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Endocrinology Vol. 140, No. 11 5022-5029
Copyright © 1999 by The Endocrine Society


ARTICLES

Regulated, Side-Directed Secretion of Proguanylin from Isolated Rat Colonic Mucosa1

Silke Martin, Knut Adermann, Wolf-Georg Forssmann and Michaela Kuhn

Niedersächsisches Institut für Peptid-Forschung (S.M., K.A., W.-G.F.), 30625 Hannover; and Institut für Pharmakologie und Toxikologie (M.K.), Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany

Address all correspondence and requests for reprints to: Michaela Kuhn, Institut für Pharmakologie und Toxikologie, Westfälische Wilhelms-Universität Münster, Domagkstrasse 12, 48149 Münster, Germany. E-mail: mkuhn{at}uni-muenster.de


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Guanylin, an activator of the guanylyl cyclase C receptor in the apical membrane of intestinal epithelium, modulates intestinal fluid and electrolyte transport. The bioactive 15-amino acid peptide originally isolated from rat intestine represents the C-terminal part of a longer, 115-residue prepropeptide. The aim of the present study was to characterize the direction and molecular form in which guanylin is secreted from the colonic mucosa, as well as the mechanisms that trigger its secretion. Isolated rat colonic mucosa was mounted in Ussing chambers, allowing the separate determination of apical and basolateral release. After HPLC purification, two different molecular forms of guanylin were identified in the apical incubation media by combining a bioassay for guanylyl cyclase C activation, a specific guanylin enzyme-linked immunosorbent assay and mass spectrometry, as well as sequence analysis: a bioactive form coeluting with synthetic 15-residue guanylin and the 94-residue propeptide, guanylin-22–115. The basal concentration of proguanylin at the apical side of epithelia was about 15-fold higher, compared with that of the small, bioactive peptide. In the basolateral incubation media, no proguanylin and only very low amounts of bioactive guanylin were detected. Incubation with carbachol led to a significant increase of about 7-fold in the release of proguanylin to both sides of the isolated epithelia. On the apical side, a concomitant increase of the small, bioactive peptide was observed; whereas, on the basolateral side, its concentration remained unchanged. Vasoactive intestinal peptide or the NO-donor S-nitroso-N-acetylpenicillamine did not affect guanylin secretion. Our results suggest that, in the intestine, guanylin is secreted mainly to the luminal side of the epithelium. The peptide is released as a 94-residue propeptide, which is then processed to a smaller, bioactive form (luminocrine secretion). Carbachol stimulates the release of proguanylin to both sides of the intestinal mucosa, but a parallel increase in the bioactive C-terminal derivative only occurs on the apical side. In vivo, the basolateral release could be a source of circulating proguanylin, which might be processed proteolytically to the active peptide in distant target tissues (endocrine secretion).


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INFECTIOUS DIARRHEA IN tropical areas is often caused by Escherichia coli heat-stable enterotoxins (STa). These small bacterial peptides bind to and activate the receptor guanylyl cyclase C (GC-C) on the apical membrane of the intestinal epithelium, thereby increasing intracellular cyclic (c)GMP levels. Activation of a specific cGMP-dependent protein kinase leads to the phosphorylation of the cystic fibrosis transmembrane conductance regulator, resulting in net chloride and water secretion (secretory diarrhea) (1). Two endogenous, intestinal peptides (guanylin and uroguanylin) were isolated, which are structurally related to STa and activate the same signal transduction pathway, although with less potency (1, 2, 3). Cloning of the respective complementary DNAs (cDNAs) showed that guanylin and uroguanylin are synthesized as 115- and 112-residue prepropeptides (guanylin-1–115, uroguanylin-1–112), which are processed at sites yet to be definitively determined, into C-terminal bioactive fragments. The nomenclature used in this paper for the different peptide forms refers to their position within the respective prepropeptides (4, 5, 6, 7).

Both peptides are expressed predominantly within the intestinal mucosa, and it is postulated that they form a local system that modulates intestinal salt and water transport (5, 6, 7, 8). Their exact cellular source is still under debate because the immunoreactive products have been localized in several cell types, including enterochromaffin cells, goblet cells, and absorptive enterocytes (9, 10, 11, 12).

In immunohistochemical and Northern blot studies, low levels of guanylin, uroguanylin, and GC-C were also detected in extraintestinal tissues (such as stomach, kidney, heart, lung, and pancreas), but their physiological role in these tissues is largely unknown (7, 13, 14, 15). The observations that guanylin and uroguanylin circulate in blood and that uroguanylin and STa stimulate natriuresis in the isolated, perfused rat kidney have led to the speculation that an endocrine system links the intestine with the kidney (16, 17, 18, 19, 20).

In the intestine, GC-C is localized exclusively at the apical plasma membranes of epithelial cells. Accordingly, in vitro experiments with isolated intestinal mucosa mounted in Ussing chambers showed that STa and synthetic guanylin and uroguanylin stimulate epithelial ion transport only when added to the luminal side of the epithelium (21, 22). These observations suggest that, in vivo, the endogenous peptides are secreted in a side-directed, mainly luminal fashion. However, this peculiar secretion mode has not been definitively demonstrated, and what regulates the synthesis and release of the peptide hormones guanylin and uroguanylin has been largely unknown up to now. In the present study, we characterized the molecular form in which guanylin is secreted from the rat colonic mucosa, the direction of the release, and its modulation by neuronal mediators known to be involved in the regulation of intestinal ion and water transport.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Vasoactive intestinal polypeptide (VIP), human guanylin-99–115, guanylin-101–115, and human uroguanylin-97–112 were synthesized as described (23). Rat guanylin-101–115 was purchased from Bachem (Bubendorf, Switzerland), carbachol from Sigma (Deisenhofen, Germany), 8-bromo-cGMP from Biolog (Bremen, Germany), and S-nitroso-N-acetylpenicillamine (SNAP) from ICN (Eschwege, Germany). Native human guanylin-22–115 was purified from human hemofiltrate (16, 24).

