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Department of Pediatrics, University of California, San Diego, Medical Center, San Diego, California 92103-0831
Bumetanide is well
known for its ability to inhibit the nonconductive
Na+-K+-2Cl
cotransporter. We were surprised in preliminary studies to find that
bumetanide in the contraluminal bath also inhibited NaCl absorption in
the human sweat duct, which is apparently poor in cotransporter
activity. Inhibition was accompanied by a marked decrease in the
transepithelial electrical conductance. Because the cystic fibrosis
transmembrane conductance regulator (CFTR) Cl
channel is richly
expressed in the sweat duct, we asked whether bumetanide acts by
blocking this anion channel. We found that bumetanide
1) significantly increased whole
cell input impedance, 2)
hyperpolarized transepithelial and basolateral membrane potentials, 3) depolarized apical membrane
potential, 4) increased the ratio of
apical-to-basolateral membrane resistance, and
5) decreased transepithelial
Cl
conductance
(GCl).
These results indicate that bumetanide inhibits CFTR
GCl
in both cell membranes of this epithelium. We excluded bumetanide
interference with the protein kinase A phosphorylation activation
process by "irreversibly" phosphorylating CFTR [by using
adenosine
5'-O-(3-thiotriphosphate) in the
presence of a phosphatase inhibition cocktail] before bumetanide
application. We then activated CFTR
GCl
by adding 5 mM ATP. Bumetanide in the cytoplasmic bath
(10
3 M) inhibited ~71%
of this ATP-activated CFTR
GCl,
indicating possible direct inhibition of CFTR
GCl.
We conclude that bumetanide inhibits CFTR
GCl
in apical and basolateral membranes independent of phosphorylation. The
results also suggest that
>10
5 M bumetanide cannot
be used to specifically block the
Na+-K+-2Cl
cotransporter.
ion transport inhibitors; anion channel blockers; electrolyte absorption; cystic fibrosis; phosphorylation
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