Epithelial sodium channels (ENaC) are expressed in the apical membrane of high resistance Na ؉ transporting epithelia and have a key role in regulating extracellular fluid volume and the volume of airway surface liquids. Maturation and activation of ENaC subunits involves furin-dependent cleavage of the ectodomain at two sites in the ␣ subunit and at a single site within the ␥ subunit. We now report that the serine protease prostasin further activates ENaC by inducing cleavage of the ␥ subunit at a site distal to the furin cleavage site. Dual cleavage of the ␥ subunit is predicted to release a 43-amino acid peptide. Channels with a ␥ subunit lacking this 43-residue tract have increased activity due to a high open probability. A synthetic peptide corresponding to the fragment cleaved from the ␥ subunit is a reversible inhibitor of endogenous ENaCs in mouse corticalcollecting duct cells and in primary cultures of human airway epithelial cells. Our results suggest that multiple proteases cleave ENaC ␥ subunits to fully activate the channel.Epithelial sodium channels (ENaC) 3 are expressed at the apical plasma membrane of cells lining the distal nephron, airway and alveoli, and distal colon, where they play a key role in the regulation of extracellular fluid volume, blood pressure, and airway surface liquid volume. These channels are composed of three homologous subunits, termed ␣, ␤, and ␥. Each subunit has cytosolic amino and carboxyl termini and two membranespanning domains separated by a large ectodomain (1-3). The second membrane-spanning domain and the preceding region of each subunit are predicted to form the channel pore (4 -7). Proteolysis of ENaC subunit extracellular domains at specific sites has a key role in modulating channel gating (8 -10). Maturation of ENaC subunits in Xenopus oocytes, Madin-Darby canine kidney (MDCK) cells, and Chinese hamster ovary cells involves furin-dependent cleavage at two sites in the extracellular loop of the ␣ subunit and at a single site within the extracellular loop of the ␥ subunit (8). Channels that lack proteolytic processing exhibit markedly reduced activity and enhanced inhibition by external Na ϩ , a process referred to as Na ϩ selfinhibition (9). ENaC subunit cleavage by furin or exogenous trypsin relieves channels from inhibition by external Na ϩ (9, 11). We previously proposed that furin-dependent proteolysis of the ␣ subunit activates ENaC by disassociating an inhibitory domain (␣Asp-206 -Arg-231) from its effector site within the channel complex (10).Endogenous proteases other than furin likely have a role in the processing and activation of ENaC. A number of serine proteases, referred to as "channel activating proteases," have been identified that increase ENaC activity when co-expressed with ENaC in heterologous expression systems (12-14). Furthermore, selective serine protease inhibitors that do not block furin, such as aprotinin and bikunin, reduce ENaC activity (14 -20). Prostasin is an aprotinin-sensitive "channel activating (serine) protease" that inc...