Guanylin enzyme-linked immunosorbent assay (ELISA)
Antiserum. Synthetic human guanylin-99–115 (1 mg) was conjugated to hemocyanin by glutaraldehyde cross-linking. Mice were immunized intradermally with 6 µg guanylin conjugated to hemocyanin in Freund’s incomplete adjuvant. The animals were boosted every third day for 2 weeks. Popliteal and inguinal lymph node cells were fused to X63-Ag.8.653 myeloma cells (no. ACC43, DSM, Braunschweig, Germany); hybridomas were selected in hypoxanthine-aminopterin medium and further subcloned by limiting dilution. The culture supernatant from hybridoma L-G11 with the highest antibody production was concentrated 15-fold by ultrafiltration and dialyzed overnight against sodium phosphate buffer (PBS, pH 7.4).

Buffers. ELISA buffer was PBS (50 mM, pH 7.0) containing 15 mM NaCl, 1% BSA, and 0.5% Tween. As washing buffer, PBS (10 mM, pH 7.2) with 60 mM NaCl and 0.05% Tween was used.

ELISA procedure. Determinations were always performed in duplicate using streptavidine-coated microtiter plates (Immundiagnostik, Bensheim, Germany). Guanylin-99–115 was N-terminally biotinylated by incubation with sulfosuccinimidyl-6-biotinamido-hexanoate (12 h, at 4 C). Each microplate was coated with 100 µl biotinylated guanylin-99–115 (5 ng/well) for 6 h at room temperature (RT). After washing, monoclonal antiserum (mAb-L-G11, 50 µl/well, final dilution 1:4000) and 50 µl sample containing various amounts of synthetic peptides or lyophilized HPLC fractions were added to each well and incubated for 16–20 h at 4 C. The plates were washed, and 100 µl of the second, horseradish peroxidase-conjugated rabbit antimouse IgG antibody (Sigma; final dilution 1:2000) were added for 2 h (at RT). Subsequently, tetramethylbenzidine was added as a substrate (100 µl/well, at RT). After 45 min, the reaction was stopped by the addition of 2 M sulfuric acid (100 µl/well). Absorbances were determined at 450-nm wavelength.

Guanylin bioassay
Cultured human colon carcinoma (T84) cells were used as the detection system for activators of GC-C (16). T84 cells (passages 58–63, ATCC, Rockville, MD) were pretreated with 1 mM IBMX for 15 min and then incubated with the synthetic peptides or lyophilized HPLC fractions for 60 min. The incubation medium was aspirated, and intracellular cGMP content was measured by RIA (25).

Ussing chamber experiments
Female Wistar rats (2–4 months old, 250–270 g) were used. The rats had free access to water and food until the day of the experiment. The animals were killed by cervical dislocation, and the proximal colon was dissected, opened along the mesenteric border, and immersed immediately in oxygenated ice-cold Krebs-Ringer bicarbonate solution with the following composition (mM): 140 Na+, 123.4 Cl-, 21 HCO3-, 5.4 K+, 2.4 HPO42-, 0.6 H2PO4-, 1.2 Mg2+, 1.2 Ca2+, and 10 D-glucose (pH 7.4). Osmolarity was adjusted to 300 mosmol/liter with mannitol. The specimens were then prepared by stripping off the serosa and the muscularis propria to obtain the mucosa-submucosa preparation of the colon. This was cut into 4–5 pieces of approximately 1.5 cm2, and the mucosal sheets were mounted in modified Ussing chambers with an exposed surface area of 1 cm2 (21). Tissues were bathed with Krebs-Ringer solution in both the mucosal and serosal reservoirs (vol, 8 ml). Short-circuit current (Isc) across the epithelia was recorded as described (21). Isc values are given as maximal differences from the former baseline ({Delta}Isc).

Guanylin secretion studies
Stripped colonic mucosa was mounted in Ussing chambers as described. After 60 min, the incubation media of the basolateral and apical reservoirs were collected separately and stored at -80 C. Preliminary experiments showed that, to detect the basal release of GC-C-stimulating material within a suitable range of the bioassay and the guanylin ELISA, the incubation media of 4–5 chambers had to be combined for HPLC purification (this is, 9–10 chambers, when both guanylin assay systems were applied simultaneously). Thus, supernatants were collected from 5–10 x 1 cm2 of intestinal mucosa incubated under identical conditions and then subjected to HPLC purification. To investigate the effect of agents on peptide secretion, 5 adjacent pieces of the same intestinal specimen were incubated in parallel, with the following added to the serosal side: vehicle (control), carbachol (0.1 mM), VIP (1 µM), SNAP (1 mM), or 8-bromo-cGMP (1 mM).

Purification of guanylin by reversed-phase (RP) liquid chromatography
The apical and basolateral incubation media collected from nine Ussing chambers were combined, acidified with trifluoroacetic acid (TFA) to pH 3.5, and centrifuged at 3000 x g for 15 min at 4 C. The supernatants were filtered and applied to an analytical RP C18 HPLC column (300 Å, 5 µm, 4 x 250 mm) (Parcosil, BioTek Heidelberg, Germany). The samples were eluted with a flow rate of 0.7 ml/min and fractionated using a linear gradient from 0–100% eluent B in 60 min (eluent A, 0.1% TFA; eluent B, 80% acetonitrile, 0.1% TFA; UV detection at 220 nm) (step 1). Fractions were collected every 2 min, and aliquots of each fraction were tested in the bioassay amd the ELISA. Synthetic guanylin-101–115, uroguanylin-97–112, and native human guanylin-22–115 were analyzed using the same chromatographic conditions.

