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Originally published In Press as doi:10.1074/jbc.M111868200 on January 15, 2002
J. Biol. Chem., Vol. 277, Issue 13, 11090-11096, March 29, 2002
A Slow pH-dependent Conformational Transition
Underlies a Novel Mode of Activation of the Epithelial
Na+/H+ Exchanger-3 Isoform*
Hisayoshi
Hayashi ,
Katalin
Szászi §,
Natasha
Coady-Osberg ,
John
Orlowski¶ ,
James L.
Kinsella**, and
Sergio
Grinstein 
From the Cell Biology Program, Hospital for Sick
Children Research Institute, Toronto, Ontario M5G 1X8, Canada, the
¶ Department of Physiology, McGill University, Montreal, Quebec
H3G 1Y6, Canada, and the ** Laboratory of Cardiovascular
Science, Gerontology Research Center, NIA, National Institutes of
Health, Baltimore, Maryland 21224
Received for publication, December 13, 2001, and in revised form, January 8, 2002
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ABSTRACT |
Allosteric control of
Na+/H+ exchange by intracellular protons
ensures rapid and accurate regulation of the intracellular pH. Although
this allosteric effect was heretofore thought to occur almost
instantaneously, we report here the occurrence of a slower secondary
activation of the epithelial Na+/H+ exchanger
(NHE)-3 isoform. This slow activation mode developed over the course of
minutes and was unique to NHE3 and the closely related isoform NHE5,
but was not observed in NHE1 or NHE2. Activation of NHE3 was not due to
increased density of exchangers at the cell surface, nor was it
accompanied by detectable changes in phosphorylation. The association
of NHE3 with the cytoskeleton, assessed by its retention in the
detergent-insoluble fraction, was similarly unaffected by
acidification. In contrast to the slow progressive activation elicited
by acidification, deactivation occurred very rapidly upon restoration
of the physiological pH. We propose that NHE3 undergoes a slow
pH-dependent transition from a less active to a more active
state, likely by changing its conformation or state of association.
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INTRODUCTION |
Na+/H+ exchangers
(NHEs)1 catalyze the
electroneutral counter-transport of Na+ for H+
across biological membranes (for review, see Refs. 1-3). To date,
seven different NHE isoforms have been cloned, all of which are
integral membrane proteins with multiple transmembrane domains and an
extensive cytosolic carboxyl-terminal domain. NHE1 and NHE3 are by far
the most widely studied isoforms. The former is expressed ubiquitously
and, by mediating Na+/H+ exchange across the
plasma membrane, contributes to the regulation of cytosolic pH and cell
volume (2). NHE3 is found in the brush border of epithelial cells in
the kidney and gastrointestinal tract and is involved in the
transepithelial (re)absorption of NaCl and, indirectly,
HCO and water (4).
Because Na+/H+ exchange is electroneutral with
a 1:1 stoichiometry, thermodynamic equilibrium is predicted to be
attained when [H+]i/[H+]o = ([Na+]i/[Na+]o)·Ke,
where Ke is the equilibrium constant and the
subscripts i and o refer to intra- and
extracellular, respectively (5). In almost all cells, a steep inwardly
directed Na+ gradient is maintained across the plasma
membrane due to extrusion of Na+ by the
Na+/K+-ATPase. Based on the concentrations
recorded in most cases ([Na+]o being at least 10 times higher than [Na+]i), it is apparent that
NHE could drive the intracellular pH (pHi) at least 1 unit
above the external pH. Nevertheless, pHi rarely exceeds and is
usually lower than the extracellular pH because NHE becomes virtually
quiescent at pHi 7.2. This behavior has been attributed to
the existence of an allosteric pH-sensitive site on the cytosolic
aspect of NHE. The set point at which quiescence is dictated by this
allosteric or "modifier" site is presumably intended to stabilize
pHi near the physiological optimum level and to preclude
deleterious alkalinization (6, 7).
Although little is known about the molecular identity of the modifier
site, the pH dependence of activation of NHE suggests that the rate of
transport is modulated by protonation of one or more side chains of the
protein. It has been postulated that the resulting change in surface
potential may alter the local concentration of H+
equivalents and thus their availability for the exchange reaction. Because protonation/deprotonation of side chains is expected to occur
almost immediately after pH is altered, the effect of the modifier site
has been tacitly assumed to occur instantaneously, providing rapid
feedback and thereby accurate regulation of pHi.
In the course of experiments using isolated brush-border membranes at
subphysiological temperatures, we detected significant hysteresis in
the inactivation of NHE3 (preliminary results are described in Ref. 8).
This slow responsiveness, which developed over the course of minutes,
cannot be easily reconciled with the simple side chain protonation
model described above. We therefore decided to investigate whether slow
activation and/or inactivation transitions are observed in intact cell
systems and to examine the underlying mechanism. To this end, we used
porcine kidney LLC-PK1 cells, which are known to express
endogenous NHE3 (9). In addition, we compared the behavior of several
isoforms of NHE expressed heterologously in antiport-deficient Chinese
hamster cells. Our results revealed a novel mode of regulation that is unique to NHE3 and the related isoform NHE5 and that likely involves large conformational changes and/or interaction with other molecules.
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EXPERIMENTAL PROCEDURES |
Materials and Solutions--
Nigericin, the acetoxymethyl ester
of 2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein (BCECF), and Alexa
488-conjugated donkey anti-mouse antibody were obtained from Molecular
Probes, Inc. (Eugene, OR). Mouse anti-hemagglutinin (HA) antibodies
were from BabCo (Berkeley, CA). 125I-Labeled goat IgG and
[32P]orthophosphate were from ICN (Costa Mesa, CA).
