Elevations of cytoplasmic free calcium concentrations ([Ca2+]i) evoked by cholinergic agonists stimulate isotonic fluid secretion in salivary acinar cells. This process is driven by the apical exit of Cl through Ca2+-activated Cl channels, while Cl enters the cytoplasm against its electrochemical gradient via a loop diuretic-sensitive Na+-K+-2Cl cotransporter (NKCC) and/or parallel operations of Cl-HCO3 and Na+-H+ exchangers, located in the basolateral membrane. To characterize the contributions of those activities to net Cl secretion, we analyzed carbachol (CCh)-activated Cl currents in submandibular acinar cells using the “gramicidin-perforated patch recording configuration.” Since the linear polypeptide antibiotic gramicidin creates monovalent cation-selective pores, CCh-activated Cl currents in the gramicidin-perforated patch recording were carried by Cl efflux via Cl channels, dependent upon Cl entry through Cl transporters expressed in the acinar cells. CCh-evoked oscillatory Cl currents were associated with oscillations of membrane potential. Bumetanide, a loop diuretic, decreased the CCh-activated Cl currents and hyperpolarized the membrane potential. In contrast, neither methazolamide, a carbonic anhydrase inhibitor, nor elimination of external HCO3 had significant effects, suggesting that the cotransporter rather than parallel operations of Cl-HCO3 and Na+-H+ exchangers is the primary Cl uptake pathway. Pharmacological manipulation of the activities of the Ca2+-activated Cl channel and the NKCC revealed that the NKCC plays a substantial role in determining the amplitude of oscillatory Cl currents, while adjusting to the rate imposed by the Ca2+-activated Cl channel, in the gramicidin-perforated patch configuration. By concerting with and being controlled by the cation steps, the oscillatory form of secretory Cl movements may effectively provide a driving force for fluid secretion in intact acinar cells.

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