Seidler. cAMP-mediated regulation of murine intestinal/ pancreatic Na ϩ /HCO 3 Ϫ cotransporter subtype pNBC1. Am J Physiol Gastrointest Liver Physiol 284: G37-G45, 2003. First published September 18, 2002 10.1152/ajpgi.00209.2002Basolateral Na ϩ -HCO 3 Ϫ cotransport is essential for intestinal anion secretion, and indirect evidence suggests that it may be stimulated by a rise of intracellular cAMP. We therefore investigated the expression, activity, and regulation by cAMP of the Na ϩ -HCO 3 Ϫ cotransporter isoforms NBC1 and NBCn1 in isolated murine colonic crypts. Na ϩ -HCO 3 Ϫ transport rates were measured fluorometrically in BCECF-loaded crypts, and mRNA expression levels and localization were determined by semiquantitative PCR and in situ hybridization. Acid-activated Na ϩ -HCO 3 Ϫ cotransport rates were 5.07 Ϯ 0.7 mM/min and increased by 62% after forskolin stimulation. NBC1 mRNA was more abundant in colonic crypts than in surface cells, and crypts expressed far more NBC1 than NBCn1. To investigate whether the cAMP-induced Na ϩ -HCO 3 Ϫ cotransport activation was secondary to secretion-associated changes in HCO 3 Ϫ or cell volume, we measured potential forskolin-induced changes in intracellular pH and assessed Na ϩ -HCO 3 Ϫ transport activity in CFTR Ϫ/Ϫ crypts (in which no forskolin-induced cell shrinkage occurs). We found 30% reduced Na ϩ -HCO 3 Ϫ transport rates in CFTR Ϫ/Ϫ compared with CFTR ϩ/ϩ crypts but similar Na ϩ -HCO 3 Ϫ cotransport activation by forskolin. These studies establish the existence of an intracellular HCO 3 Ϫ concentration-and cell volume-independent activation of colonic NBC by an increase in intracellular cAMP. bicarbonate secretion; colon; ion transport; chloride secretion; 2Ј,7Ј-bis(2-carboxyethyl)-5(6)-carboxyfluorescein ALL SEGMENTS OF THE INTESTINAL tract secrete HCO 3 Ϫ , and in all segments, its secretory rate is inhibited both by azetazolamide, which inhibits the hydration of CO 2 , and by stilbene derivatives, which inhibit several classes of anion transporters, among them all currently known isoforms of the recently discovered gene family of the Na ϩ -HCO 3 Ϫ cotransporters. Similar to the pancreas, functional data suggest that HCO 3 Ϫ is imported by Na ϩ -HCO 3 Ϫ cotransport during cAMP-induced HCO 3 Ϫ secretion and that the basolateral uptake and/or intracellular generation of HCO 3 Ϫ is the rate-limiting step for intestinal and pancreatic HCO 3 Ϫ secretion (11,17,18,42). Thus more information about the agonistdependent regulation of Na ϩ -HCO 3 Ϫ contransport rates in the gastrointestinal (GI) tract is desirable to design pharmacological strategies to influence it during both excess intestinal HCO 3 Ϫ loss, as in diarrheal states, and insufficient secretion, as in cystic fibrosis.After the cloning of the renal Na ϩ -HCO 3 Ϫ cotransporter NBC1 in 1997 (29), other isoforms of this gene family were rapidly discovered. These were named either according to the sequence of their cloning [NBC1 (2, 28), NBC2 (15), NBC3 (4), and NBC4 (25)] or named NBC1 for the first electrogen...