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American Journal of Physiology - Cell Physiology logoLink to American Journal of Physiology - Cell Physiology
. 2013 May 15;305(5):C492–C501. doi: 10.1152/ajpcell.00057.2013

DIDS inhibits Na-K-ATPase activity in porcine nonpigmented ciliary epithelial cells by a Src family kinase-dependent mechanism

Mohammad Shahidullah 1,, Guojun Wei 1, Nicholas A Delamere 1
PMCID: PMC3761152  PMID: 23677800

Abstract

The anion transport inhibitor DIDS is known to reduce aqueous humor secretion but questions remain about anion dependence of the effect. In some tissues, DIDS is reported to cause Na-K-ATPase inhibition. Here, we report on the ability of DIDS to inhibit Na-K-ATPase activity in nonpigmented ciliary epithelium (NPE) and investigate the underlying mechanism. Porcine NPE cells were cultured to confluence on permeable supports, treated with drugs added to both sides of the membrane, and then used for 86Rb uptake measurements or homogenized to measure Na-K-ATPase activity or to detect protein phosphorylation. DIDS inhibited ouabain-sensitive 86Rb uptake, activated Src family kinase (SFK), and caused a reduction of Na-K-ATPase activity. PP2, an SFK inhibitor, prevented the DIDS responses. In BCECF-loaded NPE, DIDS was found to reduce cytoplasmic pH (pHi). PP2-sensitive Na-K-ATPase activity inhibition, 86Rb uptake suppression, and SFK activation were observed when a similar reduction of pHi was imposed by low-pH medium or an ammonium chloride withdrawal maneuver. PP2 and the ERK inhibitor U0126 prevented robust ERK1/2 activation in cells exposed to DIDS or subjected to pHi reduction, but U0126 did not prevent SFK activation or the Na-K-ATPase activity response. The evidence points to an inhibitory influence of DIDS on NPE Na-K-ATPase activity by a mechanism that hinges on SFK activation associated with a reduction of cytoplasmic pH.

Keywords: nonpigmented ciliary epithelium, DIDS, Na-K-ATPase, Src family kinase, cytoplasmic pH


controlling elevated intraocular pressure (IOP) is currently the only remedy available to prevent or delay vision loss and retinal ganglion cell death in persons with glaucoma. Because reduction of aqueous humor (AH) secretion is an effective strategy used to lower IOP, there is interest in the process of AH formation. AH is secreted through translocation of solutes and water across the ciliary body epithelium (CE), a bilayer formed by two cells, the pigmented (PE) and nonpigmented (NPE) epithelium. The two epithelial layers contact each other at their apical surfaces where there are numerous gap junctions. The PE basolateral surface contacts the stroma of the ciliary process and the basolateral surface of the NPE contacts the AH that fills the posterior chamber of the eye. Solutes and water are taken up by the PE from the stromal fluid, pass through the gap junction to NPE, and then enter the posterior chamber. Anion transport, particularly Cl and HCO3, across the ciliary epithelium to the posterior chamber plays a major role in AH secretion (4, 79, 34, 40). The NPE constitutes the exit point for solute to enter the posterior chamber, and anion efflux from NPE appears crucial for AH secretion in many species including rabbit (8), bovine (10, 11), and porcine (4). Furthermore, in the monkey ciliary epithelium, the anion transport inhibitor 4,4-diisothiocyanatostilbene-2,2′-disulfonic acid (DIDS) affects the short-circuit current (Isc) only when it is applied to the aqueous/NPE side but not the stromal/PE side (5).

DIDS, a stilbene compound, has been used as an anion-transport inhibitor for decades. Previously, we reported that DIDS reduced AH secretion in the isolated arterially perfused bovine (34) and in the porcine eye (31). DIDS is a nonselective anion transport inhibitor and has been shown to inhibit several transporters and channels in the CE, such as the Cl/HCO3 exchanger (40), Na-HCO3 cotransporter (NBC) (6), and chloride channels (26). However, some aspects of the DIDS effect on the CE are puzzling. For example, although it has been postulated to act on the Cl/HCO3 exchanger at the PE cells (25), it affects the Isc of monkey CE only when it is applied to the aqueous/NPE side but not the stromal/PE side (5). DIDS decreases the Isc in isolated CE preparations of both rabbit (8) and ox (12), but it has no inhibitory effect on the chloride secretion across the isolated bovine CE preparation (12). Despite this, stromal perfusion of DIDS inhibited AH secretion in the bovine eye by 56% (34). Thus, the mechanism of action of DIDS on CE may involve a nonchloride pathway that contributes to AH secretion. Interestingly, DIDS and another stilbene derivative, 4-acetamido-4′-isothiocyanato-2,2′-stilbenedisulfonic acid disodium salt hydrate (SITS), are reported to have a potent inhibitory effect on Na-K-ATPase activity (14, 38). Na-K-ATPase is the primary active transporter that establishes the ion gradients that drive AH formation. In the intact eye, Na-K-ATPase inhibition by ouabain reduces AH secretion by ∼62% (34). Na-K-ATPase is localized to the basolateral surface of both layers, but expression is considerably more abundant in the NPE than the PE (15). Recently, we have shown rich expression of all three α-isoforms of Na-K-ATPase (32), as well as anion transporters NBC and Cl/HCO3 exchanger (33) in the porcine NPE. Here we report evidence that suggests an inhibitory influence of DIDS on NPE Na-K-ATPase activity by a mechanism that hinges upon Src family kinase (SFK) activation associated with a reduction of cytoplasmic pH.1

MATERIALS AND METHODS

Cells and reagents.

Porcine eyes purchased from the University of Arizona Meat Science Laboratory and Hatfield Quality Meats (Philadelphia, PA) were delivered overnight on ice. The use of porcine tissue was approved by the University of Arizona Institutional Animal Care and Use Committee and conformed to the ARVO Resolution for the Use of Animals in Ophthalmic and Vision Research. Porcine NPE was established in primary culture as described earlier (32) and grown in HEPES-buffered DMEM containing 10% fetal bovine serum. Before use, the cell monolayers were serum starved for 3 h and the medium was then replaced with Krebs solution that contained (in mM) 119 NaCl, 4.7 KCl, 1.2 KH2PO4, 25 NaHCO3, 2.5 CaCl2, 1 MgCl2, and 5.5 glucose, equilibrated with 5% CO2 and adjusted to pH 7.4. Experiments were carried out in Krebs solution at 37°C in a humidified incubator, saturated with 95% air and 5% CO2.

