Human glandular endometrial epithelial cells were cultured on porous t
issue culture inserts to form tight, confluent layers. These layers ge
nerated time-dependent modifications in the ionic composition of both
apical and basolateral solutions. Increases in sodium and chloride con
centrations in the basolateral fluid were accompanied by reciprocal de
creases in the concentrations of these ions in the apical fluid. The p
otassium concentration was increased in the apical, while decreased in
the basolateral, solution. The total calcium concentration was slight
ly elevated in the apical, as compared with the basolateral fluid, whi
le there were no alterations in pH. The endometrial layers demonstrate
d a significant trans-epithelial potential difference, and when this v
alue was substituted in the Nernst equation a prediction of the passiv
e distribution of ions across the cells was possible, indicating that
none of the ions were in equilibrium. Addition of the sodium channel b
locker amiloride to the medium bathing the cell layers reduced the mod
ifications in ionic composition of apical and basolateral solutions. T
he data are consistent with other data indicating an amiloride-sensiti
ve sodium-absorptive function for the endometrial epithelium. The abil
ity of these primary cultures of endometrial epithelial cells to reduc
e the sodium while increasing the potassium concentration of the apica
l fluid is qualitatively in agreement with the low sodium and high pot
assium concentrations reported for human uterine fluid. The data sugge
st a role for the endometrial epithelium in generating and maintaining
the distinctive ionic composition of the intra-uterine environment.