Vol. 283, Issue 4, C1206-C1218, October 2002
AE4 is a DIDS-sensitive Cl
/HCO
exchanger in the basolateral membrane of the renal CCD and the SMG
duct
Shigeru B. H.
Ko1,
Xiang
Luo1,
Henrik
Hager2,
Alexandra
Rojek2,
Joo Young
Choi1,
Christoph
Licht3,
Makoto
Suzuki4,
Shmuel
Muallem1,
Søren
Nielsen2, and
Kenichi
Ishibashi4
1 Department of Physiology and
3 Department of Medicine, Division of Nephrology,
University of Texas Southwestern Medical Center, Dallas, Texas 75390;
2 Department of Cell Biology, Institute of Anatomy,
University of Aarhus, DK 8000 Denmark; and
4 Department of Pharmacology, Jichi Medical School,
Minamikawachi, 329-0498 Tochigi, Japan
 |
ABSTRACT |
The renal cortical collecting duct (CCD)
plays an important role in systemic acid-base homeostasis. The
-intercalated cells secrete most of the HCO
,
which is mediated by a luminal, DIDS-insensitive,
Cl
/HCO
exchange. The identity of the luminal exchanger is a matter of debate. Anion exchanger isoform 4 (AE4) cloned from the rabbit kidney was proposed to perform this
function (Tsuganezawa H et al. J Biol Chem 276:
8180-8189, 2001). By contrast, it was proposed (Royaux IE et al.
Proc Natl Acad Sci USA 98: 4221-4226, 2001) that
pendrin accomplishes this function in the mouse CCD. In the present
work, we cloned, localized, and characterized the function of the rat
AE4. Northern blot and RT-PCR showed high levels of AE4 mRNA in the
CCD. Expression in HEK-293 and LLC-PK1 cells showed that
AE4 is targeted to the plasma membrane. Measurement of intracellular pH
(pHi) revealed that AE4 indeed functions as a
Cl
/HCO
exchanger. However, AE4
activity was inhibited by DIDS. Immunolocalization revealed
species-specific expression of AE4. In the rat and mouse CCD and the
mouse SMG duct AE4 was in the basolateral membrane. By contrast, in the rabbit, AE4 was in the luminal and lateral membranes. In both, the rat
and rabbit CCD AE4 was in
-intercalated cells. Importantly, localization of AE4 was not affected by the systemic acid-base status
of the rats. Therefore, we conclude that expression and possibly
function of AE4 is species specific. In the rat and mouse AE4 functions
as a Cl
/HCO
exchanger in the
basolateral membrane of
-intercalated cells and may participate in
HCO
absorption. In the rabbit AE4 may contribute to
HCO
secretion.
anion exchanger isoform 4; 4,4'-diisothiocyanatostilbene-2,2'-disulfonic acid; submandibular
gland;
-intercalated cells; kidney; cortical collecting duct
 |
INTRODUCTION |
SYSTEMIC AND
TISSUE-SPECIFIC HCO
homeostasis is an
essential physiological function. The kidney cortical collecting duct
(CCD) plays an important role in systemic acid-base homeostasis
(22, 23, 30). HCO
secretion and
absorption by this segment of the nephron is mediated by an intricate
array of luminal and basolateral H+/HCO
transporters residing in selective cells and selective membranes. The
CCD is a heterogeneous epithelium consisting of three main cell types:
-,
-, and
-intercalated cells (3, 22, 31, 37,
39). The
-intercalated cells are characterized by expression
of a vacuolar type H+-ATPase pump in the luminal membrane
and a Cl
/HCO
exchanger in the
basolateral membrane (3, 11, 37, 39). Immunocytochemical
and molecular evidence suggests that at least part of the
Cl
/HCO
exchange in the basolateral
membrane of these cells is mediated by a splice variant of anion
exchanger isoform 1 (AE1) of the SLC4 family of anion exchanger
(2). This arrangement allows
-intercalated cells to
mediate HCO
absorption (2, 11, 22, 39).
The
-intercalated cells display the opposite polarity in terms of
expression of the H+/HCO
transporters.
The
-intercalated cells express a
Cl
/HCO
exchange activity in the
luminal membrane (8, 9, 39). Accordingly, these cells
mediate the bulk of HCO
secretion by the CCD (22, 23, 30). The
-intercalated cells appear to express Cl
/HCO
exchange activity in both
membranes (9). The exact role of these cells in acid-base
homeostasis is not well understood.
An unresolved and intriguing question is the identity of the protein(s)
responsible for Cl
/HCO
exchange
activity in the luminal membrane of the
-intercalated cells. This
activity is unique in that it is resistant to inhibition by DIDS, the
classic and defining inhibitor of the SLC4 family, AE1-AE3
(2, 12). Very recently, two studies identified members of
two families of anion exchangers as the possible proteins (29,
38). The first is a new member of the AE family, named AE4
(38). AE4 was cloned from isolated rabbit
-intercalated
cells and was shown to function as a Na+-independent
Cl
/HCO
exchanger, although it has
higher homology to members of the
Na+-HCO
cotransporter (NBC) family
(27, 33) than to the SLC4 family. Important features of
AE4 reported in the study of Tsuganezawa et al. (38) are
the resistance to DIDS when expressed in Xenopus oocytes and
the colocalization of AE4 and peanut lectin in the luminal membrane of
the rabbit CCD. Peanut lectin is a marker of the rabbit
-intercalated cells. These studies were interpreted to suggest that
AE4 is the protein responsible for HCO
secretion by
-intercalated cells.
