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GASTROINTESTINAL, HEPATIC, PULMONARY, AND RENAL
Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China (D.Z.W., Z.B.H.); and E-Institute of Traditional Chinese Medicine Internal Medicine, Shanghai Municipal Education Commission, Shanghai, China (D.Z.W.)
Received September 21, 2007; accepted January 9, 2008.
| Abstract |
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Electrolyte transport of mammalian colonic epithelium involves both NaCl absorption and Cl– secretion processes. Transport is regulated by a variety of neurotransmitters, hormones, and inflammatory mediators (Kunzelmann and Mall, 2002
). NaCl is either absorbed electroneutrally by parallel luminal (apical) Na+-H+ and Cl–-
exchanges or electrogenically by luminal ENaC channels with Cl– transport passively through the paracellular pathway located in the distal colon (Köttgen et al., 2003
). Chloride secretion in the mammalian colonic crypt cells is a vectorial transport of Cl– ions from the serosal (basolateral) to luminal compartment; this process requires the coordination of four distinct membrane events: 1) apical Cl– passive diffusion via the cystic fibrosis transmembrane conductance regulator (CFTR) channel; 2) increase of K+ efflux through the basolateral Ba2+-sensitive channels; 3) activation of basolateral bumetanide-sensitive Na+-K+-2Cl–-cotransporters; and 4) increase of Na+ efflux by the basolateral Na+-K+-ATPase pump (Greger, 2000
). Cl– secretion stimulated by both Na+-K+-2Cl– cotransporters and Na+-K+-ATPase requires basolateral K+ channel for K+ recycling across the basolateral membrane. Two types of basolateral K+ channels were found to process Cl– secretion via the apical membrane, namely, cAMP-activated KCNQ1 K+ channel and Ca2+-activated small-conductance Ca2+-activated K+ channel (Bleich et al., 1997
; Warth, 2003
).
Fructus evodiae in Chinese medicine is mainly recommended for treatment of gastrointestinal disorders, such as abdominal pain, acid regurgitation, nausea, diarrhea, and hernia (Yu et al., 2006
). Thus, we hypothesize that its major active compound, Rut, may influence gastrointestinal function, especially electrolyte transport across the colonic epithelium. Therefore, the aim of the present study was to elucidate the effect of Rut on the ion transport process in rat distal colon epithelium and to determine the underlying mechanism(s). The information generated from this study demonstrates that Rut stimulates Cl– secretion across rat colonic mucosa, and we suggest that this occurs by generation of endogenous prostaglandin E2 (PGE2) and also involves the stimulation of cAMP and protein kinase A (PKA) pathways.
| Materials and Methods |
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Solutions. The Parsons solution (Schultheiss et al., 2005
) for tissue preparation and Ussing chamber experiments contained 107 mM NaCl, 4.5 mM KCl, 25 mM NaHCO3, 1.8 mM Na2HPO4, 0.2 mM NaH2PO4, 1.2 mM CaCl2, 1.0 mM MgSO4, and 12 mM glucose. The solution was continuously aerated with carbogen (a mixture of 95% O2 and 5% CO2) to maintain the pH at 7.4. In ion substitution experiments, Cl– was replaced with gluconate when Cl–-free solution was used. When
-free solution was used,
was replaced by Cl–, and 10 mM HEPES was added to solution. In Cl–-
-free solution, both Cl– and
were replaced with gluconate and HEPES. Both
-free and Cl–-
-free solutions were gassed with 100% O2.
-free solution was also used in experiments with BaCl2.
Animals and Tissue Preparation. Male Wistar rats (200–220 g) were obtained from Sino-British SIPPR/BK Lab Animal Ltd. (Shanghai, China). This research was approved by the university ethics committee. The animals were maintained on a 12-h light/dark cycle, and they were allowed free access to normal food and water until the day of the experiments. Animals were sacrificed rapidly by stunning and cervical dislocation. A 5-cm segment of the distal colon was removed without distention, and it was suspended in an ice-cold and oxygen-saturated Parsons solution. The colon was opened along the mesenteric border, and it was rinsed free of its fecal contents with Parsons solution. Thereafter, the colon was pinned with the mucosa facing down on a silicon-dissected plate, and then the longitudinal and circular muscles were carefully stripped away with fine forceps. Finally, the isolated mucosal sheet was cut into an appropriate size matched to Ussing chamber size.