Epithelial sodium channels (ENaCs) mediate Na؉ entry across the apical membrane of high resistance epithelia that line the distal nephron, airway and alveoli, and distal colon. These channels are composed of three homologous subunits, termed ␣, ␤, and ␥, which have intracellular amino and carboxyl termini and two membranespanning domains connected by large extracellular loops. Maturation of ENaC subunits involves furin-dependent cleavage of the extracellular loops at two sites within the ␣ subunit and at a single site within the ␥ subunit. Epithelial sodium channels (ENaCs) 2 mediate Na ϩ entry across the apical membrane of high resistance epithelia, including the distal nephron, airway and alveolar epithelia, and distal colon. These channels are composed of three homologous subunits, termed ␣, ␤, and ␥, which have intracellular amino and carboxyl termini and two membranespanning domains connected by large extracellular loops (1). Residues preceding and within the second membrane-spanning domain constitute the channel pore (2-5). ENaCs have a key role in the regulation of urinary Na ϩ reabsorption, extracellular fluid volume homeostasis, and control of blood pressure (6 -9). Epithelial Na ϩ channel gain-of-function mutations have been identified in patients with Liddle syndrome, a disorder characterized by volume expansion and hypertension (10 -15).In airway epithelia, ENaC has an important role in regulating the volume of airway surface liquids and mucociliary clearance. Increased ENaC activity is thought to contribute to poor mucociliary clearance observed in cystic fibrosis (16). Maturation of ENaC subunits in Xenopus oocytes, Chinese hamster ovarycells,andMadin-Darbycaninekidney(MDCK)cellsinvolvesfurindependent proteolysis at two sites within the ␣ subunit (after Arg-205 and Arg-231) and at a single site within the ␥ subunit (after Arg-143) (17, 18). Interestingly, both processed (i.e. cleaved) and unprocessed ENaCs are expressed on the cell surface (19). Proteolytic processing of ENaC likely occurs within the biosynthetic pathway as well as at the cell surface. Furin, a serine protease that resides primarily in the trans-Golgi network, is required both for cleavage and activation of ENaC in oocytes, Chinese hamster ovary, and MDCK cells (18). Other proteases, such as prostasin (also known as CAP-1) (20 -23), CAP-2 and CAP-3 (24), trypsin (18,20,25), and elastase (26), are also thought to have a role in the proteolytic processing and activation of ENaC. Proteolysis activates the channel by increasing channel open probability (25,27,28).We recently reported that ␣ subunits lacking either one or both cleavage sites exhibited a marked enhancement of the Na ϩ self-inhibition response, suggesting that ␣ subunits must be cleaved at both furin consensus sites in order to activate the channel (28). We now report that ENaCs with mutant ␣ subunits lacking either one or both furin cleavage sites exhibited markedly reduced activity, confirming that cleavage at a single furin site in the ␣ subunit was not sufficient to a...

Epithelial Na+ channels (ENaC) are inhibited by extracellular Na+, a process referred to as Na+ self-inhibition. We previously demonstrated that mutation of key residues within two furin cleavage consensus sites in alpha, or one site in gamma, blocked subunit proteolysis and inhibited channel activity when mutant channels were expressed in Xenopus laevis oocytes (Hughey RP, Bruns JB, Kinlough CL, Harkleroad KL, Tong Q, Carattino MD, Johnson JP, Stockand JD, and Kleyman TR. J Biol Chem 279: 18111-18114, 2004). Cleavage of subunits was also blocked by these mutations when expressed in Madin-Darby canine kidney cells, and both subunit cleavage and channel activity were blocked when wild-type subunits were expressed in furin-deficient Chinese hamster ovary cells. We now report that channels with mutant alpha-subunits lacking either one or both furin cleavage sites exhibited a marked enhancement of the Na+ self-inhibition response, while channels with a mutant gamma-subunit showed a modestly enhanced Na+ self-inhibition response. Analysis of Na+ self-inhibition at varying [Na+] indicates that channels containing mutant alpha-subunits exhibit an increased Na+ affinity. At the single-channel level, channels with a mutant alpha-subunit had a low open probability (P(o)) in the presence of a high external [Na+] in the patch pipette. P(o) dramatically increased when trypsin was also present, or when a low external [Na+] was in the patch pipette. Our results suggest that furin cleavage of ENaC subunits activates the channels by relieving Na+ self-inhibition and that activation requires that the alpha-subunit be cleaved twice. Moreover, we demonstrate for the first time a clear relationship between ENaC P(o) and extracellular [Na+], supporting the notion that Na+ self-inhibition reflects a P(o) reduction due to high extracellular [Na+].

