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Originally published In Press as doi:10.1074/jbc.M311952200 on December 29, 2003
J. Biol. Chem., Vol. 279, Issue 11, 9743-9749, March 12, 2004
Extracellular Histidine Residues Crucial for Na+ Self-inhibition of Epithelial Na+ Channels*
Shaohu Sheng ,
James B. Bruns, and
Thomas R. Kleyman
From the
Renal-Electrolyte Division, Department of Medicine and the Department of Cell Biology and Physiology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15261
Received for publication, October 31, 2003
, and in revised form, December 15, 2003.
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ABSTRACT
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Epithelial Na+ channels (ENaC) participate in the regulation of extracellular fluid volume homeostasis and blood pressure. Channel activity is regulated by both extracellular and intracellular Na+. The down-regulation of ENaC activity by external Na+ is referred to as Na+ self-inhibition. We investigated the structural determinants of Na+ self-inhibition by expressing wild-type or mutant ENaCs in Xenopus oocytes and analyzing changes in whole-cell Na+ currents following a rapid increase of bath Na+ concentration. Our results indicated that wild-type mouse   ENaC has intrinsic Na+ self-inhibition similar to that reported for human, rat, and Xenopus ENaCs. Mutations at His239 ( H239R, H239D, and H239C) in the extracellular loop of the ENaC subunit prevented Na+ self-inhibition whereas mutations of the corresponding His282 in ENaC ( H282D, H282R, H282W, and H282C) significantly enhanced Na+ self-inhibition. These results suggest that these two histidine residues within the extracellular loops are crucial structural determinants for Na+ self-inhibition.
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INTRODUCTION
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Epithelial Na+ channels (ENaC)1 mediate Na+ transport across apical membranes of high resistance epithelial cells in the kidney, colon, and lung. The regulation of Na+ transport in collecting ducts has an important role in extracellular fluid volume homeostasis and in the control of blood pressure (1). Alterations in the functional expression of this channel have been observed in association with several disorders, including inherited forms of hypertension (Liddle syndrome), volume depletion associated with hyperkalemia (pseudohypoaldosteronism type 1), and cystic fibrosis (2, 3). Three subunits ( , , and ENaC) have been cloned from different species and are members of the ENaC/degenerin gene superfamily (4). All three subunits participate in formation of the channel pore and share a similar membrane topology with two transmembrane domains (M1 and M2) that are connected by a large extracellular loop (ECL), and cytoplasmic N and C termini (5).
ENaC activity is regulated by a variety of extracellular and intracellular factors including hormones, proteases, other proteins, as well as monovalent and divalent cations (6, 7). Na+ exerts two distinct types of inhibitory effects on ENaC activity: self-inhibition and feedback inhibition. The inhibitory effects of Na+ are distinguished by their sites of action, modes of action, and time course. Na+ self-inhibition was originally observed in studies of native epithelial tissues in the setting of a rapid increase in extracellular Na+ concentration (6, 810). It is not dependent on Na+ influx, nor on intracellular Na+ concentration. On the other hand, increases in intracellular Na+ concentration result in feedback inhibition of ENaC (1114). The latter is likely due to a reduction of channel density at the plasma membrane (2). The inhibition of ENaC by extracellular or intracellular Na+ occurs on different time scales, and may have an important role in limiting increases in intracellular Na+ concentration and cell volume when cells are exposed to physiological conditions that would otherwise dramatically increase rates of cellular Na+ influx via ENaC (10). Both Na+ self-inhibition and feedback inhibition contribute to the complex regulatory network that tightly controls ENaC activity.
ENaCs cloned from human, rat, or Xenopus and expressed in Xenopus oocytes exhibit Na+ self-inhibition (15). We previously reported that mouse ENaC (mENaC) is blocked by external Ni2+, and identified key extracellular His residues ( His282 and His239) within conserved regions of the - and -subunits that were required for channel block by Ni2+ (16). As both Ni2+ and Na+ are extracellular inhibitors of ENaC, we speculated that extracellular regions that participate in Ni2+ block may also have a role in Na+ self-inhibition.