Measurement of Electrophysiological Parameters. Freshly isolated rat colonic mucosal sheets were fixed to holding sliders, and then they were mounted in modified Ussing chambers (EasyMount chamber; Physiologic Instruments, San Diego, CA), with a window area of 0.5 cm2. Two pieces of mucosal sheets were used from each animal. Tissues were bathed on both the mucosal and serosal sides with 5 ml of Parsons solution maintained at 37°C by heated water jackets; the pH was maintained at 7.4, and the solution was oxygenated with a 95% O2, 5% CO2 mixture. The tissues were voltage-clamped at 0 mV to monitor short-circuit current (ISC) using a dual-voltage clamp amplifier (VCC MC2; Physiologic Instruments) connected via a PowerLab 8SP (ADInstruments Pty Ltd., Castle Hill, Australia) to a PC computer. The transepithelial electrical potential was measured by a pair of pipette-shaped voltage-sensing electrodes made of sintered silver-silver chloride wire (Physiologic Instruments) in agar bridges filled with a solution of 4% (w/v) agarose in 3 M KCl solution; the electrical current across mucosae was measured by a pair of pipette-shaped current-passing electrodes made of silver pellet (Physiologic Instruments) in agar bridges filled with a solution of 4% (w/v) agarose in 3 M KCl solution. The current deflection (
ISC) was caused by applying a 1-mV pulse for 0.5 s at 60-s intervals under short-circuit condition through the voltage-sensing electrodes. By this procedure, the transepithelial electrical resistance (Rte) was able to be calculated by Ohm's law (Rte = transepithelial electrical potential/
ISC). A positive ISC is referred as a net flow of anions from the basolateral to the apical side, a net flow of cations from the apical to the basolateral side, or a combination.
Measurement of Apical Membrane Cl– Current and Basolateral Membrane K+ Current. The apical membrane Cl– current (ICl) was investigated according to Schultheiss et al. (2005
). In brief, the basolateral membrane was depolarized with a solution containing high potassium concentration for 40 to 50 min. Thus, apical Cl– current was measured in the presence of a serosal-to-mucosal Cl– gradient with the following bath solution: apical, 107 mM potassium gluconate, 4.5 mM KCl, 25 mM NaHCO3, 1.8 mM Na2HPO4, 0.2 mM NaH2PO4, 5.75 mM calcium gluconate, 1.0 mM MgSO4, and 1 mM glucose; and basolateral, 111.5 mM KCl, 25 mM NaHCO3, 1.8 mM Na2HPO4, 0.2 mM NaH2PO4, 1.25 mM CaCl2, 1.0 mM MgSO4, and 12 mM glucose. This procedure allows measurement of changes in the apical anion conductance, avoiding contaminations in the current response, e.g., by charybdotoxin-sensitive apical K+ channel (Schultheiss et al., 2005
).
The basolateral membrane K+ current (IK) was determined after permeabilization of apical membrane with nystatin (100 µg · ml–1 at the mucosal side) in the presence of a mucosal-to-serosal K+ gradient (13.5 mM KCl at the mucosal and 4.5 mM KCl at the serosal side) established by the following bath solution: apical, 98 mM N-methyl-D-glucamine-Cl, 13.5 mM KCl, 25 mM choline
, 1.8 mM Na2HPO4, 0.2 mM NaH2PO4, 1.25 mM CaCl2, 1.0 mM MgSO4, and 12 mM glucose; and basolateral, 107 mM potassium gluconate, 4.5 mM KCl, 25 mM NaHCO3, 1.8 mM Na2HPO4, 0.2 mM NaH2PO4, 5.75 mM calcium gluconate, 1.0 mM MgSO4, and 12 mM glucose. All solutions were adjusted to pH 7.4 at 37°C.
PGE2 Measurement. After the isolated mucosal sheets were equalized in Ussing chamber with the normal Parsons solution at 37°C for 90 min, the tissues were treated with control (DMSO) and Rut (100 µM, basolateral) for 5 min. The total volumes of Parsons solutions in both serosal and mucosal chambers and tissues were removed, and then samples were quickly frozen in liquid nitrogen and stored at –80°C until PGE2 measurement. For measurement of PGE2 in incubates, 0.3 ml of each sample was assayed directly and without dilution; the PGE2 level was calculated from a standard curve run in parallel with each assay, and the value was expressed as picograms per milliliter. For measurement of PGE2 in tissue, tissue fragments (normal control mucosa and Rut-treated mucosa) were homogenized at 0 to 4°C in the presence of 10 µM indomethacin so as to prevent prostaglandin production during the procedure. Then, tissues were centrifuged at 600g. Supernatants of the tissue homogenates (500 µl) were used for PGE2 determination using a competitive enzyme immunoassay kit (Cayman Chemical, Ann Arbor, MI), and protein content was quantified by using Bradford (1976
) method with bovine serum albumin as the standard. Determinations were performed in triplicate. The PGE2 value was expressed as pg · mg–1 of protein in the tissue sample.
