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The structure and function of serpins

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From Frog Skin to Human Colon:<br />

<strong>The</strong> mechanisms <strong>of</strong> epithelial crosstalk<br />

16<br />

We key nux in these cells is the abrqtion <strong>of</strong> sodium ions.<br />

Sodim EIUI the cell through a sodium channel at the apical<br />

membrane (the one facing the enema1 envimnmmt) <strong>and</strong> exits<br />

at the baroiateral membrane (which facer body tirrues)<br />

through a rodiumlpotarrium pump: the imported potassium<br />

leak out thmugh a potassium channel ($te above). To replate<br />

sdwm levl. the actiwtier <strong>of</strong>lhe sodium channel muR some.<br />

haw be linked to those <strong>of</strong>the ion vansponen at the bardatatcr.<br />

al membranc. A decade or rc'r work by Pmfmor han Harvey<br />

<strong>and</strong> ioileaguer. fim in France but m m recently in Coh his<br />

identified three mmponenu <strong>of</strong> lhir in~dcellulir imrnalk ryrtern:<br />

pH, ATP 10 ADP ratio <strong>and</strong> calcium,<br />

INTRACELLUIAR pH<br />

We 6m edence that intracellular pH could be significant<br />

sme in the 1980s. with the discovery that the sodium <strong>and</strong> .<br />

poliiiium conductances dfmg Mn epithelia increased mth<br />

increasing pH. Morewer, the efeN w e innaniamots <strong>and</strong><br />

occurred afierphyriologirally relevant Shi& in pH. Literpatch.<br />

clamping rtudier revealed that individual potaiiium <strong>and</strong> sodium<br />

cha~elr are directly modulated by pH. <strong>The</strong> $odiumlpotanium<br />

pump. however. is relatively insemirive 10 intracellular pH.<br />

Two a m <strong>of</strong>the ion transport rynem thus appear to be COY.<br />

pled. via intracellular pH. How might this iwpling be linked to<br />

the contml <strong>of</strong> ion tranipoTi1 Studies in fmg skin revealed that<br />

in1racellulai pH is sensitive to m!ei <strong>of</strong> ion transort. We key<br />

factor appearr 10 be a rodnrdpmton exchanger in the basola.<br />

en1 membrane. whrh pumps pmtonr out <strong>of</strong>the cell <strong>and</strong> thus<br />

increaser intraceiluIrpH. <strong>The</strong> exchangeri'doven by the rodium<br />

gradient imii the membrane, IO any bdd.up <strong>of</strong> $odium<br />

in the cell wII. thmugh ils eiTeitr on pH. inhiba funher $odium<br />

17<br />

inOvx lree abovel. In e kt 8 'ïeedback h W mmtes

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