Two PDZ domain-containing proteins, NHERF and E3KARP are necessary for cAMP-dependent inhibition of Na ؉ /H ؉ exchanger 3 (NHE3). In this study, we demonstrate a specific role of E3KARP, which is not duplicated by NHERF, in Ca 2؉ -dependent inhibition of NHE3 activity. NHE3 activity is inhibited by elevation of intracellular Ca 2؉ ([Ca 2؉ ] i ) in PS120 fibroblasts stably expressing E3KARP but not those expressing NHERF. In addition, this Ca 2؉ -dependent inhibition requires Ca 2؉ -dependent association between ␣-actinin-4 and E3KARP. NHE3 is indirectly connected to ␣-actinin-4 in a protein complex through Ca 2؉ -dependent interaction between ␣-actinin-4 and E3KARP, which occurs through the actin-binding domain plus spectrin repeat domain of ␣-actinin-4. Elevation of [Ca 2؉ ] i results in oligomerization and endocytosis of NHE3 as well as in inhibition of NHE3 activity. Overexpression of ␣-actinin-4 potentiates the inhibitory effect of ionomycin on NHE3 activity by accelerating the oligomerization and endocytosis of NHE3. In contrast, overexpression of the actin-binding domain plus spectrin repeat domain acts as a dominant-negative mutant and prevents the inhibitory effect of ionomycin on NHE3 activity as well as the oligomerization and internalization of NHE3. From these results, we propose that elevated Ca 2؉ inhibits NHE3 activity through oligomerization and endocytosis of NHE3, which occurs via formation of an NHE3-E3KARP-␣-actinin-4 complex.
Naϩ /H ϩ exchanger 3 (NHE3) 1 mediates the majority of NaCl and NaHCO 3 absorption in the ileum and proximal tubule of kidney (1-3). Elevation of [Ca 2ϩ ] i induced by several physiological and pathobiologic agonists (carbachol, serotonin, Escherichia coli heat-stable toxin b, rotavirus enterotoxin NSP5) inhibits NaCl absorption and brush border Na ϩ /H ϩ exchange activity in the small intestine and colon (4 -7). However, the effect of elevation of [Ca 2ϩ ] i in cell culture models differs among cell lines. In human colon cancer Caco-2 epithelial cells (C2bbe) stably transfected with NHE3, elevation of [Ca 2ϩ ] i by treatment with thapsigargin inhibited NHE3 activity (8). In contrast, elevating [Ca 2ϩ ] i by treatment with ionomycin did not alter NHE3 activity in PS120 fibroblasts (9), although basal [Ca 2ϩ ] i is involved in the regulation of NHE3 activity in these cells in a calmodulin-or calmodulin kinase II-dependent manner (10). These results therefore suggest that a regulatory factor, which is specifically expressed in ileum and Caco-2 (C2bbe) epithelial cells but not in PS120 fibroblasts, might be required for the Ca 2ϩ -dependent inhibition of NHE3 activity. To understand the mechanism of this inhibition, the molecular identity of the regulatory factors involved in the Ca 2ϩ -dependent inhibition of NHE3 activity needed to be elucidated.NHERF and E3KARP, two tandem PSD-95/Dlg-1/ZO-1 (PDZ) domain-containing proteins, were originally identified as regulatory proteins for protein kinase A (PKA)-dependent regulation of NHE3 (11-13). Both NHERF and E3KARP i...