Coon S, Kekuda R, Saha P, Talukder JR, Sundaram U. Constitutive nitric oxide differentially regulates Na-H and Na-glucose cotransport in intestinal epithelial cells. Am J Physiol Gastrointest Liver Physiol 294: G1369-G1375, 2008. First published March 6, 2008 doi:10.1152/ajpgi.00063.2008.-Previous in vivo studies suggest that constitutive nitric oxide (cNO) can regulate Na-glucose cotransport (SGLT1) and Na-H exchange (NHE3) in rabbit intestinal villus cells. Whether these two primary Na absorbing pathways are directly regulated by cNO and the mechanisms of this regulation in the enterocyte is not known. Thus nontransformed rat small intestinal epithelial cells (IEC-18) were treated with N G -nitro-L-arginine methyl ester (L-NAME), which directly decreased cNO in these cells. L-NAME treatment decreased SGLT1 in IEC-18 cells. Kinetic studies demonstrated that the mechanism of inhibition was secondary to a decrease in the affinity of the cotransporter for glucose without a change in the number of cotransporters. In contrast, L-NAME treatment increased NHE3 in IEC-18 cells. Kinetic studies demonstrated that the mechanism of stimulation was by increasing the number of the exchangers without a change in the affinity for Na. Quantitative RT-PCR (RTQ-PCR) and Western blot analysis of SGLT1 demonstrated no change in mRNA and protein, respectively. RTQ-PCR and Western blot analysis of NHE3 indicated that NHE3 was increased by L-NAME treatment by an increase in mRNA and protein, respectively. These results indicate that decreased cNO levels directly mediate the inhibition of SGLT1 and stimulation of NHE3 in intestinal epithelial cells. Thus cNO directly but uniquely regulates the two primary Na-absorptive pathways in the mammalian small intestine. glucose absorption; regulation of transport; NHE3; SGLT1; Na absorption IN THE MAMMALIAN SMALL INTESTINE there are two major Naabsorptive pathways, coupled NaCl absorption and Na-glucose cotransport (28,29). Coupled NaCl absorption occurs via the duel operation of Na-H exchange (NHE3) and Cl-HCO 3 exchange. Na-glucose cotransport (SGLT1) is a secondary active transport process requiring a favorable intracellular Na gradient provided by Na-K-ATPase on the basolateral membrane (BLM) of villus cells (7). Both NHE3 and SGLT1 have been demonstrated to be present in the brush border membrane (BBM)-absorptive villus cells, but not in the secretory crypt cells in the rabbit small intestine (4,7,11,26).Nitric oxide (NO) is an important and highly active molecule that regulates many functions in the gastrointestinal tract. Small amounts of constitutive NO (cNO) is produced by intestinal epithelial cells as well as the nervous system, musculature, and endothelium to regulate normal physiological functions. cNO has been shown to regulate mucosal blood flow, mucus secretion, and intestinal motility (12,19,23,27). In contrast, large quantities of NO produced by inducible nitric oxide (iNO) synthase is thought not to be beneficial. For example, it is thought to contribute to as well as prolon...