Chloride channel regulation in secretory epithelia.

Patch-clamp techniques were applied for single-channel recording to cultured cells from Cl secretory epithelia: human airway cells and the T84 cell line. Epinephrine or cyclic AMP (cAMP) stimulated single-channel activity in human airway cells during cell-attached recording. Similarly, prostaglandin E2 and cAMP stimulated single-channel activity in T84 cells. Ion substitution experiments with patches in the inside-out configuration indicated greater than 10:1 selectivity for Cl over Na in channels from both cell types, which confirms the identity of these events as Cl channel openings. The Ca ionophore A23187 stimulated these Cl channels to open in both cell types. Human airway cells from patients with cystic fibrosis (CF) did not respond to epinephrine or cAMP, but A23187 treatment elicited Cl channel activity. Changes in bath Ca activity in the inside-out configuration demonstrated that increased Ca could activate cAMP-insensitive Cl channels in CF cells. This indicates that the primary defect in CF is in the regulation of Cl channel opening rather than in conduction of Cl through the channel.