Isotonic Na+ medium contained mM 140 mM NaCl, 3 mM KCl, 1 mM
MgCl2, 1 mM CaCl2, and 20 mM HEPES (pH adjusted to 7.4 with Tris at room
temperature). Na+-free solution was prepared by equimolar
substitution with N-methyl-D-glucamine. Isotonic
K+-rich medium had the same composition as
Na+-rich medium, except that NaCl was replaced by KCl.
Cells--
LLC-PK1 cells were obtained from the
American Type Culture Collection. For surface detection and
immunoprecipitation experiments, LLC-PK1 cells were
transfected with wild-type NHE3 containing three tandem copies of the
influenza virus HA epitope (YPYDVPDYAS) in the first extracellular loop
(between Arg38 and Phe39) as described
previously (13). LLC-PK1 cells were transfected using
FuGENE 6 (Roche Molecular Biochemicals) following the
manufacturer's instructions. For selection of stable lines, cells were
cotransfected with the pCMV plasmid (which contains the aminoglycoside
phosphotransferase gene that confers resistance to G418), selected by
limiting dilution cloning in the presence of 500 µg/ml G418, and
screened by immunofluorescence for expression of HA-tagged NHE3
(NHE3'38HA3). Cells were maintained in 1:1 Dulbecco's
modified Eagle's medium/nutrient mixture F-12 with 10% fetal bovine
serum in an atmosphere containing 5% CO2.
AP-1 is a cell line devoid of endogenous Na+/H+
exchange activity that was isolated from WT5 Chinese hamster ovary
cells as previously described (10). NHE cDNA constructs were
transfected into AP-1 cells by the calcium phosphate/cDNA
coprecipitation technique, and stable clones were selected for survival
by imposing acute NH4Cl-induced acid loads (11, 12). Cells
were maintained in -minimal essential medium with 10% fetal bovine
serum in an atmosphere containing 5% CO2.
Measurement of Na+/H+
Activity--
pHi was measured by microphotometry of the
fluorescence emission of BCECF using dual-wavelength excitation. The
activity of NHE was determined as the rate of Na+-induced
pHi recovery after acid loading with NH4Cl. LLC-PK1 cells grown to confluence on 25-mm glass coverslips
were incubated with 2 µg/ml BCECF/acetoxymethyl ester plus 15 mM NH4Cl; and after 10 min, the cells were
washed with Na+-free solution.
Na+/H+ exchange was then initiated by
reintroduction of extracellular Na+ at the indicated times.
Clusters of the cells adhering to the coverslip were selected for
pHi measurements, whereas cells that formed domes were avoided
because, in these, the Na+-induced pHi recovery
likely occurred via basolateral NHE. To minimize the consequences of
dye leakage from the cells, the chamber was continuously perfused at
1.0 ml/min using a gravity-driven system. The fluorescence of BCECF
was measured and calibrated as described previously (13). The cellular
buffering capacity was determined from the pHi changes observed
in response to NH4Cl pulses imposed at various pHi
levels. H+ (equivalent) flux rates were calculated by
multiplying the rate of pHi recovery by the buffering capacity
at the corresponding pH values. All procedures were performed at room temperature.
Intracellular Na+ Content Manipulation and
Determination--
LLC-PK1 cells were plated onto six-well
plates and grown to subconfluence. We did not use confluent cells
because of potential trapping of extracellular fluid under domes.
Intracellular Na+ depletion was accomplished by incubating
the cells in Na+-free solution. Intracellular
Na+ content was determined by flame photometry (Model 443 photometer, Instrumentation Laboratory, Lexington, MA) using
Li+ as an internal standard. After intracellular
Na+ depletion, the cells were washed with ice-cold medium
containing 300 mM sucrose and 10 mM HEPES/Tris
(pH 7.4). The cells were scraped off with a rubber policeman into
Li+ standard solution (Instrumentation Laboratory); the
samples were frozen and thawed; insoluble material was sedimented; and
the supernatant was used for measurement. Intracellular Na+
content was normalized by the number of cells used. Cells were counted
electronically with a Coulter Counter (Coulter Electronics, Hialeah, FL).
Immunofluorescence--
LLC-PK1 cells stably
expressing NHE3'38HA3 were plated onto glass coverslips and
grown to confluence. The cells were rinsed with phosphate-buffered
saline (PBS) and, where indicated, acidified for 5 min with
NH4Cl as described above before fixation for 20 min using
8% paraformaldehyde in ice-cold PBS. Following fixation, the cells
were washed three times with PBS and incubated with 100 mM
glycine in PBS for 10 min. The cells were next pre-blocked with 5%
skimmed milk in PBS for 30 min and then incubated with anti-HA
monoclonal antibody (1:1000 dilution) for 1 h. After washing three
times to remove unbound antibody, the cells were incubated with Alexa
488-conjugated donkey anti-mouse antibody (1:1000 dilution) for 1 h, and the coverslips were mounted onto glass slides with mounting
medium (Dako Corp., Carpinteria, CA).
