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Apical NHE physiological relevance in airway epithelia

Posted by tdantaspessoa on 16 Sep 2022 at 11:53 GMT

In the kidneys, NHE3 has the important role to absorb NaHCO3 (not sodium as you wrote in the introduction) and to generate new HCO3-. That is why in the kidney the mechanism to reabsorb sodium is coupled to H+ secretion: this is a mechanism to maintain the pH homeostasis, an essential Kidney function. On the other hand, in the airways formation of normal, detached mucus is dependent on bicarbonate. Lack of bicarbonate at mucus secretion in CF (cystic fibrosis) left the mucus more compact (...), thereby causing the attached CF mucus (Giorgetti, Melania et al. 2021). So why should the cell secrete H+ and acidify the mucus? It is difficult to me to find a reasonable physiological function for the apical expression of NHE. Maybe you (Authors) have some explanation to give to me.

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