Salt absorption via alveolar epithelial Na 1 channels (ENaC) is a critical step for maintaining an airspace free of flooding. Previously, we found that 8-(4-chlorophenylthio)-guanosine-39,59-cyclic monophosphate-Na (CPT-cGMP) activated native and heterologous ENaC. To investigate the potential pharmacological relevance, we applied this compound intratracheally to human lungs and found that ex vivo alveolar fluid clearance was increased significantly. Furthermore, this compound eliminated self-inhibition in human lung H441 cells and in oocytes expressing human abg but not dbg channels. To further elucidate this novel mechanism, we constructed mutants abolishing (b DV348 and g H233R ) or augmenting (a Y458A and g M432G ) self-inhibition. The mutants eliminating self-inhibition lost their responses to CPT-cGMP, whereas those enhancing self-inhibition facilitated the stimulatory effects of this compound. CPT-cGMP was unable to activate a high P o mutant (b S520C ) and plasmin proteolytically cleaved channels. Our data suggest that elimination of self-inhibition of abg ENaC may be a novel mechanism for CPT-cGMP to stimulate salt reabsorption in human lungs.Keywords: lung fluid reabsorption; amiloride-sensitive sodium channel; CPT-cGMP; ENaC self-inhibition
Epithelial Na1 channels (ENaC) in polarized absorptive tight epithelium are responsible for the transapical salt influx. Together with basolaterally located Na 1 /K 1 -ATPase, the vectorial solute/fluid transport pathway is crucial for maintaining luminal and body fluid volume (1-3). Five subunits have been cloned: a, b, g, d, and e ENaC. Luminal impermeable reagents and hormones have been confirmed to regulate salt reabsorption in lung, kidney, and colon.ENaC has long been proposed to function as a ligand-gated channel on the basis of observations of other ENaC/DEG family members (1, 4). Acid-sensing Na 1 channels, a branch of the ENaC/DEG super gene family, are gated by external protons. Another branch of channels, termed FaNaC, are manipulated by FMRFamide and related tetrapeptides (5). With respect to ENaC channels, a number of luminal reagents, including parachloromercuribenzoate; benzimidazoly-2-guanidinium; bumetanide; and H 1 , Zn 21 , and Ni 21 ions, have been reported to alter external Na 1 self-inhibition, a temperature-sensitive intrinsic phenomenon of ENaC (1, 4, 6-10). Recently, a small molecule (S6939), cpt-cAMP, halothane, glibenclamide, and extracellular chloride ions (Cl 2 ) have been shown to act as ligands to regulate heterologous ENaC (11-16). Among these, halothane and Cl 2 ions may activate ENaC by eliminating Na 1 self-inhibition (17, 18). We recently found that 8-(4-chlorophenylthio)-guanosine-39,59-cyclic monophosphate-Na (CPT-cGMP) stimulated human abg ENaC in oocytes in a PKG-independent and domain-specific manner (19). The underlying mechanisms are unknown.Several ectodomains have been reported to modify self-inhibition by unknown mechanisms. Given that self-inhibition is governed by the extracellular Na 1 concentrations, the extracellu...