HEPES-buffered DMEM, fetal bovine serum, and newborn calf serum were purchased from Invitrogen (Carlsbad, CA). 1,4-Diamino-2,3-dicyano-1,4-bis[2-aminophenylthio]butadiene (U0126), dimethyl sulfoxide (DMSO), DIDS, SITS, and other chemicals used to prepare the Krebs solution were purchased from Sigma (St. Louis, MO). Alamethicin and 4-amino-3-(4-chlorophenyl)-1-(t-butyl)-1H-pyrazolo[3,4-d]pyrimidine, 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine (PP2) were purchased from Tocris Biosciences (Minneapolis, MN). Rabbit polyclonal anti-Na-K-ATPase α1-antibody was purchased from Sigma. Rabbit monoclonal anti p44/42 MAP kinase antibody, mouse monoclonal anti-phospho-p44/42 MAPK (Thr202/Tyr204) antibody, rabbit polyclonal anti-phospho-Na-K-ATPase α1 (Ser16)-antibody, rabbit polyclonal anti-phospho-Src-family (Tyr416) antibody, and rabbit polyclonal anti-β-actin antibody were obtained from Cell Signaling Technology (Danvers, MA). Mouse monoclonal anti-β-actin antibody was purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Goat anti-rabbit or anti-mouse IRDye 800 conjugated and goat anti-mouse or anti-rabbit IRDye 680 conjugated secondary antibodies were purchased from Rockland Immunochemicals (Gilbertsville, PA).

Sample preparation and Na-K-ATPase activity assay.

NPE cells were grown to confluence as monolayers on 24-mm polyester-permeable culture inserts with a 0.4-μm pore size (Corning). The cells were preincubated with Krebs solution for 1 h and the Krebs solution was then changed, exposing both surfaces of the culture insert to test compounds. Following treatment, the membrane with the cell monolayer was removed from each culture insert using a custom-made stainless steel cutter. Cells from two inserts were pooled as one sample for the Na-K-ATPase assay. The two inserts were arranged into a sandwich with the cells facing inside, and the membrane sandwich was then cut into small pieces, placed in a 2.0-ml Eppendorf tube, frozen in liquid nitrogen, and stored at −80°C until the Na-K-ATPase assay.

The culture insert membranes, which are brittle when frozen, were pulverized using a glass pestle that fits snugly in the 2.0 ml Eppendorf tube. The samples were subjected to two cycles of freezing in liquid nitrogen and pulverization, then 300 μl of ice cold 2× strength ATPase assay buffer was added. Assay buffer composition was (in mM) 80 l-histidine, 200 NaCl, 10 KCl, 6.0 MgCl2, 2.0 EGTA (pH 7.4) and a protease inhibitor mixture (1 tablet for each 7 ml of the ATPase buffer, Roche Applied Science, Mannheim, Germany). The mixture was homogenized for 1 min (4 strokes of 15 s at 5-s intervals) using Misonix S3000 sonicator at a 6W power setting (Misonix). The homogenate was subjected to centrifugation at 13,000 g for 30 min at 4°C to remove the polyester membrane fragments, cell nuclei, and larger mitochondria. Protein in the supernatant was measured by bicinchoninic acid (BCA) assay (35) (Pierce Biotechnology, Rockford, IL), using bovine serum albumin as a standard. The supernatant was used to measure Na-K-ATPase activity.

Na-K-ATPase activity was measured according to our previously described method (30). Samples obtained from treated or control cells (80 μl) were placed in glass assay tubes, and an additional 120 μl of 2× strength assay buffer was added to each tube. To improve access of ions and ATP to membrane vesicles, alamethicin solution in ethanol (5 μl) was added to give a final approximate concentration of 0.1 mg of alamethicin per mg protein (41). Half the tubes received ouabain, a highly specific Na-K-ATPase inhibitor (3) (final concentration 300 μM), and the remaining tubes received an equivalent volume (5 μl) of distilled water. An additional 150 μl of distilled water was added to each tube. The tubes were preincubated at 37°C for 5 min, and ATP stock solution (40 μl) was then added to each tube (final ATP concentration 2 mM), bringing the total assay mixture volume to 400 μl, diluting the 2× strength Na-K-ATPase buffer to single strength. After 30 min of incubation at 37°C in the dark, the ATP hydrolysis reaction was stopped by the addition of 150 μl of 15% ice-cold trichloroacetic acid (TCA) and placing the tubes on ice for 20 min with occasional shaking.

ATP hydrolysis was determined by measuring the amount of inorganic phosphate released in each reaction tube. To detect inorganic phosphate, each tube was placed in a centrifuge at 3,000 rpm (2,680 g) for 15 min at 4°C, then 400 μl of the supernatant was removed, placed in premarked glass tubes, and mixed with 400 μl of 4.0% FeSO4 solution in ammonium molybdate (1.25 g of ammonium molybdate in 100 ml of 2.5 N sulfuric acid). Standard solutions containing NaH2PO4 equivalent to 0, 10, 62.5, 125, 250, and 500 nmol PO4, were treated similarly. After 5 min at room temperature the tubes with the samples (not the standards) were placed in a centrifuge at 3,000 rpm (2,680 g) for 10 min to pellet additional precipitates. A 250-μl aliquot of each standard or sample was then transferred to each well of a 96-well plate, and the absorbance was measured at 750 nm in a Perkin Elmer plate reader (Victor V3, Perkin Elmer). Na-K-ATPase activity was calculated as the difference between ATP hydrolysis in the presence and in the absence of ouabain. Values are presented as nmol ATP hydrolyzed per milligram protein per 30 min. Because Na-K-ATPase activity was variable between batches of cells, data for different experiments were not pooled.

Measurement of 86Rb uptake.

