Prostasin, a novel serine protease, was purified from seminar fluid, and it
s cDNA sequence was determined. Expression of prostasin was detected in hum
an tissues, including prostate, kidney, and lung, as well as bodily fluids,
including seminal fluid and urine. However, its physiologic role in the hu
man body is not known. Recently, a novel regulatory mechanism by which seri
ne proteases activate epithelial sodium channel in the Xenopus oocyte was i
dentified. Therefore, it was hypothesized that prostasin could activate sod
ium currents, and a rat prostasin cDNA clone was isolated to investigate it
s physiologic function. Rat prostasin mRNA is expressed predominantly in ki
dney, and lower levels of expression were detected in prostate, lung, colon
, stomach and skin. These all are epithelial tissues in which the epithelia
l sodium channel (ENaC) is expressed. Coexpression of rat prostasin and rat
ENaC in Xenopus oocytes increased the amiloride-sensitive sodium current b
y twofold. Preincubation of oocytes that express-ed prostasin with aprotini
n did not result in an increase in sodium current, compared with the contro
l. The removal of aprotinin from the bath solution resulted in a twofold in
crease of the current only in oocytes that expressed prostasin, which indic
ates that protease activity of prostasin is required for the ENaC activatio
n. Expression of rat prostasin had no effect on the potassium current when
expressed with rat renal outer medulla K channel, which shows specificity o
f prostasin action for ENaC. These results indicate that prostasin acts as
an extracellular regulator of ENaC.