throbber
Biochem. J. (1988) 250, 1-8
`
`(Printed in Great Britain)
`
`REVIEW ARTICLE
`Regulation of intracellular pH in eukaryotic cells
`
`Inger Helene MADSHUS
`Department of Biochemistry, Institute for Cancer Research, The Norwegian Radium Hospital, Montebello,
`0310 Oslo 3, Norway
`
`1
`
`INTRODUCTION
`The fact that cytoplasmic pH is strictly regulated has
`only been appreciated during the last 10 years. Eukaryotic
`cells clamp cytoplasmic pH at 7.0-7.4 by ion transport
`mechanisms and a high buffering capacity of the cytosol.
`The values of internal pH observed (pH 7.0-7.4) are
`higher than expected if the protons had been passively
`distributed across the cell membrane according to
`electrochemical gradients. Thus, when the membrane
`potential is -59 mV, pHi should be 1 unit less than
`pHo. The equilibrium relation between membrane poten-
`tial, Vm, and internal and external H+ concentrations is
`given by the Nernst expression:
`Vm = 1000 (R x TIF) ln [H+]O/[H+],)
`where R and F are the gas constant and Faraday
`constant respectively, and Vm is membrane voltage in
`mV. At 22 °C, Vm = 59 (pH, - pHO). At extracellular
`pH 7.4 the calculations would predict the cytosolic pH to
`be 6.4. This pH value is cytotoxic and far below the one
`actually observed. In barnacle muscle pH, was measured
`to be 0.5 unit higher than expected from the electro-
`chemical gradient (Roos & Boron, 1982), and similar
`findings have been made with a number of cell types.
`This fact clearly shows that there are mechanisms actively
`removing acid equivalents from the cytosol.
`The buffering capacity of cells has been determined to
`be between 10 and 50 mm per pH unit, depending on cell
`type investigated and on the conditions of the measure-
`ments (whether or not the buffering capacity has been
`measured in the presence of bicarbonate).
`Because of the great importance of the internal pH for
`many cellular processes and because the field concerning
`pH-regulating mechanisms is rapidly expanding, I here
`present an updated overview of the reasons why intra-
`cellular pH must be strictly controlled, the methods
`used to study regulation of intracellular pH and the
`mechanisms involved in the regulation of intracellular
`pH.
`
`REASONS WHY INTRACELLULAR pH MUST BE
`STRICTLY CONTROLLED
`Intracellular pH is important for the activity of a
`number of enzymes with pH optima within the physio-
`logical pH range as well as for the efficiency of contractile
`elements and the conductivity of ion channels. Also, pH
`oscillations seem to be important in controlling the cell
`cycle and the proliferative capacity of cells.
`Effect of pH on the activity of metabolic enzymes and
`synthesis of macromolecules
`The activity of a large number of intracellular enzymes
`taking part in the cellular metabolism is pH-sensitive. An
`
`Vol. 250
`
`important example is phosphofructokinase, the rate-
`limiting enzyme of glycolysis. The activity of this enzyme
`strongly increases with increasing pH over a small pH
`interval within the physiological range (Fidelman et al.,
`1982; Ui, 1966). Insulin stimulates the key enzyme of the
`glycolysis by increasing the pH, by activating the
`electroneutral Na+/H+-exchanger in the plasma mem-
`brane (Moore, 1981). In agreement with the results
`described above, Seglen (1972) reported that in perfused
`rat liver cells both glycolysis and respiratory activity
`were inhibited by low pH.
`Also, protein synthesis is affected by pH. Thus, in a
`cell-free translation system Winkler (1982) found a sharp
`increase in the rate of protein synthesis starting at pH 6.9
`with an optimum at pH 7.4.
`The -synthesis of DNA and RNA increase with
`increasing intracellular pH within the physiological
`range. The pH optimum ofDNA polymerases is generally
`quite high. The activity increases with increasing pH
`from 7.0 to 8.0, which encompasses the usual physio-
`logical pH, range (Gerson, 1982). This can probably be
`related to the rise in the free energy of hydrolysis of
`ATP and other nucleoside triphosphates observed with
`increasing pH (Alberty, 1968).
`Within the physiological range, it appears to be a
`general rule that with increasing pH, the metabolic
`activities of cells increase.
`
`Effect of pH on contractile elements
`The contractile activity of purified preparations of
`actin and myosin has been shown to be dramatically
`influenced by comparatively small changes in pH
`(Condeelis & Taylor, 1977) with low pH reducing the
`Also, microtubule assembly and dis-
`contractility.