A different view emerged from examination of HCO
secretion in the PDS
/
mouse CCD
(29). The PDS gene codes for pendrin, a protein
mutated in Pendred syndrome (10). Pendrin belongs to a new
family of proteins named SLC26 (20). Members of this
family, including pendrin (34), were shown to function as
Cl
/HCO
exchangers (24).
In the mouse and human kidney, pendrin is expressed exclusively in the
luminal membrane of the CCD (18, 29). Most notably,
deletion of the PDS gene eliminated net
HCO
secretion by isolated, perfused CCD. In fact,
the perfused CCD from PDS
/
mice absorbed,
rather than secreted, HCO
under the same condition
that CCD from wild-type mice secreted HCO
(29). These findings provide strong evidence that pendrin
mediates most, if not all, of the HCO
secretion by
the CCD, at least in the mouse.
The findings with the PDS
/
mouse
(29) raise the question of the role of AE4 in acid-base
transport by the kidney and other cells. An organ that absorbs
HCO
at the resting state and secretes copious
amounts of HCO
at the stimulated state is the
salivary duct (21). Therefore, it was of interest to
determine the localization of AE4 in submandibular gland (SMG) duct
cell. We independently cloned AE4 from a rat kidney library at the time
that the report on the rabbit AE4 appeared. Here we report the
functional properties and localization of the AE4 cloned from the rat
kidney. Although we also find that AE4 functions as a
Na+-independent Cl
/HCO
exchanger and is expressed mostly in the CCD, our findings reveal three
fundamental differences from those reported in the rabbit CCD
(38). We find that AE4 activity is completely inhibited by
DIDS, and AE4 is expressed in the rat and rabbit
-intercalated
cells. Membrane localization of AE4 proved to be species specific. In
the rat, AE4 is expressed in the basolateral membrane, whereas in the
rabbit it was found in the luminal and lateral membrane. Importantly,
the localization of AE4 was not influenced by the metabolic status of
the animals. We conclude that in the rat AE4 is likely to function in
HCO
absorption by
-intercalated cells.
 |
EXPERIMENTAL PROCEDURES |
Cloning of AE4.
A human expressed sequence tag (EST) clone (GenBank accession no.
AI183992 from testis) was identified by a BLAST search using the NBC
family as queries. The EST clone was purchased from Research Genetics
(Huntsville, AL) and sequenced to confirm its identity as a new member
of the NBC family. A rat kidney cDNA library (14) was
screened using the EST clone as probe, and eight clones were obtained.
All the clones were sequenced and found to derive from the same gene.
The longest clone (3.2 kb) was chosen for further analysis.
Northern blot and RT-PCR analyses.
Total RNA was isolated from rat tissues with an RNeasy kit (Qiagen)
according to the manufacturer's instructions. Each lane was loaded
with 10 µg RNA, which was separated in a 0.8% agarose gel and
transferred to nylon membranes. A multiple rat tissue Northern blot
containing 2 µg of poly(A) RNA (Clontech) was also probed. The
membranes were hybridized with randomly primed full-length AE4 cDNA
labeled with [32P]dCTP for 3 h at 68°C in an
ExpressHyb hybridization buffer (Clontech). Subsequently, the membranes
were washed at high stringency and developed by radiography. Nephron
segments were microdissected from the rat kidney and used to prepare
mRNA. The mRNA was reverse transcribed with random primers as
previously described (25). The synthesized cDNA was used
for 30 cycles of PCR (94°C for 1 min, 60°C for 1 min, 72°C for 2 min) with specific primers for AE4: sense AGGCTTCTCGTGATGAGG
(nucleotides 512-564) and antisense strand AATCGCTGGGGTACCAGC
(nucleotides 1155-1138) with an expected product size of 609 bp.
The PCR products were electrophoresed on 2% agarose gels and
transferred to nylon membranes, which were hybridized at high
stringency. The PCR product obtained from the CCD was subcloned into a
plasmid using a TA cloning kit (Invitrogen) and sequenced.
Western blot.
Anti-AE4 antibodies were raised against two peptide sequences
[antibody A against QPKAPEINISVN, amino acids (aa)
948-959; and antibody B against EEEKTIPENRPEPEH, aa
919-933], at or near the carboxy terminus of AE4. Multiple
antigenic peptides (35) were synthesized to generate
polyclonal antibodies specific for AE4 by immunizing rabbits. The
antisera with the highest titer in an ELISA assay (1:64,000) were IgG
fractionated by an affinity column (HiTrap Protein G, Pharmacia
Biotech). The IgG fractions were used for Western blots and
immunolocalization. For Western blot, membrane vesicles were prepared
from the cortex and medulla of the rat kidney by differential
centrifugation as before (15). The pellet was suspended in
homogenization buffer, and 10 µg of protein were separated by
SDS-PAGE. The primary antibodies were used at a dilution of 1:1,000 and
the secondary antibody at a dilution of 1:1,000. To verify the
specificity of the antibodies, membranes were prepared from HEK-293
cells transfected with green fluorescent protein (GFP) only or GFP and
AE4 plasmids. After transfer, the membranes were probed with each of
the anti-AE4 antibodies.
Immunostaining of AE4 expressed in HEK-293 and
LLC-PK1 cells.
Both cell types were plated on glass coverslips and grown in DMEM-high
glucose (HG) medium supplemented with 10% fetal calf serum.
The cells were transfected with AE4 using the Lipofectamine reagent and
grown to confluency to allow development of cell-cell contacts and, in
the case of LLC-PK1 cells, to allow establishment of cell
polarity. Between 48 and 72 h posttransfection the cells were
fixed with 4% formalin for 5 min, washed, and permeabilized by
incubation in cold ethanol. The cells were stained with a 1:1,000 dilution of the anti-AE4 antibodies and detected by a 1:400 dilution of
a secondary goat anti-rabbit antibody tagged with Alexa 488, as
detailed below for rat kidney sections. The cells were imaged by
confocal microscopy.