For amino acid sequencing and mass spectrometric analysis, the mucosal supernatants of 200 Ussing chambers were combined and separated into 5 batches by RP-HPLC as described above. The bioactive and/or immunoreactive fractions from all 5 HPLC runs (see Fig. 2Go, fractions 13 + 14 and 19 + 20) were pooled and subjected to a second RP-HPLC step on a Vydac C18 column (300 Å, 5 µm, 4.6 x 250 mm; The Separations Group, Hesperia, CA); linear gradient from 10–80% eluent B in 120 min (eluent A, 0.1% TFA; eluent B, 80% acetonitrile, 0.1% TFA; flow rate 0.7 ml/min, 30-sec collection fractions; UV detection at 220 nm) (step 2). All fractions were tested with the guanylin ELISA and the immunoreactive fractions were pooled, lyophilized, and subjected to liquid chromatography-mass spectrometry analysis.



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Figure 2. Secretion studies: side-directed release of bioactive and immunoreactive guanylin. The apical (A) and basolateral (B) supernatants, collected from specimens of stripped rat colonic mucosa mounted in Ussing chambers, were subjected to RP-HPLC. Each fraction was assayed in the T84 cell bioassay (dark bars) and in the guanylin ELISA (hatched bars). Values are means of five separate experiments. In each experiment, the supernatants of nine Ussing chambers were combined for HPLC purification, and half the amount of each fraction was tested in the bioassay and half in the ELISA. Left axis, pmol guanylin/fraction; right axis, % eluent B. Note the different scale of the left axes in A and B. The arrows indicate the elution positions of synthetic peptides (rat guanylin-101–115, uroguanylin-97–112, and native guanylin-22–115).

 
Mass spectrometry and sequence analysis
Mass spectrometric identification of immunoreactive guanylin was performed by liquid chromatography-mass spectrometry analysis using a Sciex API III triple-stage quadrupole mass spectrometer (Perkin-Elmer Corp., Weiterstadt, Germany). The lyophilized samples were dissolved in 0.1% aqueous TFA, loaded on a YMC ODS-AQ C18 column (200 Å, 3 µm, 0.5 x 100 mm; YMC, Schermbeck, Germany), and separated using a linear gradient from 10–70% eluent B in 120 min (eluent A, 0.1% TFA; eluent B, 80% acetonitrile, 0.058% TFA; flow rate, 5 µl/min, 1-min fractions; UV detection at 220 nm) (step 3). The eluent was infused into the ion spray without splitting.

Sequence analysis of rat proguanylin was carried out by automated Edman degradation on a 494 Procise Protein Sequencer (Perkin-Elmer Corp./ABI), according to standard procedures recommended by the manufacturer.

Statistics
Data are expressed as means ± SEM (N = number of chambers combined for HPLC purification; n = number of guanylin bioassays or ELISAs). The comparison between mean values was performed using Student’s t test. P values of less than 0.05 were considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Sensitivity and specificity of the guanylin ELISA
The ELISA was linear from 0.4–25 pmol guanylin-99–115/well, with a lower detection limit of about 0.2 pmol/well (B50, 1.6 pmol/well) (Fig. 1Go). A comparable curve was observed when guanylin-99–115 was replaced by equimolar amounts of human or rat guanylin-101–115, clearly indicating a similar affinity of the antibody mAb-L-G11 for all three peptides. In contrast, proguanylin was recognized with much lower sensitivity in a linear range from 50–800 pmol/well and with a lower detection limit of about 25 pmol guanylin-22–115/well (B50, 200 pmol/well) (Fig. 1Go). No cross-reactivity was observed with the other known activators of GC-C, uroguanylin, and STa. In view of the different displacement curves obtained with guanylin-101–115 and guanylin-22–115, either synthetic guanylin-101–115 or native guanylin-22–115 was used as a reference peptide in the corresponding ELISA to quantitate small, bioactive guanylin and proguanylin in the colonic supernatants (HPLC fractions 13/14 and 19/20) (see Figs. 2Go and 4Go).



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Figure 1. Displacement curves of the monoclonal antibody L-G11 by different guanylin forms, uroguanylin and STa, in the competitive ELISA with biotinylated guanylin-99–115 bound to microtiter plates. The antibody L-G11 used in the assay was raised against human guanylin-99–115 and used with a final dilution of 1:4000.

 


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Figure 4. Effect of VIP, SNAP, carbachol, and 8-bromo-cGMP on the apical (A) and basolateral (B) release of the two immunoreactive guanylin forms from rat colonic mucosa. Agents and vehicle (Krebs-Ringer, for controls) were added to the serosal chambers for 60 min. The guanylin secretion rate is expressed as pmol/cm2 in 60 min. Light bars, Guanylin-22–115 (proguanylin); dark bars, small bioactive guanylin. The figure illustrates the mean ± SEM values of four separate guanylin ELISAs (*, P < 0.05).

 
Basal, unstimulated release of guanylin from isolated rat colonic mucosa
To investigate the basal release of guanylin, the incubation media of nine Ussing chambers were combined and purified by RP-HPLC (step 1). Aliquots of all HPLC fractions were tested in the T84-bioassay and the ELISA. This experimental procedure was repeated five times.

