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Am J Physiol Lung Cell Mol Physiol (September 19, 2008). doi:10.1152/ajplung.90221.2008
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Submitted on March 10, 2008
Revised on August 18, 2008
Accepted on September 16, 2008

Lubiprostone activates non-CFTR dependent respiratory epithelial chloride secretion in cystic fibrosis mice

Kelvin D MacDonald1, Karen R McKenzie1, Mark J Henderson1, Charles E Hawkins1, Neeraj Vij1, and Pamela L Zeitlin1*

1 Johns Hopkins University School of Medicine

* To whom correspondence should be addressed. E-mail: pzeitlin{at}jhmi.edu.

Periciliary fluid balance is maintained by the coordination of sodium and chloride channels in the apical membranes of the airways. In the absence of the cystic fibrosis transmembrane regulator (CFTR), chloride secretion is diminished and sodium reabsorption exaggerated. ClC-2, a pH and voltage-dependent chloride channel is present on the apical membranes of airway epithelial cells. We hypothesized that ClC-2 agonists would provide a parallel pathway for chloride secretion. Using nasal potential difference (NPD) measurements, we quantified lubiprostone-mediated Cl- transport in sedated Cystic Fibrosis null (gut-corrected), C57Bl/6, and A/J mice during nasal perfusion of lubiprostone (a putative ClC-2 agonist). Baseline, amiloride-inhibited, chloride-free gluconate-substituted Ringer's with amiloride, and low chloride Ringer's plus lubiprostone (at increasing concentrations of lubiprostone) were perfused and the NPD was continuously recorded. A clear dose-response relationship was detected in all murine strains. The magnitude of the NPD response to 20 µM lubiprostone was -5.8 ± 2.1 mV (CF, n=12), -8.1 ± 2.6 mV (C57Bl6 wildtype, n=12), and -5.3 ± 1.2 mV (AJ wildtype, n=8). A cohort of ClC-2 knockout mice did not respond to 20 µM lubiprostone (n=6, p=0.27). In C57Bl/6 mice, inhibition of CFTR with topical application of CFTR inhibitor-172, did not abolish the lubiprostone response, thus confirming the response seen is independent of CFTR regulation. RT-PCR confirmed expression of ClC-2 mRNA in murine lung homogenate. The direct application of lubiprostone in the CF murine nasal airway restores nearly normal levels of chloride secretion in nasal epithelia.




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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
N. S. Joo, J. J. Wine, and A. W. Cuthbert
Lubiprostone stimulates secretion from tracheal submucosal glands of sheep, pigs, and humans
Am J Physiol Lung Cell Mol Physiol, May 1, 2009; 296(5): L811 - L824.
[Abstract] [Full Text] [PDF]




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