Measurement of Intracellular cAMP Contents. Intracellular cAMP contents were measured with an enzyme immunoassay. The isolated mucosal sheets were equalized in Ussing chamber with the normal Parsons solution at 37°C for 90 min; the tissues were then exposed to DMSO, IBMX, Rut, Rut with IBMX, forskolin with IBMX, Rut with forskolin, and IBMX for 5 min; and finally, they were rapidly frozen in liquid nitrogen and stored at –80°C until homogenized in 0.5 ml of ice-cold 6% trichloroacetic acid using a glass homogenizer. The homogenate was centrifuged at 2000g for 10 min at 4°C. The supernatant was extracted three times with 3 volumes of diethyl ether before lyophilization. cAMP levels were assayed by a cAMP enzyme immunoassay kit (Cayman Chemical; or R&D Systems, Minneapolis, MN). The tissue residue was dissolved in 2 M NaOH, and protein content was determined by using Bradford (1976
) method with bovine serum albumin as the standard. cAMP concentration was expressed as pmol · mg–1 of protein.
PKA Activity Assay. The isolated mucosal sheets were equalized in Ussing chamber with the normal Parsons solution at 37°C for 90 min, and then the tissues were exposed to control (DMSO) and Rut (100 µM, basolateral) for 5 and 15 min. Finally, tissues were rapidly frozen in liquid nitrogen and stored at –80°C until PKA activity assay. Frozen colonic tissue was homogenized in 5 volumes of ice-cold (0–4°C) PKA extraction buffer (0.5 mM EDTA, 0.5 mM EGTA, 10 mM β-mercaptoethanol, 50 µM NaF, 5 mM dithiothreitol, 0.5 mM phenylmethylsulfonyl fluoride, and 25 mM Tris-HCl, pH 7.4) containing protease inhibitor cocktails at 4°C, and then we centrifuged the lysate at 14,000g for 5 min at 4°C. Supernatant was used for the enzyme assay. The activity of PKA was detected by the nonradioactive PepTag test method with dye-labeled Kemptide as a substrate, according to the manufacturer's protocol (V5340; Promega, Madison, WI). The phosphorylated and nonphosphorylated samples were separated on a 0.8% agarose gel at 100 V for 18 min. The gel was photographed (Pharmacia Biotech Imaging System, Piscataway, NJ), and the PKA activity was quantitated by Beer's law through reading the absorbance at 570 nm on the microplate spectrophotometer (SpectraMax 190, Molecular Devices, Sunnyvale, CA). Protein concentrations in homogenate were determined by Bradford (1976
) method with bovine serum albumin as a standard. The activity of PKA was expressed as pmol · min–1 · µg–1 of protein.
Data Analysis. Results are presented as the mean ± S.E.M. n was the number of tissue preparations. The difference between two different groups was analyzed by Student's paired or unpaired t test. The differences among multiple groups were analyzed by one-way analysis of variance. A P value less than 0.05 was considered to indicate statistical significance. The changes in ISC (
ISC) were quantified by subtracting at the peak of a current response from its respective baseline values before drug administration. The IC50 value was calculated from nonlinear regression analysis of dose-response data by GraphPad Prism software version 4.03 (GraphPad Software Inc., San Diego, CA).
| Results |
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· cm2 in 409 rat colonic preparations. When added to serosal (basolateral) side of the colonic tissue preparation, Rut (Fig. 1A) induced a rapid increase in ISC that peaked approximately 2.5 min and subsequently returned to baseline value within approximately 10 min (Fig. 1B). Rut added to mucosal (apical) side of the preparation caused no alteration in ISC (Fig. 1B). The concentration-dependent response to Rut showed that the amplitude of Rut-induced ISC increased in a sigmoidal manner over the concentration range between 1.0 and 300 µM (Fig. 1C); the maximal ISC response to Rut was 67.1 ± 7.9 µA · cm–2, with an EC50 value of 20.0 ± 7.0 µM (Fig. 1D). Application of 100 µM Rut to serosal side caused an increase in ISC that was nearly to the maximal response, which was thus used to compare the responses between control and treated samples in the subsequent experiments. Initial experiments showed that second response to Rut was less than the first response, indicating that Rut had a desensitization effect. Therefore, only a single concentration of Rut was applied to one tissue, either in the absence or presence of inhibitors or antagonists. A similar desensitization phenomenon was observed from the alteration of positive inotropic and chronotropic actions induced by Rut in guinea pig isolated right atria (Kobayashi et al., 2001
· cm2 (n = 12), which was not different from its basal value (111.3 ± 2.6
· cm2).
