Abstract

The impact of inflammation on intestinal secretion is contentious. Here the effect of inflammation on activity of the NaHCO3 cotransporter, NBCe1, in the proximal colon was investigated. Interleukin10‐knockout (IL10‐/‐) mice infected with Helicobacter typhlonius, which develop colitis, were used as a model of inflammation, and uninfected, asymptomatic IL10‐/‐ mice served as controls. NBCe1 activity was measured as the 5‐(N‐ethyl‐N‐isopropyl) amiloride‐insensitive (EIPA, 20µM), 4,4'‐diisothiocyano‐2,2'‐stilbenedisulfonic acid‐sensitive (DIDS, 500µM), rate of intracellular pH recovery and acid extrusion (JH+) following acid loading of isolated crypts, while NBCe1 expression was measured by Western blotting and immunohistochemistry. In control tissues NBCe1 immunoreactivity was restricted to the surface cells and upper third of the crypts. Consistent with this there was little evidence of NBCe1 activity in the lower half of the crypts, with or without forskolin (10µM) stimulation. In contrast, in the surface cells, while NBCe1 was inactive under basal conditions (JH+EIPA=16.4±1.8mM.min‐1; JH+EIPA+DIDS=18.7±1.8 mM.min‐1), its activity was stimulated by forskolin (after forskolin JH+EIPA=24.5±2.7 mM.min‐1 and JH+EIPA+DIDS=13.6±1.1mM.min‐1). In inflamed tissues, total NBCe1 expression was reduced (P<0.001, n=6), there was no NBCe1 immunoreactivity in the surface cells and upper crypts, and forskolin did not stimulate NBCe1 activity in the surface cells. This suggests inflammation reduces colonic HCO3‐ secretion, which may affect luminal pH regulation and growth of luminal bacteria, possibly contributing to the dysbiosis seen in patients with inflammatory bowel disease, as well as modifying mucus hydration.Grant Funding Source: Supported by The Otago Medical Research Foundation

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