NPE monolayers grown to confluence on 24-mm permeable culture inserts were preincubated in Krebs solution for 1 h at 37°C. Then the Krebs solution was changed and the cells were incubated in the presence or absence of test compounds added to both sides of the culture insert for a specified time (10 min in the case of DIDS) before the addition of 86RbCl (1 μCi/ml) for 5 min. The total concentration of radioactive and nonradioactive Rb was 0.01 mM in the 86RbCl-containing Krebs solution. Half the samples received ouabain (500 μM) along with the 86RbCl. Uptake of 86Rb was stopped by removing the culture inserts and washing them three times by quick submersion in ice-cold Krebs solution. The cell monolayer and permeable membrane were cut from each insert and placed in 7 ml of scintillation fluid in a scintillation vial. Radioactivity was measured in a scintillation counter. Results are expressed as cpm/insert and Na-K-ATPase-mediated 86Rb is the difference between uptake in the presence and absence of ouabain.

Western blot analysis.

NPE monolayers cultured to confluence on 60-mm dishes were preincubated in control Krebs solution and were then exposed to Krebs solution containing specified test compounds. After a specified time the incubation medium was removed and the cells were lysed in 200 μl RIPA buffer containing (in mM) 50 HEPES, 150 NaCl, 1.0 EDTA, 10 sodium pyrophosphate, 2.0 sodium orthovanadate, 10 sodium fluoride, and 1 phenylmethylsulfonyl fluoride (PMSF) with 10% glycerol, 1.0% Triton X-100, 1.0% sodium deoxycholate, and Complete Mini Protease Inhibitor Cocktail tablets (3 tabs/20 ml; Roche Diagnostics, Indianapolis, IN). Cell lysate from each dish was collected in premarked Eppendorf tubes and homogenized as described above. The homogenate was centrifuged at 14,000 g for 30 min, the supernatant was collected, and protein concentration was measured with a BCA protein assay kit (Pierce). The supernatant was mixed with Laemmli buffer, and the proteins were separated by electrophoresis on a 7.5% SDS-polyacrylamide minigel. Proteins were then transferred by electrophoresis to nitrocellulose membrane which was blocked overnight with a blocking buffer (East Coast Bio). The nitrocellulose membranes were incubated overnight at 4°C with the following primary antibodies: rabbit polyclonal anti-Na-K-ATPase α1 (1:450), rabbit monoclonal anti-p44/42 MAP kinase (1:1,000), mouse monoclonal anti phospho-p44/42 MAPK (Thr202/Tyr204) (1:2,000), rabbit polyclonal anti-phospho Tyr416 Src family kinase (1:1,000), rabbit polyclonal anti-β-actin (1:3,000), mouse monoclonal anti-β-actin (1:10,000), and mouse monoclonal anti-p38 MAPK (1:1,000). All antibodies were diluted in the blocking buffer. After three washes in 30 mM Tris, 150 mM NaCl, and 0.5% (vol/vol) Tween 20 (TTBS) at pH 7.4, each nitrocellulose membrane was incubated for 1 h with an appropriate secondary antibody conjugated with IRDye 800 or 680; IRDye goat anti-mouse or anti-rabbit secondary antibody (1:20,000) or IRDye 680 goat anti-rabbit or goat anti-mouse secondary antibody (1:20,000) (Licor Biosciences). Protein bands were visualized and band density was quantified by infrared laser scan detection (LI-COR Odyssey). By using secondary antibodies at two different infrared wavelengths, two proteins were quantified simultaneously, permitting calculation of a band density ratio.

Measurement of cytoplasmic pH.

Cytoplasmic pH was measured by imaging microscopy using the pH-sensitive dye 2′,7′-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein (BCECF). Cells were loaded with the acetoxymethylester (BCECF-AM). NPE cells grown to semiconfluence on a 35-mm plastic dish (Corning) were incubated at 37°C for 10 min with BCECF-AM (5.0 μM) as described earlier (31). Then the cells were washed five times with Krebs solution and incubated for another 10 min in Krebs solution to allow deesterification of the dye. Deesterification transforms BCECF-AM (ester form) to membrane-impermeable BCECF (acid form), which is trapped in the cytoplasm. The cells were then washed again several times to remove any traces of external dye. The dish containing the cells was then placed in a temperature-controlled perfusion microincubator (PDMI-2, Harvard Biosciences, Holliston, MA) on the stage of an upright epifluorescence microscope (Nikon Eclipse) where the preparation was superfused (2.0 ml/min) with a Krebs buffer. The inflow and outflow rate was controlled using peristaltic pumps (Watson-Marlow, 520S, Cornwall, TR11 4RU, UK). The microscope was fitted with a high-resolution video camera (DVC 340M-00-CL) to continuously monitor and record the BCECF fluorescence intensity in the cells. Fluorescence intensity was measured at an emission wavelength of 535 nm using alternating excitation wavelengths of 488 nm and 460 nm programmed by an InCyt Im2 imaging system (Intracellular Imaging, Cincinnati, OH). The fluorescence intensity ratio I488/I460 was calibrated by titrating BCECF-free acid with a range of buffers with defined pH values (5.49 to 8.5). Calibration was done in vitro using the calibration chamber supplied by the manufacturer (Intracellular Imaging). The camera and the microscope settings for the calibration and for conducting experiments were the same.

Statistical analysis.

The results are expressed as means ± SE, and comparison was made by one-way analysis of variance followed by the Bonferroni post hoc multiple-comparison test.

RESULTS

The stilbene derivative DIDS (4,4′-diisothiocyano-2,2′-disulfonic stilbene, 100 μM) reduced the rate of ouabain-sensitive 86Rb uptake by ∼70%. In the presence of 10 μM PP2, the effect of DIDS on ouabain-sensitive 86Rb uptake was abolished (Fig. 1). Added alone, PP2 did not significantly alter the rate of ouabain-sensitive 86Rb uptake.

Fig. 1.

Fig. 1.

The influence of PP2 on the ouabain-sensitive 86Rb uptake response to DIDS. Cells were preincubated with PP2 for 40 min before being exposed to DIDS (100 μM) in the continued presence of PP2 (10 μM). DIDS was introduced for 5 min and then 86RbCl + ouabain (500 μM) was added for a further 5 min in the continued presence of DIDS. The cell culture inserts were then washed, cut out, placed in scintillation vials, and counted in a β-counter. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. ***P < 0.001, significant difference from control.

