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The Journal of Neuroscience, February 1, 2000, 20(3):1001-1008
The Electrogenic Sodium Bicarbonate Cotransporter: Developmental
Expression in Rat Brain and Possible Role in Acid Vulnerability
Rona G.
Giffard1,
Marios C.
Papadopoulos1,
Johannes A.
van Hooft2,
Lijun
Xu1,
Raffaela
Giuffrida2, and
Hannah
Monyer2
1 Department of Anesthesia, Stanford University,
Stanford, California 94305-5117, and 2 Zentrum fuer
Molekulare Biologie Heidelberg, University of Heidelberg, D69120
Heidelberg, Germany
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ABSTRACT |
The electrogenic sodium bicarbonate cotransporter (NBC) is
expressed in glial cells in the brain and plays an important role in
the regulation of both intracellular and extracellular pH. Differential
vulnerability to acidosis between neurons and glia has been noted and
may contribute to infarction after cerebral ischemia. Ionic
substitution studies and inhibition of injury by
4,4'-di-isothiocyanostilbene-2,2'-disulfonic acid suggest that NBC is involved in astrocyte vulnerability to acidic injury. Recently two NBC cDNAs differing in 5'-untranslated and N-terminal coding sequence have been cloned from kidney and pancreas. We cloned one
of these cDNAs from rat brain and demonstrate here that the clone is
functional by expression in Xenopus oocytes. We
determined the developmental and regional expression of NBC in the
brain by in situ hybridization. Expression was observed
in the spinal cord at embryonic day 17, whereas expression in brain was
first seen at approximately postnatal day 0 (P0), increased at
P15, and persisted in the adult brain. Expression was widespread
throughout the cerebellum, cortex, olfactory bulb, and subcortical
structures. Cellular resolution of the in situ
hybridization signal and double labeling for glial fibrillary acidic
protein were consistent with a glial localization for NBC. Expression
of NBC in 3T3 cells that do not normally express this transporter
rendered them vulnerable to acid injury. The expression profile
suggests that this transporter is critical during the later stages of
brain development and could be one of the factors contributing to the
different patterns of injury seen in perinatal versus adult cerebral ischemia.
Key words:
bicarbonate transport; pH regulation; development; glial
cells; splice variant; acid injury; ischemia
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INTRODUCTION |
The electrogenic sodium bicarbonate
cotransporter (NBC) has been studied extensively in glial cells from
both invertebrates and vertebrates and from different brain regions
(Deitmer and Schlue, 1989 ; Newman, 1991 ; O'Connor et al., 1994 ). The
extracellular pH is an important determinant of neuronal excitability
(Ransom, 1992 ). During physiological activation of neurons a shift to
acidic pH occurs (Trapp et al., 1996 ), and modulation of the
extracellular pH by astrocytes may be critical to setting the level of
excitability of neurons (Ransom, 1992 ). During neuronal activity
extracellular potassium increases, leading to glial depolarization and
activation of the cotransporter (O'Connor et al., 1994 ). With
activation of NBC the extracellular pH is acidified, while the
intracellular pH of the astrocyte is alkalinized. The extracellular
acidification may be instrumental in regulating local brain blood flow
(Newman, 1991 ) in addition to its effect on neuronal excitability. This transporter plays an important role in physiological pH regulation and
may play a critical role in pH regulation during pathophysiological events, such as brain ischemia (Lascola and Kraig, 1997 ).
Cerebral ischemia is associated with a fall in intracellular and
extracellular pH (Kraig et al., 1986 ), and more severe acidosis correlates with more severe injury (Myers and Yamaguchi, 1977 ). However, in vitro, acidosis in the range seen in ischemia
protects neurons from ischemia-like injury (Schurr et al., 1988 ;
Giffard et al., 1990a ; Tombaugh and Sapolsky, 1990 ) and attenuates
glutamate-induced neuronal death (Giffard et al., 1990a ). Surprisingly,
astrocytes in vitro were more vulnerable to extracellular
acidity-mediated injury than were neurons (Giffard et al., 1990b ).
Protection from hypoxic injury by acidity has been observed not only in
neurons (Schurr et al., 1988 ; Giffard et al., 1990a ) but also in
cardiac (Bing et al., 1973 ), renal (Pentilla and Trump, 1974 ), and
liver cells (Currin et al., 1991 ). A large body of work now supports the protective effect of inhibiting the sodium hydrogen exchanger in
the setting of myocardial ischemia (for review, see Karmazyn, 1998 ).
The observed enhanced functional recovery seems to be caused by slower
recovery from intracellular acidosis after reperfusion (Koike et al.,
1996 ). Furthermore, inhibition of intracellular alkalinization by
inhibiting bicarbonate transport with
4,4'-di-isothiocyanostilbene-2,2'-disulfonic acid (DIDS) also improved
functional myocardial recovery (Meiltz et al., 1998 ).