Bioassay. Figure 2Go shows that a single bioactive, GC-C-stimulating compound is released from the rat colonic mucosa, eluting with 39–43% eluent B in fractions 13 and 14. This biological material coeluted with synthetic guanylin-101–115 and guanylin-99–115 and was chromatographically clearly distinct from uroguanylin-97–112 (Fig. 2Go). Fractions 13 and 14, obtained from the apical incubation media, led to 26 ± 9-fold and 5 ± 1-fold increases, respectively, in T84-cell cGMP content. By comparison of these values with the concentration-response curves obtained for synthetic guanylin-101–115 in the same T84-bioassays, amounts of 4 ± 1.3 (fraction 13) and 1.5 ± 0.5 pmol guanylin (fraction 14) can be calculated (Fig. 2AGo). Because we combined the supernatants of nine chambers and half the amount was tested in the T84-bioassay and half in the ELISA (in each assay, supernatant of 4.5 cm2 epithelium), a basal apical secretion rate of about 1.2 pmol/cm2 epithelium in 60 min was calculated. With the same procedure, only a small amount of bioactive guanylin was detected in fraction 13 of the basolateral supernatant, leading to a 3.5 ± 1-fold increase in T84 cell cGMP (calculated guanylin amount: approximately 1 pmol; basolateral secretion rate, approximately 0.2 pmol guanylin/cm2 in 60 min) (Fig. 2BGo).

Guanylin ELISA. The GC-C-activating fractions were also found to be positive in the guanylin ELISA. Applying this assay system, we measured the following guanylin values: for the apical supernatants, 4.4 ± 1.5 pmol (fraction 13) and 2.4 ± 0.9 pmol (fraction 14) (Fig. 2AGo); for the basolateral supernatants, 0.6 ± 0.2 (fraction 13) and 0.5 ± 0.2 pmol (fraction 14) immunoreactive guanylin (Fig. 2BGo). Again, considering that this material was obtained from 4.5 cm2 epithelium, a basal guanylin secretion rate of 1.5 pmol/cm2·h to the apical, and 0.2 pmol/cm2·h to the basolateral compartment was estimated. Thus, an excellent correlation was found between the two assay systems, demonstrating that the amount of bioactive guanylin is about 6-fold higher on the apical (compared with the basolateral) side of the isolated rat colonic mucosa.

Surprisingly, application of the guanylin ELISA showed that colonic explants release a second peak of immunoreactive material to the apical side, which can be separated by HPLC (fractions 19 and 20, 55% eluent B). This second peak was even more prominent but did not affect cGMP levels in T84 cells. It was not detected in the serosal incubation media. Interestingly, native human proguanylin-22–115 elutes with the same retention time (Fig. 2AGo).

Sequence analysis and quantitation of released immunoreactive, nonbioactive guanylin
The immunoreactive, biologically inactive material contained in fractions 19/20 (Fig. 2AGo) was purified by three subsequent RP-HPLC steps. Using Edman sequence analysis, the first 16 amino acids of this product were unambiguously identified as VTVQDGDLSFPLESVK. This sequence is identical with positions 22–37 of the guanylin prepropeptide deduced from the rat cDNA sequence (4, 5). Further structure information was obtained by mass spectrometry and resulted in the identification of a major protein with a molecular mass of 10,396 Da (Fig. 3Go). This corresponds to the calculated mass for guanylin-22–115 (10,400 Da). Taken together, these analytical data demonstrate that rat proguanylin with 94 amino acid residues is the apically released immunoreactive product contained in fractions 19 and 20.



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Figure 3. Electrospray mass spectrum of the immunoreactive, biologically inactive guanylin form, purified from apical supernatants of 200 cm2 isolated colonic mucosa, by three consecutive RP-HPLC steps. Multiple-charged ions [M+6H]6+ to [M+11H]11+ of rat proguanylin are indicated. Calculated molecular mass, 10,400 Da; experimental molecular mass, 10,396 Da.

 
As mentioned before, guanylin-22–115 is recognized by the antiguanylin antibody mAb-L-G11 with about 100-fold lower affinity than the smaller peptide, guanylin-101–115 (see Fig. 1Go). Therefore, to quantitate the amount of proguanylin in HPLC fractions 19 and 20 (Fig. 2AGo), native human proguanylin (guanylin-22–115) was used as standard peptide for ELISA. By this procedure, amounts of 30 ± 9 (fraction 19) and 50 ± 9 pmol (fraction 20) were calculated, corresponding to a basal secretion rate of about 18 pmol proguanylin/cm2 in 60 min. Thus, surprisingly the concentration of proguanylin in the apical compartment was about 15-fold higher than the concentration of the smaller, bioactive peptide. As illustrated in Fig. 2BGo, we could not detect immunoreactive proguanylin in the basolateral incubation media under these experimental conditions.

Stability of bioactive guanylin
One potential drawback in our experimental set-up could be that a substantial part of the endogenously released guanylin might have been degraded either during the incubation time (e.g. because of the activity of proteases in the epithelial brush-border membrane) or during the HPLC purification step, thereby falsifying the final measurements. The stability of small, bioactive guanylin in this in vitro system was tested in incubation experiments, where defined amounts (1, 3 and 6 pmol) of synthetic rat guanylin-101–115 were added to the apical or basolateral chamber solution for 60 min. HPLC purification was performed as described (step 1), and the recovery of synthetic guanylin was measured in the T84 cell bioassay, as well as by ELISA. The results showed that, under these experimental conditions, the recovery of the synthetic peptide was about 100%, suggesting that the degradation of the endogenous peptide released during the 60-min incubation time was negligible.

Modulation of guanylin release
Carbachol, VIP, SNAP, or 8-bromo-cGMP was added to the serosal side of the isolated colonic epithelia for 60 min. These agents were always tested in parallel tissue specimens obtained from the same animal. One specimen remained untreated, as a control. To separate small guanylin and proguanylin from each other, the basolateral and apical supernatants from five incubation experiments (specimens obtained from five rats) were pooled and submitted to HPLC purification. Fractions 13+14 and 19+20, respectively, were combined and tested in separate ELISAs. In total, four experiments were performed under identical conditions.

