“…The shrinkage of the cells is due to the efflux of K+ and Cl-ions through channels that are activated by an elevation of cytosolic Ca2+ ([Ca2+]i) (Nauntofte, 1992). Also associated with muscarinic stimulation is an upregulation of the basolateral Na+-H+ exchanger (Manganel & Turner, 1989;Steward, Seo & Case, 1989;Dissing & Nauntofte, 1990;Okada, Saito, Sawada & Nishiyama, 1991) which serves both to counteract the increased metabolic activity during fluid secretion, and also to compensate the secretion of HC03-7 It may also contribute, in parallel with Cl--HC03-exchange, to the accumulation of intracellular Cl that provides the main driving force for fluid secretion (Case, Hunter, Novak & Young, 1984;Novak & Young, 1986;Pirani, Evans, Cook & Young, 1987).…”