2.
A, expression of KCC1 mRNA in the
proximal colons of control, dietary sodium-depleted, and dietary
potassium-depleted rats. Lanes 1-3, control; lanes
4-6, sodium-depleted; lanes 7-9, potassium-depleted.
Each lane represents mRNA from an individual rat; therefore, three
rats were used for each experimental group. The blot was stripped
and reprobed with glyceraldehyde-3-phosphate dehydrogenase
(GAPDH) to indicate approximately equal loading of
samples. KCC1 mRNA is shown by the arrow. B,
densitometric analysis of KCC1 mRNA. No significant differences
were present.
|
|
Expression of KCC1 Protein--
Western blot analysis was
performed with basolateral membranes using an antibody raised against
the entire C terminus of rabbit KCC1. The KCC1 antibody identified a
protein in the rat distal colon that was identical in size to that
previously seen in the rabbit colon.2 This protein was
therefore designated as KCC1 protein. The Western blot analysis of KCC1
protein expression in basolateral membranes of the distal colons of
normal, dietary sodium-depleted, and dietary potassium-depleted rats is
presented in Fig. 3A, and a
densitometric analysis is shown in Fig. 3B. KCC1
protein expression was increased in basolateral membranes of dietary
potassium-depleted rats compared with those of controls (compare
lanes 7-9 with lanes 1-3 of Fig. 3A)
(p < 0.002). In contrast, KCC1 protein expression was
reduced (p < 0.01) in basolateral membranes of
sodium-depleted rats compared with those of controls (compare
lanes 4-6 with lanes 1-3 of Fig. 3A).

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Fig. 3.
A, KCC1 protein expression in
basolateral membranes of the distal colons of control, dietary
sodium-depleted, and dietary potassium-depleted rats. Lanes
1-3, control; lanes 4-6, sodium-depleted; lanes
7-9, potassium-depleted. Each lane represents 50 µg of
basolateral membranes prepared from six rats. The KCC1 protein band is
shown by the arrow. B, densitometric analysis of
KCC1 protein expression in basolateral membranes of the rat distal
colon. *, p < 0.002 compared with control; **,
p < 0.01 compared with control.
|
|
Fig. 4 presents the Western blot analyses
of KCC1 protein in the apical membranes of the rat distal colon in
control, sodium-depleted, and potassium-depleted conditions. Although
KCC1 protein was not identified in apical membranes of normal or
dietary sodium-depleted distal colons, a faint band was seen in apical
membranes of dietary potassium-depleted animals, suggesting that this
band probably represents contamination by basolateral
membranes.

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Fig. 4.
Expression of KCC1 protein in apical
membranes of distal colons of control, dietary sodium-depleted, and
dietary potassium-depleted rats. Lanes 1-3, control;
lanes 4-6, sodium-depleted; lanes 7-9,
potassium-depleted. Each lane represents 50 µg of apical membranes
prepared from six rats. The KCC1 protein is shown by the
arrow.
|
|
 |
DISCUSSION |
The mammalian distal colon serves as an important regulatory
system for the maintenance of overall potassium balance with the
presence of both potassium absorptive and secretory processes (16-18).
Potassium transport in the distal colon is the result of both
potential-dependent potassium secretion and active
potassium absorption and secretion (16). Studies under voltage clamp
conditions have characterized active potassium transport processes. In
normal animals active potassium absorption is present and is
electroneutral, Na+-independent, and, in part,
chloride-dependent. Active potassium absorption involves
both apical and basolateral membrane transport processes and is
generally believed to be energized by an apical membrane H,K-ATPase
(15). It is likely that there are at least two different H,K-ATPase
isoforms, one that is ouabain-sensitive and one that is
ouabain-insensitive (26-29). The ouabain-insensitive H,K-ATPase is
present exclusively in surface cells and is the H,K-ATPase that has
been cloned and expressed (26-32).
The mechanism of potassium movement across the basolateral membrane is
not known. Because potassium absorption is partially chloride-dependent, models of potassium absorption have
proposed either a coupling of K+-H+ exchange to
a chloride-anion exchange at the apical membrane or K-Cl cotransport at
the basolateral membrane (19). The latter possibility is consistent
with the experimental evidence that transepithelial potassium
absorption is not conductive, because the addition of potassium channel
blockers to the serosal bath did not alter mucosal-to-serosal potassium
fluxes (18).
Potassium transport in the rat distal colon is altered by changes in
dietary potassium balance (17). An increase in dietary potassium
stimulates potassium secretion but does not alter active potassium
absorption, whereas dietary potassium depletion enhances active
potassium absorption but does not affect potassium secretion (17).
