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,1
* Department of Medicine, University of Illinois, Chicago, Illinois 60612; and
Westside Veterans Affairs Medical Center, Chicago, Illinois 60612
Recent studies have demonstrated that mutations in human downregulated in adenoma gene (DRA) result in congenital chloride diarrhea (CLD), and that DRA may be involved in chloride transport across the intestinal apical domains. DRA is highly homologous to sulfate transporters, but not to any member of the anion exchanger gene family (AEs). Our previous studies have characterized the existence of a distinct Cl--OH- (HCO3-) exchanger, with minimal affinity for sulfate in the human colonic apical membrane vesicles (AMV). However, the mechanism(s) of sulfate movement across the colonocyte plasma membranes in the human colon is not well understood. Current studies were undertaken to elucidate sulfate transport pathways in AMVs of human proximal colon. Purified AMV and rapid filtration 35SO4-- uptake techniques were used. Our results demonstrate the presence of a pH gradient-driven carrier-mediated SO4---OH- exchange process in the human proximal colonic luminal membranes based on the following: a marked increase in the SO4-- uptake in the presence of an outwardly directed OH- gradient; a significant inhibition of SO4-- uptake by the membrane anion transport inhibitor, DIDS; demonstration of saturation kinetics (Km for SO4--: 0.80 ± 0.17 mM and Vmax 649 ± 74 pmol/mg protein/10 sec); competitive inhibition of SO4---OH- exchange by oxalate; SO4-- uptake was insensitive to alterations in the membrane potential; and inwardly directed Na+ gradient under non-pH gradient conditions did not stimulate SO4-- uptake. SO4-- uptake was significantly inhibited by increasing concentrations of chloride (110 mM) in the incubation media with a Ki for Cl- of 9.3 ± 1.4 mM. In contrast, OH-/HCO3- gradient-driven 36Cl- uptake into these vesicles was unaffected by increasing concentrations of sulfate (1050 mM). The above data indicate that two distinct transporters may be involved in SO4-- and Cl- transport in the human intestinal apical membranes: an anion exchanger with high affinity for SO4-- and oxalate but low affinity for Cl-, and a distinct Cl--OH- (HCO3-) exchanger with low affinity for SO4--.
Key Words: human intestine congenital chloride diarrhea downregulated in adenoma sulfate transport
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