Na+-K+-Cl- cotransporter (NKCC) maintains the chloride gradient to sustain pacemaker activity in interstitial cells of Cajal

Am J Physiol Gastrointest Liver Physiol. 2016 Dec 1;311(6):G1037-G1046. doi: 10.1152/ajpgi.00277.2016. Epub 2016 Oct 13.

Abstract

Interstitial cells of Cajal (ICC) generate electrical slow waves by coordinated openings of ANO1 channels, a Ca2+-activated Cl- (CaCC) conductance. Efflux of Cl- during slow waves must be significant, as there is high current density during slow-wave currents and slow waves are of sufficient magnitude to depolarize the syncytium of smooth muscle cells and PDGFRα+ cells to which they are electrically coupled. We investigated how the driving force for Cl- current is maintained in ICC. We found robust expression of Slc12a2 (which encodes an Na+-K+-Cl- cotransporter, NKCC1) and immunohistochemical confirmation that NKCC1 is expressed in ICC. With the use of the gramicidin permeabilized-patch technique, which is reported to not disturb [Cl-]i, the reversal potential for spontaneous transient inward currents (ESTICs) was -10.5 mV. This value corresponds to the peak of slow waves when they are recorded directly from ICC in situ. Inhibition of NKCC1 with bumetanide shifted ESTICs to more negative potentials within a few minutes and reduced pacemaker activity. Bumetanide had no direct effects on ANO1 or CaV3.2 channels expressed in HEK293 cells or L-type Ca2+ currents. Reducing extracellular Cl- to 10 mM shifted ESTICs to positive potentials as predicted by the Nernst equation. The relatively rapid shift in ESTICs when NKCC1 was blocked suggests that significant changes in the transmembrane Cl- gradient occur during the slow-wave cycle, possibly within microdomains formed between endoplasmic reticulum and the plasma membrane in ICC. Recovery of Cl- via NKCC1 might have additional consequences on shaping the waveforms of slow waves via Na+ entry into microdomains.

Keywords: ANO1; Ca2+-activated Cl− current; electrical slow waves; gastrointestinal motility; smooth muscle.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Action Potentials*
  • Animals
  • Bumetanide / pharmacology
  • Calcium Channels, T-Type / metabolism
  • Cells, Cultured
  • Chlorides / metabolism*
  • HEK293 Cells
  • Humans
  • Interstitial Cells of Cajal / drug effects
  • Interstitial Cells of Cajal / metabolism*
  • Interstitial Cells of Cajal / physiology
  • Mice
  • Periodicity
  • Sodium Potassium Chloride Symporter Inhibitors / pharmacology
  • Solute Carrier Family 12, Member 2 / genetics
  • Solute Carrier Family 12, Member 2 / metabolism*

Substances

  • Cacna1h protein, mouse
  • Calcium Channels, T-Type
  • Chlorides
  • Slc12a2 protein, mouse
  • Sodium Potassium Chloride Symporter Inhibitors
  • Solute Carrier Family 12, Member 2
  • Bumetanide