Detergent Extraction and Immunoblotting--
The detergent
solubility of NHE3'38HA3 was assessed in transfected
LLC-PK1 cells cultured in 35-mm dishes and grown to
confluence. Where indicated, the cells were first acid-loaded to pH 6.4 as described above. The cells were then rinsed twice with ice-cold medium and extracted with 1 ml of ice-cold lysis medium containing 150 mM NaCl, 25 mM HEPES, 25 mM MES,
0.5 mM EGTA, and 8% protease inhibitor mixture (Complete,
Roche Molecular Biochemical) plus 2 µM pepstatin and
either 0.1% Triton X-100 or 1% digitonin. The pH of the medium was
adjusted to either 6.4 or 7.4 as indicated. After swirling on ice for 6 min on an orbital shaker, the supernatant was removed and saved. The
adherent material was washed with ice-cold PBS and scraped off with a
rubber policeman into 1 ml of ice-cold PBS containing 0.1% SDS and 8%
protease inhibitor mixture plus 2 µM pepstatin. Protein
concentration was measured by the method of Ghosh et al.
(14) and quantification by densitometry (AlphaImager, AlphaInnotech,
Cannock, United Kingdom). Following addition of 5× concentrated
Laemmli sample buffer, samples were subjected to SDS-PAGE and
transferred onto nitrocellulose filters. Blots were blocked with 5%
milk and exposed to primary antibody (anti-HA (1:5000) or anti-actin
(1:250) antibody). Horseradish peroxidase-conjugated secondary antibody
was applied (1:5000 dilution), and immunoreactive bands were visualized
using enhanced chemiluminescence (ECL, Amersham Biosciences, Inc.) and
quantified by densitometry.
Quantification of Surface NHE3--
To quantify surface NHE3
expression, LLC-PK1 cells stably expressing
NHE3'38HA3 were plated onto six-well plates and grown to
confluence. The cells were rinsed with PBS and, where specified, acidified for 5 min with NH4Cl as described above. The
cells were next washed with ice-cold PBS, pre-blocked with 10% goat
serum in PBS for 30 min on ice, and then incubated for 45 min on ice with anti-HA antibody (1:500 dilution) in medium with 10% goat serum.
After washing four times to remove unbound antibody, the cells were
incubated with 125I-labeled goat anti-mouse IgG (0.4 µCi/well) in medium with 10% goat serum on ice. After 60 min, cells
were washed four times with ice-cold PBS to remove unbound
radioactivity. The radiolabeled antibodies were eluted with 1 ml of 2 M formic acid, and radioactivity was counted using a
-counter (1282 Compu Gamma, Amersham Biosciences, Inc.,
Turku, Finland). Nonspecific binding of the radiolabeled antibodies, assessed by omitting primary antibodies, was subtracted.
Assessment of NHE3 Phosphorylation--
LLC-PK1
cells stably expressing NHE3'38HA3 grown to confluence on
15-cm dishes were labeled for 4 h by incubation with 4 ml of
phosphate-free Dulbecco's modified Eagle's medium containing 0.4 mCi
of [32P]orthophosphate. After labeling, the cells were
washed three times with PBS and, where specified, acidified with
NH4Cl for 5 min as described above. To enrich the
preparation in NHE3 prior to immunoprecipitation, we prepared
brush-border membrane vesicles from the labeled LLC-PK1
cells by the method of Brown et al. (15), with minor
modifications. The cells were scraped off with a rubber policeman into
1 ml of ice-cold medium containing 300 mM mannitol, 5 mM NaF, 2 mM Na3VO4,
1% protease inhibitor (Sigma), and 10 mM HEPES/Tris (pH
7.4) and homogenized with a bath sonicator (Fisher Model 300, setting
60) for 5 min. Next, MgCl2 was added to a final concentration of 10 mM, followed by incubation for 30 min
on ice and centrifugation for 15 min at 2300 × g. The
supernatant was collected and subjected to centrifugation at
22,200 × g. The resulting pellet containing the
brush-border vesicles was resuspended in 1 ml of radioimmune
precipitation assay buffer (150 mM NaCl, 0.1% SDS, 1%
Triton X-100, 50 mM NaF, 2 mM
Na3VO4, 1% protease inhibitor, and 20 mM HEPES/Tris at pH 7.4 or 6.4) by drawing through a
26-gauge needle and shaken on a rotating rocker for 30 min at 4 °C.
After centrifugation at 88,800 × g for 30 min to
remove insoluble cellular debris, the supernatant was added to protein
G-Sepharose beads (Pierce) that were pre-conjugated with anti-HA
monoclonal antibody, and the suspension was shaken for 2 h at
4 °C. The beads were spun down and washed eight times with
radioimmune precipitation assay buffer. Immunoprecipitated proteins
were eluted by incubation in 50 µl of Laemmli sample buffer at
65 °C for 15 min. An aliquot of 40 µl of each sample was analyzed
by SDS-PAGE and electrophoretically transferred to a Trans-Blot
membrane (Bio-Rad). The relative amounts of NHE3 in the samples were
determined by ECL and quantified using the AlphaImager. Once the
enhanced chemiluminescence decayed, 32P signals from the
same membranes were subsequently measured using a PhosphorImager and
quantified using ImageQuant (Molecular Dynamics, Inc.).
Statistical Analysis--
Experimental values are given as the
means ± S.E. of the indicated number of determinations.
Comparisons between two groups were made by either unpaired or paired
Student's t tests, as appropriate.