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Ionic Nature of Rut-Induced ISC. To determine the ionic nature of Rut-induced ISC, ion substitution experiments were performed as follows. When Cl– was replaced with gluconate in bilateral bath solution, Rut-induced maximal ISC was 15.4 ± 2.4 µA · cm–2 (n = 8), or 23% of the control value (67.1 ± 7.9 µA · cm–2; n = 7), whereas replacement of
with HEPES did not influence Rut-induced ISC. When using a Cl–-
-free solution, Rut-induced maximal ISC was 13.6 ± 1.8 µA · cm–2 (n = 7), which was not significantly different from the response obtained in Cl–-free solution (Fig. 2A). Pretreatment of tissues with the carbonic anhydrase inhibitor acetazolamide (100 µM, bilateral) did not influence ISC response induced by Rut (Fig. 2, B and C). Rut-mediated peak response was strongly inhibited by pretreatment of tissues with a Na+-K+-2Cl– cotransporter inhibitor bumetanide (100 µM, basolateral), but not by pretreatment of tissues with an epithelial Na+ channel inhibitor amiloride (100 µM, apical) (Table 1), suggesting that Rut-induced increase in ISC was mainly carried out by Cl– ions. Furthermore, the effect of Cl– channel inhibitors on Rut-Induced ISC was compared (Table 1) and showed that preincubation of mucosal membrane with DPC (100 µM) strongly inhibited basal ISC by 19.8 ± 3.5 µA · cm–2; subsequently, addition of Rut induced a response of ISC by 5.6 ± 3.1 µA · cm–2, which was 9.5% of control response (59.1 ± 3.8 µA · cm–2; n = 9). In contrast, pretreatment of mucosal membrane with NPPB (100 µM) and glibenclamide (500 µM) did not influence basal ISC, but it inhibited the subsequent Rut-induced ISC by 50.3 ± 10.0 and 37.8 ± 6.2 µA · cm–2, compared with their respective control responses. In contrast, the magnitude of Rut-induced ISC was not influenced by prior application of the disulfonic stilbene DIDS (500 µM) to the mucosal side (63.1 ± 5.3 µA · cm–2; n = 7) compared with the control value (66.0 ± 4.3 µA · cm–2; n = 7). DPC, NPPB, and glibenclamide have been reported to block CFTR. DIDS is an inhibitor of Ca2+-activated Cl– channel that is insensitive on CFTR. The combination of sensitivities to DPC, NPPB, and glibenclamide and insensitivity to DIDS suggests that the Cl– secretion in response to Rut may be mediated via CFTR. Moreover, application of Rut to the basolateral rather than the apical surface activates apical CFTR Cl– channel, suggesting that Rut-induced the opening of Cl– channel can be explained via the activation of the intracellular second messengers, mostly cAMP.
