Incubation of opossum kidney clone P (OKP) cells in acid media (pH 6.8) cau
ses activation of Na+/H+ exchanger 3 (NHE3) at 6, 12, and 24 h. OKP cell NH
E3 protein abundance was increased by 45% at 24 h of acid incubation but wa
s unaffected at 3-12 h. By contrast, apical membrane NHE3, measured by surf
ace biotinylation, increased approximately twofold at 6, 12, and 24 h, mirr
oring the increase in activity. Acid incubation caused a 76% increase in ex
ocytic insertion of NHE3 into the apical membrane but had no effect on endo
cytic internalization at 6 h. Latrunculin B, an inhibitor of microfilament
organization, inhibited the acid-induced increases in apical membrane NHE3,
exocytic insertion of NHE3, and NHE3 activity at 6 h. These studies demons
trate two mechanisms for acid-induced increases in NHE3 activity. Beginning
at 6 h, there is an increase in apical membrane NHE3 that is due to stimul
ated exocytic insertion and is required for increased NHE3 activity. At 24
h, there is an additional increase in total cellular NHE3.