Recently NBC cDNA has been cloned from several species (Romero and
Boron, 1999 ), from kidney (Romero et al., 1997 , 1998 ), and from
pancreas (Abuladze et al., 1998 ) and found to occur in two forms that
differ in 5'-untranslated and N-terminal coding sequence. As judged
from its sequence, NBC is a member of the bicarbonate transporter
superfamily that also includes the anion exchangers AE1-3
(Kopito, 1990 ). We cloned a cDNA for NBC from rat brain and performed
in situ hybridization studies to determine the time course
and regional distribution of NBC expression in brain. A possible role
for NBC in astrocyte acid-induced injury was found in the ionic
dependence of the injury, its inhibition by DIDS, and the conversion of
3T3 cells from acid resistant to acid sensitive by overexpression of
NBC cDNA.
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MATERIALS AND METHODS |
Primary cultures. Primary astrocyte cultures from the
neocortex of newborn (postnatal day 1-2) Swiss-Webster mice were
prepared as described previously (Dugan et al., 1995 ) and used after
25 d in vitro. All procedures were performed according
to a protocol approved by the Stanford animal care and use committee in
compliance with the National Institutes of Health guidelines.
Dissociated neocortical cells were plated in 15 mm Falcon Primaria
24-well plates at one to two hemispheres/plate.
Balanced salt solutions. Cells were washed into balanced
salt solutions (BSS5.5) with the following
compositions: 5.5 mM glucose at pH 6.8 or 7.4 containing
NaCl (117.9 mM for pH 7.4; 128.9 mM for pH
6.8), KCl (5.4 mM), MgSO4 (0.8 mM), NaH2PO4 (1 mM), CaCl2 (1.8 mM),
HEPES for pH 7.4 or 1,4-piperazinediethanesulphonic acid (PIPES)
for pH 6.8 (10 mM), and phenol red (10 mg/l). After adjusting the pH to 7.4 or 6.8 with NaOH, NaHCO3
was added (14.7 mM for pH 7.4; 3.7 mM for pH
6.8) to maintain the pH in a 5% CO2 atmosphere
at 37°C. Nominally
HCO3 -free
BSS5.5 was made by replacing the
NaHCO3 with NaCl, and
experiments were performed at 37°C in room air or nitrogen for
hypoxic experiments. Reduced-Na+
BSS5.5 was prepared by replacing NaCl with
choline-Cl (Sigma, St. Louis, MO). Control experiments showed that
astrocyte cultures were not injured by incubation in the substituted
BSS5.5 solutions at pH 7.4 for >24 hr.
Injury paradigms. For acidosis injury, cultures were washed
into the indicated solutions at pH 6.8 and maintained at 37°C in a
humidified incubator for 24 hr. Injury was assessed by measuring lactate dehydrogenase (LDH) released by the cells (Koh and Choi, 1987 )
or after staining with trypan blue and cell counting. For combined
oxygen-glucose deprivation, astrocyte cultures were washed into
balanced salt solution lacking glucose (BSS0)
that was equilibrated previously with the 5%
CO2, 10% H2, and 85%
N2 atmosphere in the anoxia chamber (Forma
Scientific) and incubated at 37°C in the anoxia chamber for 6 hr.
When nominally bicarbonate-free buffer was used, the atmosphere was
100% N2. Oxygen-glucose deprivation was
terminated by washing the cultures into oxygenated
BSS5.5 at pH 7.4. Cultures were kept in the
normoxic incubator for 24 hr before assessing injury. Maximum LDH
release corresponding to death of all the cells was determined at the
end of each experiment after freezing at 70°C and rapid thawing.
Because DIDS was found to interfere with the LDH assay, the extent of
injury was quantitated by trypan blue or propidium iodide staining and
cell counting of five 200× microscope fields for each culture. The
number of stained cells was divided by the total number of cells in the field and expressed as a percentage. Between 1000 and 1500 cells were
counted per culture.
Measurement of intracellular pH. Intracellular pH
(pHi) was measured in populations of astrocytes
with 2',7'-bis-[2-carboxyethyl]-5-(-6) carboxyfluorescein (BCECF)
using a modification of published methods (Mellergard et al., 1994 ).
