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Localization and vasopressin regulation of the Na⁺-K⁺-2Cl⁻ cotransporter in the distal colonic epithelium.

AIM
To investigate whether Na(+)-K(+)-2Cl(-) cotransporter (NKCC2) is expressed in the mouse distal colonic epithelia and whether it is regulated by vasopressin in the colon.


METHODS
The mRNA expression of NKCC2 in the mouse colonic mucosa was examined by reverse transcription-polymerase chain reaction. NKCC trafficking in the colon stimulated by 1-D-amino(8-D-arginine)-vasopressin (dDAVP) infusion (10 ng/mouse, intraperitoneal injection ) within 15 min, 30 min and 1h was investigated by laser confocal scanning microscopy. Total and membrane NKCC2 expression in the colonic mucosa from control and dDAVP-treated mice was detected by Western blotting. Short circuit current method was performed to determine regulation of NKCC2 by vasopressin in the colon.


RESULTS
NKCC2 was predominantly located in the apical region of the surface of the distal colonic epithelia; by comparison, a large amount of NKCC1 was distributed in the basolateral membrane of the lower crypt epithelia of the mouse distal colon. Short-term treatment with dDAVP, a V2-type receptor-specific vasopressin analog, induced NKCC2 re-distribution, i.e., NKCC2 traffics to the apical membrane after dDAVP stimulation. In contrast, no obvious NKCC1 membrane translocation was observed. Western blotting results confirmed that membrane NKCC2 had significantly higher abundance in the dDAVP-treated mouse colonic mucosa relative to that in the untreated control, which is consistent with our immunostaining data. Moreover, the short-circuit current method combined with a NKCC2 inhibitor demonstrated that NKCC2 was also activated by serosal vasopressin in isolated distal colonic mucosa.


CONCLUSION
Our results provide direct evidence that vasopressin also plays an important role in the colonic epithelia by stimulating NKCC2 trafficking to the apical membrane and inducing NKCC2-mediated ion transport.

membrane NKCC2 expression in the colonic mucosa from control and dDAVP-treated mice was detected by Western blotting. Short circuit current method was performed to determine regulation of NKCC2 by vasopressin in the colon.

RESULTS
: NKCC2 was predominantly located in the apical region of the surface of the distal colonic epithelia; by comparison, a large amount of NKCC1 was distributed in the basolateral membrane of the lower crypt epithelia of the mouse distal colon. Short-term treatment with dDAVP, a V2-type receptor-specific vasopressin analog, induced NKCC2 re-distribution, i.e. , NKCC2 traffics to the apical membrane after dDAVP stimulation. In contrast, no obvious NKCC1 membrane translocation was observed. Western blotting results confirmed that membrane NKCC2 had significantly higher abundance in the dDAVP-treated mouse colonic mucosa relative to that in the untreated control, which is consistent with our immunostaining data. Moreover, the short-circuit current method combined with a NKCC2 inhibitor demonstrated that NKCC2 was also activated by serosal vasopressin in isolated distal colonic mucosa.

CONCLUSION:
Our results provide direct evidence that vasopressin also plays an important role in the colonic epithelia by stimulating NKCC2 trafficking to the apical membrane and inducing NKCC2-mediated ion transport.
Xue H et al . Vasopressin regulates NKCC2 in the distal colon the colon. However, the role and regulating mechanism of NKCC2 in the gut are still not completely understood. Our results provide direct evidence that vasopressin also plays an important role in the colonic epithelia by stimulating NKCC2 trafficking to the apical membrane and inducing NKCC2-mediated ion transport. The action of vasopressin on NKCC2 in the colon would be recognized to supplement the role of the kidney in modulating whole-body homeostasis and electrolyte balance in physiological or pathophysiologic conditions.