Immunohistochemistry of rat kidney and mouse kidney and SMG.
When used, anti-H+ pump antibody was the monoclonal E11
raised against the 31-kDa subunit of the vacuolar H+-ATPase
(gift from Dr. S. Gluck). Rat kidneys were fixed by retrograde perfusion via the aorta with 3% paraformaldehyde, in 0.1 M cacodylate buffer, pH 7.4. Mouse kidneys and SMG were removed into an OCT reagent, frozen in liquid N2, and stored at
80°C until
sectioning. Immunostaining of mouse kidney and SMG sections was exactly
as described (21). When the effect of the metabolic status
of the rats on the localization of AE4 was examined, sections from
kidneys of control, acidotic, and alkalotic rats were processed in the same manner as mouse tissue (21). For other forms of
immunofluorescence microscopy, rat kidney blocks containing all kidney
zones were dehydrated and embedded in paraffin. For light- and laser
confocal microscopy the paraffin-embedded tissue was cut at 2 µm on a
microtome (Leica). The sections were dewaxed and rehydrated. To reveal
antigens, sections were put in 1 mM Tris solution (pH 9.0) supplemented with 0.5 mM EGTA and were heated using a microwave oven for 10 min.
Nonspecific binding of immunoglobulin was prevented by incubating the
sections in 50 mM NH4Cl for 30 min, followed by blocking in PBS supplemented with 1% BSA, 0.05% saponin, and 0.2% gelatin. Sections from all animals and tissues were incubated overnight at 4°C
with primary antibodies diluted in PBS supplemented with 0.1% BSA and
0.3% Triton X-100. The sections were then rinsed with PBS supplemented
with 0.1% BSA, 0.05% saponin, and 0.2% gelatin for 3 × 10 min.
The sections for laser confocal microscopy were incubated in Alexa
488-conjugated goat anti-rabbit antibody (Molecular Probes) diluted in
PBS supplemented with 0.1% BSA and 0.3% Triton X-100 for 60 min at
room temperature. For double labeling, Alexa 546-conjugated goat
anti-mouse antibody (Molecular Probes) was added as well. After rinsing
with PBS for 3 × 10 min, the sections were mounted in glycerol
supplemented with antifade reagent (N-propyl gallate). The
microscopy was carried out using a Leica DMRE light microscope, a Zeiss
LSM510, or a Bio-Rad 1024 laser confocal microscope.
Functional expression of AE4 in HEK-293 cells.
The full-length AE4 cDNA was subcloned into a mammalian expression
vector under the CMV promoter (pCMV-SPORT, GIBCO BRL). HEK-293 cells
were cultured in DMEM-HG media supplemented with 10% fetal calf serum
and plated on glass coverslips. Two plasmids, one carrying AE4 and one
carrying GFP, were transfected using the Lipofectamine reagent (GIBCO
BRL) according to instructions provided by the manufacturer and using
1.5 µg of each plasmid. GFP was used to identify the transfected
cells. The cells were used for intracellular pH (pHi)
measurements 48-72 h posttransfection.
Measurement of pHi.
pHi was measured with the aid of BCECF, as detailed
(19). In brief, coverslips with cells attached to them
were assembled to form the bottom of a perfusion chamber. The cells
were perfused with solution containing (in mM) 140 NaCl, 5 KCl, 1 MgCl2, 1 CaCl2, 10 glucose, and 10 HEPES (pH
7.4 with NaOH) and loaded with 2.5 µM BCECF-AM by a 10-min incubation
at room temperature. The level of AE4 transfection was estimated from
GFP fluorescence. BCECF fluorescence was at least 10-fold higher than
the original GFP fluorescence. After BCECF loading, the cells were
perfused with a HCO
-buffered solution, and
pHi was measured by photon counting using a PTI recording
setup (Delta Ram, New Brunswick, NJ). The
HCO
-buffered solution contained (in mM) 120 NaCl, 5 KCl, 1 MgCl2, 1 CaCl2, 10 glucose, 5 HEPES, and
25 NaHCO3 (pH 7.4 with NaOH) and was continuously gassed
with 95% O2-5% CO2. Na+-free
solution was prepared by replacing Na+ with
N-methyl-D-glucamine, and
Cl
-free solution was prepared by replacing
Cl
with gluconate. High-K+ solutions were
prepared by replacing between 100 and 140 mM NaCl with KCl. BCECF
fluorescence was recorded from two to four cells, all of which
expressed GFP and at excitation wavelengths of 490 and 440 nm at a
resolution of 2/s (19). As reported before for CFTR
(19), the correlation between expression of GFP and AE4 activity was close to 100%.
Manipulation of acid-base status of rats.
Experiments were with male Sprague-Dawley rats weighing 250-300 g.
