Apical ATP inhibits ENaC through P2Y2 receptor-mediated Ca2+ release but basal ATP stimulates ENaC via P2X4 Ca2+ channels. We have shown that mitochondria are located in CCD cells so as to prevent free diffusion of Ca2+. We tested if mitochondrial Ca2+ uptake contributes to the polarized effect of [Ca2+]i on ENaC. When the Ca2+ ionophore, ionomycin, was applied apically, single channel measurements showed ENaC open probability (Po) decreased from 0.53 ± 0.08 to 0.18 ± 0.02 (N 蠅 6, P<0.01). In contrast, basal ionomycin increased ENaC Po (0.09 ± 0.02 to 0.18 ± 0.04, N 蠅 6, P<0.05). To determine if the polarized effect of ionomycin was due to mitochondrial Ca2+ uptake, we used the inhibitor Ru360 to inhibit VDAC-mediated Ca2+ uptake across the mitochondrial outer membrane. In cells pretreated with Ru360, apical or basal ionomycin produced identical effects, a small stimulation followed by a small inhibition. These data show that mitochondrial Ca2+ uptake allows polarized [Ca2+]i signaling and ENaC regulation in CCD cells. To confirm the effect of mitochondrial Ca2+ uptake on Na+ uptake in vivo, we used mice lacking VDAC1 or VDAC3. Increased ENaC activity would lead to Na+ and water uptake and increased blood pressure. VDAC1 -/- mice had increased systolic blood pressure compared to littermate controls (109 ± 5.5 vs 137 ± 3.9 mmHg, N蠅5, P<0.05). VDAC3-/- mice had normal systolic blood pressure at baseline, but did not tolerate a high salt (8% NaCl) diet. After 7 days of high salt, VDAC3-/- mice had a systolic BP of 128mmHg ±6.89 vs 109mmHg ±3.77 for littermate controls (N蠅6, P<0.05). These data show that mitochondrial Ca2+ uptake contributes to ENaC regulation both in vitro and in vivo. Support: NIH R37-DK037963 and T32-DK07656 and AHA 13POST16820072.
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