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RESULTS |
Time Dependence of NHE3 Activation--
The time dependence of the
activation of NHE3 was studied in LLC-PK1 cells by
monitoring the Na+-induced recovery of pHi
following an acid load. Controlled cytosolic acidification was imposed
by the NH4Cl (15 mM) prepulse technique (16),
and Na+/H+ exchange was initiated when desired
by addition of 140 mM Na+ to the medium. It is
noteworthy that (i) in the absence of Na+, NHE-independent
pHi recovery was negligible (0.003 pH units/min); and
(ii) the acid loading was essentially complete at the time of addition
of Na+ (Fig. 1A),
so the rate of pH recovery was uncontaminated by an opposing tendency
to acidify due to residual intracellular ammonium. Only in the case of
the measurements made 1 min after removal of ammonium was a small
acidification still apparent. This rate of acidification was measured
in parallel experiments (0.011 mM/s) and was added to the
determinations of NHE based on the net rate of alkalinization.

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Fig. 1.
Effect of varying time of acidification on
NHE3 activity in LLC-PK1 cells. A, shown
are representative traces of Na+-induced pHi
recovery. LLC-PK1 cells were stained with BCECF, incubated
with 15 mM NH4Cl, and used for measurement of
pHi as described under "Experimental Procedures." Sixty
seconds after initiation of the trace, the cells were transferred to
Na+-free solution devoid of NH4Cl, resulting in
cytosolic acidification. Where indicated by the arrows,
Na+ was reintroduced. Three different representative traces
are superimposed. Amiloride (100 µM) was present
throughout to eliminate NHE1 activity. B, cells were
acid-loaded as described for A and bathed in
K+-rich Na+-free solution. Where indicated by
the arrows, 14 µM nigericin was added. Two
different representative traces are superimposed. C, shown
is a summary of the time dependence of the rate of pHi
recovery. , Na+-induced pHi recovery
(i.e. NHE activity) calculated from at least six experiments
like that in A; , nigericin-induced recovery from five
experiments (1 min) and three experiments (5 min) like that in
B. H+ fluxes were calculated from the rate of
pHi change and the cytosolic buffering power, measured
independently as described under "Experimental Procedures."
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Two measures were taken to ensure that the activity of NHE3 was
assessed without contribution from NHE1, which is expressed in the
basolateral membrane of LLC-PK1 cells (17). First, the cells were grown to confluence, and Na+ was added only
apically. Second, 100 µM amiloride was added to selectively inhibit NHE1 (18).
Under the conditions used (pHi 6.53 ± 0.03, n = 25), the Na+-induced pHi
recovery was slow when the cells were acidified for only 1 min.
However, the rate of alkalinization increased gradually as the period
of acidification was lengthened (Fig. 1A). The open
squares in Fig. 1C summarize the results of six experiments: the rate of Na+/H+ exchange
increased progressively up to 5 min and decreased slowly thereafter.
The maximal rate observed was 2-fold greater than the rate measured at
1 min. Shorter periods were not analyzed because the acid loading
procedure was still ongoing before 1 min (see above).
A limited number of experiments were also performed using
opossum kidney cells, with similar results (data not shown). These findings indicate that the slow activation of
Na+/H+ exchange is a widespread phenomenon and
suggest that the observations in LLC-PK1 cells were
attributable to NHE3 because opossum kidney cells express NHE3, but not
NHE1 (19, 20).
The faster rate observed after prolonged acidification is likely to
reflect increased activity of NHE3. However, it is conceivable that the
cytosolic buffering power diminishes over time after acidification,
resulting in a faster recovery at constant NHE activity. The latter
possibility was explored using an exogenous ion exchanger. As shown in
Fig. 1B, the pHi recovery induced by nigericin and
high K+ solution was similar whether the ionophore was
added 1 or 5 min after acidification was imposed. The nigericin-induced
recovery averaged 0.05 ± 0.01 and 0.04 ± 0.01 mM/s at 1 and 5 min, respectively (Fig.
1C, closed squares). These observations rule out
a reduction in buffering power and also other possible
time-dependent artifacts in the recording system.
Intracellular Na+ Depletion Does Not Contribute to an
Increase in NHE3 Activity--
Imposition of an acid load of variable
duration required incubation in Na+-free medium for
different periods of time. This may have resulted in variable
intracellular Na+ contents at the time of assaying NHE. The
observed time-dependent increase in activity may therefore
have resulted from an increased driving force for forward
Na+/H+ exchange or from stimulation of a
Na+-sensitive G protein, as has been invoked for the
regulation of NHE1 (21). To analyze this possibility, cells were
initially preincubated in Na+-free medium for 10 min and
then subjected to acid loading and challenged with extracellular
Na+. As illustrated in Fig.
2A, the rate of recovery after
1 min of acidification was not significantly different from that
recorded in control cells in Fig. 1 (0.035 ± 0.003 versus 0.034 ± 0.003 mM/s, respectively;
p = 0.87). More importantly, the
time-dependent acceleration of NHE3 activity persisted in
the Na+-depleted cells: the rate of pH recovery was nearly
3-fold higher after 5 min than after 1 min (Fig. 2, A and
B).

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Fig. 2.
Effect of intracellular Na+
depletion on NHE3 activity. A, representative traces of
Na+-induced pHi recovery from acid loading in
Na+-depleted cells. The cells were preincubated with 15 mM NH4Cl in Na+-free solution for
10 min and washed with Na+-free solution to deplete
cytosolic Na+. Thirty seconds after initiation of the
trace, the cells were transferred to Na+-free solution
devoid of NH4Cl, resulting in cytosolic acidification.
