Epithelial Na+ channel delta subunit is an acid sensor in the human oesophagus

Eur J Pharmacol. 2008 Dec 14;600(1-3):32-6. doi: 10.1016/j.ejphar.2008.10.022. Epub 2008 Oct 18.

Abstract

Gastro-oesophageal reflux disease is caused by the reflux of gastric contents into the oesophagus, and thus the oesophageal lumen is damaged by gastric acid. The acid sensor involved in oesophageal epithelial defense is still unclear. Recently, we described that the epithelial Na(+) channel delta subunit (ENaCdelta) is a candidate molecule for a pH sensor in the human brain. Here, using reverse transcription-polymerase chain reaction and in situ hybridization methods, we showed that the proton-sensitive ENaCdelta was strongly expressed in the epithelial layer of the human oesophagus, representative peripheral tissue that can be exposed to an acidic environment. Other ENaC subunits (alpha, beta, and gamma) were also localized there. Based on the expression pattern, human oesophageal ENaC complex was mimicked in the Xenopus oocyte expression system and the response to acidic pH was recorded using a two-electrode voltage-clamp technique. The human oesophageal-mimicking ENaCdeltabetagammaalpha complex generated an amiloride-sensitive inward current at the holding potential of -60 mV. The ENaCdeltabetagammaalpha current was significantly activated by acidic pH (pH 4.0), approximately equal to the luminal value when gastric acid refluxes into the oesophagus. In conclusion, ENaCdelta is a candidate molecule for pH sensing in the gastrointestinal system in humans, providing a novel therapeutic target for gastro-oesophageal reflux disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amiloride / pharmacology
  • Animals
  • CHO Cells
  • Cricetinae
  • Cricetulus
  • Drug Delivery Systems
  • Epithelial Sodium Channels / genetics
  • Epithelial Sodium Channels / metabolism*
  • Epithelium / metabolism
  • Esophagus / metabolism*
  • Gastric Acid / metabolism*
  • Gastroesophageal Reflux / drug therapy
  • Gastroesophageal Reflux / physiopathology
  • Gene Expression*
  • Humans
  • Hydrogen-Ion Concentration
  • Oocytes
  • Patch-Clamp Techniques
  • Reverse Transcriptase Polymerase Chain Reaction
  • Xenopus

Substances

  • Epithelial Sodium Channels
  • Amiloride