Primary astrocyte cultures were loaded with the membrane-permeable
AM of BCECF at 6 µM in
BSS5.5, pH 7.4, for 1-2 hr. The cells were then
incubated in the appropriate BSS5.5 without
additional BCECF AM for 3 hr and were suspended in 1.5 ml of
BSS5.5 of the same composition. Fluorescence
intensity was measured immediately at excitation 490 nm and emission
535 nm (I1) and excitation 440 nm and emission
535 nm (I2), and the pHi of
astrocytes was determined from a standard curve of
I1/I2 versus
pHi. The standard curve was obtained by exposing
astrocytes, loaded with BCECF AM as described, to solutions of
different pHs in which 100 mM NaCl was replaced with 100 mM KCl with the K+ ionophore
nigericin (2.8 µM final concentration) added 5 min before
each measurement.
Hippocampal cDNA library screening. A brain
hippocampal cDNA library made from postnatal day 15 rat was screened
with an oligonucleotide probe
(5'-ATACGTTCTGCGGCCGGGGAGACTGCAGAAGTGAAAATACTGT-3') based on the
human NBC cDNA cloned from kidney (Burnham et al., 1997 ) and with a
PCR-amplified 1093 bp DNA fragment amplified from rat brain cDNA
using two primers from the human sequence (5'-AACATGCAGGGGTGTTGGAGAG-3' and 5'-GTCTCTGTCTCCATCTTCA-3'). The human sequence was used because at
the time these experiments were begun the rat kidney sequence was not
yet in the database. After plaque purification two putative full-length
cDNA clones were identified.
Functional expression in oocytes. The NBC sequence obtained
from the brain cDNA library screen was subcloned into a eukaryotic expression plasmid under the control of the cytomegalovirus (CMV) promoter for expression studies. The recombinant vector was dissolved at 2 mg/ml in distilled water and injected (~13 nl/oocyte) into the
nucleus of stage V-VI oocytes (Zwart et al., 1995 ). After 3 d,
ion currents were recorded by conventional two microelectrode voltage
clamp. Microelectrodes (smaller than 1 MOhm) were filled with 3 M KCl. Oocytes were continuously superfused with external solution containing (in mM): NaCl (130), CaCl2 (2), and
HEPES (10), pH 7.3. Ion currents were evoked by switching to external solution in which NaHCO3 replaced equimolar NaCl.
For experiments under low-Na+ conditions,
NaCl was replaced by
N-methyl-D-glucamine-Cl. The membrane
potential was held at 60 mV. Ion currents were recorded on a chart recorder.
Amplification of brain- or kidney-specific fragments. PCR
conditions were 94OC for 3 min, 35 cycles
of 94OC for 30 sec,
60OC for 30 sec, and
72OC for 40 sec, with a final incubation
at 72OC for 10 min. The sense
oligonucleotide used to amplify a kidney-specific 5'
sequence was 5'-CACAGTTTGGCTCCCAGGCAC-3'. The sense oligonucleotide specific for the brain sequence was 5'-CAAACTGGAGGAGCGACGGAAG-3'; the
common antisense oligonucleotide was 5'-GGAGGTGCTGGGCTGTCATC-3'. The
predicted amplicons were 258 bp for the kidney sequence and 372 bp for
the brain sequence. RNA was isolated using the RNeasy kit (Qiagen,
Hilden, Germany) from rat brain, kidney, colon, and small
intestine, which had been frozen on dry ice immediately after removal.
cDNA was synthesized from equal amounts of tissue-specific RNAs using
random hexamers. Equal amounts of cDNA were then used as templates for
the PCR reactions.
In situ hybridization. In situ hybridization
was performed as described previously (Monyer et al., 1991 ). Rats of
the indicated ages were anesthetized with halothane and killed by
decapitation. Brains were rapidly removed and frozen on dry ice. Frozen
sections (15 µm) were cut on a cryostat, thaw-mounted on
poly-L-lysine-coated slides, and dried at room
temperature. After fixation in 4% paraformaldehyde (4°C) for 5 min,
sections were washed in PBS, dehydrated in 100% ethanol, and stored in 100% ethanol (4°C) until use. Just before hybridization, sections were air-dried. The oligonucleotide probe 5'-CCCACGAGCTTTCCTCCAATTTCACACACTCTTTCTTTGAC-3' was labeled with -35S-dATP (1200 Ci/mmol; Amersham,
Arlington Heights, IL) using terminal deoxynucleotide transferase (BRL,
Bethesda, MD). Labeled probe was dissolved in hybridization
buffer at 1 pg/ml, 1000 dpm/ml, and applied to sections. Controls were
performed by adding 200-fold excess of unlabeled oligonucleotide to
demonstrate the specificity of the signal. Hybridization buffer
consisted of 50% formamide (v/v), 4× SSC (1× SSC, 0.15 M NaCl and 0.015 M Na
citrate), and 10% dextran sulfate (w/v). Hybridization was performed
overnight at 42°C, under parafilm coverslips. Sections were washed at
a final stringency of 1× SSC at 60° C for 20 min before dehydration and exposure to Kodak XOMAT film. Exposure time was 21 d at room temperature. To obtain cellular resolution, sections were dipped in
Ilford K5 emulsion and exposed at 4°C for 6 weeks. After development, slides were counterstained with 0.1% thionin and viewed with a Zeiss
axioplan microscope. All slices were emulsion-dipped, and the
experiment was performed at least three times for each developmental time point.