Finally, Na+ was reintroduced where indicated by the
arrows. Two different representative traces are
superimposed. B, effect of length of acidification on
H+ flux in Na+-depleted cells. Data are
means ± S.E. of five experiments (1 min (open bar))
and four experiments (5 min (closed bar)). *,
p < 0.05.
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To confirm that depletion of Na+ was not the mechanism
underlying stimulation, we measured the intracellular content of this cation by flame photometry under all the conditions used. Omission of
extracellular Na+ prior to the acid load reduced
intracellular Na+ by 45% (from 44 to 20 mM).
The magnitude of the depletion was not significantly different (52 ± 5 versus 45 ± 8%; p = 0.61) when
Na+ removal was extended for 15 min, indicating that no
substantive further depletion occurred during the acid loading period
in Fig. 2. These results indicate that intracellular Na+
depletion does not contribute to the time-dependent
activation of NHE3.
pHi Dependence of the Activation of
NHE3--
To analyze the effect of pHi on the kinetics of NHE3
activation (Fig. 3), various
concentrations of NH4Cl were used during the prepulse. The
time dependence of the activation was recorded at all the pHi
levels that we measured (between 6.5 and 7.5), and in all cases, the
differential between 1 and 5 min was 2-fold. Interestingly, when
plotting efflux rate versus [H+]i
(Fig. 3C), the data conformed to Michaelis-Menten kinetics
when the acidification was imposed for 5 min (R2 = 0.781), but the fit was poorer after 1 min (R2 = 0.453). This observation suggests that a more complex process involving the time-dependent activation of NHE3 is ongoing
at 1 min. If activation is complete by 5 min, only the expected pseudo first-order kinetics is noted.

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Fig. 3.
Effects of pHi and length of
acidification on the activation of NHE3. A,
Na+-induced pHi recovery after 1 min of
acidification. LLC-PK1 cells were stained with BCECF. To
clamp pHi at the desired level, the cells were incubated with
varying concentrations of NH4Cl, determined empirically in
preliminary experiments. Thirty seconds after initiation of the trace,
the cells were transferred to Na+-free solution devoid of
NH4Cl, resulting in cytosolic acidification. Where
indicated by the arrow, Na+ was reintroduced.
Three different representative traces are superimposed. Amiloride (100 µM) was present throughout to minimize the contribution
of NHE1. B, Na+-induced pHi recovery
after 5 min of acidification. The cells were acidified for 5 min, and
recovery was induced by reintroduction of Na+
(arrow) as described for A. Three different
representative traces are superimposed. C, pHi
dependence of Na+-induced H+ (equivalent)
efflux following 1-min ( ) and 5-min ( ) acidification periods.
H+ fluxes were calculated by multiplying the rate of
pHi change by the cytosolic buffering power, measured
independently as described under "Experimental Procedures." The
hyperbolic curves were calculated by fitting data from 15 and 17 experiments for 1- and 5-min acidification periods, respectively, to
the following equation: flux = Vmax·[H+]/(Km + [H+]). R2 = 0.781 and 0.453 for
the 5- and 1-min curves, respectively.
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The Number of Surface NHE3 Molecules Does Not Change during
Acidification--
In native as well as in heterologous expression
systems, NHE3 is present in at least two subcellular compartments: the
plasma membrane and an endomembrane vesicular compartment that includes subapical/recycling endosomes (13, 22, 23). In opossum kidney cells, it
was shown that chronic exposure to acidic solutions increases the
activity of NHE3 and that such an increase is accompanied by
mobilization of endomembrane NHE3 to the cell surface (24). It was
therefore conceivable that the number of surface NHE3 molecules may
change also during acute intracellular acidification. To assess this
possibility, the abundance of cell-surface NHE3 was quantified by two
methods. First, we generated a stable clone of LLC-PK1 cells expressing an epitope-tagged form of NHE3. The epitope was placed
in an extracellular loop to enable detection of surface-exposed NHE3 in
intact cells (see Ref. 25 for details). Immunostaining and fluorescence
imaging analysis of intact (non-permeabilized) cells before and after
acidification revealed no visible differences in the density or
distribution of NHE3 (Fig.
4A). Second, to more accurately quantify surface NHE3, we used 125I-labeled
antibodies. As shown in Fig. 4B, the surface density of NHE3
did not change following acidification. These results imply that the
intrinsic activity, and not the number of exchangers, was increased
when acid loading was sustained for 2-5 min.

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Fig. 4.
Surface density and phosphorylation level of
NHE3 do not change during acidification. A, effect of
acidification on surface distribution of NHE3. LLC-PK1
cells stably expressing NHE3'38HA3 were fixed immediately
before (Control) or after acid loading for 5 min as
described under "Experimental Procedures." NHE3'38HA3
was then immunostained and analyzed by fluorescence microscopy. Images
are representative of three experiments. B, open
bars (left axis), quantitation of the number of
surface-exposed NHE3 molecules determined in control (left)
and acid-loaded (right) cells using 125I-labeled
antibodies. Data are means ± S.E. of nine experiments.
Closed bars (right axis), quantitation
of NHE3 phosphorylation in control (left) and acid-loaded
(right) cells using 32P labeling, isolation of
brush borders, and immunoprecipitation as described under
"Experimental Procedures." Signals were normalized by the amount of
NHE3 protein detected by immunoblotting in the same membranes. Data
from three separate experiments are expressed as percent of
control.