In separate experiments, intact cells were exposed to either DIDS or SITS for 10 min; the cells were then homogenized and used for measurements of ouabain-sensitive ATP hydrolysis (Na-K-ATPase activity). The rate of ouabain-sensitive ATP hydrolysis was reduced by ∼40% in samples obtained from cells that had been exposed to DIDS (Fig. 2). DIDS-induced reduction of Na-K-ATPase activity was abolished by PP2 (10 μM; Fig. 2). The magnitude of Na-K-ATPase activity inhibition observed in cells exposed to DIDS for 10 min was similar to the Na-K-ATPase activity inhibition in cells exposed to a different stilbene derivative, SITS (100 μM; Fig. 3).

Fig. 2.

Fig. 2.

The influence of PP2 on Na-K-ATPase activity in cells exposed to DIDS. Na-K-ATPase activity (ouabain-sensitive ATP hydrolysis) was measured in samples obtained by homogenizing cells that had been preincubated with PP2 (10 μM) for 40 min before being exposed to DIDS (100 μM) for 10 min in the continued presence of PP2. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. ***P < 0.001, significant difference from control.

Fig. 3.

Fig. 3.

Comparison of Na-K-ATPase activity inhibition elicited by DIDS and SITS. Na-K-ATPase activity (ouabain-sensitive ATP hydrolysis) was measured in samples obtained by homogenizing cells that had been exposed to DIDS (100 μM) or SITS (100 μM) for 10 min. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. *P < 0.05, significant difference from control.

The detection of reduced ouabain-sensitive ATP hydrolysis in homogenized material obtained from cells exposed to DIDS points to an intrinsic change of Na-K-ATPase activity that is maintained following homogenization, centrifugation, and freezing. Evidence of SFK activation was observed in DIDS-treated cells (Fig. 4A). Increased SFK phosphorylation at Y416, a modification that signifies SFK activation, was significant in cells that had been exposed to DIDS for 10 min. The increase in SFK phosphorylation was not observed in protein samples obtained from cells that were exposed to DIDS in the presence of 10 μM PP2 (Fig. 4B). The principal phospho-SFK band appeared at ∼60 kDa, but faint phospho-SFK bands at lower molecular weights were also observed.

Fig. 4.

Fig. 4.

Src family kinase (SFK) phosphorylation detected by Western blot analysis in nonpigmented ciliary epithelial (NPE) cells exposed to DIDS (100 μM). A: a typical time course study. B: effect of PP2 on DIDS-induced SFK phosphorylation. Cells were preincubated with PP2 (10 μM) for 40 min before being exposed to DIDS (100 μM) for 10 min in the continued presence of PP2. In each panel, a typical Western blot is presented together with a bar graph that shows band density results pooled from 3 independent experiments (means ± SE). *P < 0.05, significant difference from control.

DIDS is a recognized inhibitor of anion transport, and in some cells, DIDS exposure has been reported to alter cytoplasmic pH. Since lowering cytoplasmic pH has been shown to cause SFK activation, we conducted studies to test whether DIDS lowers pH in BCECF-loaded cells. This was the case. DIDS (100 μM) reduced cytoplasmic pH (Fig. 5). A cytoplasmic pH reduction of comparable magnitude was observed in cells exposed to acidic extracellular medium (pH 6.5 and 6.0; Fig. 5). Interestingly, exposing intact cells to low-pH medium (pH 6.5) also caused a decrease in the rate of ouabain-sensitive 86Rb uptake (Fig. 6) and PP2 eliminated the 86Rb uptake response. Moreover, significant inhibition of ouabain-sensitive ATP hydrolysis (∼50%) was observed in protein samples obtained from cells that had previously been subjected to low-pH medium for 5 min (Fig. 7). In contrast, ouabain-sensitive ATP hydrolysis was unchanged in cells that had been pretreated with PP2 (10 μM) and then exposed to low-pH medium in the presence of PP2 (Fig. 7). An increase in SFK phosphorylation at Y416 was observed in cells exposed to low-pH medium (Fig. 8A). The ability of PP2 to prevent the Na-K-ATPase activity response to low-pH medium was consistent with its ability to prevent an increase in SFK phosphorylation (Fig. 8B). In a different set of experiments, cytoplasmic pH was lowered by a different maneuver. Cells were exposed to 20 mM ammonium chloride for 5 min and then subjected to ammonium chloride withdrawal in sodium-free Krebs solution. It has been established earlier that the inability of Na-dependent transporters to operate under sodium-free conditions prevents pH recovery from ammonium chloride exposure-induced acid load, causing sustained cytoplasmic acidification. Typical traces of pH responses in normal and in Na+-free Krebs solution are shown in Fig. 9A. An increase in SFK phosphorylation was observed in cells examined 1.0 min after ammonium chloride withdrawal and replacement with Na+-free Krebs (Fig. 9B).

Fig. 5.

Fig. 5.

The effect of DIDS and low-pH medium on cytoplasmic pH (pHi). Cells were loaded with the pH-sensitive dye BCECF, washed, and continuously superfused with normal medium (pH 7.4) while baseline intracellular pH was recorded for 3 min. Then, the superfusate was replaced with one containing 100 μM DIDS or with low-pH medium (pH 6.5 and 6.0) and recording was continued for 20 min. AC: typical pH responses to DIDS (A), low-pH medium 6.5 (B), and low-pH medium 6.0 (C). D and E: bar graphs of cytoplasmic pH at 5, 10, 15, and 20 min after exposure to DIDS (D) and low-pH medium (E). Results are shown as means ± SE of 5–7 individual experiments. *P < 0.05, **P < 0.01, and ***P < 0.001, significant difference from control for DIDS and low-pH medium 6.5; ##P < 0.01 and ### P < 0.001, significant difference from control for low-pH medium 6.0.

Fig. 6.

Fig. 6.

The influence of PP2 on the ouabain-sensitive 86Rb uptake response to low-pH medium. Cells were preincubated with PP2 for 40 min before being exposed to low-pH medium (pH 6.5) in the continued presence of PP2 (10 μM). Low-pH medium was introduced for 5 min and then 86RbCl + ouabain (500 μM) was added for a further 5 min in the continued low-pH conditions. The cell culture inserts were then washed, cut out, placed in scintillation vials, and counted in a β-counter. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. ***P < 0.001, significant difference from control.

Fig. 7.

Fig. 7.