Combined in situ hybridization and
immunocytochemistry. In situ hybridization
histochemistry was performed with antisense cRNA for NBC. A 355 bp DNA
fragment of the rat brain NBC sequence beginning at the translational
start codon was obtained by PCR from the cloned brain NBC cDNA and was
subcloned into pBluescript SK (Stratagene, La Jolla, CA). The
recombinant plasmid was linearized and transcribed with T3 RNA
polymerase (Boehringer Mannheim, Indianapolis, IN). In vitro
transcription, digoxigenin labeling of the riboprobe, and
nonradioactive in situ hybridization with the riboprobe were performed as described previously (Catania et al., 1995 ). After in situ hybridization, sections were immediately processed
for immunocytochemistry (Catania et al., 1995 ). Sections were incubated overnight at 4°C with rabbit anti-GFAP antibody (1:500; Dako A/S, Glostrup, Denmark). On the following day, sections were
washed three times with Tris-buffered saline and incubated for 2 hr in goat anti-rabbit IgG-carboxymethylindocyanine-conjugated
secondary antibody (1:200; Jackson ImmunoResearch-Dianova,
Hamburg, Germany). Subsequently, slices were mounted on slides and
coverslipped in Mowiol medium.
Overexpression of NBC in 3T3 cells. The rat brain cDNA for
NBC was subcloned into LXSN, a retroviral vector backbone
(Miller and Rosman, 1989 ). After selection and packaging in the 89-2 cell line (Mann et al., 1983 ), viral supernatants were collected and used to infect cultures of 3T3 cells. Infection and selection of 3T3
cells expressing NBC were performed as described previously (Papadopoulos et al., 1996 ). Stably transfected 3T3 cells expressing either NBC or the control gene -galactosidase were then passaged further for experiments. Exposure to pH 6.8 was performed in
BSS5.5 as noted above.
Immunoblot. Westerns were performed as described previously
(Papadopoulos et al., 1996 ) except using a 7.5% separating gel. The
rabbit polyclonal antibody KIA was kindly provided by Dr. Walter
Boron (Yale University). The antibody was used at a 1:1000 dilution in
PBS containing 5% fetal bovine serum and 0.09%
NaN3.
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RESULTS |
Astrocyte acid vulnerability
The vulnerability of astrocytes to injury by exposure to pH 6.8 for 24 hr was determined alone or in combination with oxygen-glucose deprivation for 6 hr followed by reperfusion to simulate ischemic conditions. This pH is the value reported in normoglycemic, ischemic rat brain (Kraig et al., 1986 ). The ionic dependence and pharmacology of acid-induced injury and combined oxygen-glucose-acidic injury were
compared (Fig. 1). Acid-induced injury
was reduced from >80% cell death to <10% by substitution for
extracellular bicarbonate, by reduction of sodium, or in the presence
of DIDS, which blocks NBC (Romero and Boron, 1999 ). Blocking the sodium
hydrogen exchanger with amiloride was ineffective. The ionic dependence
of combined oxygen-glucose-acidic injury was similar to that
for acid injury alone. Interestingly, when sodium is reduced the extent
of injury from hypoxia or oxygen-glucose deprivation is significantly
less at pH 6.8 than at pH 7.4, reminiscent of previous findings
for neurons (Schurr et al., 1988 , 1997 ; Giffard et al., 1990a ;
Tombaugh and Sapolsky, 1990 ) and other cell types. The ionic dependence and pharmacological response are consistent with a role for the sodium
bicarbonate cotransporter in these two injury paradigms.

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Figure 1.
A, Astrocyte injury caused by
acidosis alone requires extracellular Na+ and
HCO3 . Primary astrocyte cultures were
kept in the indicated balanced salt solution
(BSS5.5) for 24 hr; then injury was quantitated by
release of LDH. Maximal LDH release was determined at the end of each
experiment after freezing at 70°C and rapid thawing. Cell death was
determined by counting the number of cells staining with trypan blue,
expressed as a percentage of the total cells counted for the +DIDS
condition because DIDS interfered with the LDH assay. Exposure to
BSS5.5 at pH 7.4 or 6.8 was performed alone or with the
addition of 0.1 mM amiloride or 1 mM DIDS (6.8 + A; 6.8 + D). Vertical
bars represent means ± SEM for
n = 12; * denotes significant
(p < 0.05) difference from pH 6.8 by ANOVA
and the Bonferroni test. B, Injury attributable to
combined oxygen-glucose deprivation (OGD) at pH 6.8 has
an ionic dependence similar to that of injury caused by acidosis alone.