As illustrated in Fig. 4AGo, 0.1 mM carbachol evoked an increase of about 8-fold in the amount of both bioactive small guanylin and proguanylin on the apical side of the epithelia: basal release, 17.7 ± 2 proguanylin and 1.6 ± 0.5 small guanylin; with carbachol, 124 ± 6 proguanylin and 14.8 ± 1.5 small guanylin (pmol/cm2 in 60 min). Similarly, treatment of epithelia with 1 mM 8-bromo-cGMP significantly increased the concentration of both peptides on the apical side of the epithelia (to 154 ± 6 pmol proguanylin/cm2 in 60 min and 8 ± 2 pmol small guanylin/cm2 in 60 min). In contrast, VIP (1 µM) and SNAP (1 mM) had no effect.

As mentioned before, under resting conditions, small amounts of bioactive guanylin (but no proguanylin) were detected on the basolateral side (Fig. 2BGo and 4BGo). In contrast, after incubation with carbachol and 8-bromo-cGMP, a clear basolateral release of proguanylin was detected at a rate of 12.6 ± 3 and 10.9 ± 2 pmol/cm2 in 60 min, respectively (basolateral release about 10-fold less, compared with the stimulated, apical release). Interestingly, the concentration of bioactive short guanylin in the serosal chamber solution was not changed by carbachol or by 8-bromo-cGMP (Fig. 4BGo). Again, VIP and SNAP did not affect the basolateral release of proguanylin and bioactive guanylin.

To analyze the effect of these test agents on colonic electrogenic electrolyte transport, all incubation experiments were performed under short-circuited conditions. The maximal changes in Isc were ({Delta}Isc, in µA/cm2): 183 ± 9 for carbachol, 109 ± 7 for VIP, 66 ± 5 for 8-bromo-cGMP, and 13 ± 1 for SNAP. Separate experiments showed that these effects on Isc were significantly attenuated in the presence of 0.1 mM bumetanide, indicating stimulation of chloride secretion (data not shown).

Biological activity of proguanylin and small guanylin
The biological activity of native human guanylin-22–115 and rat guanylin-101–115 was compared by evaluating the effects on cGMP content in T84 cells, as well as on electrolyte transport in isolated rat colonic mucosa mounted in Ussing chambers. The peptides were always added to the apical side of the epithelia. As shown in Fig. 5Go, proguanylin increased both cyclic GMP content in T84 cells and Isc across colonic epithelia but with markedly lower potency and efficacy, compared with guanylin-101–115. This indicates that proguanylin is not completely biologically inactive but far less active than the C-terminal fragment. The threshold concentration for bioactivity (~1 µM) is much higher than the concentration of proguanylin in the HPLC fractions derived from the colonic supernatants, explaining why these fractions did not affect cGMP content in T84 cells.



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Figure 5. Effects of synthetic rat guanylin-101–115 and native human guanylin-22–115 on intracellular cGMP levels in T84 cells (A) and Isc across isolated rat colonic mucosa (B). Incubations were for 60 min, in the presence of 1 mM IBMX. Values represent means ± SEM(n = 4).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although different data reported in the literature suggest that the intestinal peptides guanylin and uroguanylin constitute both a local luminocrine system regulating intestinal electrolyte transport and an endocrine axis to distant cells of other organs, this bidirectional secretion mode has not yet been definitively demonstrated (1, 16, 26). Both peptides are stored within the intestinal mucosa as larger inactive precursors, but what triggers their synthesis and release and which are the precise molecular forms being secreted to the extracellular side are still largely unknown (26). One major drawback has been the lack of specific and sensitive assay systems. In the commonly used T84 cell bioassay, GC-C-mediated increases in cellular cGMP content are used as an indirect detection system. The major disadvantages of this system are its low sensitivity and inability to discriminate among guanylin, uroguanylin, and other potential activators of GC-C. In the present study, we describe (for the first time) a new, specific guanylin ELISA. The procedure is fast, easy to perform, and highly reproducible. Unfortunately, it is only about one order of magnitude more sensitive than the T84 bioassay (lower detection limits: bioassay, approximately 1.5 pmol guanylin/well; ELISA, approximately 0.2 pmol guanylin/well). Major advantages are the exact quantitation of immunoreactive guanylin, no cross-reaction with uroguanylin or STa, and the possibility of detecting longer, biologically less-active guanylin precursors. Recently, lymphoguanylin, a third member of the guanylin peptide family, was cloned from opossum spleen cDNA. A potential rat homolog of this peptide is not yet known, but it is very unlikely that the antibody mAB-L-G11 would cross-react with this peptide because the opossum form is structurally clearly different from opossum guanylin (27).

Combination of the T84-cell bioassay and the guanylin ELISA demonstrates that two different molecular forms of guanylin are released to the apical side of the colonic epithelia. One is bioactive and immunoreactive and coelutes with synthetic guanylin-101–115. The second, more-hydrophobic material, is recognized by the antiguanylin-antibody, does not affect cGMP synthesis in T84 cells, and has a retention time corresponding to that of native human guanylin-22–115. After HPLC purification, mass spectrometric and amino acid analyses demonstrated unambiguously that this material corresponds to the 94-amino acid, 10.4-kDa proguanylin, guanylin-22–115. Unfortunately, the earlier eluting bioactive guanylin molecule could not be characterized by mass spectrometry and sequencing because of the low quantity remaining after purification. The initial studies that identified guanylin revealed that the propeptide contains an acid-labile Asp-Pro amide bond (2, 4), raising the question of whether the small bioactive peptide was artifactually cleaved from the precursor within the acidic HPLC environment that we used for the purification. However, this possibility was definitively excluded by chromatographic and mass spectrometric analyses (28). Several native, C-terminal forms of rat guanylin have been described in the literature: guanylin-16 and guanylin-15, purified from intestinal extracts, and guanylin-14, an N-terminal truncation of guanylin-15 that was subsequently isolated from intestinal perfusates (2, 29, 30, 31, 32). The elution pattern of the bioactive peptide released from isolated rat colonic mucosa is consistent with this peptide being one of these forms, but our HPLC protocol does not distinguish among the three.

