Oxalate secretion is stimulated by a cAMP-dependent pathway in the mouse cecum

Jonathan M. Whittamore, Marguerite Hatch

Research output: Contribution to journalArticlepeer-review


Elevated levels of the intracellular second messenger cAMP can stimulate intestinal oxalate secretion however the membrane transporters responsible are unclear. Oxalate transport by the chloride/bicarbonate (Cl/HCO3) exchanger Slc26a6 or PAT-1 (Putative Anion Transporter 1), is regulated via cAMP when expressed in Xenopus oocytes and cultured cells but whether this translates to the native epithelia is unknown. This study investigated the regulation of oxalate transport by the mouse intestine focusing on transport at the apical membrane hypothesizing PAT-1 is the target of a cAMP-dependent signaling pathway. Adopting the Ussing chamber technique we measured unidirectional 14C-oxalate and 36Cl flux (Jmsion and Jsmion) across distal ileum, cecum and distal colon, employing forskolin (FSK) and 3-isobutyl-1-methylxanthine (IBMX) to trigger cAMP production. FSK/IBMX initiated a robust secretory response by all segments but the stimulation of net oxalate secretion was confined to the cecum only involving activation of JsmOx and distinct from net Cl secretion produced by inhibiting JmsCl. Using the PAT-1 knockout (KO) mouse we determined cAMP-stimulated JsmOx was not directly dependent on PAT-1, but it was sensitive to mucosal DIDS (4,4’-diisothiocyano-2,2’-stilbenedisulfonic acid), although unlikely to be another Cl/HCO3 exchanger given the lack of trans-stimulation or cis-inhibition by luminal Cl or HCO3. The cAMP-activated oxalate efflux was reliant on CFTR (Cystic Fibrosis Transmembrane conductance Regulator) activity, but only in the presence of PAT-1, leading to speculation on the involvement of a multi-transporter regulatory complex. Further investigations at the cellular and molecular level are necessary to define the mechanism and transporter(s) responsible.

Original languageEnglish (US)
Pages (from-to)249-266
Number of pages18
JournalPflugers Archiv European Journal of Physiology
Issue number2
StatePublished - Feb 2023
Externally publishedYes


  • Anion
  • DRA; Slc26a3; Short-circuit current
  • In vitro

ASJC Scopus subject areas

  • Physiology
  • Clinical Biochemistry
  • Physiology (medical)


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