Active potassium absorption is also substantially increased by
aldosterone in experiments with dietary sodium depletion or with
aldosterone administered via subcutaneous infusion (33). Only after
aldosterone-induced potassium secretion is inhibited is the increase in
active potassium absorption demonstrated or unmasked (16). The cellular
mechanisms by which dietary potassium depletion and aldosterone
increase active potassium absorption differ (20, 21). Aldosterone
increases both apical membrane H,K-ATPase activity and H,K-ATPase subunit (HKc ) mRNA and protein but does not alter
H,K-ATPase subunit (HKc ) mRNA and protein (20, 21).
In contrast, dietary potassium depletion does not affect H,K-ATPase
activity or HKc mRNA and protein expression but increases HKc
mRNA and protein expression (20, 21). It is not known how
the changes in the subunit of H,K-ATPase induced by dietary
potassium depletion are linked to the increase in active potassium
absorption or whether another mechanism(s) is responsible for the
increase in potassium absorption by dietary potassium depletion.
The stimulation of active potassium absorption both by dietary
potassium depletion and aldosterone is dependent on chloride. In the
absence of chloride neither potassium depletion nor aldosterone enhances active potassium absorption (16, 17). This observation and the non-conductive nature of active potassium absorption initially suggested a possible role for basolateral K-Cl cotransport. The present
results provide compelling supportive evidence that the chloride-dependent potassium absorption induced by
dietary potassium depletion may be mediated by K-Cl cotransport at the
basolateral membrane. Figs. 1 and 3 demonstrate that dietary potassium
depletion increases KCC1 mRNA and protein expression at the
basolateral membrane. The increase in potassium absorption that is
induced by aldosterone does not appear to involve basolateral membrane K-Cl cotransporter, because KCC1 mRNA abundance was increased modestly, but KCC1 protein expression was reduced by dietary sodium depletion (Figs. 1 and 3). Furthermore, KCC1 mRNA is not increased by dietary potassium depletion in the proximal colon, where active potassium absorption is neither present nor induced by dietary potassium depletion (16).
There is limited additional evidence of the regulation of K-Cl
cotransport by potassium. K-Cl cotransport is enhanced by
N-ethylmaleimide in sheep erythrocytes when exposed to low
[K+] (25). Although dietary potassium absorption
also increases renal potassium absorption, a specific role for K-Cl
cotransport in the enhancement of renal tubular potassium absorption by
potassium depletion has not been established. In contrast, preliminary
studies revealed that KCC1 protein expression in the rat renal
cortex was substantially enhanced in dietary potassium
depletion.3
These present results establish that the increase in active potassium
absorption induced by dietary potassium depletion is associated with an
increase in KCC1 protein expression in the basolateral membranes of the
distal colon. Therefore, our previous experiments (20, 21) and this
present study permit the conclusion that active potassium absorption in
the rat distal colon is regulated by both apical and basolateral
transport proteins: H,K-ATPase at the former and KCC1 at the latter.
 |
ACKNOWLEDGEMENT |
Ann Thompson provided excellent
secretarial assistance.
 |
FOOTNOTES |
*
This study was supported in part by United States Public
Health Service Research grants DK 18777 and DK47661 from the National Institute of Diabetes and Digestive and Kidney Diseases.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 all correspondence should be addressed: Dept. of Internal
Medicine, Section of Digestive Diseases, Yale University School of
Medicine, 333 Cedar St., 89 LMP, New Haven, CT 06520-8019. Tel.:
203-785-4796; Fax: 203-737-1755; E-mail: henry.binder@yale.edu.
Published, JBC Papers in Press, June 30, 2000, DOI 10.1074/jbc.M003931200
2
S. R. Brill and B. Forbush III, unpublished data.
3
P. Sangan, S. R. Brill, S. Sangan, B. Forbush
III, and H. J. Binder, unpublished observations.
 |
ABBREVIATIONS |
The abbreviation used is:
KCC, K-Cl
cotransporter.
 |
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K. Kunzelmann and M. Mall
Electrolyte Transport in the Mammalian Colon: Mechanisms and Implications for Disease
Physiol Rev,
January 1, 2002;
82(1):
245 - 289.
[Abstract]
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Z. Spicer, L. L. Clarke, L. R. Gawenis, and G. E. Shull
Colonic H+-K+-ATPase in K+ conservation and electrogenic Na+ absorption during Na+ restriction
Am J Physiol Gastrointest Liver Physiol,
December 1, 2001;
281(6):
G1369 - G1377.
[Abstract]
[Full Text]
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S. Casula, B. E. Shmukler, S. Wilhelm, A. K. Stuart-Tilley, W. Su, M. N. Chernova, C. Brugnara, and S. L. Alper
A Dominant Negative Mutant of the KCC1 K-Cl Cotransporter. BOTH N- AND C-TERMINAL CYTOPLASMIC DOMAINS ARE REQUIRED FOR K-Cl COTRANSPORT ACTIVITY
J. Biol. Chem.,
November 2, 2001;
276(45):
41870 - 41878.
[Abstract]
[Full Text]
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Copyright © 2000 by the American Society for Biochemistry and Molecular Biology.
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