The animals were allowed free access to food and drinking solution up
to the time of the experiments. In each series, a group of experimental
animals was compared directly with controls that were obtained from the
same shipment and studied during the same period. Chronic metabolic
acidotic (CMA) rats were obtained by following the procedure described
in Ref. 5. Control and CMA rats were allowed to drink
water or water supplemented with 0.28 M NH4Cl for 7 days,
respectively. Both groups received standard rat chow ad libitum. On the
day of the experiment, rats were anesthetized with pentobarbital
sodium. Blood was collected by aortic puncture for analysis of plasma
pH, and the kidneys were rapidly removed and embedded in the OCT
compound for obtaining frozen sections or immersed in 10% formaldehyde
solution for further analysis. The blood pH of control rats was 7.411 and 7.466 (n = 2). The blood pH of CMA rats was 7.306 and 7.343 (n = 2), respectively. To obtain alkalotic
rats, animals were placed in metabolic cages and allowed to acclimate
on a synthetic diet consisting of (in g) 180 casein, 200 cornstarch,
500 sucrose, 35 corn oil, 35 peanut oil, 10 CaHPO4, 6 MgSO4, 5.25 NaCl, 8.3 K2HPO4, and
10 vitamin fortification mixture (ICN, Cleveland, OH) for 5 days. NaCl
was then replaced with 7.55 g NaHCO3 for chronic
alkali feeding. Subsequently, control rats receiving the synthetic diet
were pair fed with rats receiving the synthetic alkali diet. Rats were
estimated to receive 6 mmol · kg body
wt
1 · day
1 NaCl or
NaHCO3. In this protocol Na ingestion by control and experimental animals is the same. Serum HCO
concentration in control rats averaged 26.1 ± 0.76 mM, and in alkalotic rats it averaged 30.48 ± 0.29 mM. Animals were killed after 7 days, and the kidneys were removed and embedded in OCT and
processed as described above.
 |
RESULTS AND DISCUSSION |
Characterization of AE4 cDNA and predicted protein.
The AE4 cDNA cloned from the rat kidney has a composite nucleotide
sequence of 3,178 bp and encodes a protein of 953 amino acids with a
predicted molecular mass of 105 kDa (GenBank/EBI/DDBJ Data Bank,
accession no. AB024339) (Fig.
1A). Hydropathy analysis (Kyte-Doolittle algorithm) of the predicted sequence suggests that AE4
has 12 putative membrane-spanning segments. It has four potential
NH2-linked glycosylation sites (Asn-546, Asn-570, Asn-932, and Asn-949, but only Asn-546 and Asn-570 are predicted as
extracellular). The NH2 terminus has a leucine-zipper motif
(LQKLRGLLAEGIVLLDCPARSL, aa Leu-101 to Leu-126), which may mediate
protein-protein interaction. Three putative protein kinase A
phosphorylation sites (Ser-173, Ser-273, and Ser-764, with Ser-173 and
Ser-273 predicted to be intracellular), six protein kinase C
phosphorylation sites (with Thr-71, Thr-252, Ser-268, and Thr-352
predicted intracellular and Thr-655 and Ser-759 predicted
extracellular), and 10 casein kinase II phosphorylation sites (Ser-31,
Ser-37, Ser-121, Ser-173, Ser-248, Ser-548, Thr-593, Ser-900, Thr-917,
and Ser-930, with only Ser-548 and Thr-593 predicted to be
extracellular) can be identified in the sequence.

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Fig. 1.
Sequence alignment of anion exchanger isoform 4 (AE4) and
phylogenic tree of mammalian HCO transporters.
A: sequence alignments of AE4 from rat (rAE4; GenBank
accession no. AB024339), rabbit (rabAE4; AB038263), and human (hAE4;
AB032762). The putative transmembrane (TM) domains predicted by
Kyte-Doolittle algorithm are underlined with a solid line and marked
TM1-TM12. The putative DIDS binding motifs are in black boxes.
Double underline represents peptide sequence used to raise the
antibodies. B: phylogenic tree was constructed according to
Higgins' method (13a). The length of the horizontal lines indicates the
degree of amino acid divergence. For most transporters rat sequences
were used. For NDCBE1, NCBE, NBC4, and BTR1 the human sequences were
used because the rat sequences for these transporters are not available
at present. GenBank accession nos.: rAE1, P23562; rAE2, A34911; rAE3,
A42497; rAE4, AB024339; rNBC1, AF004017; rNBC2, AF070475; NDCBE1,
AF069512; NCBE, AB040457; and BTR1, AF336127.
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|
A human ortholog of rat AE4 was obtained from the genome sequence
database. The human AE4 is Homo sapiens clone CTC-329D1 and
is located in chromosome 5 (accession no. AC008438). The deduced amino
acid sequences of human and rabbit AE4 are aligned with rat AE4 in Fig.
1A. The coding sequence of human AE4 is composed of 21 exons. Rat AE4 has 80% identity with the rabbit AE4 (38). Human AE4 is longer than rat AE4 by three amino acids
(26). The predicted protein sequence of rat and human AE4
shows 78% identity. Comparison of amino acid sequences of rat AE4 with
that of members of the superfamily of the HCO
transporters is shown in Fig. 1B. AE4 has 47, 42, and 39%
amino acid identity with the HCO
transporters human
NBC2 (16), Drosophila Na+-driven
anion exchanger (NDAE1) (28), and mouse brain AE3
(17), respectively. The amino acid sequence in the
putative transmembrane regions is well conserved between AE4 and
members of the HCO
transporter superfamily, while
the intracellular NH2- and carboxyl-terminal regions are
divergent. Importantly, the putative DIDS binding motif KMLN is present
in AE4 (Fig. 1A). This motif was identified by sequence
analysis of members of the SLC4 family and by biochemical labeling of
AE1 as KL(X)K and later expanded on the basis of sequence analysis of
the electrogenic NBCs to K-(Y)(X)-K where Y = M,L and X = I,V,Y (27). A second potential DIDS binding motif (RLQK) is present between TM7 and TM8. Presence of available lysines in such
motifs allows for the possibility of inhibition of AE4 by DIDS.
Expression profile of AE4 in rat tissues.
