Na+-K+-Cl- cotransporter (NKCC) activity in quiescent skeletal muscle is mo
dest. However, ex vivo stimulation of muscle for as little as 18 contractio
ns (1 min, 0.3 Hz) dramatically increased the activity of the cotransporter
, measured as the bumetanide-sensitive Rb-86 influx, in both soleus and pla
ntaris muscles. This activation of cotransporter activity remained relative
ly constant for up to 10-Hz stimulation for 1 min, falling off at higher fr
equencies (30-Hz stimulation for 1 min). Similarly, stimulation of skeletal
muscle with adrenergic receptor agonists phenylephrine, isoproterenol, or
epinephrine produced a dramatic stimulation of NKCC activity. It did not ap
pear that stimulation of NKCC activity was a reflection of increased Na+-K-ATPase activity because insulin treatment did not stimulate NKCC activity,
despite insulin's well-known stimulation of Na+-K+-ATPase activity. Stimul
ation of NKCC activity could be blocked by pretreatment with inhibitors of
mitogen-activated protein kinase (MAPK) kinase 1/2 (MEK1/2) activity, indic
ating that activation of the extracellular signal-regulated kinase 1/2 (ERK
1/2) MAPKs may be required. These data indicate a regulated NKCC activity i
n skeletal muscle that may provide a significant pathway for potassium tran
sport into skeletal muscle fibers.