As shown, the affinity of the monoclonal antibody L-G11 for proguanylin is markedly lower than for the C-terminal fragment guanylin-101–115. Recent NMR-spectroscopical studies of our group revealed that proguanylin adopts a structure in which the N terminus is in close proximity to the C-terminus containing the bioactive, GC-C-activating fragment (28). This three-dimensional relation of the termini may explain both the minor bioactivity of proguanylin by shielding the C-terminal domain from the receptor (GC-C), as well as the minor immunoreactivity by impeding the binding of the mAB L-G11 to its C-terminal epitope. In view of this different immunoreactivity, to quantitate both peptide forms in the supernatants from colonic explants, either native human guanylin-22–115 or synthetic rat guanylin-101–115 was used as standard peptide in respective ELISAs. Because the mAB L-G11 has similar affinity for rat and human guanylin-101–115, we assume that this is also true for the respective precursors (rat and human proguanylin). However, the N-terminal sequence of the propeptides differs in approximately 40 residues, and this could potentially influence the binding of the mAB-L-G11 to the C-terminal epitope. Thus, the affinity of the mAB-L-G11 for rat proguanylin may differ slightly from that determined for human proguanylin; and therefore, we cannot completely exclude that the use of human proguanylin as standard peptide for the ELISA decreases the accuracy of our calculations. Taking into account this potential limitation, our results indicate that, at the apical side of the colonic epithelia, the amount of proguanylin is about 15-fold higher than the amount of the smaller, bioactive peptide. This suggests that intestinal guanylin is secreted as 94-residue proguanylin and then extracellularly processed to the smaller, bioactive peptide at the apical side.

In contrast, on the basolateral side of the isolated epithelia, only the smaller, bioactive guanylin (and no immunoreactive proguanylin) was detected, at least under resting conditions. Also, the concentration of the bioactive peptide was about 6-fold lower in the basolateral (compared with the apical) compartment. The possibility that these small amounts of bioactive guanylin derive from transepithelial, passive diffusion of the apically released peptide was excluded with 125I-labeled guanylin-101–115, added to the mucosal or serosal side (n = 3; data not shown). In each experiment, after a 60-min incubation, less than 1% of the iodinated peptide was detected on the opposite (basolateral or apical) so-called cold side.

If bioactive, small guanylin derives from extracellular processing of proguanylin, how can the presence of the former in the absence of the latter on the basolateral side be explained? In view of the low immunoreactivity of proguanylin, this discrepancy might be related to the inability of the ELISA to detect low amounts of proguanylin. Another possibility is that small, bioactive guanylin represents a second tissue storage form being actively secreted to both sides of the epithelia, because it has been described that rat intestinal mucosa contains not only the 94-residue precursor but also lower amounts of the C-terminal fragments, guanylin-16 and guanylin-15 (29, 30). Published studies revealed that guanylin is expressed by goblet cells and superficial epithelial cells of the rat proximal colon (10, 11, 33). Thus, one could even speculate that one cell type secretes unprocessed proguanylin, whereas another cell type could secrete the processed, biologically active peptide.

The observation that the concentrations of both proguanylin and bioactive, small guanylin are markedly higher at the apical (compared with the basolateral) side of isolated epithelia suggests a vectorial secretion of the peptide into the intestinal lumen (luminocrine system). The identification of guanylin at the basolateral side is consistent with previous findings showing that guanylin and uroguanylin circulate in blood (16, 17). Although guanylin expression was also found in low amounts in other tissues (13, 34), Northern blot analysis indicates that the peptide is present preferentially in the intestine, indicating that this is the tissue which predominantly contributes to the circulating levels (1, 5, 8). In the context of the natriuretic responses to guanylin and uroguanylin, it has been suggested that the peptides may serve as an endocrine axis that links the intestine with the kidney, to regulate urinary salt excretion during postprandial periods of salt absorption by the digestive tract (18, 19, 20).

Whereas there is convincing evidence that guanylin regulates intestinal salt and water transport, the stimuli that trigger the synthesis and release of the peptide are largely unknown. In a recent study, Li and co-workers (35) showed that intestinal guanylin is down-regulated as an adaptive response to salt restriction. However, few data have been reported on a short-term, i.e. neuronal, regulation of release. In the present study, the muscarinic agonist carbachol significantly increased the release of proguanylin to both sides of the colonic mucosa, the apical concentration remaining about 10-fold higher than the basolateral concentration. This observation is in good agreement with a study in isolated vascularly perfused rat colon, in which intraarterial infusion of betanechol also stimulated the secretion of immunoreactive guanylin both into the intestinal lumen and into the circulation, suggesting that the synthesis and/or release of the peptide is under vagal control (36). Surprisingly, in our study a concomitant increase in the amount of the smaller, bioactive guanylin form was observed only on the apical side of the colonic mucosa; whereas the basolateral concentration did not change, in spite of the increase in proguanylin. At the present time, we have no explanation for this observation. One possibility is a proteolytic cleavage of proguanylin, only on the apical side, by enzymes at the brush border membrane of the epithelium. If so, the source for the small amounts of bioactive guanylin detected on the basolateral side remains an intriguing question.

NO and VIP are neuronal mediators with an important role in the local control of intestinal motility and secretion (37, 38). In contrast to the muscarinic system, the effects of NO and VIP are mediated via increases of intracellular cGMP and cAMP. Indeed, both the NO-donor SNAP, and VIP significantly increased chloride secretion in the rat colon; the release of guanylin, however, was not affected.

To further investigate the role of the second-messenger cGMP in guanylin secretion, 8-bromo-cGMP was tested. This compound significantly increased the apical and basolateral release of proguanylin. Again, as with carbachol, only at the apical side of the epithelia, a concomitant increase in the amount of shorter, bioactive guanylin was observed. In future experiments, we will investigate which of the cGMP-linked systems in the intestine (guanylin itself or natriuretic peptides) is involved in the control of guanylin secretion.