Primary astrocyte cultures were placed in an anoxic chamber and washed
into the indicated BSS0 at pH 7.4 or 6.8, which had been
equilibrated with anoxic gas. After 6 hr the cultures were washed into
oxygenated BSS5.5 at pH 7.4 and placed in the normoxic
incubator for 24 hr before LDH was measured or cells counted.
D indicates addition of 1 mM DIDS.
Significant difference (p < 0.05) from pH
6.8 alone is indicated by *; difference from 7.4 Na is shown by
#. Vertical bars are means ± SEM;
n = 12-24.
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Acute reduction of bicarbonate in the extracellular buffer with pH
reduction has been shown to induce the sodium bicarbonate cotransporter
to run in the outward direction (Munsch and Deitmer, 1994 ).
Although this is also likely to have occurred in our cultures, in the
case of prolonged exposure to pH 6.8 buffer conditions, a new
bicarbonate gradient across the membrane would be established. If the
cotransporter then returned to running in the inward direction, the
intracellular pH would show a relative alkalinization. After a 3 hr
incubation at extracellular pH 6.8 in complete
BSS5.5, the intracellular pH measured in
astrocyte cultures in bicarbonate-containing buffer using BCECF was
6.73 ± 0.01, whereas the intracellular pH measured in the absence
of bicarbonate was 6.54 ± 0.04 ( n = 12; a
statistically significant difference, p < 0.05). This result dissociates the degree of intracellular acidification from the
extent of injury. The astrocytes incubated at pH 6.8 without bicarbonate were not injured yet had a lower intracellular pH than did
cultures incubated at pH 6.8 in the presence of bicarbonate. Whether
the intracellular pH in cultures subjected to oxygen-glucose deprivation at pH 6.8 was even lower than that observed when the only
insult was to lower the pH is not known, because we were unable to
measure intracellular pH while the cultures were anoxic.
Identification of a brain variant of NBC cDNA
We screened a postnatal day 15 (P15) rat brain hippocampal cDNA
library with a probe based on the published kidney NBC cDNA (Burnham et
al., 1997 ) and identified two full-length cDNA clones. Both clones
contained the same coding sequence but differed in the length of the
untranslated regions. The 5' sequence of the cloned brain cDNAs was the
same as that of the NBC variant recently identified in pancreas, with
98% identity at the amino acid level between the mouse and rat
sequences (Abuladze et al., 1998 ). This variant differs from the
kidney-derived NBC form in that the predicted N-terminal 41 residues of
the kidney-expressed transporter are replaced by a different sequence
of 85 residues. Because both variants also differ in their
5'-untranslated sequence, they seem to be generated by transcriptional
initiation from different promoters of the NBC gene (Abuladze et al.,
1998 ).
Amplification of the two NBC splice variants from
different tissues
On the basis of the 5' sequence difference in the NBC variants,
two 5'-specific sense primers and a common antisense primer were
designed to generate either a 258 bp amplicon with the NBC sequence of
kidney or a 372 bp amplicon having the NBC sequence of brain. These
primers were used on cDNA prepared from rat brain, kidney, small
intestine, and colon RNA. We obtained strong amplification from kidney
cDNA using the kidney-specific sense primer, weak amplification from
brain and small intestine, and no amplification in colon cDNA (Fig.
2). In contrast, the primers for the
brain and pancreas NBC variant amplified similar amounts from all
sources of cDNA. Hence, the kidney form of NBC appears to have a more restricted expression than the form cloned from pancreas and brain.

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Figure 2.
Amplification of splice variant-specific fragments
from cDNA. PCR was performed with primers specific for either the brain
or kidney sequence, using cDNA from brain, kidney, small intestine
(s. intestine), or colon. The kidney-specific product is
258 bp; the brain-specific product is 372 bp. A negative control that
lacked cDNA did not produce any amplification bands (data not
shown).
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Functional expression of the brain-derived NBC cDNA
The cloned full-length cDNA isolated from rat brain was placed in
a eukaryotic expression vector under the control of the CMV promoter.
Three days after nuclear injection of the recombinant vector into
Xenopus oocytes, we measured currents after application of
bicarbonate. The currents were dependent on extracellular sodium and
blocked by DIDS (Fig. 3). Control oocytes
injected with water showed no ion current on application of bicarbonate
(data not shown). Physiological studies have shown previously NBC
activity with a stoichiometry of either 2 or 3 bicarbonate ions per
Na+. A transport ratio of 2:1 is thought
to be associated with transport into the cell, leading to intracellular
alkalinization. In cells in which the transporter is thought to run
outward, acidifying the cell, the ratio was 3:1 (Newman, 1991 ).