We have examined whether specific residues within ENaC ECLs have a role in Na+ self-inhibition by comparing the inhibitory responses to external Na+ of wild-type and mutant mouse   ENaCs in the oocyte expression system. Wild-type   mENaC displayed typical Na+ self-inhibition. In contrast, we observed that Na+ self-inhibition was dramatically altered in channels containing mutations at either of two His residues within the extracellular loops of and ENaC that dramatically decreased Ni2+ block. Channels with mutations of His239 showed no Na+ self-inhibition, whereas channels with a mutation of the corresponding His residue in the -subunit ( His282) showed enhanced Na+ self-inhibition.
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EXPERIMENTAL PROCEDURES
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Site-directed MutagenesisAll ENaC clones used in this study were mouse ENaC subunits whose cDNAs were inserted into pBluescript SK-vector (Stratagene, La Jolla, CA) (17). Point mutations were generated previously by a PCR-based method (16).
ENaC Expression and Two Electrode Voltage ClampENaC expression in Xenopus oocytes and two electrode voltage clamp were performed as previously reported (16). Defoliculated oocytes were injected with 14 ng of cRNA for each mENaC subunit (per oocyte) and incubated at 18 °C in modified Barth's saline (MBS, 88 mM NaCl, 1 mM KCl, 2.4 mM NaHCO3, 15mM HEPES, 0.3 mM Ca(NO3)2, 0.41 mM CaCl2, 0.82 mM MgSO4, 10 µg/ml sodium penicillin, 10 µg/ml streptomycin sulfate, 100 µg/ml gentamycin sulfate, pH 7.4). All experiments were performed 2050 h following cRNA injections at room temperature (2024 °C). Oocytes were placed in an oocyte recording chamber from Warner Instruments (Hamden, CT) and perfused with constant flow rate of 1214 ml/min.
Procedures for Observing Na+ Self-inhibitionTo examine Na+ self-inhibition, a low Na+ bath solution (NaCl-1; containing 1 mM NaCl, 109 mM NMDG, 2 mM KCl, 2 mM CaCl2, 10 mM HEPES, pH 7.4) was replaced rapidly by a high Na+ bath solution (NaCl-110; containing 110 mM NaCl, 2 mM KCl, 2 mM CaCl2, 10 mM HEPES, pH 7.4) while the oocytes were continuously clamped to 60 mV (or 100 mV in some experiments). Bath solution exchange was performed with a 6-channel teflon valve perfusion system from Warner Instruments. At the end of the experiment, 10 µM amiloride was added to the bath to determine the amiloride-insensitive component of the whole cell current. Currents remaining in the presence of 10 µM amiloride were generally less than 200 nA. Results from oocytes that showed unusually large amiloride-insensitive currents (>5% of total currents) were discarded to minimize current contamination from endogenous channels and membrane leak. To ensure consistency, each batch of oocytes injected with wild-type or mutant ENaC cRNAs were examined in an alternating manner.
The first 40 s of current decay was fitted with an exponential equation by Clampfit 9.0 (Axon Instruments Inc.). The peak current (Ipeak) was the measured maximal inward current immediately after bath solution exchange from low Na+ to high Na+ concentration. The steady state current (Iss) represented the measured current at 40-s post-Ipeak. The current ratio of Iss/Ipeak was calculated from amiloride-sensitive Iss and Ipeak that were obtained by subtracting amiloride-insensitive currents from Iss and Ipeak.
To estimate the Michaelis constants (Km) for Na+ concentration-current relationship, both Ipeak and Iss were measured in the same cell after the bath Na+ concentration was raised from 1 to 3, 10, 30, 60, and 110 mM and were normalized to their maximal values. The relative Ipeak and Iss were plotted against the Na+ concentrations. Km and Vmax (maximal relative current) were obtained by best fitting of the current-concentration data according to Equation 1 with least square non-linear curve fitting using Origin Pro 7.0 (OriginLab Corporation, Northampton, MA).
 | (Eq. 1) | In the above equation, I is the relative Ipeak or Iss and the C refers to the Na+ concentration used to initiate self-inhibition.
