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1 Section of Nephrology, Department of Medicine, 2 Department of Physiology and Biophysics, and 3 Department of Pathology, University of Illinois at Chicago College of Medicine, and 4 Veterans Affairs Chicago Health Care System, West Side Division, Chicago, Illinois 60612
Cholinergic agents are
known to affect the epithelial transport of H2O and
electrolytes in the kidney. In proximal tubule cells, cholinergic
agonists increase basolateral Na-HCO3 cotransport activity
via M1 muscarinic receptor activation. The signaling intermediates that couple these G protein-coupled receptors to cotransporter activation, however, are not well defined. We therefore sought to identify distal effectors of muscarinic receptor activation that contribute to increased NBC activity in cultured proximal tubule
cells. As demonstrated previously for acute CO2-regulated cotransport activity, we found that inhibitors of Src family kinases (SFKs) or the classic mitogen-activated protein kinase (MAPK) pathway
prevented the stimulation of NBC activity by carbachol. The ability of
carbachol to activate Src, as well as the proximal (Raf) and distal
[extracellular signal-regulated kinases 1 and 2 (ERK1/2)] elements of
the classic MAPK module, was compatible with these findings.
Cholinergic stimulation of ERK1/2 activity was also completely
prevented by overexpression of a dominant negative mutant of Ras
(N17-Ras). Taken together, these findings suggest a requirement for the
sequential activation of SFKs, Ras, and the classic MAPK pathway
[Raf
MAPK/ERK kinase (MEK)
ERK]. These findings provide
important insights into the molecular mechanisms underlying cholinergic
regulation of NBC activity in renal epithelial cells. They also
suggest a specific mechanism whereby cholinergic stimulation of the
kidney can contribute to pH homeostasis.
sodium-bicarbonate cotransport; proximal tubule; epithelial cell; mitogen-activated protein kinase; Src family kinases; carboxyterminal Src kinase; Ras; intracellular pH
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