The Na+-K+-2Cl(-) cotransporter (NKCC1) located on the basolateral membrane
of intestinal epithelia has been postulated to be the major basolateral Cl
- entry pathway. With targeted mutagenesis, mice deficient in the NKCC1 pro
tein were generated. The basal short-circuit current did not differ between
normal and NKCC1 -/- jejuna. In the -/- jejuna, the forskolin response (22
mu A/cm(2); bumetanide insensitive) was significantly attenuated compared
with the bumetanide-sensitive response (52 mu A/cm(2)) in normal tissue. Io
n-replacement studies demonstrated that the forskolin response in the NKCC1
-/- jejuna was HCO3- dependent, whereas in the normal jejuna it was indepe
ndent of the HCO3- concentration in the buffer. NKCC1 -/- ceca exhibited a
forskolin response that did not differ significantly from that of normal ce
ca, but unlike that of normal ceca, was bumetanide insensitive. Ion-substit
ution studies suggested that basolateral HCO3- as well as Cl- entry (via no
n-NKCC1) paths played a role in the NKCC1 -/- secretory response. In contra
st to cystic fibrosis mice, which lack both basal and stimulated Cl- secret
ion and exhibit severe intestinal pathology, the absence of intestinal path
ology in NKCC1 -/- mice likely reflects the ability of the intestine to sec
rete HCO3- and Cl- by basolateral entry mechanisms independent of NKCC1.