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Involvement of Neurogenic Mechanisms in Rut-Induced Increase in ISC. To define whether Rut-induced ISC was involved in activation of submucosal neurons or increase of prostaglandin synthesis, Rut-induced ISC was determined after pretreatment with neuronal blockers or indomethacin for 30 min. Figure 3B shows that preincubation of tissues with muscarinic receptor antagonist atropine (1 µM, serosal) did not change the basal ISC or subsequent Rut-induced ISC (61.4 ± 2.5 µA · cm–2; n = 8) compared with the control value (64.8 ± 4.5 µA · cm–2; n = 8). In addition, preincubating tissues with nicotinic receptor blocker hexamethonium (10 µM, serosal) also did not change the basal ISC or subsequent Rut-induced ISC. Whereas preincubation of basolateral membrane with neuronal blocker TTX (1 µM, serosal) decreased basal ISC by 8.3 ± 3.1 µA · cm–2 (from 36.3 ± 3.4 to 28.0 ± 6.0 µA · cm–2), subsequent addition of Rut induced a response of ISC by 11.3 ± 1.6 µA · cm–2, which was 17.9% of control response (63.3 ± 4.2 µA · cm–2; n = 8). Furthermore, pretreatment of tissues with the prostaglandin synthesis inhibitor indomethacin (1 µM, bilateral) slightly decreased basal ISC by 4.5 ± 0.6 µA · cm–2 (from 39.3 ± 3.2 to 34.8 ± 2.6 µA · cm–2), and subsequent addition of Rut induced a response of ISC by 19.6 ± 2.2 µA · cm–2, which was 30.9% of control response (63.4 ± 3.9 µA · cm–2; n = 8), indicating that Rut-induced Cl– secretion was maintained by synthesis of prostaglandins in rat colonic mucosa. Most of the actions of prostaglandins were mediated by intracellular cAMP; therefore, Rut-induced ISC response may be restored by the increase in intracellular cAMP levels in the presence of indomethacin. Figure 3C showed that Rut evoked an ISC of 56.3 ± 4.6 µA · cm–2 after intracellular cAMP level that was enhanced by the adenylate cyclase stimulator forskolin (2 µM, bilateral) in the presence of indomethacin (1 µM, bilateral), which was not statistically different from the control Rut-evoked ISC response (63.8 ± 1.9 µA · cm–2). Furthermore, determination of PGE2 contents in bath solutions and tissues with a competitive enzyme immunoassay kit showed that Rut induced a significant increase in PGE2 levels in both serosal incubate and colonic mucosa, indicating that Rut-induced Cl– secretion is involved in prostaglandins release and synthesis in the colonic mucosa (Fig. 4).
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Effect of Rut on Apical Cl– Current and Basolateral K+ Current. To identify whether the increase of Cl– secretion by Rut was involved in activation of the apical Cl– channels, basolateral membrane was depolarized with high K+ solution in the presence of a basolateral-to-apical Cl– gradient. Figure 5A shows that application of Rut induced a detectable outward current (5.8 ± 0.5 µA · cm–2; n = 9), including a transient peak followed by a plateau phase, which under these conditions represented increased Cl– efflux across apical membrane down their concentration gradient and showed activation of an apical Cl– current. Figure 5B shows that Rut-induced ICl was not affected by pretreatment of tissue with DIDS (5.8 ± 0.7 µA · cm–2; n = 5), but it was significantly inhibited by pretreatment of tissues with DPC (1.3 ± 0.2 µA · cm–2; n = 6), glibenclamide (0.7 ± 0.2 µA · cm–2; n = 5), and NPPB (0.8 ± 0.4 µA · cm–2; n = 5). These data were similar to that obtained from ISC experiments, indicating that Rut activates a clear and detectable cAMP-dependent Cl– current in rat colonic mucosa.
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Involvement of Ca2+- or cAMP-Dependent Signaling Pathway in Rut-Induced Increase in Cl– Secretion. To identify the possible involvement of Ca2+- or cAMP-dependent signaling pathway in Rut-induced increase in Cl– secretion, a pharmacological approach was taken. Preincubation with the adenylate cyclase inhibitor MDL-12,330A (50 µM, bilateral) or the cAMP-dependent PKA inhibitor H-89 (20 µM, bilateral) markedly inhibited the subsequent Rut-induced ISC compared with their respective control values (Table 2), whereas preincubation with the Ca2+ chelator BAPTA-AM (10 µM, bilateral) or the protein kinase C inhibitor BIS (1.0 µM, bilateral) had no significant effect on the magnitude of the subsequent Rut-induced ISC compared with their respective control values (Table 2). Pretreatment with a sarcoplasmic reticulum Ca2+-ATPase inhibitor thapsigargin (1 µM, bilateral) induced a transient increase in ISC due to release of Ca2+ from internal calcium stores. When ISC had returned to the basal level, addition of Rut to basolateral side induced a response that was not significantly different from that provided by same concentration of Rut without prior treatment with thapsigargin (Table 2). Furthermore, after the elimination of Ca2+ from serosal or mucosal side, Rut-induced response had no different effect from their respective control responses (serosal: control ISC, 65.3 ± 4.1 µA · cm–2, n = 6; Ca2+-free, 65.0 ± 5.3 µA · cm–2, n = 6; and mucosal: control ISC, 64.3 ± 3.4 µA · cm–2, n = 6; Ca2+-free, 69.7 ± 4.3 µA · cm–2, n = 6). These results suggest that Rut-increased Cl– secretion was mainly mediated by a cAMP-dependent pathway. Intracellular Ca2+ seems to play a negligible role in ISC response to Rut.
