Abnormal regulation of ion channels by members of the ABC transport protein superfamily has been implicated in hyperinsulinemic hypoglycemia and in excessive Na؉ absorption by airway epithelia in cystic fibrosis (CF). How ABC proteins regulate ion conductances is unknown, but must generally involve either the number or activity of specific ion channels. Here we report that the cystic fibrosis transmembrane conductance regulator (CFTR), which is defective in CF, reverses the regulation of the activity of single epithelial sodium channels (ENaC) by cAMP. ENaC expressed alone in fibroblasts responded to activation of cAMP-dependent protein kinase with increased open probability (P o ) and mean open time, whereas ENaC co-expressed with CFTR exhibited decreased P o and mean open time under conditions optimal for PKA-mediated protein phosphorylation. Thus, CFTR regulates ENaC at the level of single channel gating, by switching the response of single channel P o to cAMP from an increase to a decrease.Recent studies (1, 2) have identified ENaC as the channel that mediates amiloride sensitive Na ϩ absorption in mammalian airways. In cystic fibrosis (CF), 1 ENaC-mediated Na ϩ absorption is increased 200 -300% in airway epithelia and, abnormally, further stimulated by raising intracellular cAMP (3). Because most CF mutations result in little if any functional CFTR in the apical cell membrane of affected epithelia (4), we inferred that normal CFTR must either down-regulate the number of active Na ϩ channels or decrease the activity of individual Na ϩ channels. In the present study we have studied the effects of cAMP-dependent protein-phosphorylating conditions on the single channel kinetics of ENaC expressed alone or together with CFTR in NIH 3T3 fibroblasts.
EXPERIMENTAL PROCEDURES␣-, -, and ␥-ENaC subunits were stably expressed in NIH 3T3 cell lines that had been previously transduced with a truncated (inactive) interleukin-2 receptor (ENaC alone cells) or with human CFTR (ENaC ϩ CFTR cells) (5). ENaC-mediated single channel currents were recorded from cell attached and excised membrane patches as described in the figure legends.
RESULTSThe single channel conductance (4 -5 picosiemens) of ENaC expressed in NIH 3T3 fibroblasts, as well as cation selectivityand the slow gating pattern (MOT Ϸ 1 s), are similar to what has been reported for the cloned channel expressed in oocytes (6, 7) and for endogenously expressed ENaC in rat cortical collecting tubule (8) or A6 cells (9) (Fig. 1). These similar results in very different cells suggest that cell specific cytoskeletal or other elements are not critical determinants of the basic biophysical characteristics of ENaC. The basal conductance and amiloride sensitivity of ENaC were not affected by co-expression with CFTR ( Fig. 1).ENaC present in excised membrane patches exhibited a variable degree of rundown following excision. Rundown was partially reversed (Fig. 2A, panel i) or prevented ( Fig. 2A, panel ii) by exposure of the cytoplasmic surface to PKA catalytic subunit and 2 ...