Northern blot analysis revealed the presence of a prominent 3.4-kb AE4
mRNA in the kidney (Fig. 2A)
and gastrointestinal (GI) tract (Fig. 2B), which was absent
or below detection levels in all other tissues examined. A higher
molecular weight mRNA of lower intensity was present in the kidney
(Fig. 2A). Expression of AE4 mRNA in the kidney and GI tract
was further analyzed by subdividing the kidney into segments and using
various tissues of the GI tracts (Fig. 2B). High levels of
AE4 mRNA were found in the cortex with diminished amount in the outer
medulla and absence from the inner medulla. Interestingly, high level
of AE4 mRNA was also expressed in the cecum, but it was absent in other segments of GI tracts. To localize mRNA expression more precisely, we
performed RT-PCR analysis with mRNA prepared from microdissected nephron segments. Figure 2C shows that AE4 mRNA is expressed
at high levels in the CCD.

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Fig. 2.
Northern blot analysis, RT-PCR, and Western blot analysis
of AE4. A: Clontech membrane with poly(A) RNA from multiple
rat tissues was hybridized with randomly primed full-length AE4 cDNA.
Ht, heart; Br, brain; Sp, spleen; Lg, lung; Lv, liver; Ms, muscle; Kd,
kidney; Te, testes. B: Northern blot analysis of total RNA
prepared from rat tissues and hybridized as in A. Nos.
indicate preparation of mRNA from stomach (1), jejunum
(2), ileum (3), cecum (4), colon
(5), pancreas (6), renal cortex (7),
renal outer medulla (8), and renal inner medulla
(9). C: primers listed in EXPERIMENTAL
PROCEDURES were used to amplify AE4 mRNA by RT-PCR from
microdissected nephron segments, and the result of a Southern blot with
the AE4 probe is shown. Arrow-marked probe indicates migration of probe
amplified from the cDNA. The segments used are glomeruli (GL), proximal
convoluted tubule (PCT), proximal striated tubule (PST), thick
ascending limb of the loop of Henle (TAL), and cortical collecting duct
(CCD). Identity of product amplified from CCD was verified by
sequencing. For Western blots HEK-293 cells were transfected with green
fluorescent protein [GFP; control (Con) lane in each blot in
D and E] or with AE4. Microsomes were prepared
from HEK-293 cells (D and E) or the kidney outer
medulla (OM) and cortex (Cx) (F) and were used for SDS-PAGE.
For HEK-293 cells, each lane contained ~20 µg protein, and for
kidney each lane contained ~10 µg protein. The blots in
E and F were probed with anti-AE4
antibodies A, and the blot in D was probed with
anti-AE4 antibodies B. The primary antibodies were used at a
dilution of 1:1,000 and the secondary antibody at a dilution of
1:1,000. The right blot in F was probed with anti-AE4
antibody A that was preabsorbed with the peptide (10 µg/ml) used to raise the antibodies. The specific 125- to 135-kDa
band (arrow) is expressed at higher level in the kidney Cx and at low
level in the OM. Note the band at 125- to 135-kDa disappeared as a
result of preabsorption of the antibodies with a competing peptide.
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Expression of the AE4 protein was verified by Western blot analysis.
The results are shown in Fig. 2, D-F. In
Fig. 2, D and E, the specificity of the
antibodies was determined by their ability to recognize recombinant AE4
expressed in HEK-293 cells. Anti-AE4 antibody B (Fig.
2D) and anti-AE4 antibody A (Fig. 2E)
recognized two bands only in cells transfected with AE4. The broad 120- to 150-kDa band probably represents the glycosylated mature AE4, whereas the lower, sharper band is likely the immature protein. Anti-AE4 antibody A was used to detect the protein in kidney
microsomes. Figure 2F shows that a protein of 125-135
kDa (arrow) was detected in the kidney cortex and at lower level in the
outer medulla. This size probably represents the glycosylated form of
AE4 because it was similar to the upper band detected in HEK-293 cells.
Figure 2F, right, shows that the 125- to 135-kDa
band disappeared by preabsorbing the antibody with a competing peptide.
The bands of lower molecular weight are most likely nonspecific,
because treating the antibodies with the competing peptide did not
eliminate them. The results in Fig. 2 establish the specificity of our
anti-AE4 antibodies and indicate that the protein is expressed at the
highest level in the kidney cortex.
Functional characterization of AE4.
To characterize the activity of AE4 it was necessary to show that the
recombinant protein is targeted to the plasma membrane. Therefore, we
expressed AE4 in HEK-293 and LLC-PK1 cells and
immunolocalized it using the antibody that was used in Fig. 2,
E and F. Figure 3, A and B,
establishes the specificity of the antibody for immunolocalization. Thus the anti-AE4 antibody A detected the transfected cells
(Fig. 3A), and the staining
was completely eliminated by preincubation of the antibodies with the
blocking peptide (Fig. 3B). The high-magnification images in
Fig. 3, C and D, show that in HEK-293 cells AE4
localized largely at the plasma membrane with no noticeable expression
in the endoplasmic reticulum (ER) or the Golgi. Figure 3, E
and F, shows punctate expression of AE4 in the plasma
membrane of LLC-PK1 cells, including at cell-cell contacts.
Control experiments with antibodies adsorbed with the antigenic peptide
revealed complete absence of labeling (not shown). Targeting of AE4 to
the plasma membrane made it possible to use expression of AE4 in
HEK-293 cells for functional characterization.

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Fig. 3.
Immunolocalization of AE4 expressed in HEK-293 and
LLC-PK1 cells. AE4 was transiently expressed in HEK-293
(A-D) or LLC-PK1 cells
(E and F). A and B: cells
were immunostained with anti-AE4 antibody A (green) and
counterstained with 4,6-diamidino-2-phenylindole to label the nuclei.