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Rut-increased Cl– secretion via a cAMP-dependent pathway was further characterized by measurements of intracellular cAMP level and PKA activity in rat colonic mucosa. As shown in Fig. 7A, the intracellular cAMP level under basal condition was 67.4 ± 14.3 pmol · mg–1 protein (n = 7). After preincubation of Rut (100 µM), cAMP level was slightly enhanced to 123.6 ± 18.0 pmol · mg–1 protein (n = 7; P < 0.05). The intracellular cAMP level in the presence of IBMX (100 µM, bilateral) was 139.3 ± 18.3 pmol · mg–1 protein (n = 7), which was not markedly different from that induced by Rut. However, treatment of preparations with 100 µM Rut in the presence of IBMX increased cAMP level to 303.1 ± 43.3 pmol · mg–1 protein (n = 7). There is a significant increase in cAMP level (1582.0 ± 362.3 pmol · mg–1 protein) in the presence of both forskolin (1 µM) and IBMX (100 µM), which could not be further increased by Rut (1652.0 ± 326.7 pmol · mg–1 protein).
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PKA activity is assayed using the PepTag nonradioactive cAMP-dependent protein kinase assay (V5340; Promega) that determines phosphorylated Kemptide, a synthetic substrate specific for PKA. As shown in Fig. 7B, phosphorylated peptide migrated toward the negative direction. Application of Rut (100 µM) to basolateral side for 5 and 10 min significantly increased PKA activity by about 21.1 and 39.5%, respectively, compared with control alone (Fig. 7C).
Rut-Induced ISC Response Interacted with cAMP-Dependent Secretagogues. Experiments were performed to examine the effect of Rut on Cl– secretion in presence or absence of cAMP-dependent secretagogues. Addition of Rut to the basolateral side induced an increase in ISC by 63.3 ± 2.1 µA · cm–2 (n = 6); subsequently, addition of cAMP-dependent secretagogues IBMX (100 µM) and forskolin (5 µM) in bilateral sides increased ISC from 22.7 ± 2.3 to 228.7 ± 9.3 µA · cm–2 after Rut-stimulated ISC returned to the basal value (Fig. 8A). In contrast, when the maximal sustained ISC response was elicited by application of 100 µM IBMX and 5 µM forskolin in bilateral sides, addition of Rut (100 µM, basolateral) inhibited ISC from 321.7 ± 8.8 to 295.3 ± 10.6 µA · cm–2 (n = 6) (Fig. 8B). The findings showed that pretreating tissues with Rut reduces a maximal IBMX and forskolin-stimulated ISC response. In reverse, IBMX and forskolin-stimulated maximal ISC response was inhibited by subsequent addition of Rut. Similar results were observed in the experiment on basolateral K+ current. To determine clear effects of Rut or IBMX and forskolin on basolateral K+ current, Rut or IBMX and forskolin were administered in the decaying phase of nystatin response (Fig. 8, C and D).
| Discussion |
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in Parsons solution or addition of the carbonic anhydrase inhibitor acetazolamide failed to influence Rut-driven ISC. Furthermore, Rut-driven ISC was not caused by activation of electrogenic Na+ absorption, because it was not affected by the epithelial Na+ channel inhibitor amiloride.
In mammalian colonic crypt cells, Cl– secretion across apical membrane through Cl– channels is predominantly CFTR, which is a major Cl– secretory pathway that greatly contributes to regulating the amount of ions and water in the respiratory and colonic epithelia (Pilewski and Frizzell, 1999
; Sheppard and Welsh, 1999
). In this study, we find that Rut-induced ISC is inhibited by CFTR inhibitors DPC, NPPB, and glibenclamide, whereas it is not inhibited by Ca2+-activated Cl– channel inhibitor DIDS. Therefore, we hypothesize that apical Cl– channels, including CFTR, may be the effective targets for Rut-mediated Cl– secretion. Activation of apical Cl– channels by directly activating CFTR at apical membrane or elevating intracellular cAMP content should be lead to the sustained electrogenic Cl– secretion (Cuthbert et al., 1999
). However, Rut mainly induced a transient increase in Cl– secretion. Thus, it is doubtful that Rut-induced transient Cl– secretion is a result of activation of apical CFTR Cl– channel. So, it is necessary to identify whether Rut-induced Cl– secretion is involved in the opening of apical Cl– channels. To reach this end, we determine apical Cl– current via depolarizing the basolateral membrane with high K+ in the presence of a basolateral-to-apical Cl– gradient. The findings revealed that Rut induced a detectable sustained Cl– current, which was also inhibited by CFTR inhibitors DPC, NPPB, and glibenclamide, but not by Ca2+-dependent Cl– channel inhibitor DIDS. These observations further supported the hypothesis that the apical CFTR channel may be an effective target for Rut-mediated Cl– secretion. The data derived from the present experiment indicate that Rut mostly induced a transient Cl– secretion, whereas a detectable sustained response was only exhibited in the situation depolarized basolateral membrane with high K+. In general, cAMP-activated Cl– secretion, including both transient and sustained phases, is dependent on the intracellular cAMP levels stimulated by secretagogues. In this study, we find that cAMP levels are less with Rut alone versus IBMX and forskolin (Fig. 7), indicating that Rut-generated cAMP levels could not sufficiently maintain a sustained Cl– secretory response in contrast to the response obtained by IBMX and forskolin (Fig. 8).
