Heat-stable enterotoxin (STa) elaborated by E. coli is a major cause of dia
rrhea. The transmembrane protein guanylyl cyclase C (GC-C) is the acknowled
ged receptor for ST, and for the mammalian peptides guanylin and uroguanyli
n. Binding to GC-C results in generation of cGMP, activation of type II cGM
P-dependent protein kinase, phosphorylation of CFTR and increased chloride
and bicarbonate secretion. We lead previously shown that STa receptors (GC-
C) are found on the brush border membranes of small intestinal enterocytes
and of colonocytes. However, since it has subsequently been shown that the
endogenous ligands for these receptors; guanylin and uroguanylin, circulate
in blood, we proposed the existence of ST, binding sites on the basolatera
l membranes (BLM.) of colonocytes. Specific binding of I-125-STa to rat col
onocyte BLM was seen. The kinetics of binding to the BLM were similar to bi
nding to BBM. The nature of the BLM receptor is unknown. This suggests that
circulating guanylin and uroguanylin, analogues of STa, may also function
via the basolateral surface, (C) 2001 Academic Press.