`assembly is affected by pH with an increased disassembly
`at alkaline pH (Regula et al., 1981).
`Acidification dramatically reduces the contractility of
`muscles. Apparently, intracellular acidosis may account
`for between 40 % and 50 % of the immediate negative
`inotropic effect of ischaemia in the heart muscle (Jacobus
`et al., 1982).
`
`Effect of pH on ion conductivities
`Some ion channels have a pH-dependent conductivity.
`In particular, potassium channels in excitable cells are
`often pH-dependent (see Moody, 1984). Intracellular
`acidification blocks the K+ conductance and depolarizes
`the membrane, thereby facilitating the occurrence of
`action potentials. pH-sensitive K+ channels have been
`shown to be of importance for the generation of Ca2+-
`dependent action potentials in crayfish slow muscle fibres
`(Moody, 1982). Also, in the case of vertebrate muscle
`fibres (Blatz, 1980) and in the squid giant axon (Wanke
`et al., 1979) the K+ conductance was shown to decrease
`with increasing intracellular acidification.
`
` PFIZER, INC. v. NOVO NORDISK A/S - IPR2020-01252, Ex. 1049, p. 1 of 8
`
`

`

`2
`
`I.H. Madshus
`
`cell division and mitosis. These authors suggest that
`
`
`
`
`
`
`
`Changes in ionic conductance in the pancreatic p-cell
`
`
`
`increases play a significant role in induction of cell
`pH
`
`
`
`plasma membrane most likely represent fundamental
`
`proliferation and cell division.
`
`
`steps in stimulus-secretion coupling. The glucose-in­
`evidence also presented Steinhardt & Morisawa (1982)
`
`
`
`
`
`
`
`duced electrical activity in P-cells has been shown to be
`
`
`for a pH-sensitive step prior to mitosis in Physarum
`by pH1 through the effect on K + channels
`
`modulated
`
`was increased to
`In the cell cycle the pH1
`
`
`
`
`When the (Tarvin et al., 1981 ; Rosario & Rojas, 1986).
`polycephalum.
`If pH1 was
`
`pH 7.4-7.5 within 1 h prior to mitosis.
`
`
`
`
`K+-channel conductance decreases, the membrane is
`
`
`
`artificially lowered, a delay of mitosis was induced.
`
`
`
`depolarized and voltage-gated Ca2+ channels and Na+
`
`
`
`
`Furthermore, starvation of the cells lowered the pH1 and
`
`
`
`The resulting channels are activated (Pace et al., 1982).
`
`
`
`
`interrupted the cell cycle, thereby inhibiting mitosis.
`
`
`
`of insulin­for exocytosis increase in Ca2\ is a stimulus
`
`
`
`increase in According to Gerson (1982) a biphasic
`
`
`pH1 changes thereby indirectly
`
`containing vesicles.
`
`was observed when lymphocytes were stimulated
`pH
`
`
`regulate the release of insulin.
`
`
`mitogenically with concanavalin A. The first peak was
`
`
`
`found With respect to Ca2+ channels, Umbach (1982)
`seen after 6-8 h and the second peak 48 h after the
`
`
`by the Ca2+ currents were decreased
`that in Paramecium
`
`
`stimulation. The first peak correlated with early events,
`
`
`• The titration effect indicated a single
`
`decreasing pH1
`
`
`
`such as increase in the synthesis of phospholipids and
`
`
`
`titratable group with an apparent dissociation constant
`
`
`protein, while the second peak correlated with the
`
`
`
`no effect on Ca2+ of 6.2. In Aplysia neurons, however,
`
`synthesis of DNA.
`
`increased by 0.35 unit
`
`
`currents was observed when pH
`The results described above support the hypothesis
`
`
`
`
`
`
`the resting (Zucker, 1981). However, pH1 in Aplysia
`
`
`
`that intracellular pH is an important modulator of cell
`
`
`
`The neurons is 7.17, as opposed to 6.8 in Paramecium.
