The choroid plexus sodium-bicarbonate cotransporter NBCe2 regulates cerebrospinal fluid pH

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  • Barbuskaite, Dagne
  • Jeppe Praetorius
  • Henriette L. Christensen
  • Alexandra Rojek
  • Hans Malte Nielsen
  • Ernst-Martin Fuchtbauer
  • Tobias Wang
  • Helle Hasager Damkier
Respiratory centers in the central nervous system (CNS) react to changes in pCO2 and maintain systemic acid/base homeostasis by controlling the rate and depth of respiration. Both blood-brain barrier and blood-CSF barrier are highly permeable to CO2 enabling swift transmission of arterial pCO2 fluctuations to be coupled with CSF pH changes, whilst both barriers are much less permeable to H+ and HCO3−, hence masking the effects of metabolic acid-base disturbances. The electrogenic Na+-HCO3− cotransporter NBCe2 is expressed in the CSF-facing plasma membrane of the choroid plexus epithelial (CPE) cells and could be a regulator of CSF pH. We hypothesized that NBCe2 is responsible for HCO− extrusion into the ventricle lumen to counteract decreases in CSF pH during acidosis. Intracellular pH (pHi) measurements on CPE cells from NBCe2 knockout (KO) mice showed a statistically significant 84% increase in Na+-dependent acid extrusion following intracellular acidification by ammonium chloride prepulse and an 81% reduction in DIDS-sensitive base efflux after intracellular alkalization by trimethylamine. Knockout of NBCe2 abolished CSF pH recovery from hypercapnia-induced acidosis compared to control mice: wt (n=5): 0.0048 ± 0.003 vs ko (n=6): −0.0001±0.0002 pH units/min, p=0.0043. Choroid plexus targeted NBCe2 knockdown mice generated by intracerebroventricular installation of siRNA revealed a similar effect: Control (n=5): 0.002+/−0.0004 vs. NBCe2 knockdown (n=7): −0.0001±0.0007, p=0.047. Knockout of NBCe2 did not affect respiration rate or tidal volume compared to wildtype, and revealed a similar ventilatory response as controls when exposed to 5% CO2. In conclusion, we show that NBCe2 is important for recovery of CSF pH after CO2 induced acidosis by transporting HCO3− into the CSF. This suggests a significant role for NBCe2 in regulating brain pH when faced with an acid challenge independent of the respiratory response.
Original languageEnglish
Article number702.4
JournalF A S E B Journal
Volume31
Issue numberS1
Number of pages1
ISSN0892-6638
Publication statusPublished - 2017

ID: 183610627