In B the antibodies were preadsorbed with the competing
peptide before use for immunostaining. Scale bar, 25 µm. C
and D: 2 examples of localization of AE4 to the plasma
membrane of HEK-293 cells. Scale bar, 5 µm. E and
F: similar targeting to the plasma membrane of
LLC-PK1 cells. Scale bar, 5 µm.
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Measurement of pHi showed that at the relatively low
expression levels of AE4 used in the present work, expression of AE4 had no measurable effect on resting pHi, which averaged
7.29 ± 0.03 (n = 20) and 7.13 ± 0.03 (n = 20) in HEPES- and HCO
-buffered media, respectively. Figure 4, A and B, shows
that expression of AE4 in HEK-293 cells induced
Cl
-dependent HCO
transport. At the
level of expression used for the experiments in Fig.
4, exposing AE4-transfected cells
incubated in HEPES-buffered medium to a Cl
-free medium
had minimal effect on pHi. On the other hand, exposing the
cells to Cl
-free medium in the presence of
HCO
caused marked cytosolic alkalinization (Fig.
4B). pHi returned to basal level on returning
the cells to medium containing Cl
. At higher expression
levels AE4 also showed Cl
/OH
exchange
activity (not shown). The cytosolic alkalinization on removal of
Cl
and the acidification on readdition of
Cl
to the incubation medium were similar in media
containing 150 or 5 mM Na+ (Fig. 4C). Incubating
the cells with 10 µM ethylisopropyl amiloride (EIPA), a concentration
sufficient to inhibit Na+/H+ exchange activity
and the activity of the newly discovered novel, luminal
Na+-dependent OH
/HCO
transporters (21), did not affect
Cl
/HCO
exchange in AE4-expressing
cells (Fig. 4D). Depolarizing the cells by incubation in a
medium containing 100 mM K+ and 2 µM valinomycin was also
without effect on the Cl
-dependent changes in
pHi (Fig. 4E). Averaging the rates of
pHi/min under each condition showed no statistically
different effect of any of the conditions on AE4 activity. Hence, the
results in Fig. 4 show that AE4 mediates a Na+-independent,
Cl
-dependent HCO
transport that is not affected by high concentration of EIPA and cell depolarization, all
typical characteristics of all members of the SLC4 exchangers (3,
7). Similar properties were reported for the rabbit ortholog of
AE4 (38).

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Fig. 4.
Properties of Cl /HCO
exchange activity in HEK-293 cells expressing AE4. HEK-293 cells were
transfected with GFP (A; control). In all other panels
(B-E) the cells were cotransfected with GFP and AE4.
The cells in A (control) and B (AE4) were
incubated in HEPES-buffered media, and, where indicated by bars, the
cells were exposed to Cl -free medium. The same protocol
was repeated after incubating the cells in
HCO -buffered media. In
C-E the cells were maintained in
HCO -buffered media throughout. In the first portion
of each experiment, the cells were transiently incubated in
Cl -free medium before exposure to media containing 5 mM
Na+ (C), 10 µM ethylisopropyl amiloride (EIPA;
D), or 100 mM K+ and 2 µM valinomycin (Val)
(E). As indicated by the bars, the cells were exposed to
Cl -free media under each of the conditions. Each trace
represents 1 of 3 experiments with similar results.
|
|
An important characteristic of all members of the SLC4 family is their
inhibition by the stilben compound DIDS (2, 7). Two DIDS
binding motifs are present in the AE4 sequence. Yet, it was reported
that expression of the rabbit AE4 in Xenopus oocytes resulted in DIDS-insensitive Cl
uptake (38).
This is a critical point with respect to the possible function of AE4
because the Cl
/HCO
exchange activity
in the luminal membrane of
-intercalated cells is DIDS insensitive
(8, 9, 40). Therefore, we carefully examined the effect of
4,4'-diisothiocyanatodihydrostilbene-2,2'-disulfonic acid
(H2DIDS) on AE4 activity. Individual examples and the
summary of the results are shown in Fig.
5. H2DIDS potently inhibited AE4 activity with 50% inhibition at ~5 µM H2DIDS. We
also tested the effect of 200 µM DIDS, which also completely
inhibited AE4 activity.

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Fig. 5.
DIDS inhibits AE4-mediated
Cl /HCO exchange activity.
A: HEK-293 cells transfected with AE4 were incubated in
HCO -buffered solutions and in the presence or
absence of the indicated concentration of
4,4'-diisothiocyanatodihydrostilbene-2,2'-disulfonic acid
(H2DIDS). At the times indicated by the bars, the cells
were exposed to Cl -free solutions. B: summary
of the results of 4-7 experiments under each H2DIDS
concentration between 0 and 200 µM.
|
|
Localization of AE4 in the kidney.
The RT-PCR analysis in Fig. 2 indicated expression of AE4 mainly in the
CCD. We extended this analysis to localize the AE4 in specific regions
of the CCD by immunocytochemistry. Figure 6 shows that the anti-AE4 antibody
A stained exclusively the basolateral membrane of cells in the
CCD. Staining was absent from all other segments of the nephron,
including intercalated cells in collecting ducts in the inner stripe of
the outer and inner medulla (Fig. 6, D and E). In
control experiments preincubation with the peptide used to raise the
antibodies eliminated the staining (Fig. 6F). Localization
of AE4 in the basolateral membrane of the rat CCD cells (Fig. 6) was
unexpected in view of the reported expression of AE4 in the luminal
membrane of rabbit CCD
-intercalated cells (38). As a
first protocol to verify basolateral localization of AE4 in the rat CCD
we used the anti-AE4 antibody B (see EXPERIMENTAL PROCEDURES and Fig. 2). Figure 6, G and H,
shows that anti-AE4 antibody B also stained exclusively the
basolateral membrane of the rat CCD.

