Na؉ /H ؉ exchanger NHE3 is a plasma membrane (PM) protein, which contributes to Na ؉ absorption in the intestine. Growth factors stimulate NHE3 via phosphatidylinositol 3-kinase (PI3-K), but mechanism of this process is not clear. To examine the hypothesis that growth factors stimulate NHE3 by modulating NHE3 recycling, and that PI3-K participates in this mechanism, we used PS120 fibroblasts expressing a fusion protein of NHE3 and green fluorescent protein. At steady state, ϳ25% of cellular NHE3 content was expressed at PM. Inhibition of PI3-K decreased PM expression of NHE3, which correlated with retention of the exchanger in recycling endosomal compartment. In contrast, basic fibroblast growth factor (bFGF) increased PM expression of NHE3, which was associated with a 2-fold increase in rate constant for exit of the exchanger from the recycling compartment. Qualitatively similar effects of bFGF were observed in cells pretreated with PI3-K inhibitors, but their magnitude was only ϳ50% of that in intact cells. These data suggest that: (i) bFGF stimulates NHE3 by increasing PM expression of the exchanger; (ii) PI3-K mediates PM expression of NHE3 in both basal and bFGF-stimulated conditions, and (iii) not all of the effects of bFGF on NHE3 expression are mediated by PI3-K, suggesting additional regulatory mechanisms.In the mammalian intestine, sodium and water are reabsorbed by multiple mechanisms which include the activity of Na ϩ /H ϩ exchanger NHE3. 1 This transmembrane protein is expressed in the epithelium of renal tubules, intestine, gall bladder, and salivary gland, where it was localized to the apical microvillar domain and, at least in the kidney and in the intestine, to an yet undefined cytoplasmic compartment (1-4).In the small intestine, NHE3 participates in neutral NaCl absorption, and in the increase in Na ϩ absorption that occurs via neurohormonal stimulation after meals (5). The activity of NHE3 is acutely regulated by multiple mechanisms involving growth factors and protein kinases (6). We and others have shown that stimulation of NHE3 activity by growth factors, okadaic acid, and serum occurs via an increase in the maximal velocity (V max ) of the exchange, whereas phorbol ester and carbachol inhibits NHE3 via a decrease in V max (6). These effects were observed in non-polarized mesenchymal cells as well as in epithelial cells, and they suggested that at least part of the acute regulation might be accomplished by rapid changes in the number of active exchanger molecules at the plasma membrane.Over the last few years, a growing body of evidence has indicated that NHE3 might, indeed, be regulated by redistribution of the exchanger molecules between the cytoplasm and the plasma membrane. Thus, recycling of NHE3 has been suggested in kidney epithelial cells based on the results of subcellular fractionation experiments (7,8), and on the presence of an intracellular compartment accumulating NHE3 (1). Moreover, the protein kinase C-mediated inhibition of endogenous NHE3 in the human colonic adenocarcino...