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Section of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8029
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ABSTRACT |
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Mammalian
Na+/H+
exchangers (NHEs) are a family of transport proteins (NHE1-NHE5).
To date, the cellular and subcellular localization of NHE4 has not been
characterized using immunochemical techniques. We purified a fusion
protein containing a portion of rat NHE4 (amino acids 565-675) to
use as immunogen. A monoclonal antibody (11H11) was selected by ELISA.
It reacted specifically with both the fusion protein and to a 60- to
65-kDa polypeptide expressed in NHE4-transfected LAP1 cells. By Western
blot analysis, NHE4 was identified as a 65- to 70-kDa protein that was
expressed most abundantly in stomach and in multiple additional
epithelial and nonepithelial rat tissues including skeletal muscle,
heart, kidney, uterus, and liver. Subcellular localization of NHE4 in
the kidney was evaluated by Western blot analysis of membrane fractions
isolated by Percoll gradient centrifugation. NHE4 was found to
cofractionate with the basolateral markers NHE1 and
Na+-K+-ATPase
rather than the luminal marker
-glutamyl transferase. In stomach,
NHE4 was detected by immunoperoxidase labeling on the basolateral
membrane of cells at the base of the gastric gland. We conclude that
NHE4 is a 65- to 70-kDa protein with a broad tissue distribution. In
two types of epithelial cells, kidney and stomach, NHE4 is localized to
the basolateral membrane.
sodium/proton exchanger; kidney; stomach
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INTRODUCTION |
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THE PLASMA MEMBRANES of virtually all eukaryotic cell types contain Na+/H+ exchangers (NHEs) that participate in diverse cellular functions such as intracellular pH regulation, transepithelial ion transport, regulation of cell volume, and cellular responses to mitogens and growth factors (12, 13, 15). Four specific cDNAs (8, 14, 21, 26, 29-32, 34) that encode mammalian Na+/H+ exchangers (NHE1-NHE4) have been identified. Recently, partial sequence for a fifth mammalian isoform (NHE5) has been described (18). All of the isoforms have a high degree of similarity in the NH2-terminal hydrophobic domain that contains multiple predicted membrane-spanning segments, but the similarity is appreciably less in the COOH-terminal hydrophilic region that contains several putative regulatory domains.
By Northern blot hybridization (14, 21, 31), NHE1 is ubiquitously expressed in many types of both epithelial and nonepithelial tissues, consistent with the physiological role of a housekeeping, growth factor-activable isoform. Furthermore, immunocytochemical studies have shown that in polarized epithelia such as the ileum (31) and renal tubular cells (2, 3, 23), NHE1 is localized to the basolateral membrane. In contrast, expression of NHE3 transcript in both rat and rabbit is epithelial tissue specific with highest levels found in intestine and kidney (21, 29). Immunocytochemical localization of NHE3 protein indicates that this isoform is present on the apical membrane (brush border) of renal proximal tubule (1, 2, 27), loop of Henle (1, 27), and small intestine (4, 16).
Isoforms NHE2 and NHE4 have not been studied as extensively as NHE1 and NHE3. Northern blot hybridization in both rat and rabbit indicates NHE2 message expression is highest in tissues such as intestine and stomach, but lower levels of expression are found in tissues such as kidney, testes, skeletal muscle, uterus, and brain (8, 30, 34). Recent immunocytochemical and Western blot analysis has demonstrated that in small intestine and colon, NHE2 is localized to brush-border membranes (16).
Finally, NHE4 message expression is highest in stomach but is detectable in intestine, uterus, kidney, brain, and skeletal muscle (21). In situ hybridization studies (5) suggest mRNA for NHE4 in rat kidney is highest in inner medullary collecting tubules. However, immunochemical characterization has not been reported.1 In the present study we exploited the low sequence similarity among NHEs in the COOH-terminal hydrophilic domain to construct a fusion protein consisting of 111 amino acids of NHE4. Isoform-specific monoclonal antibodies were produced, characterized, and used to describe the localization of NHE4 in rat using immunoblot analysis.
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METHODS |
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Preparation of the fusion protein construct. A portion of the COOH-terminal hydrophilic domain of NHE4 was amplified using techniques previously described (23). Briefly, cDNA was synthesized from 1-4 µg poly(A)+ RNA prepared from rat stomach. A pair of degenerate primers beginning forward at 1519 on the sense strand (5' GAY GTV TGY GGX CAR TGG AG 3') and reverse at 2102 on the antisense strand (5' CCC CAD ATY TTY TCX ACC AT 3') were used to amplify a cDNA using PCR. The resultant product was cloned into the EcoR V restriction site in pBluescript KS+ (Stratagene, La Jolla, CA). A fusion protein containing amino acids 565-675 of NHE4 (fpNHE4AA565-675) was constructed using the maltose-binding protein (pMALc) fusion vector (New England Biolabs, Beverly, MA) and a Sac I and Hind III fragment of the NHE4 clone. The Sac I site at the 5' end of the construct cloned in-frame in pMALc, whereas the 3' Hind III site from pBluescript KS+ added four additional nucleotides that were in-frame with a stop codon in the vector. Subsequent expression and isolation of fusion proteins were carried out according to manufacturer's protocol. Plasmids were propagated by transformation of competent Escherichia coli strain XL1-Blue as described by Sambrook et al. (24). The 5' cloning site of the fusion protein construct was sequenced using the dideoxynucleotide chain termination method (25) to check for frame-shift errors. Antigen concentration was determined by Lowry assay (20) with BSA as the standard.