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Phosphorylation of NHE3 Does Not Change during
Acidification--
It is well established that NHE3 can become
phosphorylated on Ser residues and that phosphorylation is accompanied
by changes in transport activity (26-29). In addition, Tyr
phosphorylation may play a role in NHE3 regulation because stimulation
of exchange by chronic acidification is associated with activation of
c-Src (30). To define whether the more acute acid-induced
stimulation reported here was similarly attributable to
phosphorylation, cells were preincubated with
[32P]orthophosphate and subjected to acidification. The
cells were then immediately lysed in the cold, and NHE3 was
immunoprecipitated. Quantitation of the radioactivity following
analysis by SDS-PAGE revealed that the extent of phosphorylation of
NHE3 was essentially identical before and after acidification for 5 min
(Fig. 4B). Therefore, a mechanism other than direct
phosphorylation must account for the observed
time-dependent activation of NHE3.
Biochemical Assessment of the Interaction between NHE3 and the
Actin Cytoskeleton--
We previously demonstrated a functional
interaction between NHE3 and the actin cytoskeleton in AP-1 cells (31).
In that study, the activity of the antiporter was modulated by the
extent of actin polymerization, raising the possibility that the
cytoskeleton may contribute to the pH-dependent effects
reported here. To test this possibility, we examined the association of
NHE3 with the detergent-insoluble fraction of LLC-PK1
cells, which contains (part of) the actin cytoskeleton. Cells were left
untreated or were acid-loaded to pH 6.4 as described for the
determinations of exchange activity. Next, the cells were extracted in
detergent at pH 6.4 or 7.4, and the soluble and insoluble fractions of
NHE3 were quantified by immunoblotting (Fig.
5A). For reference, the total
amounts of protein and actin solubilized were also quantified in the
extracts. When using Triton X-100, only a fraction of NHE3 was
solubilized, regardless of the pH of the extraction solution (27 ± 2 versus 31 ± 1%, pH 7.4 and 6.4, respectively).
This implies that the majority of the exchangers are constitutively
associated with the cytoskeleton. Under the conditions used, the Triton
X-100-insoluble fraction may also include glycolipid-enriched
microdomains, known as rafts (32). It was therefore conceivable that
the lipid partitioning of NHE3, as opposed to its cytoskeletal
interactions, dictated the insolubility of the exchanger. This
alternative explanation was tested using digitonin, another
nondenaturing detergent that, unlike Triton X-100, preferentially
interacts with and extracts cholesterol from biological membranes.
Digitonin solubilized a slightly larger fraction of NHE3 (42 ± 8%) than did Triton X-100, favoring the notion that the exchanger is
rendered insoluble primarily through its interaction with the
cytoskeleton.

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Fig. 5.
Effect of pH on the interaction of NHE3 with
the actin cytoskeleton. A, LLC-PK1 cells
stably expressing NHE3'38HA3 were acidified for 5 min and
extracted using lysis medium with 0.1% Triton X-100. The soluble
fraction (supernatant (sup)) and insoluble residue
(precipitate (ppt)) were analyzed by SDS-PAGE and
immunoblotting using anti-HA antibody (upper panel;
Mr 85,000) or anti-actin antibody
(lower panel; Mr 45,000). The
immunoblot illustrated is representative of three similar experiments.
B, shown is a summary of the quantitation of the soluble
fractions of NHE3 (closed bars), actin
(open bars), and total protein (hatched bars)
following extraction of NHE3'38HA3-expressing
LLC-PK1 cells with lysis media containing 0.1% Triton
X-100 at pH 6.4 or 7.4 as specified. Data are means ± S.E. of at
least three experiments of each type. C, effect of varying
time of acidification on NHE3 activity in AP-1 cells stably transfected
with NHE3 638 was determined. Shown are representative traces of
Na+-induced pHi recovery. The cells were stained
with BCECF, incubated with 40 mM NH4Cl, and
used for measurement of pHi as described under "Experimental
Procedures." The cells were transferred to Na+-free
solution devoid of NH4Cl, resulting in cytosolic
acidification. Where indicated by the arrows,
Na+ was reintroduced. Two different representative traces
are superimposed. D, shown is a summary of the time
dependence of the rate of pHi recovery in
NHE3 638-transfected cells. To facilitate comparison between
experiments, the data were normalized to the recovery rate after 1 min.
Data are means ± S.E. of five determinations. *,
p < 0.05.
|
|
Importantly, the fraction of the exchangers that were extractable by
Triton X-100 was not significantly altered when the cells were
acidified before and/or during the extraction procedure (Fig. 5,
A and B). The amounts of protein and actin
solubilized in both instances were also comparable (Fig.
5B), and similar results were obtained with digitonin (data
not shown).
Jointly, these results suggest that the interaction of NHE3 with the
cytoskeleton is not grossly altered by the acid loading procedure. It
therefore appears unlikely that the cytoskeleton plays a role in the
time- and pH-dependent activation of the exchanger. This
concept was further supported by observations made in cells transfected
with NHE3 638, a truncated version of NHE3 that was shown earlier to
be insensitive to cytoskeletal alterations (31). As shown in Fig.
5C, the rate of Na+/H+ exchange in
these transfectants was accelerated when the acidification period was
extended, as shown above for the endogenous (full-length) exchanger of
epithelial cells. The rate of recovery was nearly 3-fold greater after
3 min than after 1 min (Fig. 5D). These observations strongly suggest that the cytoskeleton is not the main determinant of
the time-dependent activation of NHE3.