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Fig. 6.
Localization of AE4 in the rat CCD. AE4 was localized in rat kidney
cortex (A-C), outer medulla (inner stripe)
(D), and inner medulla (E) using anti-AE4
antibody A (serum, 1:6,000). A: survey section
showing anti-AE4 labeling in CCD. No labeling of other parts of the
nephron was observed. CD, collecting duct; Glo, glomerulus.
B and C: AE4 labeling is associated with the
basal (large arrows) and lateral (small arrows) plasma membrane,
whereas the luminal membrane was unlabeled. P, proximal tubule.
D and E: in the inner stripe of the outer medulla
and in the inner medulla no labeling was observed. F:
control using anti-AE4 antibody preabsorbed with immunizing peptide (in
all cases 0.1 mg/ml) shows no labeling. G and H:
localization of AE4 in rat kidney cortex using anti-AE4 antibody
B (IgG, 1:15,000). G: as with antibody A,
the labeling with anti-AE4 antibody B was associated with
the basal (large arrows) and lateral (small arrows) plasma membrane.
H: control using anti-AE4 antibody B preabsorbed
with immunizing peptide and showing no labeling. Magnification:
A, ×130; B-H,
×360.
|
|
One possibility for the discrepancy between the results in the rabbit
(38) and the rat (the present work) is that expression of
AE4 is species specific. To test this possibility, we compared the
staining pattern in the rat, mouse, and rabbit CCD using the same
antibodies and staining procedure. To allow the use of the polyclonal
antibodies in rabbit, the anti-AE4 antibody was biotinylated. Figure 7, A and B, shows that the anti-AE4
antibody A specifically stained the lateral and luminal
membranes of the rabbit CCD. In Figure
7C, we identified the cells in
the rabbit CCD as
-intercalated cells because they also expressed
the vacuolar H+ pump in the luminal membrane. Only
-intercalated cells express the H+ pump in the luminal
membrane (3, 11, 22, 30, 31, 37, 39). Finally, the
biotinylated anti-AE4 antibodies stained the basolateral
membrane of the rat CCD as was found with the nonbiotinylated antibodies (Fig. 7D). In Fig.
8 the rat kidney was double-stained with
anti-AE4 and anti-H+ pump antibodies to identify the cells
expressing AE4 in the basolateral membrane. Figure 8, A and
B, and Fig. 8, C and D, respectively, show that both
-intercalated cells and
-intercalated cells in the
rat CCD express AE4 only in the basolateral membrane.

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Fig. 7.
Laser-confocal localization of AE4 in collecting ducts in rabbit
and rat kidneys. Labeling was with biotinylated anti-AE4 antibody
A (affinity purified, 1:200). A: CCD in rabbit kidney
showing AE4 labeling in the apical (large arrows) and lateral (small
arrows) plasma membrane in the intercalated cells. L, lumen.
B: control using anti-AE4 antibody preabsorbed with
immunizing peptide (in all cases 0.1 mg/ml) shows no labeling. CD,
collecting duct. C: AE4 (green) was present in the apical
and lateral plasma membrane of CCD -intercalated cells.
-Intercalated cells were identified as the cells expressing the
vacuolar H+- ATPase in the apical plasma membrane (red
labeling, large arrows). L, lumen. D: in contrast to the
rabbit CCD, the rat CCD showed basal (large arrows) and lateral (small
arrows) labeling using the same antibody as in A-C.
Inset: control using biotinylated anti-AE4 antibody
preabsorbed with immunizing peptide and showing no labeling.
Magnification: A-D, ×600; inset,
×150.
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Fig. 8.
Localization of AE4 and the vacuolar H+ pump in rat
kidney cortex, outer medulla, and inner stripe of the outer medulla.
A and B: AE4 labeling (green) is present in the
basolateral (arrows) and absent from the luminal membrane of
-intercalated cells in the CCD. -Intercalated cells were
identified by expression of the H+ pump in the luminal
membrane (red labeling, arrowheads). CD, collecting duct. C
and D: AE4 (green) was also observed in the basolateral
membrane of -intercalated cells (arrows) in the collecting duct.
-Intercalated cells were identified as cells expressing
H+ pump (red) in the basolateral membrane. E and
F: little or no AE4 was observed in collecting duct
intercalated cells in the inner stripe of the outer medulla. By
contrast, these cells exhibit abundant H+ pump
(arrowheads). Magnification: A, C, E, and F,
×1,300; B and D, ×650.
|
|
To extend the finding in the rat to another species, we used the two
anti-AE4 antibodies to localize the protein in mouse tissues. Figure 9,
A and B, shows that
anti-AE4 antibodies A and B, respectively,
labeled the basolateral membrane of the mouse CCD. In the final
control, we determined localization of AE4 in another tissue that
transports large quantities of HCO
, the mouse SMG.
Figure 9C shows that the anti-AE4 antibody A
localized the protein in the basolateral membrane of the mouse SMG
duct.

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Fig. 9.
Localization of AE4 in mouse kidneys and submandibular gland (SMG)
and lack of effect of the metabolic state of the rats on localization
of AE4. Mouse kidneys (A and B) and SMG
(C) were stained with anti-AE4 antibody A
(A and C) or anti-AE4 antibody B
(B). Arrows mark AE4 in the basolateral membrane. In
D-F the effect of metabolic acidosis and alkalosis on
localization of AE4 in the rat kidney was examined. Kidneys from 2 control (D), 2 acidotic (E), and 4 alkalotic
(F) rats were processed for immunolocalization and stained
with anti-AE4 antibody A. Note that in all kidneys AE4 was
found only in the basolateral membrane of the CCD.
|
|
One possibility for the species-specific expression of AE4 is that
expression of AE4 is influenced by the metabolic state of the animal.