Antibody production. Methods for the
subsequent production of monoclonal anti-fpNHE4AA565-675 have been
described in detail (17). Mice were initially immunized with 50 µg of
fpNHE4AA565-675 in complete Freund's adjuvant intraperitoneally
and once a month thereafter with 50 µg of
fpNHE4AA565-675 in incomplete Freund's adjuvant. After the fifth
boost, spleen cells were fused with AG8 myeloma cells. Indirect ELISA
was performed as described previously (33) using detection with
horseradish peroxidase (HRP)-conjugated anti-mouse IgG (Organon
Teknika-Cappel). Hybridoma supernatants were compared in parallel
ELISAs performed using purified maltose-binding protein and
fpNHE4AA565-675. Sixteen supernatants reacted as positive against
the fpNHE4AA565-675 but negative against the purified maltose-binding protein. Eight of the ELISA-positive supernatants also
reacted positive for fpNHE4AA565-675 but not the maltose-binding protein by Western blot analysis. These eight supernatants were cloned
by limiting dilution. Purified monoclonal antibodies were produced by
growing hybridoma cells to confluent density and selecting IgGs on a
flow-through protein G affinity cartridge (Sigma Chemical, St. Louis,
MO) per manufacturer's recommendation. Immunoglobulins were dialyzed
overnight against PBS-50% glycerol to prevent freezing at
20°C and were concentrated to a range of 5-10 µg/ml
using Centricon-30 microconcentrators. Since monoclonal 11H11 was found to work the best for immunoblotting, it was used
throughout the study. The other seven monoclonal reagents gave
qualitatively similar results (not shown).
Cloning of NHEs for expression. The cloning of three overlapping cDNAs, which together contain the entire coding region of rabbit NHE1 (2,448 bp), plus 726 bp of the 5'-untranslated region and 178 bp of the 3'-untranslated region have been described previously (14). For expression, a single cDNA was constructed in pBluescript KS+ as follows: a construct containing the middle coding sequence of NHE1 in pBluescript KS+ was digested with Acc I and BamH I, and the resulting fragment was ligated into the altered vector deleting pBluescript sequence outward from the EcoR V site up to the Acc I and BamH I sites on either side. A second clone containing the 3' coding and 3'-untranslated regions of NHE1 in pBluescript KS+ was digested with Acc I, and the resulting fragment was cloned into the first cDNA construct regenerating the pBluescript sequence from the EcoR V site downstream to the Acc I. The 5'-untranslated region was deleted and replaced with restriction sites for BamH I, EcoR I, and Kpn I in sequence upstream of the start methionine using a third clone as template and standard PCR techniques (24). The product was blunt-end cloned into EcoR V cut pBluescript KS+. A BamH I fragment was removed and subcloned into the 3' construct, regenerating the pBluescript sequence from the EcoR V site upstream to the BamH I site. The final cDNA construct, in-frame behind the T7 promoter, was sequenced completely in both directions as described above.
The cloning of rabbit NHE3 into pBluescript KS+ for expression has been reported (2). Rat NHE2 and NHE4 were a gift from Dr. Gary Shull (University of Cincinnati, OH). NHE2 and NHE4 clones were transferred from pBR322 to pBluescript KS+ as follows: NHE2 (clone RSNHE10-3) was excised from pBR322 with Nco I, which cleaves at the start ATG and also in the 3'-untranslated region. The resulting 3-kb cDNA was first cloned into pBlueBac III (Invitrogen, San Diego, CA) and then removed with BamH I and Hind III and directionally cloned into pBluescript, in-frame behind the T7 promoter for expression using vaccinia. NHE4 was obtained as two overlapping clones (5'-RSNHE3-1 and 3'-RSNHE10-2) that were removed from pBR322 using Pst I and individually ligated into the Pst I site in pBluescript KS+. Each clone was subsequently digested with Xho I and at a unique internal restriction site (Nsi I) present in the overlapping region. The Xho I/Nsi I fragment containing the 5' end of NHE4 was directionally cloned into the pBluescript KS+ containing the 3' construct to yield a full-length cDNA in-frame behind the T7 promoter. The cloning junctions of the final constructs were sequenced as described above.
Vaccinia-T7-induced expression.
NHE1-NHE4 were expressed in a mouse L-cell line deficient in
Na+/H+
exchange activity (10) provided by Dr. Jacques Pouysségur (Center
de Biochimie, Nice, France), using the bacteriophage T7/vaccinia virus
expression system as described previously (2). LAP1 cells were
maintained in
-minimal essential media supplemented with 10% fetal
calf serum, 50 U/ml penicillin, and 50 µg/ml streptomycin at 37°C
in 5% CO2-95% air. Cells,
80%-90% confluent, were infected with 40 plaque-forming units/cell
of vaccinia virus (VTF-7) for 1 h and subsequently transfected with 5 µg of appropriate NHE plasmid using Lipofectin (GIBCO-BRL, Grand
Island, NY). After a 24-h incubation period at 37°C, cells were
harvested in sample buffer for SDS-PAGE and Western blot analysis as
described below.