`
`
`
`proliferation and cell division. Experiments with early
`
`
`
`titration curve obtained by Umbach predicts that no
`
`
`
`embryos indicated, however, that pH1 is not
`
`
`effect on the Ca2+ currents is obtained when pH1 is raised
`Xenopus
`
`
`
`necessarily a universal regulator of mitosis. It was
`
`with K+ channels, to values above 7.17. In contrast
`
`
`
`reported that even if small oscillations in pH1 occurred
`
`
`comparatively little is known about the pH-dependency
`
`
`
`
`embryos, no during the mitotic cycle in early Xenopus
`
`
`of Ca2+ channels. A number of workers have measured
`
`
`
`delay in mitosis occurred when the pHwas artificially
`
`change on Ca 2+
` However,
`
`
`the effects of an imposed pH1
`
`
`
`clamping reduced (Lee & Steinhardt, 1981 ). Furthermore,
`
`the effect on Ca 2\ of changing pH1 is not uniform among
`
`at high pH1 values did not interfere with normal
`
`
`cells and cannot be predicted with confidence (see
`
`
`
`chromosome cycling or cell division in the sea urchin
`Moody, 1984).
`
`
`that the embryo (Grainger et al., 1979). This suggests
`
`
`
`of gap junctions In Xenopus embryos the conductance
`
`shifts observed in other systems
`and
`pH1
`
`
`was found to be blocked by decreasing pH (Turin
`(Tetrahymena
`&
`
`
`
`reflect changes associated with cell growth
`Warner,
`
`
`The conductance changed steeply
`Physarum)
`1977, 1980).
`
`but not mitosis or cytokinesis
`
`
`on isolated over a small pH1 interval. In experiments
`per se.
`to that in response Pouyssegur et al. (1985) reported
`
`
`
`
`coupled cells in which the pH1 and the junctional
`
`
`
`growth factors, quiescent fibroblast mutants lacking
`
`meaured, the relationship was
`
`conductance were directly
`Na+ /H+ exchange
`
`
`activity failed to elevate their cyto­
`
`shown to be a simple sigmoid curve (Spray
`et al., 1982).
`
`
`
`plasmic pH and to reinitiate DNA synthesis at neutral
`
`The relationship was well fitted by a Hill plot with an
`
`apparent pKH of 7.3.
`
`
`threshold0• These authors claim that a pH
`
`and acidic pH
`that pH1 changes might play a
`
`This suggested
`
`
`
`of 7 .2 exists, below which growth factors cannot induce
`
`the G to S phase transition.
`
`
`
`physiological role in modifying electrical communi­
`
`
`
`cations between cells (Spray
`that suggested In contrast with this, Mills et al. (1985)
`
`
`
`
`et al., 1982).
`
`
`
`Altogether, it appears that changes in pH1 modify the
`pH
`
`
`
`increase is not essential for proliferation. This con­
`
`
`
`
`electrical properties of excitable cells. Thus, small pH1
`
`
`
`clusion was based upon observations with interleukin 2-
`
`
`
`
`changes dramatically influence the responsiveness of
`
`
`
`
`induced lymphocyte proliferation. Interleukin 2 stimu­
`
`
`such cells (Moody, Also, intercellular communi­
`
`lates electroneutral Na+ /ff+ exchange,
`
`thereby increasing
`
`1984).
`
`
`
`cation via gap junctions, which is important in develop­
`
`
`
`• However, if this exchanger was inhibited with
`pH1
`
`
`
`ment and in organized functioning of tissues, is highly
`
`
`amiloride analogues in a HCO
`
`--free medium, pro­
`
`
`sensitive to pH changes (Spray
`
`
`liferation occurred even if pH
`did not increase.
`et al., 1982).
`
`
`
`A principal difference in the experimental design
`Control of the cell cycle
`
`
`
`between the experiments of Pouyssegur and
`et al. (1985)
`
`
`Oscillations in intracellular pH have been postulated
`
`Mills et al. (1985) could explain why these authors
`
`
`to be of importance in the control of the cell cycle and
`
`
`
`
`
`reached different conclusions. Lymphocytes having inter­
`
`
`
`
`cell division in several cell types. Low intracellular pH is
`
`are in G1 phase; this means that the
`
`leukin 2 receptors
`
`common both to prokaryotic and eukaryotic resting
`
`
`
`
`cells are partly stimulated and thereby already in the cell
`
`cells. This is one reason that these cells have low
`and not in the
`
`
`cycle, while quiescent fibroblasts are in G
`
`
`
`
`metabolic activities. A rapid increase in intracellular pH
`
`
`cell cycle. Possibly, a pH1 increase
`
`is necessary for the
`
`
`may be important to bring cells from G
` G1 and into S
`
`transition of cells from G
`to G
`1 in order to bring
`phase.
`
`
`quiescent cells back into the cell cycle.
