Vol. 283, Issue 4, F765-F770, October 2002
On the natriuretic effect of verapamil: inhibition of ENaC
and transepithelial sodium transport
Alan S.
Segal,
John P.
Hayslett, and
Gary V.
Desir
University of Vermont, Burlington, Vermont 05405; and Yale
University School of Medicine and West Haven Veterans Affairs
Medical Center, New Haven, Connecticut 06510
The natriuretic effect of
Ca2+ channel blockers has been attributed to hemodynamic
changes and to poorly defined direct tubular effects. To test the
possibility that verapamil may inhibit Na+ reabsorption at
the distal tubule, its effect on transepithelial Na+
transport in aldosterone-stimulated A6 cells was determined. Cells were
grown on permeable supports, and short-circuit current (Isc) measured in an Ussing chamber was used as
a surrogate marker for transepithelial Na+ transport.
Application of 300 µM verapamil to the apical side inhibited
Isc by 77% and was nearly as potent as 100 µM
amiloride, which inhibited Isc by 87%.
Verapamil-induced inhibition of Isc was
accompanied by a significant increase in transepithelial resistance, suggesting blockade of an apical conductance. Its action on
transepithelial Na+ transport does not appear to occur
through inhibition of L-type Ca2+ channels, since
Isc was unaffected by removal of extracellular Ca2+. Verapamil also does not appear to inhibit
Isc by modulating intracellular Ca2+
stores, since it fails to inhibit transepithelial Na+
transport when added to the basolateral side. The effect on
Na+ transport is specific for verapamil, since nifedipine,
Ba2+, 4-aminopyridine, and charybdotoxin do not
significantly affect Isc. A direct effect of
verapamil on the epithelial Na+ channel (ENaC) was tested
using oocytes injected with the
-,
-, and
-subunits. We
conclude that verapamil inhibits transepithelial Na+
transport in A6 cells by blocking ENaC and that the natriuresis observed with administration of verapamil may be due in part to its
action on ENaC.
verapamil; epithelial sodium channel; Xenopus laevis
oocyte; sodium excretion and regulation; diuretic; natriuresis; A6
cells