Membrane preparation. Membranes were
prepared from female Sprague-Dawley rats, euthanized by intraperitoneal
injection of pentobarbital sodium. Crude membranes were prepared from
various organs as follows. Tissues were removed (1 g/10 ml) and minced in ice-cold buffer (250 mM sucrose, 10 mM HEPES, pH 7.5) containing protease inhibitors pepstatin A, leupeptin, phenylmethylsulfonyl fluoride and benzamidine at a final concentration of 2 mM. All subsequent steps were performed on ice or at 4°C in a refrigerated centrifuge. Minced tissues were homogenized using a Polytron (Brinkmann Instruments, Westbury, NY), at setting 3, for 15 s. Crude membranes were separated by differential centrifugation as follows. The homogenate was centrifuged at 750 g
for 30 min at 4°C in a Sorvall RC-5B (SS34 rotor), and the
supernatant was centrifuged in a Beckman LB-55M Ultra (70.1 Ti rotor)
at 100,000 g for 1 h at 4°C. The final pellet was resuspended in sucrose buffer, and the protein concentration was determined as indicated above. Kidney membranes were
prepared from renal cortex as described (11) with the following modifications. The final pellet containing both apical and basolateral membranes was resuspended in sucrose buffer with 12% Percoll and was
centrifuged at 200,000 g for 1 h at
4°C. After separation, the gradient was divided into 14 (2 ml)
fractions starting at the top and analyzed using SDS-PAGE and
immunoblotting as described below. Fractions enriched in either
-glutamyl transferase (apical) or
-subunit of
Na+-K+-ATPase
(basolateral) as determined by Western blot analysis, were pooled
(2 × 2 ml each), and protein concentration determined as indicated above.
SDS-PAGE and immunoblotting. Membrane fractions were solubilized and separated by SDS-PAGE using 7.5% polyacrylamide gels according to Laemmli (19). In some instances gels were stained with Coomassie brilliant blue. For immunoblotting, proteins were transferred to Immobilon-P (300 mA for 6-10 h at 4°C) and stained with Ponceau S in 0.5% trichloroacetic acid. Immunoblotting was performed as follows. Strips of Immobilon-P were incubated first in Blotto (5% nonfat dry milk in PBS, pH 7.4) for 1-3 h to block nonspecific binding of antibody followed by overnight incubation in primary antibody diluted 1:2,000. Blocking experiments were performed by preincubating 100 µg of monoclonal antibody with 100 µg of fpNHE4AA565-675 in 1 ml of Blotto for 1 h prior to immunoblotting. The strips were then washed three times in Blotto and incubated with appropriate HRP-conjugated secondary (see below) for 1 h. The strips were washed three times in Blotto, and bound secondary was detected with the Renaissance chemiluminescence reagent (DuPont NEN, Boston, MA) and Hyperfilm MP (Amersham, Arlington Heights, IL) according to the manufacturer's protocols.
Immunocytochemistry. Of eight clones
positively identified by both ELISA and Western blotting criteria, none
gave a signal in immunocytochemical experiments in the kidney. However,
11H11 was found to work in stomach using the following procedure. Rat stomach was fixed by vascular perfusion using
paraformaldehyde-lysine-periodate fixative as described previously (2).
Blocks of fixed stomach were embedded in paraffin and sectioned at 5 µm by the Histology Laboratory in the Pathology Department at Yale
University on a fee-for-service basis. Sections were deparaffinized in
xylene, washed in graded ethanols, and hydrated to PBS. Sections were then incubated in Antigen Unmasking Solution (Vector Laboratories, Burlingame, CA) and heated in a microwave oven according to
manufacturer's protocol. Sections were washed in PBS and blocked for
30 min in goat serum dilution buffer (GSDB) containing
15% goat serum, 0.3% Triton X-100, 20 mM sodium phosphate (pH 7.4),
and 0.9% NaCl. MAb 11H11 and control MAb were diluted to
10 µg/ml
in GSDB and incubated with the sections for 2 h. Bound antibody was
detected using a Vectastain ABC Kit (Vector), which utilizes a
biotinylated secondary IgG in conjunction with HRP-conjugated avidin.
This kit was used according to manufacturer's protocol. In addition, ImmunoPure peroxidase suppressor (Pierce Chemicals, Rockford, IL) was
used to inhibit endogenous peroxidase activity. HRP reaction product
was developed using ImmunoPure metal-enhanced
diaminobenzidine substrate kit (Pierce Chemicals). After
staining, sections were washed briefly in distilled
H2O, mounted in 95% glycerol, 5%
PBS, and examined with a Zeiss Axiophot microscope.
Antibodies and antibody conjugates.
Guinea pig antiserum (anti-fp347A) raised to the COOH-terminal domain
(amino acids 778-818) of pig NHE1 reacts with a 95- to 110-kDa
polypeptide in rat and was used following affinity purification at a
dilution of 1:5,000 for immunoblotting (3). A second guinea pig
antiserum (anti-fpNHE2C688-813) raised to the COOH-terminal 125 amino acids of NHE2 was used following affinity purification at a
dilution 1:1,000 for immunoblotting (D. Biemesderfer, unpublished
observations). A third guinea pig antiserum raised to the COOH-terminal
40 amino acids of NHE3 (anti-fpNHE3-C40) was used following affinity
purification at a dilution of 1:5,000 for immunoblotting (2). A
monoclonal antibody prepared against the
-subunit of dog
Na+-K+-ATPase
(17) was a gift from Dr. Michael Caplan and was used at 1:10,000.
Rabbit polyclonal antisera against
-glutamyl transferase (anti-GGT)
was a gift from Dr. David Castle (University of Virginia) and was used
at 1:5,000 (6). HRP-conjugated rabbit anti-guinea pig IgG (heavy and
light chain specific), goat anti-rabbit, and goat anti-mouse sera
were purchased from Zymed Laboratories (San Francisco,
CA) and used at 0.5 µg/ml.
Materials and reagents. All enzymes for molecular biology and amylose affinity resin were from New England Biolabs. BSA type V was purchased from Sigma Chemical. Pentobarbital sodium was purchased from the Butler (Columbus, OH). Immobilon-P was purchased from Millipore (Bedford, MA). Percoll was obtained from Pharmacia Biotec (Piscataway NJ). Centricon 30 microconcentrators were purchased from Amicon (Beverly, MA).
Animals. Female Sprague-Dawley rats and BALB/c mice were purchased from Charles River Laboratories (Wilmington, MA).
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RESULTS |
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Specificity of monoclonal antibody (11H11) for fusion
protein. In the present study, a fusion protein
construct containing the maltose-binding protein and amino acids
565-675 of rat NHE4 was produced as antigen for the generation of
monoclonal antibodies. Therefore, the first experiment was designed to
confirm the specificity of subsequently generated antibodies for the
NHE4 portion of the antigen. Purified maltose-binding protein and
fpNHE4AA565-675 were prepared, separated by SDS-PAGE, and either
Coomassie stained (Fig. 1,
left) or immunoblotted (Fig. 1,
middle and
right) as shown (Fig. 1). Although
three bands were noted on Coomassie-stained gel of purified
fpNHE4AA565-675, with a lower form in the region of 55 kDa and
upper bands at
65 kDa and 110 kDa (lane
A), the actual predicted molecular mass for
fpNHE4AA565-675 is
55 kDa. The apparent molecular mass of the
maltose-binding protein on Coomassie-stained gel is
45 kDa
(lane B). When an immunoblot was
prepared from the gel and probed with the monoclonal
anti-fpNHE4AA565-675 11H11 (Fig. 1,
middle), the results show specific
recognition of the NHE4-derived epitopes since there is no labeling of
the maltose-binding protein (lane
D). Specific reactivity toward fpNHE4AA565-675 at 55 kDa is demonstrated (lane C).
Additionally, the minor bands in lane
A are recognized by 11H11 and therefore probably
represent aggregates of the fusion protein. Preabsorption of 100 µg
of 11H11 with 100 µg of fpNHE4AA565-675 for 1 h completely
blocked reactivity with fpNHE4AA565-675 (lane
E).
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Identification of NHE4 polypeptide after transient expression in LAP1 cells. Next, 11H11 reactivity and specificity for NHE4 polypeptide was tested after transient expression of NHE isoforms in LAP1 cells, which are deficient in NHE activity (10). Figure 2 shows an immunoblot of cell lysates prepared from LAP1 cells transfected with NHE1-NHE4 as indicated (designated 1, 2, 3, and 4, respectively, in Fig. 2). The blot was sequentially probed with antibodies as indicated above each panel of Fig. 2. Incubation with the anti-NHE4 monoclonal antibody labeled a major band with an apparent molecular mass between 60 and 66 kDa in NHE4 transfected cell lysates but not in cell lysates from cells transfected with NHE1, NHE2, or NHE3. When anti-NHE4 monoclonal antibody was preabsorbed against fpNHE4AA565-675, reactivity was completely blocked (data not shown). Subsequently, the blot was stripped and reprobed with antibodies to NHE1, NHE2, and NHE3. In each case immunoblotting with an antibody raised against a specific isoform produced specific staining in the corresponding cell lysate with no cross-reactivity with any other isoforms. LAP1 cells transfected with rabbit NHE1 and probed with anti-NHE1 showed major bands at 80-85 kDa and 95-110 kDa, as described previously (3). Similarly, LAP1 cells transfected with rabbit NHE3 and immunoblotted using affinity-purified anti-fpNHE3C791-831 demonstrated a major band at 82 kDa, as previously described (1, 2). Finally, cells transfected with rat NHE2 and immunoblotted using affinity-purified anti-fpNHE2C689-813 showed a major band at 75-80 kDa. These findings indicate that NHE1-NHE3 were each expressed in these experiments and therefore that the anti-NHE4 monoclonal antibody does not cross-react with any of these isoforms.
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Characterization of tissue expression by
immunoblotting. Having confirmed the specificity of
11H11 for NHE4 polypeptide, we next investigated the tissue
distribution of NHE4 in the rat by preparing crude membranes from rat
organs identified as being sites for expression of NHE4 mRNA (21).
Preliminary results of immunoblots indicated NHE4 protein was highly
enriched in crude membranes prepared from stomach, consistent with
previously reported Northern blot data (21). Thus, in Fig.
3, 10-fold less crude membrane protein (5 µg) was used
for stomach compared with other tissues. As can be seen in Fig. 3
(top), the anti-NHE4 monoclonal antibody recognized a major band at 65-70 kDa that
is highly expressed in the stomach. NHE4 protein expression was also
noted with lower abundance in skeletal muscle, kidney, uterus, heart,
and liver. Barely detectable amounts were seen in brain and spleen.
Minor bands were noted in most tissues at
45-50 kDa, which
probably represents a proteolytic fragment. Additionally, minor bands
at
75 kDa were seen in stomach and kidney. Labeling of both the upper and lower minor bands was specific, since the labeling was blocked when 11H11 was preincubated with fpNHE4AA565-675 (data not
shown). For comparison, the blot was stripped and reprobed with
anti-NHE1 antibody to determine expression of NHE1 in the same rat
tissues (Fig. 3, bottom). A major
band at
95-110 kDa was observed in all tissues, consistent with
the ubiquitous expression of NHE1 mRNA previously reported for the rat
(21). This is also consistent with an apparent molecular mass of 110 kDa reported for NHE1 from rat intestine (4). High levels of NHE1
expression were observed in stomach (attenuated 10-fold) as well as in
brain, spleen, heart, kidney, and uterus. Much lower levels of
expression of NHE1 protein were observed in liver and skeletal muscle.
A minor band at
66 kDa was noted in most tissues and probably
represents a proteolytic product based on its variability and the
absence of known splice variants of NHE1.
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Renal expression of NHE4 protein.
Having identified the rat kidney as a site of expression of NHE4
protein, we next explored the intrarenal distribution in more detail.
In the first series of experiments, Western blot analysis was performed
to compare kidney whole homogenate with crude membranes prepared from
medulla and cortex (Fig. 4). The blot was
probed sequentially with anti-NHE4 monoclonal antibody, 11H11 (Fig. 4,
left), the anti-NHE1 antiserum (Fig.
4, middle), and an antibody
generated against rat
-glutamyl transferase (Fig. 4,
right), as indicated above each
blot. The results suggest that NHE4 (Fig. 4,
left), again identified as a major
band of
65-70 kDa with the proteolytic fragment at 45-50 kDa, is enriched in cortical membranes compared with either the whole
kidney homogenate or membranes prepared from the medulla. Similarly,
shown in Fig. 4, right,
-glutamyl
transferase is enriched in cortical membranes compared with medullary
membranes. Studies by Castle et al. (6) have demonstrated that on
SDS-PAGE
-glutamyl transferase from rat kidney runs as a major band
between 50 and 55 kDa and is localized to, and highly enriched in,
brush-border membranes of the proximal tubule. In contrast, NHE1 (Fig.
4, middle) is enriched in membrane
fractions from both cortex and medulla relative to whole kidney
homogenate. In the present study, NHE1 from rat kidney has an apparent
molecular mass between 95 and 110 kDa, consistent with reported values
for NHE1 from rabbit renal cortical membranes (3). The fact that a
strong signal for NHE1 protein was detected in renal medullary
membranes suggests that the relatively reduced abundance of NHE4 in
these membranes is not due to greater proteolysis of medullary compared
with cortical membranes.
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In the second series of experiments cortical membranes were prepared as
described in the METHODS and further
separated on a Percoll gradient. The gradient was divided into 14 fractions, separated by SDS-PAGE, and analyzed by immunoblotting with
antibody markers for the apical (
-glutamyl transferase) and
basolateral (Na+-K+-ATPase)
membranes. The fractions most enriched for apical and basolateral
membrane markers (
-glutamyl transferase and
Na+-K+-ATPase,
respectively) were selected, and an immunoblot was prepared (Fig.
5). The immunoblot was sequentially probed
with antibodies as indicated on the
top of each blot in Fig. 5. The rat
-subunit of
Na+-K+-ATPase
was labeled as a protein of
97-110 kDa, which served as a
marker for the basolateral membrane fraction. NHE1 was identified as a
95- to 110-kDa protein highly enriched in basolateral compared with
apical membranes, confirming previous findings in rabbit kidney
membranes (2). NHE4 was identified as a 65- to 70-kDa protein also
enriched in basolateral membranes. In contrast,
-glutamyl transferase was relatively enriched in the apical membranes and was
almost completely absent from the basolateral membrane fraction.
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Despite an exhaustive search of fixatives and other preparative techniques, suitable conditions to perform immunocytochemistry in rat kidney could not be determined. However, since the stomach expresses 50-fold higher levels of NHE4 protein, experiments were repeated in this tissue. By use of an antigen unmasking protocol, specific staining of gastric mucosa was observed (Fig. 6). The anti-NHE4 monoclonal antibody 11H11 labeled the basolateral membrane of a population of cells at the base of the gastric mucosa. Specific staining was observed along the lateral plasma membranes of many cells of the gastric glands. Unfortunately, the conditions employed with the antigen unmasking technique were not suitable for immunocytochemistry with either monoclonal or polyclonal antibodies directed against NHE1, so double labeling studies to colocalize the isoforms were not possible.
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DISCUSSION |
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The molecular identification (8, 18, 21, 26, 29-32, 34) of at least five distinct isoforms of NHEs (NHE1-NHE5) has necessitated the development of immunochemical reagents for specific cellular and subcellular localization of protein expression. The purpose of the present study was to begin to establish the physiological role for rat NHE4 by describing the distribution of the protein. Our strategy included the generation of monoclonal antibodies to a fusion protein construct containing amino acids 565-675, because in general the COOH-terminal hydrophilic domains of the four isoforms of NHEs share the lowest amino acid similarity.
The first experiment was designed to verify the specificity of the
anti-NHE4 monoclonal antibodies. Since the entire fusion protein
construct (i.e., containing the maltose-binding protein) was used as
immunogen, it was important to demonstrate that anti-NHE4 antibodies
exclusively recognized fpNHE4AA565-675 but not the maltose-binding
protein (Fig. 1). NHE4 shares
46% identity with NHE2 in the
COOH-terminal hydrophilic domain. Thus a second important criterion for
specificity is that anti-NHE4 antibodies should not cross-react with
either NHE2 polypeptide or other NHE isoforms. Accordingly, the
specificity of the anti-NHE4 monoclonal for NHE4 polypeptide was tested
by transiently expressing NHE4 in a mouse fibroblast cell (LAP1) devoid
of endogenous NHE activity (10) using the vaccinia-T7 system. The
anti-NHE4 antibody was found to react only with NHE4 polypeptide (Fig.
2) and not with NHE1, NHE2, or NHE3.
Characterization of native NHE4 by SDS-PAGE and immunoblotting revealed
the apparent molecular mass of 65-70 kDa (Figs. 3-5), which
is
15% below the predicted value of 81 kDa based on the amino acid
sequence. Similarly, NHE1 protein devoid of
O-linked oligosaccharide but
containing the N-linked high-mannose
oligosaccharide runs smaller than the predicted molecular mass at
85
kDa (9). NHE3, which is not glycosylated (9), was identified as an 82- to 85-kDa protein when expressed using the vaccinia-T7 system, or in
native rat (9) or rabbit (2, 16) brush-border membranes,
10% below
the predicted molecular mass of 93 kDa (32). Thus NHE4
protein may migrate with faster mobility by SDS-PAGE than predicted for
actual molecular mass, as is the case for NHE1 and NHE3.
In addition to the major band at
65-70 kDa, a minor band was
noted in most tissues at 45-50 kDa, and a larger form at
75 kDa
was noted in both stomach and kidney. Although the basis for these
minor forms is not known, NHE4 does have two potential
N-linked glycosylation sites. The
Asn342 site is conserved in all
four isoforms, but is not used in NHE1 or NHE3 (9). Still it is
possible that the 75-kDa band might represent a small component of the
NHE4 protein that is glycosylated, perhaps in a tissue-specific manner.
A second possibility is that the 75-kDa band represents an
alternatively spliced isoform. The identification of NHE1 on the same
blot as a major band between 95 and 110 kDa (Fig. 3,
bottom) argues against general
protein degradation to yield the 65- to 70-kDa species as a proteolytic fragment of the 75-kDa species of NHE4. Conversely, the smaller 45- to
50-kDa band probably represents a degradation product, since it is more
uniformly expressed in proportion to the major band at 65-70 kDa.
Recently, Bookstein et al. (5), have reported identification of a
100-kDa protein in PS120 cells stably expressing rat NHE4. The reason
for the discrepancy between the apparent molecular mass of NHE4 in the
study of Bookstein et al. (5) and in the present study is
unknown.
Examination of the tissue distribution of NHE4 protein in the rat revealed highest levels of expression in stomach with much lower levels in kidney, uterus, and skeletal muscle, consistent with expression of NHE4 transcript (21). However, NHE4 protein was not detected in brain, where detectable levels of mRNA were noted. Additionally, detectable levels of NHE4 protein were observed in heart, liver, and spleen, where NHE4 mRNA was not detectable. These data suggest that there may be differences in mRNA stability between tissues or that low-level protein expression results from levels of mRNA expression below the level of detection in previous studies. The high level of expression in gastric glands as well as significant expression in other tissues that are not facing hyperosmotic stress (i.e., uterus, heart, and skeletal muscle) argue against the previous suggestion (5) that NHE4 is uniquely expressed in regions of high osmolarity where it plays a specialized role in cell volume regulation.
Appreciable amounts of NHE4 protein were detectable in rat kidney. Recently, the renal distribution of NHE4 mRNA was examined by in situ hybridization (5). The cRNA probe hybridized to tubules in renal cortex and outer medulla with the highest levels of mRNA expression detected in the inner medulla, an area rich in collecting duct tubules. In contrast, we found that NHE4 protein (Fig. 4) was preferentially expressed in renal cortex. Although the reason for the discrepancy between mRNA and protein expression is not obvious, it is possible that differences in mRNA stability and/or protein turnover may underlie these observations. In contrast, NHE1 protein was abundant in crude membranes from the renal medulla as well as the renal cortex, which is consistent with immunocytochemical data indicating NHE1 expression along the basolateral membranes of medullary thick ascending limb and medullary collecting duct (3), as well as Northern analysis indicating NHE1 transcript abundance in both renal medulla and cortex (14).
The distribution of NHE4 in apical and basolateral membranes was examined. Immunoblotting and immunocytochemical studies have shown that both NHE1 (3) and Na+-K+-ATPase (17) are localized to basolateral membranes in renal epithelia. Our results (Fig. 5) confirm these data and suggest that NHE4 is also enriched in basolateral membrane fractions. Given the ubiquitous expression of NHE1 along the nephron, it is possible that NHE1 and NHE4 are coexpressed in certain cell types. Alternatively, NHE4 might account for the basolateral Na+/H+ exchange activity noted in intercalated cells of the connecting tubule and cortical collecting duct (35), where NHE1 expression could not be detected (3).
In further support of the basolateral distribution of NHE4, immunocytochemical experiments with 11H11 revealed labeling of the basolateral membrane of a population of epithelial cells at the base of the gastric gland in an area where NHE1 was not detected (28). Indeed, Stuart-Tilley et al. (28) reported that NHE1 is present along the basolateral membranes of the mucous neck cells, interdigitated between the parietal cells of the gastric glands, and in the basolateral membranes of the surface mucous cells. They found that NHE1 staining was weak or undetectable near the base of the gland. Thus NHE4 may be the isoform accounting for basolateral Na+/H+ exchange activity in parietal cells, the predominant cell type in gastric glands. Precise localization using double labeling will require more compatible immunoreagents. In any event, the basolateral localization of NHE4 determined by immunocytochemical staining in gastric cells is consistent with the basolateral localization of NHE4 determined by immunoblotting of kidney membrane fractions.
In summary, we have used isoform-specific anti-NHE4 monoclonal antibodies to identify NHE4 as a protein of approximate molecular mass 65-70 kDa that is most abundantly expressed in stomach and that is also detected in skeletal muscle, heart, kidney, uterus, and liver. In the kidney, NHE4 polypeptide abundance as determined by immunoblot is greater in the cortex than in the medulla, and membranes containing NHE4 protein cofractionate in sucrose density gradients with basolateral membrane markers NHE1 and Na+-K+-ATPase. In the stomach, NHE4 is present on the basolateral membranes of a population of cells near the base of the gastric gland, some of which may include parietal cells.
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ACKNOWLEDGEMENTS |
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The present study was presented in part at the 1994 Annual Meeting of the American Society of Nephrology (20). This research was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grant DK-33793 (to P. S. Aronson) and by a research fellowship from the American Heart Association, Connecticut Affiliate (to J. H. Pizzonia).
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FOOTNOTES |
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1 Since submission of this article, the basolateral expression of NHE4 in renal cortical tubules has been demonstrated by immunofluorescence microscopy (7).
Address for reprint requests: P. S. Aronson, Section of Nephrology, Dept. of Medicine, Yale Univ. School of Medicine, 333 Cedar St., P.O. Box 208029, New Haven, CT 06520-8029.
Received 7 February 1997; accepted in final form 2 July 1998.
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REFERENCES |
|---|
|
|
|---|
1.
Amemiya, M.,
J. Loffing,
M. Lötscher,
B. Kaissling,
R. J. Alpern,
and
O. W. Moe.
Expression of NHE-3 in the apical membrane of rat renal proximal tubule and thick ascending limb.
Kidney Int.
48:
1206-1215,
1995[Medline].
2.
Biemesderfer, D.,
J. H. Pizzonia,
A. Abu-Alfa,
M. Exner,
R. R. Reilly,
P. Igarashi,
and
P. S. Aronson.
NHE3: a Na+/H+ exchanger isoform of the renal brush border.
Am. J. Physiol.
265 (Renal Fluid Electrolyte Physiol. 34):
F736-F742,
1993
3.
Biemesderfer, D.,
R. R. Reilly,
M. Exner,
P. Igarashi,
and
P. S. Aronson.
Immunocytochemical characterization of Na/H exchanger isoform NHE-1 in rabbit kidney.
Am. J. Physiol.
263 (Renal Fluid Electrolyte Physiol. 32):
F833-F840,
1992
4.
Bookstein, C.,
A. Depaoli,
Y. Xie,
P. Niu,
M. Musch,
M. Rao,
and
E. Chang.
The Na+/H+ exchangers NHE-1 and NHE-3 of rat intestine.
J. Clin. Invest.
93:
106-113,
1994.
5.
Bookstein, C.,
M. Musch,
A. Depaoli,
Y. Xie,
M. Villereal,
M. Rao,
and
E. Chang.
A unique sodium-hydrogen exchange isoform (NHE-4) of the inner medulla of the rat kidney is induced by hyperosmolarity.
J. Biol. Chem.
269:
29704-29709,
1994
6.
Castle, J. D.,
R. S. Cameron,
P. L. Patterson,
and
A. K. Ma.
Identification of high molecular weight antigens structurally related to gamma-glutamyl transferase in epithelial tissues.
J. Membr. Biol.
87:
13-26,
1985[Medline].
7.
Chambrey, R.,
J. M. Achard,
P. L. St. John,
D. R. Abrahamson,
and
D. G. Warnock.
Evidence for an amiloride-insensitive Na+/H+ exchanger in rat renal cortical tubules.
Am. J. Physiol.
273 (Cell Physiol. 42):
C1064-C1074,
1997
8.
Collins, J. F.,
S. Honda,
S. Knobel,
N. M. Bulus,
J. Conary,
R. Dubois,
and
F. K. Ghishan.
Molecular cloning, sequencing, tissue distribution, and functional expression of a Na+/H+ exchanger (NHE-2).
Proc. Natl. Acad. Sci. USA
90:
3938-3942,
1993
9.
Counillon, L.,
J. Pouysségur,
and
R. Reithmeir.
The Na+/H+ exchanger NHE-1 possesses N- and O-linked glycosylation restricted to the first N-terminal extracellular domain.
Biochemistry
33:
10463-10469,
1994[Medline].
10.
Franchi, A.,
D. Perucca-Lostanien,
and
J. Pouysségur.
Functional expression of a human Na+/H+ antiporter gene transfected into antiporter-deficient mouse L cells.
Proc. Natl. Acad. Sci. USA
83:
9388-9392,
1986
11.
Grassl, S. M.,
and
P. S. Aronson.
Na+/HCO
3 co-transport in basolateral membrane vesicles isolated from the rabbit renal cortex.
J. Biol. Chem.
261:
8778-8783,
1986
12.
Grinstein, S.,
and
A. Rothstein.
Mechanisms of regulation of the Na+/H+ exchanger.
J. Membr. Biol.
90:
1-12,
1986[Medline].
13.
Grinstein, S.,
D. Rotin,
and
M. J. Mason.
Na+/H+ exchange and growth factor-induced cytosolic pH changers. Role in cellular proliferation.
Biochim. Biophys. Acta
988:
73-97,
1989[Medline].
14.
Hildebrandt, F.,
J. H. Pizzonia,
R. F. Reilly,
N. A. Reboucas,
C. Sardet,
J. Pouysségur,
C. W. Slayman,
P. S. Aronson,
and
P. Igarashi.
Cloning, sequence and tissue distribution of a rabbit renal Na+/H+ exchanger transcript.
Biochim. Biophys. Acta
1129:
105-108,
1991[Medline].
15.
Hoffman, E. K.,
and
O. Simonsen.
Membrane mechanisms in volume and pH regulation in vertebrate cells.
Physiol. Rev.
69:
315-382,
1989
16.
Hoogerwerf, W. A.,
S. C. Tsao,
O. Devuyst,
S. A. Levine,
C. H. Yun,
J. W. Yip,
M. E. Cohen,
P. D. Wilson,
A. J. Lazenby,
C. M. Tse,
and
M. Donowitz.
NHE2 and NHE3 are human and rabbit intestinal brush-border proteins.
Am. J. Physiol.
270 (Gastrointest. Liver Physiol. 33):
G29-G41,
1996
17.
Kashgarian, M.,
D. Biemsderfer,
M. J. Caplan,
and
B. Forbush III.
Monoclonal antibody to Na+,K+-ATPase: immunocytochemical localization along nephron segments.
Kidney Int.
28:
899-913,
1985[Medline].
18.
Klanke, C. A.,
Y. R. Su,
D. F. Callen,
Z. Wang,
P. Meneton,
N. Baird,
R. A. Kandasamy,
J. Orlowski,
B. Otterud,
M. Leppert,
G. E. Schull,
and
A. G. Menton.
Molecular cloning and physical and genetic mapping of a novel human Na+/H+ exchanger (NHE5/SLC9A5) to chromosome 16q22.1.
Genomics
25:
615-622,
1995[Medline].
19.
Laemmli, U. K.
Cleavage of structural proteins during assembly of the head of bacteriophage T4.
Nature
227:
680-695,
1970[Medline].
20.
Lowry, O. H.,
N. J. Rosebrough,
A. L. Farr,
and
R. J. Randall.
Protein measurement with the Folin phenol reagent.
J. Biol. Chem.
193:
265-275,
1951
21.
Orlowski, J.,
R. A. Kandasamy,
and
G. E. Schull.
Molecular cloning of putative members of the Na+/H+ exchanger gene family.
J. Biol. Chem.
267:
9331-9339,
1992
22.
Pizzonia, J. H.,
M. Exner,
D. Biemesderfer,
A. K. Abu-Alfa,
M. S. Wu,
P. Igarashi,
and
P. S. Aronson.
Immunochemical characterization of the Na/H exchanger isoform NHE4 in rat kidney (Abstract).
J. Am. Soc. Nephrol.
5:
297,
1994.
23.
Reilly, R. F.,
F. Hildebrandt,
D. Biemesderfer,
C. Sardet,
J. Pouysségur,
P. S. Aronson,
C. W. Slayman,
and
P. Igarashi.
cDNA cloning and immunolocalization of a Na+/H+ exchanger in LLC-PK1 epithelial cells.
Am. J. Physiol.
261 (Renal Fluid Electrolyte Physiol. 30):
F1088-F1094,
1991
24.
Sambrook, J.,
E. F. Fritsch,
and
T. Maniatis.
Molecular Cloning: A Laboratory Manual. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press, 1994.
25.
Sanger, F.,
S. Nicklen,
and
A. R. Coulson.
A new method for sequencing DNA.
Proc. Natl. Acad. Sci. USA
74:
560-564,
1977
26.
Sardet, C.,
A. Franchi,
and
J. Pouysségur.
Molecular cloning, primary structure and expression of the human growth factor-activatable Na+/H+ antiporter.
Cell
56:
271-280,
1989[Medline].
27.
Soleimani, M.,
C. Bookstein,
G. L. Bizal,
M. W. Musch,
Y. J. Hattabaugh,
M. C. Rao,
and
E. B. Chang.
Localization of the Na+/H+ exchanger isoform NHE-3 in rabbit and canine kidney.
Biochim. Biophys. Acta
1195:
89-95,
1994[Medline].
28.
Stuart-Tilley, A.,
C. Sardet,
J. Pouysségur,
M. A. Schwartz,
D. Brown,
and
S. L. Alper.
Immunolocalization of anion exchanger AE2 and cation exchanger NHE-1 in distinct adjacent cells of gastric mucosa.
Am. J. Physiol.
266 (Cell Physiol. 35):
C559-C568,
1994
29.
Tse, C.-M.,
S. R. Brant,
S. Walker,
J. Pouysségur,
and
M. Donowitz.
Cloning and sequencing of a rabbit cDNA encoding an intestinal and kidney specific Na+/H+ exchanger isoform NHE3.
J. Biol. Chem.
267:
9340-9346,
1992
30.
Tse, C.-M.,
S. Levine,
C. H. C. Yun,
M. Monrose,
J. Little,
J. Pouysségur,
and
M. Donowitz.
Cloning and expression of a rabbit cDNA encoding a serum-activated and ethylisopropylamiloride-resistant Na+/H+ exchanger isoform (NHE2).
J. Biol. Chem.
268:
11917-11924,
1993
31.
Tse, C.-M.,
A. I. Ma,
V. W. Yang,
A. J. M. Watson,
S. Levine,
M. Monrose,
J. Potter,
C. Sardet,
J. Pouysségur,
and
M. Donowitz.
Cloning and expression of a cDNA encoding the rabbit ileal villus cell basolateral Na+/H+ exchanger.
EMBO J.
10:
1957-1967,
1991[Medline].
32.
Tse, M.-C.,
S. R. Brant,
M. Susan Walker,
J. Pouysségur,
and
M. Donowitz.
Cloning and sequencing of a rabbit cDNA encoding an intestinal and kidney-specific Na+/H+ exchanger isoform (NHE-3).
J. Biol. Chem.
267:
9340-9346,
1992.
33.
Voller, A.,
D. E. Bidwell,
and
A. Bartlett.
The enzyme linked immunosorbent assay (ELISA).
In: A Guide with Abstracts to Microplate Applications. Guernsey, UK: Flowline, 1979, p. 1-25.
34.
Wang, Z.,
J. Orlowski,
and
G. E. Schull.
Primary structure and functional expression of a novel gastrointestinal isoform of the rat Na+/H+ exchanger.
J. Biol. Chem.
268:
11925-11928,
1993
35.
Weiner, I. D.,
and
L. L. Hamm.
Regulation of intracellular pH in the rabbit cortical collecting tubule.
J. Clin. Invest.
85:
247-281,
1990.
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