Na(+) absorption in the renal cortical collecting duct (CCD) is mediated by apical epithelial Na(+) channels (ENaCs). The CCD is subject to continuous variations in intraluminal flow rate that we speculate alters hydrostatic pressure, membrane stretch, and shear stress. Although ENaCs share limited sequence homology with putative mechanosensitive ion channels in Caenorhabditis elegans, controversy exists as to whether ENaCs are regulated by biomechanical forces. We examined the effect of varying the rate of fluid flow on whole cell Na(+) currents (I(Na)) in oocytes expressing mouse alpha,beta,gamma-ENaC (mENaC) and on net Na(+) absorption in microperfused rabbit CCDs. Oocytes injected with mENaC but not water responded to the initiation of superfusate flow (to 4-6 ml/min) with a reversible threefold stimulation of I(Na) without a change in reversal potential. The increase in I(Na) was variable among oocytes. CCDs responded to a threefold increase in rate of luminal flow with a twofold increase in the rate of net Na(+) absorption. An increase in luminal viscosity achieved by addition of 5% dextran to the luminal perfusate did not alter the rate of net Na(+) absorption, suggesting that shear stress does not influence Na(+) transport in the CCD. In sum, our data suggest that flow stimulation of ENaC activity and Na(+) absorption is mediated by an increase in hydrostatic pressure and/or membrane stretch. We propose that intraluminal flow rate may be an important regulator of channel activity in the CCD.

The epithelial Na ؉ Channel (ENaC) mediates Na ؉ reabsorption in a variety of epithelial tissues. ENaC is composed of three homologous subunits, termed ␣, ␤, and ␥. All three subunits participate in channel formation as the absence of any one subunit results in a significant reduction or complete abrogation of Na ؉ current expression in Xenopus oocytes. To determine the subunit stoichiometry, a biophysical assay was employed utilizing mutant subunits that display significant differences in sensitivity to channel blockers from the wild type channel. Our results indicate that ENaC is a tetrameric channel with an ␣ 2 ␤␥ stoichiometry, similar to that reported for other cation selective channels, such as K v , K ir , as well as voltage-gated Na ؉ and Ca 2؉channels that have 4-fold internal symmetry.Epithelial Na ϩ channels are expressed in apical plasma membranes of principal cells in the distal nephron, airway and alveolar epithelia in the lung, surface cells in the distal colon, urinary bladder epithelia, and other tissues including ducts of salivary and sweat glands (1-3). These channels mediate reabsorptive Na ϩ transport across epithelial cell layers (2-5) and are selectively inhibited by submicromolar concentrations of the diuretic amiloride (6). Epithelial Na ϩ channels have a key role in the regulation of urinary Na ϩ reabsorption, extracellular fluid volume homeostasis, and control of blood pressure, and are a major site of action of volume regulatory hormones, including aldosterone (2,7,8). The role of Na ϩ channels in blood pressure regulation has been illustrated in recent studies that have identified mutations in ENaC as the basis of the pathogenesis of Liddle's disease, a disorder characterized by volume expansion and hypertension (9, 10); as well as type I pseudohypoaldosteronism, a disorder characterized by volume depletion and hypotension (11).The epithelial Na ϩ channel consists of at least three structurally related subunits, termed ␣-ENaC, 1 ␤-ENaC, and ␥-ENaC (epithelial Na ϩ channel) (12). The primary and predicted secondary structures of these ENaCs have been described (12-15). Each subunit has two predicted ␣-helical membrane spanning regions separated by a large extracellular domain. Significant amino acid sequence similarities across species have been observed for individual subunits (on the order of ϳ60% to greater than 90% amino acid homology), although regions are present that are more highly conserved. A family of genes identified in Caenorhabditis elegans based on mutations that result in mechanosensation defects (mecs) and degeneration of selected neuronal cells (degs) are structurally related to . Several of these genes, including mec-4, mec-6, and mec-10, are thought to form an ion channel in a manner analogous to the three ENaC subunits (16,19). These observations suggest that ENaCs and mecs (and degs) are members of a new gene superfamily. Members of this family include ENaCs, mecs and degs, FaNaCh (a peptide-gated channel cloned from the marine snail Helix aspers), ␦-ENaC, and BN...