Although salamander retinal glial cells were reported to have 3:1
transport (Newman, 1991 ), rat hippocampal astrocytes and leech glial
cells were shown to have 2:1 transport (Deitmer and Schlue, 1989 ;
O'Connor et al., 1994 ). It was not possible to assess the transport
ratio of the rat brain NBC in the Xenopus expression
system.

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Figure 3.
Expression of brain NBC in Xenopus
oocytes leads to bicarbonate-inducible outward currents.
A, An oocyte injected with NBC showed outward currents
on application of bicarbonate, as indicated by the open
horizontal bar. B, The
bicarbonate-induced outward current was markedly reduced when external
sodium was reduced from 130 to 20 mM (black
horizontal bar) or when DIDS (1 mM) was applied (gray
horizontal bar). C, The
size of the outward current depends on the bicarbonate concentration.
Amplitudes of the 3 and 30 mM bicarbonate-induced outward
currents were normalized to that of the 10 mM
bicarbonate-induced inward current (n = 3).
D, Summary of the block of the bicarbonate-induced
outward current by DIDS at 300 µM (n = 3) and 1 mM (n = 3) is shown.
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Developmental expression pattern of NBC in brain
Frozen sections from rat brain of the indicated ages were
hybridized with an oligonucleotide probe (Fig.
4) that recognizes both known variants of
NBC mRNA. No signal was obtained from embryonic day 11 (E11) embryos
(data not shown), whereas a signal was obtained in spinal cord at E17
and in forebrain beginning at P0. Expression in brain was widespread
and persisted throughout adulthood, although expression was highest at
P15. The same developmental change in the expression of NBC was
detected with a probe recognizing only the brain splice variant. Only
extremely low expression levels could be detected in brain sections
with a probe specific for the kidney form (data not shown), thus
confirming the PCR results shown in Figure 2. For cellular resolution,
the slides were emulsion-dipped, exposed for 6 weeks, developed, and
counterstained. Regions from the hippocampus and cerebellum are shown
in Figure 5. In the hippocampus, few
grains are directly over the pyramidal neurons; rather the hybridization signal is present diffusely throughout the hippocampus. Often clusters of grains were observed between Purkinje cell bodies. Similarly, labeling in the cerebellum is consistent with expression in
astrocytes and, in particular, in Bergman glia. Few grains are observed
directly over the Purkinje cells. Double labeling with an antibody to
glial fibrillary acidic protein allowed further confirmation of glial
expression (Fig. 5E,F). Our finding of NBC expression
in astrocytes in the hippocampus is consistent with the results of
Grichtchenko and Chesler in gliotic hippocampal slice (Grichtchenko and
Chesler, 1994 ).

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Figure 4.
Developmental expression of NBC in rat brain.
In situ hybridization was performed on frozen sections
from rat brains of the indicated ages. Control sections hybridized with
probe to which a 200-fold excess of unlabeled probe was added showed
essentially no signal (data not shown). ad,
Adult.
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Figure 5.
Cellular resolution of hybridization signal.
Emulsion-dipped sections from P15 rats were exposed for 6 weeks and
then developed and counterstained. Regions from the hippocampus
(A, C) and the cerebellum (B, D) are
shown at two magnifications. Dark-field photomicrographs show the
hybridization signal as white dots
(A, B), whereas bright field shows the hybridization
signal as dark dots (C,
D). A, C, Labeling in the
hippocampus reveals a lack of association of the hybridization grains
with neurons. Arrowheads in C indicate
clusters of grains between pyramidal neuronal cell bodies.
B, D, Labeling in the cerebellum is
consistent with expression in astrocytes and in particular in Bergman
glia. Few grains are observed directly over the Purkinje cells
indicated by arrowheads in D. The fields
were photographed with a 10× and 40× objective using a Zeiss
axioplan microscope. DG, Dentate gyrus;
gr, granular layer; mol, molecular layer;
p, Purkinje cell layer; so, stratum
oriens; sp, stratum pyramidale; sr,
stratum radiatum. E, F, To confirm the identity of the
hybridizing cells, double labeling was performed using anti-GFAP
antibody to identify astrocytes on the same section that was hybridized
with a digoxigenin-labeled probe for NBC. An area from the cerebellum
is shown; arrowheads indicate individual cells showing
both cytoplasm immunoreactivity for GFAP (E)
and a hybridization signal to the riboprobe for NBC
(F). GL, granular layer;
ML, molecular layer; PL, Purkinje layer.