`
`
`
`Many observations exist with respect to pH oscillations
`
`
`
`
`that It was recently reported by Ober & Pardee (1987)
`
`
`
`during the cell cycle. In the ciliated protozoan
`
`
`
`
`a series of tumourigenic Chinese hamster embryo
`Tetra­
`
`two pH increases of about 0.�.4 pH
`
`
`
`fibroblast cell lines maintain an internal pH that is
`hymena pyriformis
`
`
`unit above a baseline of 7 .2 were observed within 30 min
`pH unit above that of the non-tumorigenic
`0.12±0.04
`
`
`of the onset ofS phase (Gillies & Deamer, A single
`role for pH1 in
`
`
`
`parental cell line. This suggests a critical
`1979).
`pH
`
`
`
`in the 1 shift of similar magnitude has been reported
`
`
`
`the regulation of DNA synthesis and suggests that
`
`
`
`(Gerson slime mould Physarum polycephalum & Burton,
`
`
`of in pH1 can contribute to the acquisition
`aberrations
`
`
`with In this case the pH1 increase was associated
`
`altered growth properties.
`1977).
`
`1Q88
`
`0
`
`0
`
`0/
`
`1
`
`1
`
`0
`
`1
`
`1
`
`1•
`
`1
`
`1
`
`3
`
`1
`
` PFIZER, INC. v. NOVO NORDISK A/S - IPR2020-01252, Ex. 1049, p. 2 of 8
`
`

`

`Regulation of intracellular pH in eukaryotic cells
`
`NH4CI added
`
`NH4CI removed
`
`NH4CI added
`l
`
`NH4CI removed
`
`Na+
`
`140 mm-Na+
`
`140 mM-Na+
`plus amiloride
`No Na+
`
`5
`
`10
`
`15
`
`7.4
`
`7.2
`
`I:
`
`7.0
`
`6.81-
`
`6.4
`
`0
`
`Time (min)
`Fig. 1. Na+/H+ antiport studied by the ammonium prepulse
`technique
`When the prepulse is applied, an abrupt acidification of
`the cytosol is produced. This acidification is followed by
`a rapid pH, normalization in a sodium-containing buffer
`due to Na+/H+ antiport. The normalization follows an
`exponential time-course, being complete after 5 min in a
`bicarbonate-free medium.
`
`Altogether, most data presented support the hypo-
`thesis that a strictly controlled pHi acts as a second
`messenger in growth control.
`
`METHODS TO STUDY INTRACELLULAR pH
`REGULATION
`A number of different techniques are now available to
`measure intracellular pH. For a detailed description of
`these methods the reader is referred to Nuccitelli &
`Deamer (1982). Here the different methods are only
`mentioned briefly.
`A widely used method for estimating pHi is to measure
`the equilibrium distribution of a radioactively labelled
`weak acid or base across the plasma membrane. However,
`this method has limitations such as sensitivity to cellular
`volume changes and intracellular compartmentalization
`of the tracer (Roos & Boron, 1981). Also, this method
`shows a poor temporal resolution.
`N.m.r. was first used to measure intracellular pH in
`red blood cells by Moon & Richards (1973). The
`inorganic phosphate signal is most commonly used,
`because it is readily observable in the majority of 31P
`spectra and because its frequency is particularly sensitive
`to pH changes in the region around neutrality (Gadian
`et al., 1982). A disadvantage is that n.m.r. equipment is
`expensive and complicated to use. The requirement for a
`high cell density also creates problems, but these can be
`solved by various methods of superfusion (Nuccitelli,
`1982).
`
`Vol. 250
`
`3
`
`pH-sensitive microelectrodes offer one way of ob-
`taining continuous pH measurements. The recessed-tip
`type of pH microelectrode, first described in 1974 by
`Thomas, can be made with tip diameters of less than
`1 ,um, and can thus be used on a wide variety of cells.
`However, one is at risk of destroying the cell when the
`electrode is introduced through the cell membrane.
`When regulatory mechanisms are studied, it is con-
`venient to use fluorescent probes with pH-dependent
`fluorescence. Most often carboxylfluorescein derivatives
`are used. For these compounds the excitation, and
`thereby the fluorescence intensity,
`increases almost
`linearly from pH 6.5 to pH 8.0. Fluorescent probes can
`be introduced to the cytosol in the form of lipid-soluble
`esters, which are cleaved by cytoplasmic esterases, and
`the fluorophore is thereby trapped in the cytosol (Thomas
`et al., 1979; Rink et al., 1982; Moolenaar et al., 1983).
`Such techniques are non-invasive, and spectrally moni-
`tored fluorescence can be recorded continuously with
`excellent temporal resolution.