INTRODUCTION
The bumetanide-sensitive Na + -K + -2Clcotransporters (NKCC) mediate the electroneutral movement of 1 Na + , 1 K + and 2 Clions across cell membranes [1,2] . Two isoforms, NKCC1 and NKCC2, are currently known and are encoded by different genes. NKCC1 (SLC12A2) is widely distributed in the basolateral membrane of secretory epithelial cells [3] . In contrast, NKCC2 (SLC12A1) is primarily localized to the apical membrane of the epithelial cells of the thick ascending limb of Henle's loop (TALH), where it mediates the apical entry of Na + , K + (or NH4 + ) and Cl - [4] . NKCC2 has been thought to be a kidney-specific isoform. However, there is growing evidence for extra-renal expression, including expression in the pancreas and the gastrointestinal tract of rats and humans, where it might mediate Clabsorption [5][6][7][8] . The NKCC2 protein expression and location as well as its mechanism of regulation in the mouse distal colon are not understood.
Vasopressin (also termed antidiuretic hormone) increases NaCl absorption in the TALH [9,10] and Na and water absorption in cortical collecting duct cells [11] . Several reports have verified that vasopressin has both longterm and short-term effects on NKCC2 expression and function in TALH cells. In the short term, the vasopressin-dependent phosphorylation of NKCC2 is associated with vesicular trafficking of the transporter to the luminal membrane [12,13] . Long-term vasopressin exposure in the TALH or in collecting duct principal cells increases the expression of NKCC2 [14] and aquaporin 2 [15] , respectively. The colon could also be a target for vasopressin [16] because vasopressin stimulates NaCl and water absorption in in vitro preparations of mouse, rat, and human colons [17][18][19][20][21] . However, little is known about the mechanism of ion transport that is induced by vasopressin in the colon. Specifically, the identity of the protein that mediates NaCl absorption in the colon and whether NKCC2 is involved in this process are currently unclear.
from two different commercial sources. NKCC1 and NKCC2 antibodies were preadsorbed with their corresponding control peptides (Santa Cruz sc-21547P 10 μg per 1 μg NKCC1 antibody; Fitzgerald 33R-6671, 5 μg per 1 μg NKCC2 antibody) to determine the specificity of the antibodies. The specimens were then examined using a fluorescence microscope (Nikon 80i, Japan) or a confocal laser scanning microscope (Leica TCS SP5 MP, Germany).

Fluorescence image analysis
Immunolabeled sections were examined using a confocal laser scanning microscope. Confocal images were converted to 2-channel (red and green) mode by subtracting DAPI (blue). The confocal images were analyzed using Image J software. Areas of NKCC2 labeling were highlighted in white using the Image J. Data from 4 to 12 selected areas were averaged in each image; 6 images were randomly selected for analysis from each measurement group of one animal (n = 6 images; n' = 4-12 selected areas), and data were collected from three animals (n = 3). The method described above was based on the recently published work from the laboratory of Prof. Ameen [22,23] . Statistical analysis was performed using GraphPad Prism software. Differences among groups were determined using one-way ANOVA and the Tukey's post hoc method of multiple comparisons. The level of significance was set at P < 0.05.

Ussing chamber experiments
The distal colon was cut longitudinally along the mesenteric border. The serosa, muscularis and submucosa were stripped away with fine forceps to prepare the mucosa sample. The stripped mucosa was mounted in a modified Ussing chamber in a tissue holder (Easy Mount Chamber; Physiologic Instruments, San Diego, CA) with an aperture surface area of 0.3 cm 2 , and the sample was bathed bilaterally in Krebs-Henseleit solution (KHS).
The short-circuit current was measured in vitro in the Ussing chambers. The transepithelial PD was then clamped at 0 mV, and the short-circuit current (ISC) was recorded with a VCC MC6 voltage-current clamp am-plifier (Physiologic Instruments, San Diego, CA). The transepithelial resistance (TR) (Ωcm 2 ) was measured by altering the membrane potential in a stepwise fashion (-0.1 mV) and applying the Ohmic relationship.

Reverse transcription-polymerase chain reaction
RNA from the stripped mucosa and renal medulla was harvested using the Trizol RNA purification system (Invitrogen, Carlsbad, CA, United States) according to the manufacturer's instructions. The following primers were used for the PCR of NKCC2: forward 5'-TTGAGA-TTGGCGTGGTCATA-3' and reverse 5'-AAGCAT-GTCAGCCAGCTTTT-3'. The following primers were used for β-actin, an internal control: forward 5'-TGT TTG AGA CCT TCA ACA CC-3' and reverse 5'-CAG TAA TCT CCT TCT GCA TCC-3'. The amplification products and a DNA size marker (DNA maker C; SBS Genetech, Beijing, China) were separated by electrophoresis on a 1.5% agarose gel in 0.5 TRIS-borate-EDTA buffer containing ethidium bromide. The bands of the amplification products were viewed using ultraviolet light, and the images were taken using a GelDoc2000 (Bio-Rad Laboratories, Hercules, CA, United States).

Colonic epithelial protein isolation and membrane protein preparation
The serosa, muscularis and submucosa were stripped away with fine forceps to prepare the mucosa sample. The protocol was based on the manufacturer's instructions (Boogo Company, Shanghai W002). The preparation was homogenized in ice-cold tissue protein extraction reagent A, and then sonicated until the sample was completely dissolved. After freezing in liquid nitrogen and thawing at 25 ℃ three times, the samples were centrifuged at 5000 g at 4 ℃ for 10 min, and the supernatants were carefully collected. Then, the sample was centrifuged at 14000 g at 4 ℃ for 30 min to precipitate the membrane fragments. Protein extraction reagent B was added to the precipitates to centrifuge at 14000 g at 4 ℃ for 10 min. The supernatants were thoroughly removed, and then protein extraction reagent C was added.

