The coupled movement of ions and water across epithelia determines the comp
osition and volume of fluid present in the lumen of organs. The second mess
enger cAMP is important in effecting electrolyte and water transport in man
y transporting epithelia; however, its role in Fallopian tube transport is
uncertain. We have conducted electrophysiological studies on Fallopian tube
epithelial cell monolayers in Ussing chambers and have demonstrated that e
xogenously added cAMP and agents that generate its intracellular production
results in an increase in short-circuit current consistent with the transp
ort of net electrical charge from a basal to mucosal direction. In contrast
to the known effects of ATP in this tissue, the increase in short-circuit
current was not explicable in terms of electrogenic chloride secretion as i
t was not affected by the chloride channel inhibitors, 4-acetamido-4'-isoth
iocyanostilbene-2,2-disulphonic acid 1 mmol/l (SITS) and frusemide. Instead
the current was reduced by the sodium channel inhibitor, amiloride, and wa
s therefore, in part, explicable in terms of electrogenic Na+ absorption. T
hese findings will enhance our understanding of the physiological mechanism
s responsible for human Fallopian tubal fluid formation and composition.