We estimated the apparent inhibitory constant (Ki) of Na+ self-inhibition from the results of the above experiments. The ratios of Iss and Ipeak representing the amplitudes of self-inhibition at the different Na+ concentrations were plotted against the external Na+ concentrations. A Ki value was estimated from a best fitting of the data with Hill (Equation 2).
 | (Eq. 2) | In Equation 2, C is the Na+ concentration and the n is the Hill coefficient.
Statistical AnalysisData are presented as mean ± S.E. Significance comparisons between groups were performed with unpaired Student's t tests. A p value of less than 0.05 was considered statistically different.
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RESULTS
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Na+ Self-inhibition of   mENaCWe examined Na+ self-inhibition of   mENaC expressed in Xenopus oocytes by tracking the current decay following a rapid increase in the extracellular Na+ concentration from 1 to 110 mM. The inward current measured at 60 mV quickly reached its maximal level (Ipeak) and then relaxed exponentially to a relatively steady level (Iss) (Fig. 1). Two parameters were used to describe the speed and amplitude of Na+ self-inhibition, the time constant ( ) for the current decline and the ratio of the steady state (Iss) to peak (Ipeak) whole cell amiloride-sensitive Na+ current. Current decay was observed with a time constant of 8.14 ± 0.38 s (n = 20) (Fig. 1). The ratio of steady state current to peak current was 0.66 ± 0.02 (n = 20). The time course and amplitude of the self-inhibition we observed in   mENaC are comparable, though not identical, to those reported for human, rat and Xenopus   ENaCs (15, 18). Na+ self-inhibition did not appear to exhibit voltage-dependence, as we observed similar responses at clamping voltages of 40, 60, 80, and 100 mV.2 A similar self-inhibition response was seen in oocytes expressing different levels of currents, varying from 1 to 20 µA at a holding potential of 60 mV. The intracellular Na+ concentration did not significantly affect the speed or amplitude of Na+ self-inhibition, as the responses were similar in Na+-loaded oocytes that were incubated in 88 mM Na+ MBS and in oocytes that were kept in 10 mM Na+ MBS following cRNA injection. It has been reported that Na+ self-inhibition is not dependent on the current level, nor on intracellular Na+ concentration (15).
Substitutions of His239 within the Extracellular Loop Eliminated Na+ Self-inhibitionOne of the peculiar features of ENaC architecture is that each subunit possesses a very large extracellular loop composed of about 450 residues. While its role in the regulation of channel activity is still unclear, recent studies suggest that the ECL may be involved in inhibitor binding (amiloride and Ni2+), channel gating, and subunit assembly and processing (1923). A six residue tract (WYRFHY) within the ECL of the -subunit was identified as a putative amiloride binding site based on its homology with the antigen binding domain of an anti-amiloride antibody (19, 24). Specific mutations within this tract altered the sensitivity of -subunit channels to amiloride, and altered gating characteristics of both channels as well as   channels (16, 19, 20). We and other investigators (16, 25) recently reported that Ni2+ is an external inhibitor of ENaC expressed in Xenopus oocytes. The His282 within this tract and the corresponding residue in the -subunit ( His239) were identified as putative Ni2+ binding sites (16). As both external Ni2+ and high concentrations of extracellular Na+ inhibit ENaC, we hypothesized that they might share a similar mechanism for their inhibitory effects on ENaC. This prompted us to examine the possibility that sites responsible for Ni2+ block may participate in Na+ self-inhibition. We examined Na+ self-inhibition of mutant mENaCs containing point mutations at either H282 or H239. To our surprise, Na+ self-inhibition was not observed in oocytes expressing   H239R,   H239D, or   H239C mENaC. As shown in Figs. 1C and 2, the currents reached their maximal level and essentially stayed at the same level, with minimal loss of current over a 1-min period.
