Freel, Robert W., Marguerite Hatch, Mike Green, and Manoocher Soleimani. Ileal oxalate absorption and urinary oxalate excretion are enhanced in Slc26a6 null mice. Am J Physiol Gastrointest Liver Physiol 290: G719 -G728, 2006; doi:10.1152/ajpgi.00481.2005.-Intestinal oxalate transport, mediated by anion exchange proteins, is important to oxalate homeostasis and consequently to calcium oxalate stone diseases. To assess the contribution of the putative anion transporter (PAT)1 (Slc26a6) to transepithelial oxalate transport, we compared the unidirectional and net fluxes of oxalate across isolated, short-circuited segments of the distal ileum of wild-type (WT) mice and Slc26a6 null mice [knockout (KO)]. Additionally, urinary oxalate excretion was measured in both groups. In WT mouse ileum, there was a small net secretion of putative anion transporter 1; hyperoxaluria; anion exchange; serum oxalate; 4,4Ј-diisothiocyanostilbene-2,2Ј-disulfonic acid THE MAMMALIAN INTESTINE plays a significant role in the homeostasis of the oxalate anion both as a site for dietary oxalate absorption and, together with renal mechanisms, as an avenue for the excretion of oxalate (11). Understanding the mechanisms and regulation of intestinal oxalate transport is thus an important component in the management of hyperoxaluria and calcium oxalate urolithiasis (11). From studies of isolated, short-circuited intestinal epithelia from rats and rabbits, it is clear that transepithelial oxalate transport occurs passively through paracellular pathways and actively (secondarily) through transcellular pathways in a vectorial manner that produces net absorption or net secretion of oxalate in a segment-specific fashion (6,12,13,15). The latter studies, and others employing membrane vesicles prepared from rabbit distal ileum (19,20), suggested that transmembrane oxalate transport across the apical and basolateral membrane is mediated by one or more distinct anion exchange systems (antiporters) that exhibit varying degrees of stilbene sensitivity. The apparent multiplicity of exchangers at a given membrane, the variety of possible cotransport partners (exchange modes), and the general inability to identify a single specific exchanger (beyond stilbene sensitivity or exchange modes) have hampered a completely satisfactory explanation of net oxalate absorption or secretion by intestinal or renal epithelia. The molecular identification of the individual pathways involved in transepithelial oxalate transport has become more promising with the recent characterization of a gene family (Slc26) encoding anion exchange proteins that accept a variety of monovalent and divalent substrates (4,17,27,35). At least one-half of the 10 functional genes in this family have the ability to transport oxalate when functionally characterized in heterologous expression systems (1,24,27,30,31,39), and several of these oxalate transporters are present in the intestine (1, 5, 8, 17, 18, 21, 27, 28, 30 -32, 35, 36, 38). For example, Slc26a3 (DRA) and Slc26a6 [putative anion transpor...