`To study pH regulation the cytosol may be acidified or
`alkalinized and then the regulation of the pH back to
`normal value is studied under different conditions by
`a continuous recording of pH. In this way different
`mechanisms for pH regulation have been characterized,
`and, in the following, four such mechanisms will be
`described in detail.
`
`MECHANISMS INVOLVED IN THE
`REGULATION OF INTRACELLULAR pH
`Na+/H+ antiport
`The first demonstrations of Na+/H+ antiport in
`eukaryotic plasma membranes were made in vesicles
`from the brush borders of rabbit kidney and small
`intestine (Murer et al., 1976). Electroneutral Na+/H+
`antiport was described as an important pH-regulating
`mechanism in sheep heart Purkinje cells after cytoplasmic
`acidification (Deitmer & Ellis, 1980). Recently, much
`information has accumulated regarding the Na+/H+
`exchanger in mammalian cells, and there seems to be
`general agreement that all animal cells possess an
`electroneutral Na+/H+ antiporter
`review,
`(for
`see
`Krulwich, 1983). The antiporter responds to a fall in
`extracellular pH by quickly extruding protons in ex-
`change with extracellular Na+ (Fig. 1). The energy for the
`extrusion is provided by the large inward-directed Na+
`gradient.
`The cytosol can be acidified by the ammonium prepulse
`technique described by Boron & De Weer (1976).
`Addition of NH4C1 to the culture medium first produces
`a rapid rise in pH, due to entry of NH3, which combines
`with protons in the cytosol. The pH, subsequently slowly
`decays due to entry of NH4'. When NH4C1 is withdrawn
`from the medium, NH3 leaves the cells while H+ ions are
`left behind. Therefore, the pH becomes lower than the
`original pH, value before the pulse was applied (Fig. 1).
`The Na+/H+ antiporter is inhibited by the potassium-
`saving diuretic amiloride and by analogues of this drug.
`Amiloride inhibits competitively binding to the extra-
`cellular site which accommodates Na+ ions (Haggerty
`et al., 1985).
`During extrusion of protons after an acid load, a large
`amount of Na+ ions enter the cell due to Na+/H+
`exchange. The Na+ ions are then extruded into the
`
` PFIZER, INC. v. NOVO NORDISK A/S - IPR2020-01252, Ex. 1049, p. 3 of 8
`
`

`

`4
`
`medium by the Na+/K+-ATPase. If the ATPase is
`the Na+/H+ antiport
`inhibited with ouabain,
`will
`eventually be inhibited, because the sodium gradient,
`which drives the process, is dissipated. Depending on the
`direction of the Na+ gradient, HI ions will either enter or
`leave the cell by Na+/H+ exchange. At low extracellular
`Na+ the sodium gradient is reversed, and cytoplasmic
`acidification will follow when the Na+/H+ exchanger is
`stimulated (Moolenaar et al., 1983; Paris & Pouyssegur,
`1983).
`Normally, the rate of Na+/H+ exchange is small, just
`balancing the passive H+ influx and the intracellular
`production of acidic metabolites. The Na+/H+ exchanger
`is regulated; otherwise the actual Na+ gradient would
`mediate an H+ effilux, resulting in a resting pHi more
`alkaline than the actual pHi (Moolenaar, 1986).
`There is evidence that the intracellular pH is the
`important parameter regulating the activity of the
`exchanger. Aronson and coworkers proposed that
`cytoplasmic H+ acts as an allosteric activator of the
`Na+/H+ exchanger (Aronson et al., 1982). It has been
`suggested that the antiport molecule has on its cyto-
`plasmic face two proton-binding sites that are separate
`and functionally independent. One site is a regulatory or
`modifier site. When this site is occupied, a conformational
`change is triggered, activating the exchanger. A distinct
`H+-transport site mediates the net extrusion of H+ once
`the exchanger is activated (Aronson et al., 1982; Aronson,
`1985).
`The amiloride-sensitive Na+/H+ exchanger seems to
`be involved in hormonal stimulation of cell growth
`(Smith & Rozengurt, 1978; Moolenaar et al., 1982;
`Schulinder & Rozengurt, 1982). There is evidence that
`mitogen-induced cytoplasmic alkalinization is due to
`Na+/H+ exchange (Rothenberg et al., 1982, 1983a,b;
`1982, 1983;
`Cassel et al., 1983; Moolenaar et al.,
`L'Allemain et al., 1984). Experiments indicate that serum
`in human fibroblasts (Moolenaar et al., 1983), thrombin
`in hamster fibroblasts (Paris & Pouyssegur, 1983) and
`phorbol esters in T-lymphocytes (Grinstein et al., 1985)
`may activate the Na+/H+ antiporter by increasing the
`affinity of the pH, sensor, the allosteric H+-binding
`site.