Kinetics of NHE3 Inactivation following Slow Activation--
We
next assessed the rate at which NHE3 inactivates following slow
activation by a sustained acid load. The cells were first acidified for
5 min to activate NHE3 fully, omitting Na+ from the medium
to preclude pH recovery during this period. Next, the cytosolic pH was
increased as fast as possible by reintroducing an amount of
NH4Cl found empirically to elevate pH to near base-line (pre-acid loading) levels. Finally, Na+ was added to the
bathing medium to initiate Na+/H+ exchange.
Reintroduction of Na+ failed to elevate pH beyond the
resting levels (Fig. 6), implying that
NHE was not more active than it was prior to acid loading. This
indicates that NHE3 inactivated rapidly (within 1 min) after restoration of neutral pH, so inactivation appeared to be much faster
than the slow activation process, which developed over 5 min.

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|
Fig. 6.
Rapid inactivation of NHE3 following
prolonged acidification. LLC-PK1 cells were loaded
with BCECF and used for pHi determination as described for Fig.
1. Where indicated, the concentration of NaCl or NH4Cl in
the perfusate was altered. Note that 6 mM NH4Cl
restored pH to near normal values after acid loading and that
subsequent reintroduction of Na+ had little effect. The
trace is representative of four experiments.
|
|
Is Slow Activation an Intrinsic Property of
NHE3?--
It could be argued that the slow activation of NHE3
reported above is a property of the LLC-PK1 cells in which
its activity was analyzed, rather than being characteristic of this
isoform. This concern was addressed by studying the behavior of NHE3
expressed heterologously in AP-1 cells. AP-1 cells, a subline of
Chinese hamster ovary cells, are devoid of endogenous NHE activity (10) and are therefore well suited to analyze the activity of heterologously expressed exchangers. As shown in Fig.
7B, a clear
time-dependent activation was noted also in
NHE3-transfected AP-1 cells. This finding implies that the slow
pH-dependent activation of NHE3 is an intrinsic property of
this isoform that is manifested in both epithelial and non-epithelial
contexts.

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|
Fig. 7.
Comparison of the effect of varying time of
acidification on the activity of NHE isoforms. A,
representative traces of Na+-induced pHi recovery.
Chinese hamster ovary cells expressing NHE1 cells were stained with
BCECF, incubated with 15 mM NH4Cl, and used for
measurement of pHi as described under "Experimental
Procedures." Ten seconds after initiation of the trace, the cells
were transferred to Na+-free solution devoid of
NH4Cl, resulting in cytosolic acidification. Where
indicated by the arrows, Na+ was reintroduced.
Two different representative traces are superimposed. B,
comparison of the responsiveness of various NHE isoforms to sustained
acidification. AP-1 cells transfected stably with the NHE isoform
indicated were acid-loaded for either 1 (open bars) or 3 min
(closed bars), and the rate of Na+-induced
recovery of pHi was measured fluorometrically as described
under "Experimental Procedures." To facilitate comparison between
isoforms, the activity was normalized in each case to that observed
after 1 min of acidification. Data are means ± S.E. of at least
four experiments of each type. *, p < 0.05 compared
with 1 min of acidification.
|
|
Time Course of Activation of Various NHE Isoforms--
It was of
interest to establish whether, like NHE3, other NHE isoforms similarly
undergo a slow activation following acidification. To this end, we
analyzed the behavior of AP-1 cells transfected with defined isoforms
of the exchanger. As described above, AP-1 cells enabled us to
unambiguously attribute the exchange activity to the heterologously
transfected NHE isoform of interest. Typical results are shown in Fig.
7A, illustrating the recovery mediated by NHE1 following
acid loading for either 1 or 3 min. As summarized in Fig.
7B, the rate of Na+/H+ exchange was
not affected by the duration of the acid load. Similar results were
obtained in AP-1 cells transfected with NHE2. NHE5, which among the
known NHE isoforms shares the greatest homology with NHE3 (33),
displayed a significantly greater activity after 3 min than after only
1 min of acidification, although the difference was less striking than
in the case of NHE3. Thus, the time- and pH-dependent
activation of NHE is isoform-specific, occurring only in NHE3 and the
closely related isoform NHE5, but not in NHE1 and NHE2.
 |
DISCUSSION |
Our results revealed the existence of a slowly developing
activation of NHE3, which required 4-5 min to attain completion. This
comparatively slow transition is unlikely to reflect the rate of
protonation of dissociable groups of the side chains of NHE3 and may
instead result from sizable conformational changes of the exchanger
and/or of ancillary proteins that regulate its activity. Such
structural changes could either induce or stabilize an active
conformation of the antiporter. As is widely accepted in the case of
ion channels, NHE is proposed to exist in an inactive (or poorly
active) form (I) and one or more active configurations (A). Protonation
would facilitate this transition either by increasing the rate of
conversion (k1) or by inhibiting its rate of
reversal (k 1). To the extent that other
isoforms show a pH-dependent activation, but not the slow
transition displayed by NHE3 and NHE5, we suggest that two activated
states (A1 and A2) exist for NHE3 and NHE5
(Equation 1), but only one for the other isoforms.
|
(Eq. 1)
|
The uniquely slow activation from A1 to A2
would be dictated by k 2, which is presumably
lower than k1 and therefore limiting to the
overall activation process. Note that only k1 (and/or k 1) need to be pH-sensitive, which
would agree with our observation that the course of the slow transition
was not markedly different when the extent of acid loading was varied.