Mutations of His282 Enhanced Na+ Self-inhibitionWe observed that several H282 mutants that were examined, including H282D, H282R, and H282C, enhanced Na+ self-inhibition as shown by significantly smaller and Iss/Ipeak values than those of wild type (Fig. 3 and Table I). Although the response of H282W mENaC was significantly faster than wild type, the Iss/Ipeak was similar to wild type (Fig. 3 and Table I).

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FIG. 3. Mutations at His282 increased Na+ affinity for self-inhibition. Na+ self-inhibition was examined in individual oocytes expressing wild-type or mutant channels with extracellular Na+ concentrations of 110, 60, 30, 10, or 3 mM. A, recordings of current changes in response to the alterations of external Na+ concentration in oocytes expressing   , H282D , H282R , H282W , or H282C , were representative of at least four experiments for each channel type. The short black lines above each trace indicate the periods of time when the cell was bathed in a 1 mM NaCl solution. The numbers below each current decay are the Na+ concentrations (in mM) used for inducing self-inhibition. B, relationship of the relative Ipeak and external Na+ concentrations. Relative Ipeak represents the individual peak current at a specific Na+ concentration that was normalized to the maximal Ipeak observed in the same cell. Lines are from the best fitting with Equation 1. C, relationship of the relative Iss (normalized to maximal Iss measured in the same cell) and external Na+ concentration. Solid lines are from best fitting with Equation 1 and dashed lines are from the best fitting with Equation 3. D, the relationship of the ratio of Iss and Ipeak and Na+ concentrations. Lines are from the best fitting of the data with the Hill equation. E, the relationship of the time constants of Na+ self-inhibition and Na+ concentrations (30, 60, and 110 mM).
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To further characterize the enhanced Na+ self-inhibition by these mutations, we performed additional experiments to determine the apparent Na+ affinity of wild-type and mutant channels. We examined self-inhibition responses in a repetitive manner in the same oocyte, as the speed ( ) and extent of inhibition (Iss/Ipeak) remained constant, despite slowly decreasing overall whole cell Na+ currents, as has been reported by others (15). The response of individual oocytes to acute increases in the concentration of external Na+ from 1 mM to 110, 60, 30, 10, and 3 mM was measured in order to estimate an apparent Na+ affinity for self-inhibition. As seen in Fig. 3A, the self-inhibition responses in wild-type channels were faster and deeper with 110 mM Na+ than with 60 or 30 mM Na+. When external Na+ was increased from 1 to 3 or 10 mM, no self-inhibition was observed. The estimated Ki for Na+ self-inhibition was 210 ± 19 mM (n = 6, Table II). These results are consistent with the notion that Na+ self-inhibition is a low affinity process (15). On the contrary, currents from oocytes expressing the mutant channels containing H282D, H282R, H282W, or H282C showed more rapid and deeper (except for H282W) current relaxations than wild type with 110, 60, and 30 mM Na+. In addition, self-inhibition was apparent in oocytes expressing H282D and H282R when external Na+ was increased from 1 to 10 mM Na+. The estimated Ki values for H282D, H282R, and H282C channels were 62, 76, and 87 mM, respectively, significantly lower than that of wild type.
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TABLE II Fitting parameters for the dose responses of Na+ self-inhibition
The current decays were examined in the same oocytes as external Na+ was increased rapidly from 1 mM to 110, 60, 30, 10, or 3 mM. The Km was obtained by fitting the Ipeak or Iss against Na+ concentrations with Equation 1. The Km* and Ki* were from fitting of the Iss with Equation 3. The Ki was obtained by fitting the Iss/Ipeak with Equation 2. Values are given as mean ± S.E.
