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From the Department of Medicine, Indiana University School of Medicine, and Veterans Affairs Medical Center, Indianapolis, Ind.
Correspondence to Manoocher Soleimani, MD, Nephrology Section, Department of Medicine, Fesler Hall 108, 1120 South Dr, Indiana University School of Medicine, Indianapolis, IN 46202-5116.
Abstract The effect of long-term exposure to hypertonic
medium on Na+-H+ exchange activity was studied
in cultured vascular smooth muscle (VSM) cells by using a combination
of 22Na+ influx and pH measurement with the
pH-sensitive dye BCECF. Incubation of VSM cells in high-osmolality
medium (510 mOsm/L) for 48 hours significantly increased the
acid-stimulated 22Na+ influx (control,
3.16±0.41 nmol/mg protein per minute; high osmolality, 6.40±0.66
nmol/mg protein per minute; P<.01) and
Na+-dependent pHi recovery (control, 0.29±0.06
pH/min; high osmolality, 0.65±0.13 pH/min; P<.03).
Activation of Na+-H+ exchange was osmolality
dependent and reached maximal stimulation at
700 mOsm/L.
Na+-H+ exchanger stimulation was independent of
serum in the culture media. Na+-H+ exchanger
isoform (NHE-1) mRNA in VSM cells cultured in high-osmolality medium
was unchanged from that in VSM cells cultured in control medium,
indicating an absence of transcriptional regulation by high osmolality.
Long-term high osmolality significantly increased protein kinase C
(PKC) activity in cultured VSM cells, as assessed by phosphorylation of
a PKC-specific substrate (control, 20.9±2.1 pmol phosphorylation/mg
protein per minute; high osmolality, 33.6±2.9 pmol phosphorylation/mg
protein per minute; P<.01). Downregulation of PKC by
preincubation of VSM cells with 0.1 µmol/L phorbol 12-myristate
13-acetate (PMA) prevented osmolality-induced stimulation of the
Na+-H+ exchanger (control plus PMA, 0.27±0.05
pH/min; high osmolality plus PMA, 0.33±0.08 pH/min;
P>.05). These results indicate that long-term exposure to
hypertonic medium stimulates Na+-H+ exchange
activity in cultured VSM cells and that this effect is independent of
antiporter gene expression regulation. The results further demonstrate
that the stimulatory effect of osmolality on
Na+-H+ exchanger is mediated via
posttranslational modification of the Na+-H+
exchanger by chronic PKC activation. The Na+-H+
exchanger may be involved in VSM cell volume regulation in long-term
high osmolality.
Key Words: Na+-H+ exchanger high osmolality vascular smooth muscle cells
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