The influence of PP2 on Na-K-ATPase activity in cells exposed to low-pH medium. Na-K-ATPase activity (ouabain-sensitive ATP hydrolysis) was measured in samples obtained by homogenizing cells that had been preincubated with PP2 (10 μM) for 40 min before being exposed to low-pH medium (pH 6.5) for 5 min in the continued presence of PP2. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. ***P < 0.001, significant difference from control.

Fig. 8.

Fig. 8.

SFK phosphorylation detected by Western blot analysis in NPE cells exposed to low-pH medium (pH 6.5). A: a typical time course study. B: effect of PP2 on the SFK phosphorylation response. Cells were preincubated with PP2 (10 μM) for 40 min before being exposed to low-pH medium for 5 min in the continued presence of PP2. In each panel, a typical Western blot is presented together with a bar graph that shows band density results pooled from 3 independent experiments (means ± SE). *P < 0.05 and ***P > 0.001, significant difference from control.

Fig. 9.

Fig. 9.

The influence of ammonium chloride withdrawal on SFK phosphorylation. Cells were exposed to 20 mM ammonium chloride for 5 min, after which they were returned to sodium-free Krebs solution (no ammonium chloride) for 1 min. A: typical cytoplasmic pH recovery after ammonium chloride acid load under normal (top) and sodium-free conditions (bottom). Note that cytoplasmic pH did not recover after withdrawal of ammonium chloride under sodium-free conditions. B: a typical Western blot alongside a bar graph that shows band density results pooled from 3 independent experiments (means ± SE). *P < 0.05, significant difference from control.

DIDS caused an increase in ERK1/2 phosphorylation (Fig. 10A) that could be prevented entirely by U0126, a recognized ERK1/2 inhibitor (Fig. 10B). Importantly, DIDS-induced ERK1/2 phosphorylation also was abolished when cells were exposed to DIDS in the presence of the SFK inhibitor PP2 (Fig. 10C). This suggests that SFK phosphorylation may be a required step for ERK1/2 activation. Low-pH medium similarly induced robust ERK1/2 phosphorylation that could be prevented by PP2 (Fig. 11) and U0126 (data not shown). ERK1/2 activation has been reported to lead to reduction of Na-K-ATPase activity in other tissues (18, 39). For this reason, Na-K-ATPase activity was measured in cells that had been exposed to DIDS in the presence of UO126. Although U0126 prevents ERK1/2 activation under these conditions, UO126 did not prevent the Na-K-ATPase response to DIDS (Fig. 12).

Fig. 10.

Fig. 10.

The influence of DIDS on ERK1/2 phosphorylation. A: a typical time course study in cells exposed to DIDS (100 μM). B: effect of U0126 (10 μM) on DIDS-induced ERK1/2 phosphorylation. Cells were preincubated with U0126 (10 μM) for 20 min before being exposed to DIDS (100 μM) for 10 min in the continued presence of U0126. C: effect of PP2 (10 μM) on DIDS-induced ERK1/2 phosphorylation. Cells were preincubated with PP2 (10 μM) for 40 min before being exposed to DIDS (100 μM) for 10 min in the continued presence of PP2. In each panel a typical Western blot result is shown together with a bar graph of pooled band density from 3 independent experiments. *P < 0.05, **P > 0.01, and ***P > 0.001, significant difference from control; ##P > 0.01 and $$P > 0.01, significant difference from the 5- and the 10-min treated samples, respectively.

Fig. 11.

Fig. 11.

The influence of PP2 on ERK1/2 phosphorylation in cells exposed to low-pH medium. Cells were preincubated with PP2 (10 μM) for 40 min before being exposed to low-pH medium (pH 6.5) for 5 min in the continued presence of PP2. A typical Western blot result is shown together with a bar graph of pooled band density from 3 independent experiments (means ± SE). *P < 0.05, significant difference from control.

Fig. 12.

Fig. 12.

The influence of U0126 on Na-K-ATPase activity in cells exposed to DIDS. Na-K-ATPase activity (ouabain-sensitive ATP hydrolysis) was measured in samples obtained by homogenizing cells that had been preincubated with U0126 (10 μM) for 20 min before being exposed to DIDS (100 μM) for 10 min in the continued presence of PP2. Values are means ± SE of results from 4–6 samples, each pooled from 2 cell monolayers. ***P < 0.001, significant difference from control; ##P < 0.01, significant difference from U0126 treatment.

DISCUSSION

DIDS and other disulfonic stilbenes, such as SITS, have been widely used as inhibitors of anion transporters (3, 28). They also have been recognized as inhibitors of Na-K-ATPase activity in preparations such as microsomal material obtained from turtle bladder and electric eel organ. In regard to Na-K-ATPase inhibition, DIDS and SITS were considered to be ineffective when applied to the exterior of intact cells because they do not readily penetrate the plasma membrane. This reasoning was based on the notion that their principle mechanism of action was a direct inhibitory effect caused by interaction with a Lys residue on the cytoplasmic portion of P-type ATPases (27, 38). In the present study we show evidence that DIDS is able to cause Na-K-ATPase inhibition in ocular nonpigmented ciliary epithelium (NPE) by a mechanism that is associated with SFK activation.

DIDS and SITS caused marked inhibition of ouabain-sensitive 86Rb uptake by intact cells, and the SFK inhibitor PP2 prevented the response. Moreover, diminished Na-K-ATPase activity, along with evidence of SFK phosphorylation at Y416, was observed in homogenates obtained from intact cells that had been exposed to DIDS for 5 min or more, and PP2 prevented both responses. SFK phosphorylation at Y416 has been widely recognized to indicate SFK activation (29, 37). The findings are consistent with a response that involves activation of SFK and SFK-dependent inhibition of Na-K-ATPase.

It should be noted that the magnitude of inhibition caused by DIDS was different for ouabain-sensitive 86Rb uptake and ouabain-sensitive ATP hydrolysis. It is difficult to make a direct comparison of the magnitude of the DIDS inhibitory effect in the two experiments. Although they both relate to the same mechanism, 86Rb uptake and Na-K-ATPase activity measurements are different in important respects. Ouabain-sensitive 86Rb uptake was measured real time in intact cells exposed to DIDS where Na-K-ATPase is likely working well below the Vmax and the rate depends not only on Na-K-ATPase activity but also on cytoplasmic Na+ and K+ concentration. In contrast, ouabain-sensitive ATP hydrolysis was measured in samples prepared from DIDS-treated cells that were removed from the DIDS solution, subjected to homogenization, centrifuged, and then assayed at a later time for Na-K-ATPase activity under Vmax conditions.