In conclusion, our results suggest that, in the intestine, guanylin is secreted as 94-residue prohormone. Proguanylin is secreted mainly to the apical side, where it is processed to the smaller, much more bioactive peptide that stimulates epithelial GC-C and thereby modulates intestinal electrolyte transport. Secretion of guanylin to the basolateral side of the intestinal epithelium may form an endocrine axis to the kidney and distant cells of other organs. Stimulation of apical and basolateral proguanylin release by carbachol and 8-bromo-cGMP suggests that the synthesis and/or secretion of the peptide are under the control of cholinergic/muscarinic, as well as cGMP-dependent mechanisms. Short-term regulation of the local guanylin/GC-C system may mediate, in part, the effect of other (i.e. cholinergic) modulators of intestinal salt and water transport.


    Acknowledgments
 
The authors thank Gabriele Heine and Manfred Raida for their help with mass and sequence analyses, and Edda Kock for her assistance with RIAs.


    Footnotes
 
1 This work was supported by the Deutsche Forschungsgemeinschaft (Ku 1037/1–1). Back

Received March 12, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Forte LR, Currie MG 1995 Guanylin: a peptide regulator of epithelial transport. FASEB J 9:643–650[Abstract]
  2. Currie MG, Fok KF, Kato J, Moore RJ, Hamra FK, Duffin KL, Smith CE 1992 Guanylin: an endogenous activator of intestinal guanylate cyclase. Proc Natl Acad Sci USA 89:947–951[Abstract/Free Full Text]
  3. Hamra FK, Forte LR, Eber SL, Pidhorodeckyj NV, Krause WJ, Freeman RH, Chin DT, Tompkins JA, Fok KF, Smith CE, Duffin KL, Siegel NR, Currie MG 1993 Uroguanylin: structure and activity of a second endogenous peptide that stimulates intestinal guanylate cyclase. Proc Natl Acad Sci USA 90:10464–10468[Abstract/Free Full Text]
  4. De Sauvage FJ, Keshav S, Kuang W-J, Gillet N, Henzel W, Goeddel DV 1992 Precursor structure, expression, and tissue distribution of human guanylin. Proc Natl Acad Sci USA 89:9089–9093[Abstract/Free Full Text]
  5. Wiegand RC, Kato J, Currie MG 1992 Rat guanylin cDNA: characterization of the precursor of an endogenous activator of intestinal guanylate cyclase. Biochem Biophys Res Commun 185:812–817[CrossRef][Medline]
  6. Hill O, Cetin Y, Cieslak A, Mägert HJ, Forssmann WG 1995 A new human guanylate cyclase-activating peptide (GCAP-II, uroguanylin): precursor cDNA and colonic expression. Biochim Biophys Acta 1253:146–149[CrossRef][Medline]
  7. Fan XH, Hamra FK, Freeman RH, Eber SL, Krause WJ, Lim RW, Pace VM, Currie MG, Forte LR 1996 Uroguanylin: cloning of preprouroguanylin cDNA, mRNA expression in the intestine and heart and isolation of uroguanylin and prouroguanylin from plasma. Biochem Biophys Res Commun 219:457–462[CrossRef][Medline]
  8. Whitaker TL, Witte DP, Scott MC, Cohen MB 1997 Uroguanylin and guanylin: distinct but overlapping patterns of messenger RNA expression in mouse intestine. Gastroenterology 113:1000–1006[CrossRef][Medline]
  9. Cetin Y, Kuhn M, Kulaksiz H, Adermann K, Bargsten G, Grube D, Forssmann WG 1994 Enterochromaffin cells of the digestive system: cellular source of guanylin, a guanylate cyclase-activating peptide. Proc Natl Acad Sci USA 91:2935–2939[Abstract/Free Full Text]
  10. Li Z, Taylor-Blake B, Light AR, Goy MF 1995 Guanylin, an endogenous ligand for C-type guanylate cyclase is produced by goblet cells in the rat intestine. Gastroenterology 109:1863–1975[CrossRef][Medline]
  11. Cohen MB, Witte DP, Hawkins JA, Currie MG 1995 Immunohistochemical localization of guanylin in the rat small intestine and colon. Biochem Biophys Res Commun 209:803–808[CrossRef][Medline]
  12. Perkins A, Goy MF, Li Z 1997 Uroguanylin is expressed by enterochromaffin cells in the rat gastrointestinal tract. Gastroenterology 113:1007–1014[CrossRef][Medline]
  13. Schulz S, Chrisman TD, Garbers DL 1992 Cloning and expression of guanylin: its existence in various mammalian tissues. J Biol Chem 267:16019–16021[Abstract/Free Full Text]
  14. Cetin Y, Kulaksiz H, Redecker P, Bargsten G, Adermann K, Grube D, Forssmann WG 1995 Bronchiolar nonciliated secretory (Clara) cells: source of guanylin in the mammalian lung. Proc Natl Acad Sci USA 92:5925–5929[Abstract/Free Full Text]
  15. Fan X, Wang Y, London RM, Eber SL, Krause WJ, Freeman RH, Forte LR 1997 Signaling pathways for guanylin and uroguanylin in the digestive, renal, central nervous, reproductive, and lymphoid systems. Endocrinology 138:4636–4648[Abstract/Free Full Text]
  16. Kuhn M, Raida M, Adermann K, Schulz-Knappe P, Gerzer R, Heim J-M, Forssmann WG 1993 The circulating bioactive form of human guanylin is a high molecular weight peptide (10.3 kDa). FEBS Lett 318:205–209[CrossRef][Medline]