Similar sections stained only for GFAP showed the same pattern of
staining (data not shown).
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Overexpression of NBC in 3T3 cells
The mouse fibroblast cell line 3T3 does not normally express much
if any NBC, as shown by Western blots (Fig.
6A). We used this cell
line to test the effect of overexpressing NBC on acid vulnerability.
Either NBC or -galactosidase as a control was stably expressed in
3T3 cells using retroviral vectors. Sister cultures were exposed to pH
6.8 for 24 hr. As seen in Figure 6, both sham-transfected and
-galactosidase-expressing 3T3 cells showed 15-20% cell death after
24 hr in BSS5.5 at pH 6.8 in the presence of both
extracellular bicarbonate and sodium, whereas ~40% of the
NBC-overexpressing cells died, a significant increase in injury (Fig.
6B). Both removing bicarbonate and adding DIDS reduced the injury to background levels. An immunoblot using a polyclonal antibody to NBC shows the level of NBC expression obtained by retroviral transfection of 3T3 cells compared with controls (Fig.
6A). Morphological evidence of the difference in
survival after exposure to pH 6.8 was obtained by trypan blue staining (data not shown) and was in agreement with the levels of LDH
release.

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Figure 6.
A, Little NBC is detected by
immunoblot in 3T3 cells (CTRL), whereas retroviral
expression of NBC induces a large increase in the immunoreactive band
for NBC. Purified brain plasma membrane (PM) is
shown in the first lane as a positive
control, followed by NBC-expressing 3T3 cells (NBC),
-galactosidase-expressing 3T3 cells (lacZ), and
control 3T3 cells. Equal amounts of protein were loaded.
B, Overexpression of NBC renders 3T3 cells vulnerable to
acid injury. Untransfected and control -galactosidase-expressing 3T3
cultures exposed to BSS5.5 at pH 6.8 for 24 hr showed
little injury, whereas 3T3 cells overexpressing NBC suffered ~40%
cell death. Substituting for bicarbonate or adding 1 mM
DIDS significantly reduced the injury of NBC-overexpressing cells. *
indicates significant difference from control and lacZ;
p < 0.05; n = 10-16.
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DISCUSSION |
We have isolated a functional cDNA clone of the electrogenic
sodium bicarbonate cotransporter from rat brain. This sequence is the
same NBC variant recently identified from pancreas and differs in the
5'-untranslated and N-terminal coding sequence from the NBC cDNA
characterized previously from kidney. The transporter is electrogenic,
requires sodium and bicarbonate, and is inhibited by DIDS, thus showing
the principal characteristics of NBC. Extracellular pH 6.8 injury of
primary cultured astrocytes requires extracellular sodium and
bicarbonate and is also inhibited by DIDS. The association of NBC with
acid sensitivity is underlined by the ability to confer acid
sensitivity on 3T3 cells by overexpressing NBC.
The immediate response of NBC to lowering extracellular bicarbonate and
pH is to run in the outward direction (Munsch and Deitmer, 1994 )
acidifying intracellular pH, but there were no previous studies on the
function of the transporter in the setting of prolonged reduction of
extracellular bicarbonate at pH 6.8, as studied here. We demonstrate
that the intracellular pH measured with BCECF in the presence of
extracellular bicarbonate is higher than that in its absence, after 3 hr at extracellular pH 6.8. This is consistent with the transporter
running in the inward direction after equilibration to the new buffer
condition. The severity of intracellular acidosis did not correlate
with injury. Protection of astrocytes from ischemia-like injury by DIDS
is thus reminiscent of the response of myocardial cells. Inhibition of
intracellular alkalinization by inhibition either of the sodium hydrogen exchanger or of bicarbonate transport has been shown to be
highly protective in the setting of myocardial ischemia (Karmazyn,
1998 ). In the case of myocardial ischemia too rapid alkalinization of
intracellular pH is associated with a worse outcome.
Protection by reducing extracellular sodium may at first be surprising,
because a variety of transporters depend on the sodium gradient for
their normal function. However, sodium overload has been shown to
contribute to anoxic neuronal injury, and substitution for
Na+ with an impermeant ion was protective
(Friedman and Haddad, 1994a ). Elevation of intracellular
Na+ is thought to contribute to reversal
of Na+/Ca2+
exchange and to worsen calcium overload. Although the mechanism of
astrocyte injury induced by lowering medium pH to 6.8 is not known, it
is possible that sodium overload contributes to the injury. Prolonged
sodium influx could contribute to calcium overload by reversal of
Na+/Ca2+
exchange and contribute to energy depletion by chronic activation of
the Na+/K+
ATPase. The
Na+/K+
ATPase has been reported to saturate above intracellular
Na+ concentrations of 30 mM
(Collins et al., 1992 ), and intracellular Na+ concentrations above 50 mM
have been reported in anoxic neurons in vitro (Friedman and
Haddad, 1994b ).