`The understanding of the sequence ofevents mediating
`the growth-factor-induced rise in pHi is still incomplete.
`Protein kinase C is a strong candidate for a transducer of
`growth-factor-mediated activation of the Na+/H+ anti-
`porter. The fact that a variety of extracellular signals
`stimulate inositol phospholipid breakdown and therefore
`the formation of endogenous diacylglycerol supports this
`1984; Berridge,
`1984). Also,
`possibility (Nishizuka,
`phorbol 12-myristate 13-acetate and other phorbol esters
`were suggested to stimulate Na+/H+ exchange through
`an effect on protein kinase C (Grinstein et al., 1985).
`However, the activation of the antiporter by growth
`factors may also be mediated by other pathways, such as
`steps activated by Ca2+-calmodulin or GTP-binding
`proteins. Also, transmethylation reactions have been
`proposed to modulate the activity of the Na+/H+-
`exchanger (Dudeja et al., 1986).
`It can be concluded that the Na+/H+ antiporter is
`apparently present in all animal cells and that it plays an
`important role in regulation of pHi back to normal value
`after an acid load. Also, the antiporter seems to mediate
`an alkalinization of the cytosol when hormones and
`growth factors combine with their cellular receptors.
`
`I. H. Madshus
`
`1600
`
`m~~~~
`
`ci
`
`U3
`
`-c
`
`V11
`
`M
`
`Cu
`
`1200~
`
`_
`
`800 t
`
`4001
`
`UI
`
`7
`001
`I
`
`o S.
`
`6.5
`
`7.5
`
`0
`
`7.0
`pHj
`Fig. 2. Effect of intracellular pH on the uptake of 36Cl- by anion
`antiport in Vero cells
`For experimental details, see Olsnes et al. (1987b).
`
`Anion antiport
`Most cells require bicarbonate for continuous growth.
`One reason for this may be that Cl-/HCO3- antiport is
`important in the regulation of pH,. A bicarbonate-linked
`mechanism was suggested by Russell & Boron (1976) to
`be the most important pH regulatory mechanism in
`invertebrate cells.
`The earliest experiments studying pH, regulation were
`performed on large invertebrate cells such as snail
`neurons and squid axons. The registrations of intra-
`cellular pH were continuous by pH-sensitive micro-
`electrodes applied intracellularly. Thomas (1982) re-
`ported that in snail neurons intracellular chloride and
`extracellular HCO3- were necessary to normalize pHi
`after an acid load. He also found the system to be
`electroneutral and dependent on extracellular Na+.
`Furthermore, the pH regulation was completely inhibited
`by the anion-exchange inhibitor SITS. Becker & Duhm
`(1978) proposed that pH1 might be regulated by an
`exchange of internal Cl- for an external ion pair
`consisting of one Na+ ion linked to one CO3 2- ion.
`Cl-/HCO3- exchange has been described to be Na+-
`dependent in hamster fibroblasts (L'Allemain et al.,
`1985), and in squid axon (Boron, 1985), while Na+-
`independent Cl-/HCO3- exchange has been described in
`sheep heart Purkinje fibres (Vaughan-Jones, 1979), and
`in LLC-PK1 cells (Chaillet et al., 1986). Evidence was
`recently presented that both Na+-dependent and Na+-
`independent Cl-/HCO3- antiport take place in Vero cells
`(T0nnessen et al., 1987; Olsnes et al., 1987a; Madshus
`& Olsnes, 1987).
`It was suggested by Russell & Boron (1976) that the
`squid axon might possess an ATP-dependent pump
`which responded to acid challenges by taking up
`HC03- from the medium in exchange with intracellular
`chloride. However, convincing evidence for the existence
`of an energy-dependent mechanism involved in anion
`
`1988
`
` PFIZER, INC. v. NOVO NORDISK A/S - IPR2020-01252, Ex. 1049, p. 4 of 8
`
`

`

`Regulation of intracellular pH in eukaryotic cells
`
`5
`
`et al. (1986) that the Na+-independent anion antiporter
`shows a steep rise in Vmax with increasing pH, above
`pH 7.0. In Fig. 2 is shown how 36Cl- uptake by anion
`antiport increases strongly over a narrow pH interval.
