The peptide guanylin, recently isolated from the intestine, and locali
zed to cells of the gut mucosa, is involved in electrolyte/water trans
port in the intestinal epithelium by means of a paracrine mode of regu
lation. Since high amounts of this peptide are present also in the sys
temic circulation, we investigated the adrenal gland as a potential en
docrine source of guanylin. Using a reverse transcriptase-polymerase c
hain reaction and hybridization with an internal oligonucleotide desig
ned for rat guanylin, 514-bp signals were obtained in intestinal tissu
e and adrenal gland. Successive analyses of extracts from intestine an
d adrenal gland by HPLC, western blotting, and radioimmunoassay reveal
ed the presence of the same high-molecular mass (about 12.4 kDa) guany
lin that corresponds to the mass of the guanylin prohormone. About 60
fmol/ml of circulating immunoreactive guanylin was determined in plasm
a. Localization studies with antisera directed against different epito
pes of guanylin revealed that, in the adrenal gland, guanylin immunore
activity is restricted to the medulla, where it is mainly confined to
norepinephrine chromogranin A-containing cells. On the ultrastructural
level, guanylin immunoreactivity was exclusively located to secretory
granules of chromaffin cells. The present data indicate that, in addi
tion to entero-endocrine cells, the adrenal medulla represents a furth
er source of guanylin. Thus, an endocrine mode of function of guanylin
may accrue to its hitherto evidenced paracrine action in fluid transp
ort in the intestinal epithelium. Furthermore guanylin may be consider
ed as a neurohormonal peptide.