DIDS caused cytoplasmic acidification. To examine this aspect of the response, we subjected cells to cytoplasmic acidification caused by low-pH medium. This also elicited inhibition of Na-K-ATPase activity that could be prevented by the SFK inhibitor PP2. SFK phosphorylation at Y416 was evident in cells that had been subjected to cytoplasmic acidification either by exposure to low-pH medium or by ammonium chloride acid load (the addition then subsequent removal of extracellular ammonium chloride). Importantly, the SFK inhibitor PP2, which suppressed SFK phosphorylation, was found to prevent the inhibition of ouabain-sensitive 86Rb uptake and Na-K-ATPase activity caused by exposure to low-pH medium. Taken together, the findings are consistent with the notion that lowering cytoplasmic pH is associated with SFK activation that leads to Na-K-ATPase inhibition. Reduction of cytoplasmic pH in a proximal renal tubule cell line has previously been shown to activate Src (42). Indeed, Src activation by intracellular acidification appears to be an important mechanism in modulating a number of cellular functions. For example, Src activation thorough Pyk2, a member of the focal adhesion kinase (FAK) family of tyrosine kinases (21), has been demonstrated as a required step in the activation of the sodium/hydrogen exchanger NHE3 in kidney tubule cells when exposed to acidic medium (22).

The cytoplasmic acidification observed upon DIDS exposure likely stems from the fact that DIDS is a potent inhibitor of anion transport (3, 28). However, DIDS also has been shown to inhibit carbonic anhydrase (CA) (13), and the cytoplasmic pH fall could be the combined result of inhibition of anion transporters and CA. Inhibition of anion transporters, and membrane-bound carbonic anhydrase (CA4), will interfere with base (HCO3/CO3) transport across the cell membrane and thus has the potential to lower cytoplasmic pH.

Previous studies have linked inhibition of Na-K-ATPase activity to tyrosine phosphorylation. In rabbit NPE, dopamine agonists were found to cause inhibition of ouabain-sensitive 86Rb uptake in a response that could be abolished by genistein, a nonselective tyrosine kinase inhibitor. SFK itself is activated by tyrosine phosphorylation, at residue 416, and in the intact porcine lens, stimulation of ET receptors by endothelin-1 was reported to cause reduction of Na-K-ATPase activity by a mechanism that could be prevented by PP2, the selective inhibitor of SFK activation (24). The role of SFK activation is complex and still poorly understood because it also can trigger Na-K-ATPase stimulation. SFK activation that occurs following purinergic receptor activation in lens epithelium was linked to an increase in Na-K-ATPase activity (36). How SFK can be linked to either inhibition or activation of Na-K-ATPase, depending on the stimulus, is still under investigation and falls beyond the scope of the present study. There are nine tyrosine kinases in the SFK family and the appearance of faint phospho-SFK bands in addition to the principal ∼60 kDa band in DIDS-treated cells suggests that more than one SFK might be activated. It is possible that different patterns of SFK activation could elicit different downstream responses. The key finding in this study is that DIDS-mediated Na-K-ATPase inhibition depends on SFK activation. The evidence is consistent with a mechanism that hinges on SFK activation associated with a reduction of cytoplasmic pH.

It is noteworthy that cells exposed to either DIDS or low-pH medium displayed significant ERK1/2 phosphorylation. The ability of the SFK inhibitor PP2 to prevent such ERK1/2 phosphorylation indicates that ERK1/2 activation under these conditions is SFK dependent. However, DIDS-induced ERK1/2 activation did not play an obvious role in modulating Na-K-ATPase activity since the selective ERK1/2 inhibitor U0126 prevented ERK1/2 phosphorylation but failed to prevent DIDS-induced reduction of Na-K-ATPase activity. These findings are in contrast to reports that ERK1/2 activation leads to a reduction of Na-K-ATPase activity in opossum kidney cells and lung alveolar epithelium (18, 39) and causes Ser phosphorylation of the Na-K-ATPase α1-subunit in vitro (2), and internalization of Na-K-ATPase α1-polypeptide (19). The downstream consequences of ERK1/2 activation in DIDS-treated NPE cells remain to be determined, but SFK activation is clearly an early step in this part of the DIDS response as well as the Na-K-ATPase inhibition response.

While the findings in this study point to SFK activation and ERK1/2 activation associated with a reduction of cytoplasmic pH, DIDS and low-pH medium caused sustained lowering of cytoplasmic pH but transient SFK activation and ERK1/2 activation. Transient (terminated rapidly within minutes) activation has been reported widely for SFK and ERK1/2 in a variety of cells subjected to a range of stimuli. For example, geldamycin transiently activates Src in human embryonic kidney cells as well as in several cancer cells, including T24 bladder cancer, MCF7 breast cancer, and PC-3 prostate cancer cells (20). Additionally, rapid and transient activation of ERK1/2 in response to macrophage migration inhibitory factor has been reported to be dependent on Src tyrosine kinase activation (23). However, there also are reports of sustained SFK (17) and ERK1/2 (16) activation. The physiological significance of transient versus sustained activation of SFK and ERK1/2 signaling pathways is a topic for further study. Temporal regulation is an important feature of cellular signaling and depends on the stimulus, the specific receptors activated, as well as the presence of diverse additional modulators (1). Transient activation is a characteristic feature of other signaling pathways. For instance, calcium signaling commonly adheres to a pattern where an agonist-induced rise of cytoplasm calcium is followed quickly by a reduction in calcium concentration even though the cell remains exposed to the agonist.

GRANTS

This research was supported by National Eye Institute Grant EY-006915 from National Institutes of Health.

DISCLOSURES

No conflicts of interest, financial or otherwise, are declared by the author(s).

AUTHOR CONTRIBUTIONS

M.S. and N.A.D. conception and design of research; M.S. and G.W. performed experiments; M.S. analyzed data; M.S. interpreted results of experiments; M.S. prepared figures; M.S. drafted manuscript; M.S. and N.A.D. edited and revised manuscript; M.S. and N.A.D. approved final version of manuscript.

