Mucosal potassium efflux mediated via Kcnn4 channels provides the driving force for electrogenic anion secretion in colon

摘要

Intermediate conductance K⁺ (Kcnn4) channels are present in both mucosal and serosal membranes of colon. However, only serosal Kcnn4 channels have been shown to be essential for agonist-induced (cAMP and Ca²⁺) anion secretion. The present study sought to determine whether mucosal Kcnn4 channels also play a role in colonic anion secretion. Mucosal-to-serosal and serosal-to-mucosal unidirectional ⁸⁶Rb (K⁺ surrogate) fluxes as well as short-circuit current (Isc; a measure of anion secretion) were measured under voltage-clamp conditions in distal colon from rats fed either a standard or K⁺-free diet. 5,6-Dichloro-1-ethyl-1,3-dihydro-2H-benzimidazole-2-one (DC-EBIO) was used to activate Kcnn4 channels. Mucosal DC-EBIO both induced K⁺ secretion and enhanced anion secretion in normal rat distal colon. The DC-EBIO-induced K⁺ secretion was completely blocked by nonspecific (Ba²⁺) and Kcnn4-specific (TRAM-34) inhibitors, but was not blocked by the large-conductance K⁺ (iberiotoxin), small-conductance K⁺ (apamin), or KCNQ1 (chromanol 293B) specific blockers. Ba²⁺ and TRAM-34 also inhibited DC-EBIO-enhanced anion secretion. The DC-EBIO-enhanced anion secretion was completely inhibited by the nonspecific anion channel blocker 5-nitro-2-(3-phenylpropyl-amino)benzoic acid, whereas it was only partially inhibited by CFTR [CFTRinh-172, glibenclamide]- and CaCC (niflumic acid)-specific Cl⁻ channel blockers. In contrast, mucosal DC-EBIO-enhanced K⁺ and anion secretion was not present in distal colon of dietary K-depleted rats, indicating absence of mucosal Kcnn4 channels. These observations indicate that mucosal Kcnn4 channels are capable of driving agonist-induced anion secretion mediated via CFTR and CaCC and likely contribute to stool K⁺ losses that accompany diarrheal illnesses.