Lysophosphatidic acid inhibits cholera toxin-induced secretory diarrhea through CFTR-dependent protein interactions

J Exp Med. 2005 Oct 3;202(7):975-86. doi: 10.1084/jem.20050421.

Abstract

The cystic fibrosis transmembrane conductance regulator (CFTR) is a cAMP-regulated chloride channel localized primarily at the apical or luminal surfaces of epithelial cells that line the airway, gut, and exocrine glands; it is well established that CFTR plays a pivotal role in cholera toxin (CTX)-induced secretory diarrhea. Lysophosphatidic acid (LPA), a naturally occurring phospholipid present in blood and foods, has been reported to play a vital role in a variety of conditions involving gastrointestinal wound repair, apoptosis, inflammatory bowel disease, and diarrhea. Here we show, for the first time, that type 2 LPA receptors (LPA2) are expressed at the apical surface of intestinal epithelial cells, where they form a macromolecular complex with Na+/H+ exchanger regulatory factor-2 and CFTR through a PSD95/Dlg/ZO-1-based interaction. LPA inhibited CFTR-dependent iodide efflux through LPA2-mediated Gi pathway, and LPA inhibited CFTR-mediated short-circuit currents in a compartmentalized fashion. CFTR-dependent intestinal fluid secretion induced by CTX in mice was reduced substantially by LPA administration; disruption of this complex using a cell-permeant LPA2-specific peptide reversed LPA2-mediated inhibition. Thus, LPA-rich foods may represent an alternative method of treating certain forms of diarrhea.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Analysis of Variance
  • Animals
  • Cell Line
  • Cell Line, Tumor
  • Chlorocebus aethiops
  • Cholera Toxin / antagonists & inhibitors*
  • Cholera Toxin / toxicity
  • Cricetinae
  • Cyclic AMP / metabolism
  • Cystic Fibrosis Transmembrane Conductance Regulator / metabolism*
  • Cytoskeletal Proteins / metabolism
  • Diarrhea / chemically induced
  • Diarrhea / drug therapy*
  • Disks Large Homolog 4 Protein
  • Epithelial Cells / metabolism
  • Humans
  • Immunoblotting
  • Immunoprecipitation
  • Intracellular Signaling Peptides and Proteins / metabolism
  • Lysophospholipids / pharmacology*
  • Membrane Proteins / metabolism
  • Phosphoproteins / metabolism
  • Sodium-Hydrogen Exchangers
  • Zonula Occludens-1 Protein

Substances

  • Cytoskeletal Proteins
  • DLG4 protein, human
  • Disks Large Homolog 4 Protein
  • Intracellular Signaling Peptides and Proteins
  • Lysophospholipids
  • Membrane Proteins
  • Phosphoproteins
  • Sodium-Hydrogen Exchangers
  • TJP1 protein, human
  • Tjp1 protein, mouse
  • Zonula Occludens-1 Protein
  • sodium-hydrogen exchanger regulatory factor
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • Cholera Toxin
  • Cyclic AMP
  • lysophosphatidic acid