ACKNOWLEDGMENTS

The authors are grateful to the University of Arizona Meat Science Laboratory and Hatfield Quality Meat, Pennsylvania, for the supply of porcine eyes.

Footnotes

1

This article is the topic of an Editorial Focus by Mortimer M. Civan (7a).

REFERENCES

  • 1.Agell N, Bachs O, Rocamora N, Villalonga P. Modulation of the Ras/Raf/MEK/ERK pathway by Ca2+, and calmodulin. Cell Signal 14: 649–654, 2002 [DOI] [PubMed] [Google Scholar]
  • 2.Al-Khalili L, Kotova O, Tsuchida H, Ehren I, Feraille E, Krook A, Chibalin AV. ERK1/2 mediates insulin stimulation of Na(+),K(+)-ATPase by phosphorylation of the alpha-subunit in human skeletal muscle cells. J Biol Chem 279: 25211–25218, 2004 [DOI] [PubMed] [Google Scholar]
  • 3.Cabantchik ZI, Knauf PA, Rothstein A. The anion transport system of the red blood cell. The role of membrane protein evaluated by the use of ‘probes’. Biochim Biophys Acta 515: 239–302, 1978 [DOI] [PubMed] [Google Scholar]
  • 4.Candia OA, To CH, Law CS. Fluid transport across the isolated porcine ciliary epithelium. Invest Ophthalmol Vis Sci 48: 321–327, 2007 [DOI] [PubMed] [Google Scholar]
  • 5.Chu TC, Candia OA, Podos SM. Electrical parameters of the isolated monkey ciliary epithelium and effects of pharmacological agents. Invest Ophthalmol Vis Sci 28: 1644–1648, 1987 [PubMed] [Google Scholar]
  • 6.Chu TC, Green K. Bicarbonate and DIDS effects on intracellular potential difference in rabbit ciliary epithelium. Curr Eye Res 9: 233–239, 1990 [DOI] [PubMed] [Google Scholar]
  • 7.Civan MM. Transport components of net secretion of the aqueous humour and their integrated regulation. In: The Eye's Aqueous Humor: From Secretion to Glaucoma. New York: Academic, 1998, p. 1–24 [Google Scholar]
  • 7a.Civan MM. DIDS and the Janus-faced Na+-K+-activated ATPase. Focus on “DIDS inhibits Na-K-ATPase activity in porcine nonpigmented ciliary epithelial cells by a Src family kinase-dependent mechanism. Am J Physiol Cell Physiol (May 1, 2013). 10.1152/ajpcell.00114.2013 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Crook RB, Takahashi K, Mead A, Dunn JJ, Sears ML. The role of NaKCl cotransport in blood-to-aqueous chloride fluxes across rabbit ciliary epithelium. Invest Ophthalmol Vis Sci 41: 2574–2583, 2000 [PubMed] [Google Scholar]
  • 9.Do CW, Civan MM. Basis of chloride transport in ciliary epithelium. J Membr Biol 200: 1–13, 2004 [DOI] [PubMed] [Google Scholar]
  • 10.Do CW, Lu W, Mitchell CH, Civan MM. Inhibition of swelling-activated Cl currents by functional anti-ClC-3 antibody in native bovine non-pigmented ciliary epithelial cells. Invest Ophthalmol Vis Sci 46: 948–955, 2005 [DOI] [PubMed] [Google Scholar]
  • 11.Do CW, Peterson-Yantorno K, Civan MM. Swelling-activated Cl channels support Cl secretion by bovine ciliary epithelium. Invest Ophthalmol Vis Sci 47: 2576–2582, 2006 [DOI] [PubMed] [Google Scholar]
  • 12.Do CW, To CH. Chloride secretion by bovine ciliary epithelium: a model of aqueous humor formation. Invest Ophthalmol Vis Sci 41: 1853–1860, 2000 [PubMed] [Google Scholar]
  • 13.Ehrenspeck G, Brodsky WA. Effects of 4-acetamido-4′-isothiocyano-2,2-disulfonic stilbene on ion transport in turtle bladders. Biochim Biophys Acta 419: 555–558, 1976 [DOI] [PubMed] [Google Scholar]
  • 14.Faelli A, Tosco M, Orsenigo MN, Esposito G. Effects of the stilbene derivatives SITS and DIDS on intestinal ATPase activities. Pharmacol Res Commun 16: 339–350, 1984 [DOI] [PubMed] [Google Scholar]
  • 15.Ghosh S, Freitag AC, Martin-Vasallo P, Coca-Prados M. Cellular distribution and differential gene expression of the three alpha subunit isoforms of the Na,K-ATPase in the ocular ciliary epithelium. J Biol Chem 265: 2935–2940, 1990 [PubMed] [Google Scholar]
  • 16.Glotin AL, Calipel A, Brossas JY, Faussat AM, Tréton J, Mascarelli F. Sustained versus transient ERK1/2 signaling underlies the anti- and proapoptotic effects of oxidative stress in human RPE cells. Invest Ophthalmol Vis Sci 47: 4614–4623, 2006 [DOI] [PubMed] [Google Scholar]
  • 17.Guo J, Wu HW, Hu G, Han X, De W, Sun YJ. Sustained activation of Src-family tyrosine kinases by ischemia: a potential mechanism mediating extracellular signal-regulated kinase cascades in hippocampal dentate gyrus. Neuroscience 143: 827–836, 2006 [DOI] [PubMed] [Google Scholar]
  • 18.Khundmiri SJ, Ameen M, Delamere NA, Lederer ED. PTH-mediated regulation of Na+-K+-ATPase requires Src kinase-dependent ERK phosphorylation. Am J Physiol Renal Physiol 295: F426–F437, 2008 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Khundmiri SJ, Bertorello AM, Delamere NA, Lederer ED. Clathrin-mediated endocytosis of Na+,K+ATPase in response to parathyroid hormone requires ERK-dependent phosphorylation of Ser-11 within the α1-subunit. J Biol Chem 279: 17418–17427, 2004 [DOI] [PubMed] [Google Scholar]
