Diarrhea induced by
current, demonstrating that inhibition of Cl؊ flux reflected selective disruption of ligand stimulation of GCC rather than the chloride channel itself. Thus, the components required for adenine nucleotide inhibition of GCC signaling are present in intact mammalian cells, establishing the utility of this pathway to elucidate the mechanisms regulating ST-dependent guanylyl cyclase signaling and intestinal fluid homeostasis. In addition, these data suggest that the adenine nucleotide inhibitory pathway may be a novel target to develop antisecretory therapy for enterotoxigenic diarrhea.Guanylyl cyclase C (GCC), 1 the receptor for Escherichia coli heat-stable enterotoxin (ST a ) expressed in intestinal mucosa cells, is a member of the receptor guanylyl cyclase family that possesses receptor and catalytic domains on a single transmembrane protein (1, 2). Occupancy by ST a of the extracellular receptor domain induces catalytic conversion of intracellular GTP to cyclic GMP (cGMP), resulting in sequential alterations in epithelial cell chloride flux, electrolyte and fluid secretion, and diarrhea (3-7). Interventions that specifically interrupt the ST a -induced GCC-mediated signal sequence have not been defined. In cell-free systems, GCC is allosterically inhibited by 2-substituted adenine nucleotides (8, 9). Yet, the impermeance of intact cells to phosphorylated nucleotides and the absence of endogenous 2-substituted nucleotides has precluded the disruption of ST a -induced signaling in intestinal cells through this inhibitory pathway. However, intestinal cells express transporters, which carry 2-substituted nucleosides into the cytosol, and adenosine kinase, which catalyzes conversion of 2-substituted nucleosides into 2-substituted nucleotides (10). The present studies examine whether that mechanism can be exploited to interrupt transmembrane signaling and alterations in chloride flux induced by ST a in intact intestinal epithelial cells.
EXPERIMENTAL PROCEDURESCyclic GMP Accumulation in Intact Cells-Caco 2 cells, well differentiated human colon carcinoma cells, were seeded in 24-well plates, allowed to reach confluence, and grown for an additional 14 -21 days to ensure differentiation of these cells into colonic enterocytes. HEK293 cells, human embryonic kidney cells expressing recombinant GCC, were seeded in 24-well plates, allowed to reach confluence, and used for assays at least 5 days after seeding (1, 11). Cells were incubated in OPTI-MEM serum-free media (Life Technologies, Inc.) (0.5 ml/well) containing indicated concentrations of the test substances for the given period of time. Cells were washed three times with OPTI-MEM, then incubated in OPTI-MEM (0.2 ml/well) containing 0.12 mM isobutylmethylxanthine to inhibit endogenous phosphodiesterases for 10 min. ST a was added to a final concentration of 0.5 M for 10 min. Trichloroacetic acid (0.2 ml of 12% solution) was added to the wells to lyse the cells and terminate the reaction. Well contents were collected and centrifuged 15 min in a micro...