TO understand the role of Na+, K+, and Cl- transporters in fluid and e
lectrolyte secretion by pancreatic acinar cells, we studied the relati
onship between them in resting and stimulated cells. Measurements of [
Cl-](i) in resting cells showed that in HCO3--buffered medium [Cl-](i)
and Cl- fluxes are dominated by the Cl-/HCO3- exchanger. In the absen
ce of HCO3-, [Cl-](i) is regulated by NaCl and NaK2Cl cotransport syst
ems. Measurements of [Na+](i) showed that the Na+-coupled Cl- transpor
ters contributed to the regulation of [Na+](i), but the major Na+ infl
ux pathway in resting pancreatic acinar cells is the Na+/H+ exchanger.
Rb-86 influx measurements revealed that >95% of K+ influx is mediated
by the Nai pump and the NaK2Cl cotransporter. In resting cells, the t
wo transporters appear to be coupled through [K+](i) in that inhibitio
n of either transporter had small effect on Rb-86 uptake, but inhibiti
on of both transporters largely prevented Rb-86 uptake. Another form o
f coupling occurs between the Na+ influx transporters and the Na+ pump
. Thus, inhibition of NaK2Cl cotransport increased Na+ influx by the N
a+/H+ exchanger to fuel the Na+ pump. Similarly, inhibition of Na+/Hexchange increased the activity of the NaK2Cl cotransporter. The combi
ned measurements of [Na+](i) and Rb-86 influx indicate that the Na+/H exchanger contributes twice more than the NaK2Cl cotransporter and th
ree times more than the NaCl cotransporter and a tetraethylammonium-se
nsitive channel to Na+ influx in resting cells. These findings were us
ed to develop a model for the relationship between the transporters in
resting pancreatic acinar cells.