It is essential that the activation of basolateral K+ channels maintains a membrane potential driving apical Cl– secretion. Two types of K+ channels were reported to locate at the basolateral membrane of rat colon mucosa. One channel is cAMP-activated K+ channel that is predominantly Kv-LQT1 (Kunzelmann and Mall, 2002
). Another channel is Ca2+-activated K+ channel that is mainly ChTX-sensitive small-conductance Ca2+-activated K+ channel (Warth et al., 1999
; von Hahn et al., 2001
). Under permeabilization of the apical membrane with nystatin and application of potassium gradient, Rut activated an outward K+ current, which was specifically diminished by a nonselective K+ channel blocker, Ba2+ ions; a KvLQT1 channel blocker, chromanol 293B; and CLT (a dual blocker of Ca2+-activated and cAMP-activated K+ channels), but not by a Ca2+-activated K+ channel blocker, ChTX. These observations indicate that cAMP-activated K+ channel is also a potential target for Rut in cAMP-generated Cl– secretion.
Cl– secretion in colonic mucosa involves the submucosal neural pathway. Pretreatment of tissues with neurotoxin tetrodotoxin inhibited both basal and Rut-stimulated ISC, suggesting that Rut-stimulated Cl– secretion was mediated via the activation of submucosal neural plexus. In contrast, pretreatment of tissues with muscarinic receptor antagonist atropine or nicotinic receptor blocker hexamethonium failed to alter Rut-stimulated ISC, indicating that Rut-stimulated Cl– secretion was not involved in activation of the acetylcholine-containing submucosal neurons. Further study revealed that the action of Rut to stimulate Cl– secretion was mediated by cyclooxygenase-dependent metabolism of arachidonic acid, because indomethacin strongly inhibited Rut-induced ISC. It is noteworthy that Rut-induced ISC response is restored by the increase in intracellular cAMP level with an adenylate cyclase stimulator forskolin in the presence of indomethacin. The similar result was reported in rat colonic mucosa treated with baicalein (Ko et al., 2002
). Determination of PGE2 with enzyme-linked immunosorbent assay showed that a large part of Rut-mediated stimulation of Cl– secretion was occurred through prostaglandins release and synthesis mostly via activation of E-prostanoid receptors. Subsequently, both the apical CFTR and basolateral cAMP-dependent K+ channels were activated (McNamara et al., 1999
).
cAMP and Ca2+ are mostly the important intracellular second messengers in colonic mucosal Cl– secretion (Cermak et al., 2002
). We thus examined the roles of cAMP- and Ca2+-dependent signaling pathways underlying Rut-induced Cl– secretion. Rut increased the intracellular cAMP concentration and PKA activity in colonic mucosa, suggesting that Rut may stimulate Cl– secretion through the cAMP-PKA signal transduction pathway. The involvement of cAMP-PKA is further confirmed by the effectiveness of the adenylate cyclase inhibitor MDL-12,330A and the PKA inhibitor H-89 in reducing the responses to Rut (Table 2). In addition, Rut fails further to enhance cAMP level after the intracellular cAMP concentration is increased to the maximal level stimulated by IBMX and forskolin, which is consistent with the evidence derived from the experiments of ISC and basolateral K+ current in which Rut decreases rather than increases ISC and K+ current when a mixture of IBMX and forskolin elicited ISC or K+ current reaches to the maximal response (Fig. 8). Similar alternations had been reported in T84 cells, in which genistein and baicalein inhibited ISC response when cAMP-dependent channels were maximally activated by forskolin. This inhibitory effect was considered to be due to the blockage of basolateral K+ channels (Diener and Hug, 1996
; Illek et al., 1996
; Yue et al., 2004
). It has been reported that the action of genistein on CFTR gating is involved in two binding sites in Hi-5 insect cells; genistein increased channel activity that reached maximum at the concentration of 35 µM through decreasing the close rate, whereas it decreased channel activity at higher concentrations through reducing open rate (Wang et al., 1998
). Study of CFTR channel function within a bilayer demonstrated that genistein is able to modulate gramicidin channel function, which depends on the degree of hydrophobic mismatch between the bilayer-spanning channels and the host bilayer (Hwang et al., 2003
). Therefore, similar to genistein, Rut processes dual effects of both stimulation and inhibition on the overall secretory response in the colonic mucosa.
