Age- and tissue-specific induction of NHE3 by glucocorticoids in the rat small intestine

Of the two known apical isoforms of theNa⁺/H⁺ exchanger (NHE) family, only the NHE3gene is regulated by glucocorticoids. The aim of these studies was toinvestigate the mechanisms underlying the effects of methylprednisolone(MP) on expression of NHE3 in the proximal and distal small intestineof suckling and adult rats. Immunoblots showed that the glucocorticoidresponsiveness in the proximal small intestine was greatest in sucklinganimals (NHE3/-actin: 0.43 ± 0.09 control vs. 1.57 ± 0.15 MP;P < 0.001), and responsiveness decreased with age with noeffect in adults (0.56 ± 0.14 vs. 0.64 ± 0.17). Distal smallintestine was responsive only in adult rats (0.49 ± 0.13 vs. 1.65 ± 0.09; P < 0.001). This pattern was confirmed at the mRNAlevel and by ²²Na⁺ uptake. Western blot and³H]dexamethasone mesylate binding showed thatthe responsiveness of NHE3 to glucocorticoids is directly related tothe expression of glucocorticoid receptor (GR) in the small intestine.These studies suggest that loss and gain of glucocorticoidresponsiveness in the proximal and distal small intestine,respectively, are related to age- and segment-dependent expression of GR.