The effects of berberine on ion transport in both human colonic mucosal epi
thelia and an intestinal epithelial cell line (T84) were examined. Berberin
e (concentration range 0-500 mu M) reduced both basal and stimulated ion tr
ansport responses in human colonic mucosae in a manner which was non-specif
ic for Ca2+- or cAMP-mediated signals. Similarly, in cultured intestinal ep
ithelial monolayers, berberine inhibited Ca2+- and cAMP-mediated responses
indicating an inhibitory activity directly at the level of the epithelium r
ather than an indirect effect through other mucosal element(s). Berberine d
id not alter the rate of generation of cAMP by adenylyl cyclase or the acti
vity of protein kinase A, the effector enzyme of the cAMP pathway. Berberin
e inhibited carbachol-stimulated Rb-86(+) efflux from T84 monolayers. Berbe
rine also inhibited K+ conductance in apically-permeabilised re-sected muco
sae. These results indicate i) that berberine exerts an anti-secretory acti
on directly upon epithelial cells and ii) the mechanism of action may be at
the level of blockade of K+ channels. (C) 1999 Elsevier Science B.V. All r
ights reserved.