1999
DOI: 10.1038/46297
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Activation of the epithelial Na+ channel (ENaC) requires CFTR Cl- channel function

Abstract: It is increasingly being recognized that cells coordinate the activity of separate ion channels that allow electrolytes into the cell. However, a perplexing problem in channel regulation has arisen in the fatal genetic disease cystic fibrosis, which results from the loss of a specific Cl- channel (the CFTR channel) in epithelial cell membranes. Although this defect clearly inhibits the absorption of Na+ in sweat glands, it is widely accepted that Na+ absorption is abnormally elevated in defective airways in cy… Show more

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Cited by 216 publications
(165 citation statements)
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“…ENaC hyperactivity results in hyperpolarization of airway epithelia, as is evidenced by increases in the change in the transepithelial potential of the nasal airway in response to amiloride (41). In contrast, activation of CFTR in sweat ducts leads to an enhancement in ENaC activity, suggesting that regulatory interactions between CFTR and ENaC may be tissue-specific (9).…”
Section: Cftr Is a CLmentioning
confidence: 90%
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“…ENaC hyperactivity results in hyperpolarization of airway epithelia, as is evidenced by increases in the change in the transepithelial potential of the nasal airway in response to amiloride (41). In contrast, activation of CFTR in sweat ducts leads to an enhancement in ENaC activity, suggesting that regulatory interactions between CFTR and ENaC may be tissue-specific (9).…”
Section: Cftr Is a CLmentioning
confidence: 90%
“…Functional interactions between CFTR and ENaC have been observed in both epithelial and non-epithelial cells (2)(3)(4)(5)(6)(7)(8). The activation of CFTR is generally associated with an inhibition of ENaC, although activation of CFTR leads to activation of ENaC in the sweat duct (9), suggesting that the regulatory interactions between these two transporters are complex. The co-expression of CFTR and ENaC in Xenopus oocytes results in a decrease in ENaC-mediated Na ϩ transport in the presence of activated CFTR (4 -7), a regulatory interaction that mimics CFTR/ENaC interactions in the airway.…”
mentioning
confidence: 99%
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“…It is caused by mutations in a 230-kb gene located on chromosome seven that codes for CFTR (1). CFTR functions in the main as a cAMP-regulated chloride channel but also regulates the activity of other ion channels and transporters such as apical Enac, basolateral Na/K ATPase (2,3), and the outwardly rectifying chloride channel (4), and can transport bicarbonate (5). Progression of lung disease due to chronic infection is the main cause of morbidity and mortality in CF (6).…”
Section: Cystic Fibrosis (Cf)mentioning
confidence: 99%
“…Sweat duct cells, however, are an exception since in these CFTR activity promotes ENaC activation, prerequisite for the reabsorption of sodium and chloride that results in a hypotonic sweat and retention of salt in the body during sweating. 29 Loss of this synergy is the cause of the hypertonic sweat characteristic of CF patients. The uneven interaction between CFTR and ENaC activities is particularly relevant in the lung of CF patients because the unbalance between CFTR-mediated Cl ¡ secretion and ENaC-mediated Na C reabsorption dysregulates the net amount of salt and water in the airway surface liquid (ASL), and thereby causes the thickening of airway secretions and impairs the clearance of bacteria and other contaminants from the lungs.…”
Section: Regulation Of Enac Density At the Cell Surface By Rab Gtpasesmentioning
confidence: 99%