Indeed, up- and downregulation of expression of acid-base transporters
in other segments of the nephron are well documented (4,
13). In addition, it was suggested that the CCD is a plastic
epithelium capable of targeting expression of the H+ pump
and the Cl
/HCO
exchanger to
alternative membrane based on the metabolic state of the animal
(1). To examine this possibility we determined the effect
of acidosis and alkalosis on localization of AE4 in the rat kidney.
Shown in Fig. 9, D-F, are examples of
localization of AE4 in the rat CCD of control, acidotic, and alkalotic
rats. The similar basolateral membrane localization observed in two
control, two acidotic, and four alkalotic rats clearly shows that AE4
localization was not influenced by the metabolic state of the rats.
The results of the present work indicate that the newly discovered
member of the SLC4 family, AE4, indeed functions as a
Cl
/HCO
exchanger. However, our
findings differ in three ways from a previous report describing the
properties of this protein (38). First, we found that
AE4-mediated Cl
/HCO
exchange in
HEK-293 cells is DIDS sensitive, whereas in a previous study it was
suggested that AE4-mediated Cl
/HCO
exchange in Xenopus oocytes is DIDS insensitive
(38). The simplest explanation to this discrepancy is that
AE4 behaves differently when expressed in mammalian cells and
Xenopus oocytes. Other differences between our studies and that in Xenopus oocytes are that in Xenopus
oocytes the effect of DIDS was measured on
Cl
/Cl
exchange in the absence of
HCO
rather than
Cl
/HCO
exchange in the presence of 100 mM cis Cl
. Second, we find that AE4 is expressed in the
basolateral membrane of rat kidney
-intercalated cells and the mouse
CCD and SMG duct, whereas previous work suggested expression of AE4 in
the luminal membrane of rabbit kidney
-intercalated cells
(38). This turned out to be at least in part due to
species-specific expression of the protein. Hence, the antibodies used
in the present work to localize AE4 in the basolateral membrane of the
CCD localized AE4 to the luminal and lateral membranes of the rabbit
CCD. The physiological significance of such species-specific
localization is not obvious. A naturally more alkaline rabbit diet can
explain expression of AE4 in the luminal membrane. However, why such
expression exists in
-intercalated cells together with the
H+ is puzzling. One possibility is that
HCO
transport itself, not localization of the
transporters, in the rabbit CCD is highly responsive to the metabolic
state of the rabbit. At acidosis the H+ pump is functional
and AE4 is dormant, whereas in alkalosis AE4 is active and the pump is
dormant. In such an arrangement, the
-intercalated cells aid the
-intercalated cells in HCO
secretion. This
speculation remains to be tested experimentally in the rabbit. Such
tests in the rat proved to be negative as localization of AE4 in the
rat CCD was not affected by the metabolic state of the rats. In
addition, we note that Cl
/HCO
exchange
by AE4 is DIDS sensitive (Fig. 5), whereas HCO
secretion by the CCD is DIDS insensitive (8, 9, 39).
Localization of AE4 in the mouse and rat basolateral membrane of
-intercalated cells suggests that the major role of this transporter
in these species is mediating HCO
efflux during
H+ secretion by the CCD. The
-intercalated cells of the
CCD also express a splice variant of AE1 in the basolateral membrane
(2, 3, 12). Identification of mutations in AE1 that leads
to distal renal tubular acidosis (6, 32, 36) clearly
indicates that AE1 plays an important role in clearance of cytosolic
HCO
during acid secretion by
-intercalated cells.
It is, however, possible that AE4 is complementary with AE1 in
mediating basolateral HCO
efflux in
-intercalated
cells, and expression of AE4 allows some acid-base regulation in
patients with mutations in AE1. Alternatively, expression of AE4 may
overlap with that of AE1, and both proteins share the same
physiological role. In any case, it is interesting that the function of
AE4 and AE1 does not appear to be redundant, although both
Cl
/HCO
exchangers are expressed in the same membrane of the same cell type. Potential parallel function of AE4
and AE1 in the basolateral membrane of the mouse and rat and of pendrin
(29) and AE4 in the luminal membrane of the rabbit would
suggest that AE4 has a complementary role in acid-base homeostasis, depending on the animal demand. Future studies remain to be done to
find out whether AE1 and AE4 have specialized function in the kidney
and possibly other organs.
 |
ACKNOWLEDGEMENTS |
We are indebted to Dr. P. Preisig for access to the metabolic cages
and for overseeing the preparation of the acidotic and alkalotic rats.
We thank E. A. Salam and A. Y. Umpierre for expert assistance
in setting the metabolic state of the rats and in determining blood
gases and electrolytes, respectively.
 |
FOOTNOTES |
This work was supported by a grant from the Salt Science Foundation to
K. Ishibashi and by National Institutes of Health Grant DE-12309 and a
grant from the Cystic Fibrosis Foundation to S. Muallem. S. B. H. Ko was supported by a fellowship from the Uehara Memorial Foundation.
Address for reprint requests and other correspondence:
S. Muallem, Dept. of Physiology, Univ. of Texas Southwestern
Medical Center, Dallas, TX 75390 (E-mail:
shmuel.muallem{at}utsouthwestern.edu).
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement"
in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
June 5, 2002;10.1152/ajpcell.00512.2001
Received 25 October 2001; accepted in final form 8 May 2002.
 |
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