  • 20.Koga F, Xu W, Karpova TS, McNally JG, Baron R, Neckers L. Hsp90 inhibition transiently activates Src kinase and promotes Src-dependent Akt and Erk activation. Proc Natl Acad Sci USA 103: 11318–11322, 2006 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Lev S, Moreno H, Martinez R, Canoll P, Peles E, Musacchio JM, Plowman GD, Rudy B, Schlessinger J. Protein tyrosine kinase PYK2 involved in Ca2+-induced regulation of ion channel and MAP kinase functions. Nature 376: 737–745, 1995 [DOI] [PubMed] [Google Scholar]
  • 22.Li S, Sato S, Yang X, Preisig PA, Alpern RJ. Pyk2 activation is integral to acid stimulation of sodium/hydrogen exchanger 3. J Clin Invest 114: 1782–1789, 2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Lue H, Kapurniotu A, Fingerle-Rowson G, Roger T, Leng L, Thiele M, Calandra T, Bucala R, Bernhagen J. Rapid and transient activation of the ERK MAPK signalling pathway by macrophage migration inhibitory factor (MIF) and dependence on JAB1/CSN5 and Src kinase activity. Cell Signal 18: 688–703, 2006 [DOI] [PubMed] [Google Scholar]
  • 24.Mandal A, Shahidullah M, Beimgraben C, Delamere NA. The effect of endothelin-1 on Src-family tyrosine kinases and Na,K-ATPase activity in porcine lens epithelium. J Cell Physiol 226: 2555–2561, 2011 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.McLaughlin CW, Peart D, Purves RD, Carre DA, Macknight AD, Civan MM. Effects of HCO3 on cell composition of rabbit ciliary epithelium: a new model for aqueous humor secretion. Invest Ophthalmol Vis Sci 39: 1631–1641, 1998 [PubMed] [Google Scholar]
  • 26.Mitchell CH, Wang L, Jacob TJ. A large-conductance chloride channel in pigmented ciliary epithelial cells activated by GTPgammaS. J Membr Biol 158: 167–175, 1997 [DOI] [PubMed] [Google Scholar]
  • 27.Pedemonte CH, Kirley TL, Treuheit MJ, Kaplan JH. Inactivation of the Na,K-ATPase by modification of Lys-501 with 4-acetamido-4′-isothiocyanatostilbene-2,2′-disulfonic acid (SITS). FEBS Lett 314: 97–100, 1992 [DOI] [PubMed] [Google Scholar]
  • 28.Pushkin A, Kurtz I. SLC4 base (HCO3, CO32−) transporters: classification, function, structure, genetic diseases, and knockout models. Am J Physiol Renal Physiol 290: F580–F599, 2006 [DOI] [PubMed] [Google Scholar]
  • 29.Roskoski R., Jr Src protein-tyrosine kinase structure and regulation. Biochem Biophys Res Commun 324: 1155–1164, 2004 [DOI] [PubMed] [Google Scholar]
  • 30.Shahidullah M, Mandal A, Beimgraben C, Delamere NA. Hyposmotic stress causes ATP release and stimulates Na,K-ATPase activity in porcine lens. J Cell Physiol 227: 1428–1437, 2012 [DOI] [PubMed] [Google Scholar]
  • 31.Shahidullah M, Mandal A, Delamere NA. Responses of sodium-hydrogen exchange to nitric oxide in porcine cultured nonpigmented ciliary epithelium. Invest Ophthalmol Vis Sci 50: 5851–5858, 2009 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Shahidullah M, Tamiya S, Delamere NA. Primary culture of porcine nonpigmented ciliary epithelium. Curr Eye Res 32: 511–522, 2007 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Shahidullah M, To CH, Pelis RM, Delamere NA. Studies on bicarbonate transporters and carbonic anhydrase in porcine nonpigmented ciliary epithelium. Invest Ophthalmol Vis Sci 50: 1791–1800, 2009 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Shahidullah M, Wilson WS, Yap M, To CH. Effects of ion transport and channel-blocking drugs on aqueous humor formation in isolated bovine eye. Invest Ophthalmol Vis Sci 44: 1185–1191, 2003 [DOI] [PubMed] [Google Scholar]
  • 35.Smith PK, Krohn RI, Hermanson GT, Mallia AK, Gartner FH, Provenzano MD, Fujimoto EK, Goeke NM, Olson BJ, Klenk DC. Measurement of protein using bicinchoninic acid. Anal Biochem 150: 76–85, 1985 [DOI] [PubMed] [Google Scholar]
  • 36.Tamiya S, Okafor MC, Delamere NA. Purinergic agonists stimulate lens Na-K-ATPase-mediated transport via a Src tyrosine kinase-dependent pathway. Am J Physiol Cell Physiol 293: C790–C796, 2007 [DOI] [PubMed] [Google Scholar]
  • 37.Thomas SM, Brugge JS. Cellular functions regulated by Src family kinases. Annu Rev Cell Dev Biol 13: 513–609, 1997 [DOI] [PubMed] [Google Scholar]
  • 38.Vega FV, Cabero JL, Mardh S. Inhibition of H,K-ATPase and Na,K-ATPase by DIDS, a disulphonic stilbene derivative. Acta Physiol Scand 134: 543–547, 1988 [DOI] [PubMed] [Google Scholar]
  • 39.Welch LC, Lecuona E, Briva A, Trejo HE, Dada LA, Sznajder JI. Extracellular signal-regulated kinase (ERK) participates in the hypercapnia-induced Na,K-ATPase downregulation. FEBS Lett 584: 3985–3989, 2010 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Wolosin JM, Bonanno JA, Hanzel D, Machen TE. Bicarbonate transport mechanisms in rabbit ciliary body epithelium. Exp Eye Res 52: 397–407, 1991 [DOI] [PubMed] [Google Scholar]
  • 41.Xie ZJ, Wang YH, Ganjeizadeh M, McGee R, Jr, Askari A. Determination of total (Na+ + K+)-ATPase activity of isolated or cultured cells. Anal Biochem 183: 215–219, 1989 [DOI] [PubMed] [Google Scholar]
  • 42.Yamaji Y, Tsuganezawa H, Moe OW, Alpern RJ. Intracellular acidosis activates c-Src. Am J Physiol Cell Physiol 272: C886–C893, 1997 [DOI] [PubMed] [Google Scholar]

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