`An electroneutral Cl-/HCO3- exchanger could also
`participate in acid extrusion, but only if pH, falls
`sufficiently to raise [HC03-]O/[HC03-] above [Cl-]0/
`[Cl-]1. Also, if the chloride gradient was reversed by
`removing extracellular chloride the sodium-independent
`anion antiporter was shown to extrude acid equivalents
`(T0nnessen et al., 1987; Madshus & Olsnes, 1987).
`Compared with the great amount of information
`accumulating regarding the regulation of Na+/H+ anti-
`port, there has been little information regarding the
`regulation of the anion antiport. Possibly, the activity of
`the sodium-linked and the sodium-independent Cl-/
`HCO3 antiporters is subject to regulation by hormones
`and growth factors, in a similar way as the Na+/H+
`antiporter.
`It can be concluded that anion antiport mechanisms
`constitute important pH regulatory mechanisms and
`that by anion antiport pHi can be normalized both
`after acid and alkali loads. After an acid load, pHi is
`normalized by the uptake of a charged complex of Na+
`and HCO3- in exchange with intracellular Cl-, while
`after an alkali load pH, is normalized by extrusion of
`intracellular HCO3- in exchange with extracellular Cl-.
`It is still unclear whether different molecular entities are
`involved in the two kinds of anion antiport.
`
`Na+/HCO3- symport
`A number of authors have recently presented evidence
`for electrogenic symport of Na+ and HCO3- in a variety
`of cells involved in transepithelial transport of acid
`(Boron & Boulpaep, 1983; Alpern, 1985; Jentsch et al.,
`1985, 1986b; Yoshitomi et al., 1985; Biagi & Sohtell,
`1986). This symport has been described to couple tightly
`the transport of one Na+ ion to two or three HCO3- ions.
`It has also been suggested that the negatively charged
`complex is the ion pair NaCO3- (Jentsch et al., 1986a).
`The transport is inhibited by the anion exchange
`inhibitors SITS and DIDS. The first example of such
`transport was described to take place in the basolateral
`membrane of the proximal tubule of the salamander
`Ambystoma tigrinum (Boron & Boulpaep, 1983). The
`transporter was postulated to mediate net efflux of
`HCO3- and Na+, giving rise to transcellular transport of
`HCO3-. A similar process was described in monkey
`kidney epithelial cells (Jentsch et al., 1985), and in
`proximal tubular cells ofthe rat (Alpern, 1985; Yoshitomi
`et al., 1985) and the rabbit (Biagi & Sohtell, 1986; Sasaki
`et al., 1985).
`In all these cases it was found that a sudden peritubular
`reduction of Na+- and/or HCO3- concentration caused a
`sudden transient depolarization as well as a reduction in
`pHi. The cytoplasmic acidification indicates that bi-
`carbonate efflux takes place in response to peritubular
`reduction of bicarbonate and sodium ions. The fact that
`bicarbonate efflux takes place in response to an altered
`sodium gradient indicates strongly that a complex of
`Na+ and HCO3- is transported, and the resulting
`depolarization indicates that this transport is electro-
`genic.
`The 'leakage' of HCO3- across the basolateral side of
`the polarized cell membrane mediates intracellular
`
`Fig. 3. Schematic drawing showing pH-regulatory mechanisms
`described in the text
`On the left side mechanisms correcting acidification of the
`cytosol are depicted, while on the right side pH-regulatory
`mechanisms producing intracellular acidification or cor-
`recting intracellular alkalinization are depicted.
`
`antiport has not been presented. The energy available
`from the large inward-directed Na+ gradient is more than
`sufficient to drive the uptake of NaCO3- and the effilux of
`Cl-.
`Cl- and HCO3- ions are relatively
`close
`to
`electrochemical equilibrium.
`It can be concluded that cytoplasmic pH can be
`effectively normalized after an acid load by anion
`antiport. HCOJ-/Na+ as a negatively charged complex is
`exchanged with intracellular chloride, and the process is
`probably driven by the sodium gradient and in some
`cases by an additional inward-directed HC03- gradient.
`The ion gradients are such that the Na+-independent
`Cl-/HCO3- exchanger will under physiological con-
`ditions bring chloride ions into the cell and bicarbonate
`out of the cell. Thus, the [CI-]/[CI-] is generally greater
`than [HC03-10/[HC03-11 and a passive and electrically
`neutral Cl-/HCO3- exchanger would therefore normally
`mediate Cl- uptake and HCO3- extrusion. This process
`could be of importance in keeping the Cl- activity above
`the electrochemical equilibrium value in certain cell types
`(Vaughan-Jones, 1979). Because of the HCO3- efflux this
`antiport would with time result in an acidification, which
`would have to be compensated for by another pH
`regulatory mechanism.