While this work was in progress, the N-terminal NBC variant identified
by us in brain was reported from pancreas (Abuladze et al., 1998 ). The
Northern analysis presented by Abuladze et al. (1998) and our RT-PCR
data agree in finding this splice variant in many tissues, whereas the
kidney splice variant is restricted primarily to kidney. Two variants
with different N-terminal sequences allow for differential functional
regulation, possibly by phosphorylation (Abuladze et al., 1998 ). The
different N-terminal sequences in the two NBC forms may also allow for
association with different intracellular or membrane proteins. In the
case of the anion exchanger AE1, sorting to the plasma membrane or
retention in intracellular membranes is determined by the N-terminal
sequence (Cox et al., 1995 ). Finally, the N-terminal sequences could
determine the formation of heteromeric transporters, if indeed the
transporter is a functional multimer.
Physiological studies of NBC in different cell types and species have
demonstrated that it can transport either two or three bicarbonate ions
per sodium ion. It is intriguing to ask whether the different ratios
observed physiologically reflect expression of different genes or
regulation of a single transporter. The existence of the NBC variants
suggests the possibility of differences in function being specified at
the level of promoter choice or splice variation. Further studies and
possible identification of additional bicarbonate transporters will be
needed to answer this question.
In situ hybridization shows that the transporter is
expressed throughout the brain, beginning at approximately the time of birth and persisting throughout adulthood. The primarily late developmental expression suggests that this transporter is critical during the later stages of brain development. It is expressed during
the time of generation and maturation of astrocytes. Appropriate regulation of both intracellular and extracellular pH may be
increasingly important with brain maturation, accounting for the time
course of expression of this protein. That it is widely distributed
throughout the brain suggests it serves a basic function in all brain
regions. It is likely that proper functioning of the pH regulatory NBC transporter is important to proper neuronal function, although the
transporter appears to be present primarily in glial cells. The
expression of NBC may contribute to the different patterns of injury
caused by ischemia in the perinatal period compared with the adult.
Astrocyte development in the brain may also impact the outcome from ischemia.
Astrocytes are now known to perform many essential functions including
modulating neuronal excitability (Ransom, 1992 ), regulating the
extracellular concentrations of ions (Newman, 1995 ) and
neurotransmitters (Schousboe and Westergaard, 1995 ), providing a
critical metabolic link between the blood supply and neurons
(Tsacopoulos and Magistretti, 1996 ), and protecting neurons from
excitotoxic (Rosenberg and Aizenman, 1989 ; Dugan et al., 1995 ) and
oxidative injury (Raps et al., 1989 ; Sagara et al., 1993 ; Desagher et
al., 1996 ). Thus neuronal function and survival are inextricably linked
to glial function and survival. Preventing glial impairment is highly
likely to contribute to improved neuronal survival during in
vivo ischemia. The identification of the sodium/bicarbonate
cotransporter as participating in astrocyte injury provides a novel
target for brain protective strategies. This is the first
glial-specific mechanism of injury to be identified. To test directly
the role of NBC on the outcome from cerebral ischemia will require
changing the level of NBC expression in astrocytes in vivo.
Much as the idea of excitotoxicity suggested a variety of strategies to
block neuron-specific injury, it may now be possible to target
glial-specific injury mechanisms.
 |
FOOTNOTES |
Received Aug. 16, 1999; revised Oct. 18, 1999; accepted Nov. 4, 1999.
This work was supported in part by Boehringer Ingelheim and the
Schilling Foundation (H.M.), sabbatical leave (R.G.G.), National Institutes of Health Grant GM 49831 (R.G.G.), and a NATO Science Fellowship (J.A.v.H.). We thank Ulla Amtmann for expert technical assistance, Walter Boron for the anti-NBC antibody, and Peter Seeburg
for helpful discussions. The GenBank accession number for NBC is
AF210250.
Correspondence should be addressed to Dr. Rona Giffard, Department of
Anesthesia, S272, Stanford University School of Medicine, Stanford, CA
94305-5117. E-mail: rona.giffard{at}stanford.edu.
Dr. van Hooft's present address: Institute of Neurobiology, University
of Amsterdam, Kruislaan 320, NL-1098 SM Amsterdam, The Netherlands.
Dr. Papadopoulos's present address: Neurosurgery, Atkinson Morley's
Hospital, Wimbledon, London SW20 0NE, United Kingdom.
 |
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