Unlike cAMP, intracellular Ca2+ seems to play a negligible role in the ISC response to Rut. Thus, pretreatment of tissue with a cell-permeant Ca2+ chelator, BAPTA-AM, that can chelate intracellular free Ca2+; a sarcoplasmic reticulum Ca2+-ATPase inhibitor, thapsigargin, that can lead to the depletion of Ca2+ stores; or with a PKC inhibitor, bisindolylmaleimide, did not significantly alter the ISC response to Rut.
In contrast to the present experimental results, Rut has been reported to diminish prostaglandin production through inhibition of arachidonic acid release in RAW264.7 macrophages (Woo et al., 2001
), and it directly inhibits COX-2 enzyme activity without altering COX-2 protein and mRNA levels in bone marrow-derived mast cells (Moon et al., 1999
). It is suggested that many agents seem to exert the opposite pharmacological (excitation or inhibition) profiles acting on various tissues and cells under the different physiological and pathophysiological situations. For example, the flavonol quercetin and baicalein not only stimulated Cl– secretion in rat colon mucosa under steady-state conditions (Cermak et al., 1998
; Yue et al., 2004
) but also inhibited Cl– secretion increased by forskolin in T84 cells (Schuier et al., 2005
). Moreover, Rut has been reported to cause vasorelaxation via inhibiting Ca2+ influx and Ca2+ release from intracellular stores in vascular smooth muscle cells and increasing Ca2+ influx in endothelial cells (Wang et al., 1996
). Thus, it is not surprising that Rut stimulated Cl– secretion by PGE2 generation in rat colon mucosa under physiological conditions and it inhibited prostaglandin production under stimulation of inflammatory factors (Woo et al., 2001
).
In summary, the evidence derived from the present study suggests that stimulation of Cl– secretion by Rut was due to the production of endogenous PGE2, which in turn activated both apical Cl– channel, mostly CFTR, and basolateral K+ channel via a cAMP-PKA-dependent mechanism in rat colonic mucosa. Activation of both channel types would concert the secretion response from colonic crypt cells and then would help to lubricate the mucosal surface layer, to flush intestinal content, and to maintain host defense. In addition, Rut could be beneficial for treatment of colonic irritants or constipation associated with physiological and psychological stress.
| Acknowledgements |
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| Footnotes |
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Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.
ABBREVIATIONS: Rut, rutaecarpine; COX, cyclooxygenase; CFTR, cystic fibrosis transmembrane conductance regulator; KvLQT1 (KCNQ1), voltage-dependent delayed activated K+ channel; PGE2, prostaglandin E2; PKA, protein kinase A; BAPTA-AM, 1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid-acetoxymethyl ester; BIS, bisindolyimaleimide; ChTX, charybdotoxin; 293B, chromanol 293B; CLT, clotrimazole; DIDS, 4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid; DPC, diphenylamine-2-carboxylate; H-89, N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinoline-sulfonamide; IBMX, 3-isobutyl-1-methylxanthine; TTX, tetrodotoxin; NPPB, 5-nitro-2-(3-phenylpropylamino)-benzoic acid; DMSO, dimethyl sulfoxide; ISC, short-circuit current; ICl, Cl– current; IK, K+ current; Indo, indomethacin; MDL-12,330A, cis-N-[2-phenylcyclopentyl]-azacyclotridec-1-en-2-amine.
Address correspondence to: Dr. ZhiBi Hu, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Rd., Zhangjiang Hi-tech Park, Shanghai 201203, People's Republic of China. E-mail: zhibihu{at}hotmail.com
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