  17. Hess R, Kuhn M, Schulz-Knappe P, Raida M, Fuchs M, Klodt J, Adermann K, Kaever V, Cetin Y, Forssmann WG 1995 GCAP-II: isolation and characterization of the circulating form of human uroguanylin. FEBS Lett 374:34–48[CrossRef][Medline]
  18. Forte LR, Fan X, Hamra FK 1996 Salt and water homeostasis: uroguanylin is a circulating peptide hormone with natriuretic activity. Am J Kidney Dis 28:296–304[Medline]
  19. Greenberg RN, Hill M, Cytzer J, Krause WJ, Eber SL, Hamra FK, Forte LR 1997 Comparison of effects of uroguanylin, guanylin, and Escherichia coli heat-stable enterotoxin STa in mouse intestine and kidney: evidence that uroguanylin is an intestinal natriuretic hormone. J Invest Med 45:276–283[Medline]
  20. Fonteles MC, Greenberg RN, Monteiro HSA, Currie MG, Forte LR 1998 Natriuretic and kaliuretic activities of guanylin and uroguanylin in the isolated perfused rat kidney. Am J Physiol 44:F191–F197
  21. Kuhn M, Adermann K, Jaehne J, Forssmann WG, Rechkemmer G 1994 Segmental differences in the effects of guanylin and Escherichia coli heat-stable enterotoxin on Cl- secretion in human gut. J Physiol (Lond) 479:433–440[Abstract/Free Full Text]
  22. Guba M, Kuhn M, Forssmann WG, Classen M, Gregor M, Seidler U 1996 Guanylin strongly stimulates rat duodenal HCO3- secretion: proposed mechanism and comparison with other secretagogues. Gastroenterology 111:1558–1568[CrossRef][Medline]
  23. Klodt J, Kuhn M, Marx UC, Martin S, Rösch P, Forssmann WG, Adermann K 1997 Synthesis, biological activity and isomerism of guanylate cyclase C-activating peptides guanylin and uroguanylin. J Peptide Res 50:222–230[Medline]
  24. Schrader M, Jürgens M, Hess R, Schulz-Knappe P, Raida M, Forssmann WG 1997 Matrix-assisted laser desorption/ionisation mass spectrometry guided purification of human guanylin from blood ultrafiltrate. J Chromatogr A 776:139–145[CrossRef][Medline]
  25. Kaever V, Resch K 1985 Are cyclic nucleotides involved in the initiation of mitogenic activation of human lymphocytes? Biochim Biophys Acta 846:216–225[Medline]
  26. Krause WJ, London RH, Freeman RH, Forte LR 1997 The guanylin and uroguanylin peptide hormones and their receptors. Acta Anat (Basel) 160:213–231[Medline]
  27. Forte LR, Eber SL, Fan X, London RM, Wang Y, Rowland LM, Chin DT, Freeman RH, Krause WJ 1999 Lymphoguanylin: cloning and characterization of a unique member of the guanylin peptide family. Endocrinology 140:1800–1806[Abstract/Free Full Text]
  28. Schulz A, Marx UC, Hidaka Y, Shimonishi Y, Rösch P, Forssmann WG, Adermann K 1999 Role of the prosequence of guanylin. Protein Sci 8:1850–1859[Medline]
  29. Nakazato M, Yamaguchi H, Shiomi K, Date Y, Fujimoto S, Kangawa K, Matsuo H, Matsukura S 1994 Identification of 10-kDa proguanylin as a major guanylin molecule in human intestine and plasma and its increase in renal insufficiency. Biochem Biophys Res Comm 205:1966–1975[CrossRef][Medline]
  30. Yamaguchi H, Nakazato M, Miyazato M, Kangawa K, Matsuo H, Matsukura S 1995, Two novel rat guanylin molecules, guanylin-94 and guanylin-16, do not increase cyclic GMP production in T84 cells. Biochem Biophys Res Comm 214:1204–1210
  31. Fan X, Hamra KF, London RM, Eber SL, Krause WJ, Freeman RH, Smith CE, Currie MG, Forte LR 1997 Structure and activity of uroguanylin and guanylin from the intestine and urine of rats. Am J Physiol 273:E957–E964
  32. Kita T, Smith CE, Duffin KL, Fok KF, Currie MG 1995 Characterization of bioactive guanylin released from rat intestine. FASEB J 9:632 (Abstract)
  33. Li Z, Goy MF 1993, Peptide-regulated guanylate cyclase pathways in rat colon: in situ localization of GCA, GCC, and guanylin mRNA. Am J Physiol 28:G394–G402
  34. Reinecke M, Loffing-Cueni D, David I, Cetin Y, Kuhn M, Forssmann WG 1996 Localization, expression and characterization of guanylin in the rat adrenal medulla. Histochem Cell Biol 106:367–374[Medline]
  35. Li Z, Knowles JW, Goyeau D, Prabhakar S, Short DB, Perkins AG, Goy MF 1996 Low salt intale down-regulates the guanylin signaling pathway in rat distal colon. Gastroenterology 111:1714–1721[CrossRef][Medline]
  36. Moro F, Levenez F, Guinard H, Chayvialle JA, Giraud AS, Cuber JC 1998 Intestinal guanylin is both a lumone and a hormonal peptide in rats. Gastroenterology 114:G1631 (Abstract)
  37. Wilson KT, Xie Y, Musch MW, Chang EB 1993 Sodium nitroprusside stimulates anion secretion and inhibits sodium chloride apsorption in rat colon. J Pharmacol Exp Ther 266:224–230[Abstract/Free Full Text]
  38. Fuchs M, Adermann K, Raab HR, Forssmann WG, Kuhn M 1996 Pituitary adenylate cyclase activating polypeptide: a potent activator of human intestinal ion transport. In: Arimura A (ed) Proceedings of the 2nd International Symposium on VIP, PACAP, and Related Peptides. Ann NY Acad Sci 805:640–647[Medline]



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