The molecular nature of the event mediating the slow activation of NHE3
remains to be completely defined. Kinsella et al. (8)
explored earlier the possibility that large multimeric complexes of
exchangers may form upon acidification. However, cross-linking
experiments failed to show evidence that higher order aggregates are
formed. Alternatively, when the cytosol is acidified, NHE3 may
partition preferentially into detergent-insoluble lipid rafts, as has
been suggested for apically targeted proteins in the
trans-Golgi network (32). This explanation was rendered unlikely by the observation that the solubility of NHE3 in digitonin, a
cholesterol-extracting detergent that effectively disrupts rafts, was
similar in control and acid-loaded cells.
A functional relationship between NHE3 and the actin cytoskeleton had
been suggested before (31) based on the inhibitory effects of
cytoskeletal disruption. Our data showing that most of NHE3 in
LLC-PK1 cells was not solubilized by either Triton X-100 or
digitonin (Fig. 5) are consistent with association of the exchangers
with the actin cytoskeleton. Accordingly, pretreatment of the cells
with Clostridium difficile toxin B, which inhibits Rho
family GTPases and causes microvillar retraction (34, 35), markedly
increased the fraction of NHE3 that is solubilized by Triton
X-100.2 However, the
interaction of the antiporter with the cytoskeleton was not noticeably
altered by cytosolic acidification (Fig. 5, A and
B). Moreover, a truncated form of NHE3 lacking modulation by
the cytoskeleton nevertheless displayed the time- and
pH-dependent stimulation (Fig. 5, C and
D). We therefore believe that the activation of the
exchanger is not caused by drastic alterations in its cytoskeletal anchorage.
We tentatively favor the notion that the A1 A2 transition reflects a change in the conformation of the
exchanger. The comparatively slow kinetics of the transition implies
that the event requires a large activation energy, suggesting that the
conformational change is drastic. Future structural studies should be
able to test this prediction.
The observation that NHE3 undergoes a slow activation
transition adds to the complexity of regulation of this isoform by
H+. In addition to the rapid activation noticeable in all
isoforms within seconds of acid loading (likely reflecting the I A1 transition) and the slower phase described herein
(postulated to be the A1 A2 transition), a
much slower stimulation of NHE3 by chronic acidification was described
earlier (36-38). This acceleration of transport differs from the one
described herein in that it requires several hours to develop, involves
de novo synthesis of mRNA and proteins (38), and is
accompanied by increased exocytosis of intracellular NHE3 molecules.
Why are so many forms of regulation of NHE3 by acid required? Rapid
responses occurring within seconds are necessary for the acute and fine
regulation of the intracellular pH. Those developing over minutes may
be intended to compensate for acute variations in systemic pH and
bicarbonate concentration. More severe and chronic challenges likely
require further and more sustained increases in the rate of transport.
This is accomplished by biosynthetic means, at the expense of reduced
response time. In this regard, it is noteworthy that the secondary
activation described in this report appears to revert rapidly upon
restoration of the normal cytosolic pH (Fig. 6), conferring to the
system effective feedback properties. In contrast, the insertion into
the brush border of the extra transporters synthesized and mobilized
during chronic acidosis would show greater hysteresis, leading to a
potentially dangerous overshoot in the rate of acid extrusion when the
normal pH is restored. Thus, the various levels of regulation are not redundant, but complementary and individually well suited for fast or
sustained challenges to the cellular and systemic pH and bicarbonate homeostasis.
 |
FOOTNOTES |
*
This work was supported in part by the Canadian Institutes
of Health Research and the Kidney Foundation 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.
§
Supported by a Canadian Institutes of Health Research fellowship.
Investigator of the Canadian Institutes of Health Research.

International Scholar of the Howard Hughes Medical Institute;
current holder of the Pitblado Chair in Cell Biology at the Hospital
for Sick Children; and cross-appointed to the Department of
Biochemistry, University of Toronto. To whom correspondence should be
addressed: Cell Biology Program, Hospital for Sick Children Research
Inst., 555 University Ave., Toronto, Ontario M5G 1X8, Canada. Tel.:
416-813-5727; Fax: 416-813-5028; E-mail: sga@sickkids.ca.
Published, JBC Papers in Press, January 15, 2002, DOI 10.1074/jbc.M111868200
2
H. Hayashi, unpublished data.
 |
ABBREVIATIONS |
The abbreviations used are:
NHEs, N+/H+ exchangers;
pHi, intracellular
pH;
BCECF, 2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein;
HA, hemagglutinin;
PBS, phosphate-buffered saline;
MES, 4-morpholineethanesulfonic acid.
 |
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R. S. Haworth, C. McCann, A. K. Snabaitis, N. A. Roberts, and M. Avkiran
Stimulation of the Plasma Membrane Na+/H+ Exchanger NHE1 by Sustained Intracellular Acidosis: EVIDENCE FOR A NOVEL MECHANISM MEDIATED BY THE ERK PATHWAY
J. Biol. Chem.,
August 22, 2003;
278(34):
31676 - 31684.
[Abstract]
[Full Text]
[PDF]
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A. N. Charney, R. W. Egnor, J. Alexander-Chacko, N. Cassai, and G. S. Sidhu
Acid-base effects on intestinal Na+ absorption and vesicular trafficking
Am J Physiol Cell Physiol,
September 1, 2002;
283(3):
C971 - C979.
[Abstract]
[Full Text]
[PDF]
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Copyright © 2002 by the American Society for Biochemistry and Molecular Biology.
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