Intestinal ion transport in NKCC1-deficient mice
The Na+-K+-2Cl− cotransporter (NKCC1) located on the basolateral membrane of intestinal epithelia has been postulated to be the major basolateral Cl− entry pathway. With targeted mutagenesis, mice deficient in the NKCC1 protein were generated. The basal short-circuit current did not differ between normal and NKCC1 −/− jejuna. In the −/− jejuna, the forskolin response (22 μA/cm2; bumetanide insensitive) was significantly attenuated compared with the bumetanide-sensitive response (52 μA/cm2) in normal tissue. Ion-replacement studies demonstrated that the forskolin response in the NKCC1 −/− jejuna was HCO3 − dependent, whereas in the normal jejuna it was independent of the HCO3 − concentration in the buffer. NKCC1 −/− ceca exhibited a forskolin response that did not differ significantly from that of normal ceca, but unlike that of normal ceca, was bumetanide insensitive. Ion-substitution studies suggested that basolateral HCO3 − as well as Cl− entry (via non-NKCC1) paths played a role in the NKCC1 −/− secretory response. In contrast to cystic fibrosis mice, which lack both basal and stimulated Cl− secretion and exhibit severe intestinal pathology, the absence of intestinal pathology in NKCC1 −/− mice likely reflects the ability of the intestine to secrete HCO3 − and Cl− by basolateral entry mechanisms independent of NKCC1.