Na + -K + -2Cl − cotransporter-1 (NKCC1) facilitates basolateral K + and Cl − uptake, supporting their efflux across mucosal membranes of colonic epithelial cells. NKCC1 activity has also been shown to be critical for electrogenic K + secretion induced by aldosterone, which is known to stimulate large-conductance K + (BK) channel expression in mucosal membranes. This study was aimed to (1) identify whether aldosterone enhances NKCC1 expression specifically to support BK-mediated K + secretion and (2) to determine whether increased NKCC1 supports electrogenic Cl − secretion in parallel to K + secretion. Dietary Na + depletion was used to induce secondary hyperaldosteronism in rats, or aldosterone was administered ex vivo to rat distal colonic mucosae. NKCC1-dependent electrogenic K + or Cl − secretion was measured as a function of short circuit current (I SC ). qRT-PCR, western blot, and immunofluorescence analyses were performed using standard techniques. Aldosterone enhanced NKCC1 and BKα expression and electrogenic K + secretion in the distal colon, which was inhibited by either serosal bumetanide (NKCC1 inhibitor) or mucosal iberiotoxin (IbTX; BK channel blocker), but not TRAM-34 (IK channel blocker). Expression of NKCC1 and BKα proteins was enhanced in crypt cells of hyper-aldosterone rats.However, neither NKCC1-dependent Cl − secretion nor CFTR (apical Cl − channel) expression was enhanced by aldosterone. We conclude that aldosterone enhances NKCC1 to support BK-mediated K + secretion independently of Cl − secretion in the distal colon. The regulation of NKCC1 expression/K + secretion by aldosterone may be a therapeutic target in treating gastrointestinal disorders associated with alterations in colonic K + transport, such as colonic pseudo-obstruction, and hyperkalemia associated with renal disease. K E Y W O R D S end-stage renal disease, hyperkalemia, pseudo-obstruction, short circuit current 2 of 16 | NICKERSON aNd RaJENdRaN 2 | MATERIALS AND METHODS 2.1 | Animals Male and female Sprague-Dawley rats (200-250 g) were either purchased from Charles River laboratories or bred in house