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The relationships of the Ipeak and Iss versus Na+ concentration (greater than 1 mM) for wild-type channels were fit with the Michaelis-Menten equation (Equation 1), generating an apparent Km for Na+ of 36 ± 7 mM and 20 ± 3 mM for Ipeak and Iss, respectively (Table II and Fig. 3, B and C). Peak current Km values of the His282 mutants were similar to wild type. However, H282D and H282R significantly reduced the apparent Iss Km. Curve fitting of Ipeak versus Na+ concentration with Equation 1 showed an average correlation coefficient of 0.979; whereas the fitting of Iss versus Na+ concentration was less satisfactory with an average correlation coefficient of 0.935 for wild type, and correlation coefficients of 0.822, 0.837, and 0.878 for mutant channels containing H282D, H282R, or H282C, respectively. This poor fitting reflects reductions in whole cell currents observed with Na+ concentrations greater than 30 mM due to Na+ self-inhibition (Fig. 3C). As the response of these mutant channels to acute increases in external Na+ concentration appeared to be similar to substrate inhibition of an enzyme, we analyzed our data with Equation 3 that describes substrate inhibition (26),
 | (Eq. 3) | where Ki is an inhibitory constant for Na+ that reflects Na+ self-inhibition. Curve fitting of Iss versus Na+ concentration with Equation 3 showed average correlation coefficients of greater than 0.97 for both wild-type and mutant channels. The estimated Ki values for wild-type and mutant channels (H282D, H282R, and H282C) with Equation 3 were comparable to those obtained by fitting the Iss/Ipeak data with Hill equation (see Equation 2 and see Table II). The results suggest that substitution of His282 with Asp, Arg, or Cys increased apparent affinity of Na+ for self-inhibition.
The estimated Km values for channels containing mutations at His239 were in the range of 72 to 100 mM, much higher than that of wild-type ENaC. This observation suggested that current saturation of wild-type ENaC (particularly for Iss) at low Na+ concentrations was the result of Na+ self-inhibition.
As mutations of His282 and His239 resulted in opposite effects on Na+ self-inhibition, we examined the self-inhibition response of a channel with mutations at both sites ( H282R- - H239R mENaC). Oocytes expressing these channels responded to an increase in the bath Na+ concentration from 1 to 110 mM with an extremely slow ( = 16.87 s) and small decline in whole cell Na+ current (Iss/Ipeak = 0.9, Fig. 4 and Table I). These results indicate that the H239R mutation has a dominant effect on Na+ self-inhibition, supporting a key role of His239 in channel response to increases in the concentration of extracellular Na+.
We also examined the effects of other mutations within ENaC ECLs on Na+ self-inhibition. Residue Gln220 aligns with His282 and His239. Substitution of Gln220 with His did not significantly affect Na+ self-inhibition (Table I), suggesting that this residue is not critical for Na+ self-inhibition. Each ENaC subunit has multiple His residues within its ECL. There is only one site within the ECLs of the three subunits that has a conserved His ( His381, BHis319, and His338). His to Arg mutations of His381, His319, and His338 did not significantly alter Na+ self-inhibition,2 suggesting that this site does not have an important role in Na+ self-inhibition.
Na+ Self-inhibition Is Absent When ENaC Is Gated OpenIt is likely that self-inhibition reflects a reduction of ENaC open probability (Po) initiated by an increase in the concentration of extracellular Na+ (10, 15, 27), although direct evidence at the single channel level is still lacking. We examined whether locking ENaC in the fully open state would affect Na+ self-inhibition. We previously reported that covalent modification of S580C mENaC with the sulfhydryl reagent MTSET converts channels to a nearly constant open state (28). MTSET had no effect on Na+ self-inhibition of wild-type channels.2 The Na+ self-inhibition response of S580C prior to MTSET was moderately faster and deeper than that of WT mENaCs (Fig. 5A and Table I). However, following MTSET treatment Na+ self-inhibition was absent, suggesting that locking the channel in an open state prevents ENaC inhibition by external Na+ (Fig. 5). We also examined whether MTSET treatment led to a loss of Na+ self-inhibition in a channel containing S580C and H282R, a mutation that enhanced self-inhibition. As shown in Fig. 5B, Na+ self-inhibition was absent following MTSET treatment of H282R-S580C channels. Interestingly, prior to MT-SET treatment these two mutations (i.e. H282R and S580C) appeared to have an additive effect on Na+ self-inhibition, as double mutant channels ( H282R/S580C ) showed a response to external Na+ that was significantly faster ( = 2.61 ± 0.10 s) and greater in magnitude (Iss/Ipeak = 0.32 ± 0.01) than that of   , S580C , and H282R mENaCs (Fig. 5B and Table I). These data suggest that a previously characterized gating domain preceding the second transmembrane domain, including Ser580, may be associated with the process of Na+ self-inhibition. They also raise a question of whether the two domains within the ECL and the pore region of ENaC subunits that affect Na+ self-inhibition are located in proximity to each other. Future studies may test this possibility.