`The Na+-independent Cl-/HCO3- exchanger may be
`of importance in situations where the pH1 rises above
`neutrality. pH1 regulation on the alkaline side of the
`normal pH1 is of interest because both the coupled
`NaCO3-/Cl- exchange and the Na+/H+ exchange regu-
`late pH1 only on the acid side. It was shown by Olsnes
`
`Vol. 250
`
` PFIZER, INC. v. NOVO NORDISK A/S - IPR2020-01252, Ex. 1049, p. 5 of 8
`
`

`

`6
`
`acidification and must be compensated for by H+
`extrusion across
`the luminal membrane. Such HI
`extrusion has been shown to occur by the Na+/H+
`antiport and by H+-translocating ATPases (see below).
`The H+ extruded from the cell across the luminal
`membrane constitutes transcellular acid secretion. Thus,
`acid secretion is merely a byproduct of pHi regulation;
`the efflux of HCO3- across the basolateral membrane
`provides a sustained intracellular acid load to which the
`Na+/H+ exchanger and the electrogenic H+-translocating
`ATPase respond by extruding protons across the luminal
`membrane (see Boron, 1983).
`The possibility exists that some of the transport
`phenomena described as Na+/HCO3 symport actually
`partly consists of a Cl-/NaCO3- antiport. It seems that
`the Cl- independence for the transport has not been fully
`documented in all cases. Cl-/NaCO3 antiport has been
`to be an important mechanism in pHi
`described
`normalization after an acid load. The possibility exists
`that this antiporter could function in both directions
`depending on the electrochemical ion gradients.
`In the case of the Cl-/HCO3- antiport and Cl-/Cl-
`antiport, a certain slippage has been shown to take place
`at alkaline pH values in the sense that the coupling ratio
`between the anions is different from 1 (Olsnes & Sandvig,
`1986; Olsnes et al., 1987b). The same could be true for
`the Cl-/NaCO;- antiporter; at certain conditions more
`or less slippage and thereby electrogenic transport could
`occur.
`Na+/HCO3- symport mechanisms have been described
`almost exclusively in cells from renal tubules. These cells
`are specialized in the sense that they have the important
`function of transcellular transport of acid. Such cells
`have high concentrations of the enzyme carbonic
`still not clear whether Na+/HCO3
`anhydrase. It is
`symport constitutes a general pH, regulatory mechanism
`or if this symport is only operating in specialized acid-
`secreting cells.
`
`H+-translocating ATPases
`Proton pumps driven by hydrolysis of ATP have been
`described in the plasma membrane of certain tight
`epithelia, such as turtle urinary bladder (Steinmetz,
`1974; Gluck et al., 1982). Proton-translocating ATPases
`have also been described in a number of intracellular
`organelles (Anderson et al., 1982; Hutton, 1982; Dean
`et al., 1984; Forgac et al., 1983; Galloway et al., 1983;
`Glickman et al., 1983). Intracellular vesicles with proton
`pumps fuse with and form from the plasma membrane,
`and it has been suggested that H+ pumps may participate
`in cellular pH regulation (Adelsberg & Al-Awqati,
`1986).
`Proton pumps are electrogenic, but are either coupled
`in parallel with anion channels or antiparallel to K+
`channels in order to counteract the buildup of a
`membrane potential (for review, see Mellman et al.,
`1986).
`Even if the proton pumps are not located at the plasma
`membrane they can actively remove H+ ions from the
`cytosol.
`The pH of intracellular vesicles has been shown to be
`between 4.5 and 6, with the lowest pH values found in
`lysosomes (see Mellman et al., 1986).
`When Hep 2 cells were treated with a hypo-osmotic
`buffer, an immediate cytoplasmic acidification of approx.
`
`I. H. Madshus
`
`0.2 pH units was observed simultaneously with an
`alkalinization of the vesicular compartment (Madshus
`et al., 1987). This suggests that swelling of intracellular
`vesicles has taken place with resulting leakage of
`intravesicular protons to the cytosol and indicates that
`the vesicular compartment normally is of great impor-
`tance in removing H+ ions from the cytosol.
`Secretion of acid in renal proximal tubular cells is
`suggested to be partly mediated by proton-translocating
`ATPases (Steinmetz & Andersen,
`1982). The acid
`secretion is a two-step process. Acid first enters the cell
`across the basolateral membrane b

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket