Calcium-sensing receptor abrogates secretagogue-induced increases in intestinal net fluid secretion by enhancing cyclic nucleotide destruction

J Geibel, K Sritharan, R Geibel… - Proceedings of the …, 2006 - National Acad Sciences
J Geibel, K Sritharan, R Geibel, P Geibel, JS Persing, A Seeger, TK Roepke, M Deichstetter…
Proceedings of the National Academy of Sciences, 2006National Acad Sciences
The calcium-sensing receptor (CaSR) provides a fundamental mechanism for diverse cells
to detect and respond to modulations in the ionic and nutrient compositions of their
extracellular milieu. The roles for this receptor are largely unknown in the intestinal tract,
where epithelial cells are normally exposed to large variations in extracellular solutes. Here,
we show that colonic CaSR signaling stimulates the degradation of cyclic nucleotides by
phosphodiesterases and describe the ability of receptor activation to reverse the fluid and …
The calcium-sensing receptor (CaSR) provides a fundamental mechanism for diverse cells to detect and respond to modulations in the ionic and nutrient compositions of their extracellular milieu. The roles for this receptor are largely unknown in the intestinal tract, where epithelial cells are normally exposed to large variations in extracellular solutes. Here, we show that colonic CaSR signaling stimulates the degradation of cyclic nucleotides by phosphodiesterases and describe the ability of receptor activation to reverse the fluid and electrolyte secretory actions of cAMP- and cGMP-generating secretagogues, including cholera toxin and heat stable Escherichia coli enterotoxin STa. Our results suggest a paradigm for regulation of intestinal fluid transport where fine tuning is accomplished by the counterbalancing effects of solute activation of the CaSR on neuronal and hormonal secretagogue actions. The reversal of cholera toxin- and STa endotoxin-induced fluid secretion by a small-molecule CaSR agonist suggests that these compounds may provide a unique therapy for secretory diarrheas.
National Acad Sciences