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DISCUSSION
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Na+ self-inhibition was initially proposed to explain the departure of apical Na+ entry from a simple electrodiffusion mechanism and saturation of Na+ transport (8). It was intensively investigated in native tissues including frog skin, toad urinary bladder and rabbit colon using short circuit current or isotope flux measurements (6, 10, 29). Recent whole-cell and patch clamp studies in rat cortical connecting tubules and taste receptor cells have also observed Na+ self-inhibition (30, 31). Chraibi and Horisberger (15) demonstrated that cloned human, rat and Xenopus ENaCs expressed in Xenopus oocytes exhibited Na+ self-inhibition. We used heterologous expression of mouse ENaC in oocytes to explore the structural basis for Na+ self-inhibition.
The rate and amplitude of Na+ self-inhibition we observed in oocytes expressing wild-type   mENaCs were similar to that reported by Chraibi and Horisberger (15) using oocytes expressing human and rat   ENaCs. All cloned ENaCs examined to date display inhibition in response to sudden increases in extracellular Na+ concentration, confirming the notion that self-inhibition is an intrinsic property of the channel rather than mediated by other factors (10). However, the speed and amplitude of Na+ self-inhibition responses differ among species (see "Results" and Refs. 15 and 18).
It has been speculated that there exist a regulatory site or "allosteric receptor" for Na+ on the extracellular side of the ENaC complex that is responsible for Na+ self-inhibition (6, 29). Our data support this hypothesis, as we observed that mutations of His239 eliminated Na+ self-inhibition and mutations of the corresponding His282 enhanced Na+ self-inhibition. To our best knowledge, this is the first study to demonstrate altered Na+ self-inhibition by point mutations within ENaC subunits. A novel -subunit was recently cloned from Xenopus that is most closely related to the -subunit, and forms functional channels when co-expressed with -and -subunits. The Na+ self-inhibition response of   channels was significantly more robust than   channels, and analyses of / chimeras suggested that a region in the proximal portion of the ECL of the and ENaC subunits that includes the His residue corresponding to mouse His282, was primarily responsible for the difference in Na+ self-inhibition of   and   channels (18). Our results are compatible with the view that the proximal ECL has an important role in Na+ self-inhibition.
The changes in Na+ self-inhibition that we observed with His282 or His239 mutants suggest that both His residues are involved in Na+ self-inhibition, although the exact roles of these His residues in this process remain to be determined. The complete loss of Na+ self-inhibition in channels with mutations of His239 strongly suggests that His239 is essential for Na+ self-inhibition. We speculate that this residue may be located within a region of the channel that plays a key role in conferring the Na+ self-inhibition response. Our previous sequence alignments among ENaC subunits revealed several conserved residues near His282 and His239 (16), and we have observed that mutation of one of these conserved residues ( S227C) greatly slowed Na+ self-inhibition.2 It is conceivable that this His residue ( His239) may directly participate in Na+ binding to a putative receptor site on the channel, participate in conformational changes induced by Na+ binding to its receptor that result in a change in channel gating, or directly participate in ENaC gating. Our observation that the self-inhibition response is lost following locking S580C mENaC in open state by covalent MTSET modification indicates that Na+ self-inhibition reflects changes in channel gating.
The role of His282 in Na+ self-inhibition must be different from that of His239, as substitutions of the residue with Arg, Asp, Cys, and Trp enhanced Na+ self-inhibition. All of these mutations at His282 also reduced or eliminated Ni2+ inhibition of ENaC activity (16). These data suggest that Na+ self-inhibition and Ni2+ inhibition of ENaC may be related in some manner. Indeed, we found that pretreatment of oocytes expressing wild-type mENaCs with 1 mM Ni2+ in the low Na+ bath solution essentially prevented the current decline in response to an increase in bath Na+ concentration.2 A recent study concluded that external Ni2+ stimulated short circuit current in A6 cells expressing endogenous ENaCs by relieving channels from Na+ self-inhibition through competition with extracellular Na+ (32). The mechanism by which H282 mutants enhance Na+ self-inhibition is unknown. The process of Na+ self-inhibition may include a minimum of three distinct events: (1) Na+ binding to a "receptor," (2) a conformational change induced by Na+ binding and (3) a reduction of channel open probability. Theoretically, augmented self-inhibition may occur as a result of changes in one or more of these events. As Na+ self-inhibition was observed with each of the His282 mutants, we propose that His282 is not required for Na+ self-inhibition, but functions as an important modulator of the inhibitory response to acute increases in extracellular Na+. For example, His282 may be involved in maintaining Na+ self-inhibition as a low affinity process, such that ENaC activity is not inhibited by low (i.e. less than 30 mM) concentrations of extracellular Na+. This proposed role of His282 is supported by our observation that the His282 mutants we analyzed, except for H282W, decreased the apparent Ki for Na+.
Our data suggest that His282 and His239 have different roles in conferring Na+ self-inhibition. Oocytes expressing both H282R and H239R showed a very slow and small current decline (Iss/Ipeak = 0.9) in response to a rapid increase in bath Na+ concentration, indicating a dominant role of the His239 mutation in the double mutant channels. The Iss/Ipeak of 0.9 observed with H282R H239R was significantly lower than that of   H239R (0.99, Table I, p < 0.001). The residual inhibition by external Na+ suggests that the H282R mutation was still capable of "enhancing" the Na+ inhibition response of channels with the H239R mutation. These results support the idea that His239 has an essential role, and His282 has a regulatory role in Na+ self-inhibition. It is not surprising that His residues may be involved in Na+ self-inhibition, given their ability to interact with other amino acid residues via aromatic interactions with His, Tyr, Phe, and Trp, and via cation-pi interactions with the side chains of Arg and Lys. His residues also interact with metal ions (3336). His residues have been found to have key functional roles in enzymes, receptors and ion channels (3740). The changes in Na+ self-inhibition due to mutations at both His sites raise a question whether they may interact with each other at an - subunit interface and whether this proposed interaction is important for ENaC activity and channel regulation by extracellular factors including metals, amiloride, pH, temperature, and fluid flow (16, 19, 20, 25, 4143). In the context of previous studies and our current results, we suggest that a site in the proximity of these His residues has a role in modulating ENaC function. We propose that this region functions as an extracellular allosteric regulatory site (EARS). The moderate augmentation of self-inhibition by S580C and the loss of self-inhibition of S580C and H282R-S580C following MTSET treatment suggest that regions within ENaC subunits, in addition to the "extracellular allosteric regulatory site," may contribute to the complex process of Na+ self-inhibition.
In summary, mutations of specific His residues within the extracellular loops of and ENaC subunits dramatically affect the time constant and degree of Na+ self-inhibition. The results suggest that His239 is critical for Na+ self-inhibition and His282 may be a negative regulator of Na+ self-inhibition.
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FOOTNOTES
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* This work was supported by grants from the National Institutes of Health (DK54354) and the Cystic Fibrosis Foundation (Kleyma03PO). The costs of publication of this article were defrayed in part by the payment of page charges. This 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: Renal-Electrolyte Division, University of Pittsburgh, 3550 Terrace St., Pittsburgh, PA 15261. Tel.: 412-648-9295; Fax: 412-648-9166; E-mail: shaohu{at}pitt.edu.
1 The abbreviations used are: ENaC, epithelial Na+ channel; ECL, extracellular loop; Po, open probability; Ki, inhibitory constant; WT, wild type. 
2 S. Sheng, J. B. Bruns, and T. R. Kleyman, unpublished data. 
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