Total protein preparation
Tissue was homogenized in 300 μL of cold lysis buffer, 4694 April 28, 2014|Volume 20|Issue 16| WJG|www.wjgnet.com immunoreactivity ( Figure 1D and H), suggesting that both antibodies were specific. The NKCC2 antibody was also tested in the mouse kidney as a positive control. Greater NKCC2 abundance was detected in the apical regions of cells lining the thick ascending limb segment of the mouse nephron ( Figure 1F). No staining was observed when the NKCC2 primary antibody was omitted ( Figure 1G). T4 is a monoclonal antibody that is generated against a fusion protein encompassing the carboxy terminus (S760-S1212) of human NKCC [26] . The antibody is known to recognize both the apical NKCC2 and basolateral NKCC1 isoforms of the Na-K-2Cl cotransporter [26] . As expected, T4 immunoreactivity was observed in the apical membrane, further supporting the NKCC2 localization data ( Figure 1E and I).
NKCC2 has been demonstrated to be modulated by vasopressin in the TAL [12,13] ; thus, we next investigated whether the apically expressed NKCC2 was regulated by short-term treatment with vasopressin. Short-term vasopressin treatment has been reported to induce NKCC2 apical vesicular trafficking in medullary TAL cells [12] . Therefore, we investigated whether vasopressin could cause a redistribution of NKCC2 in the colonic epithelia. In this study, we used a V2-type receptorspecific vasopressin analogue, dDAVP, to examine its effect on NKCC2 trafficking. Higher magnification images of unstimulated colon sections indicated that NKCC2 immunoreactivity was also present in the intracellular compartments ( Figure 2A). dDAVP (10 ng per animal, intraperitoneal injection) was administered to adult mice. At 30 min post-stimulation, more intense staining for NKCC2 was detected in the apical region of surface enterocytes, as shown in Figure 2C. Notably, at 1 h poststimulation, the vasopressin-induced membrane recruitment of NKCC2 resulted in labeling intensities that were higher in the apical membrane than the 30 min post-stimulation intensities ( Figure 2D, d). This observation was confirmed by densitometry: the NKCC2 fluorescence intensity on the apical membrane of enterocytes ranged from values that were approximately 1.5-fold to 3-fold higher than that in the untreated mouse (normalized to the apical membrane of the surface cells in untreated mice, n = 3 mice, n = 6 images, n' = 4-12 selected area P < 0.001, Figure 2I). The dramatic recruitment of NKCC2 to the apical membrane seemed to occur for at least 30 min because no significant differences could be detected between the 15 min post-stimulation and unstimulated states ( Figure 2B). At the same time, we also determined whether NKCC1 was redistributed in response to vasopressin. In the control condition, the NKCC1 labeling was predominantly found at the basal and lateral membranes, and there was a partial punctate vesicular-like intracellular pattern in the colonic crypt base ( Figure 2E arrow). After 15 min, 30 min and 1 h of stimulation, the NKCC1 localization and labeling intensity in the basolateral membrane did not change significantly, suggesting that vasopressin might mainly affect NKCC2 ( Figure 2F, G, H and J). and the total tissue homogenates were sonicated until they were completely dissolved. The sample was then centrifuged at 12000 rpm for 30 min at 4 ℃. The protein concentration of the samples was measured using a Bradford assay kit.

Immunoblotting
Total NKCC2 proteins (20 μg) or membrane NKCC2 proteins (40 μg) were separated by 8% SDS/PAGE, and the separated proteins were electroblotted onto a PVDF membrane (Millipore), which was then washed for 10 min with TBST and immersed in blocking buffer containing 5% non-fat dry milk in TBST for 1 h at 25 ℃. The blot was washed with TBST and then incubated with a polyclonal primary antibody against NKCC2 (Santa Cruz sc-133823) overnight at 4 ℃. After washing in TBST, the blot was incubated with a secondary antibody against rabbit IgG (Santa Cruz) for 1 h at 25 ℃. The blot was finally washed with TBST, and the protein bands were visualized with a chemiluminescence system (ECL Plus, Applygen Technologies Inc.). The resulting image was analyzed using Total Lab Quant software.

Statistical analysis
Data are expressed as mean ± SD; statistical significance between two individual measurement groups was determined using an unpaired t test. Differences among groups were determined using one-way ANOVA and the Tukey's post hoc method of multiple comparisons. The level of significance was set at P < 0.05.

RESULTS
We first sought to investigate the expression of NKCC2 and determine the location of NKCC in the mouse colonic epithelia. Reverse transcription-polymerase chain reaction and immunostaining were performed. As shown in Figure 1A, a band of the expected size (1161 bp) was amplified in both the colonic mucosa and the kidney. As a negative control, samples lacking amplified products were obtained by using non-reverse-transcribed RNA from the mouse colonic mucosa or by omitting cDNA. Immunofluorescence staining revealed a high level of NKCC1 in the lower crypt of the colonic epithelia, which is the predominant site of secretion [24] . In the crypt regions, NKCC1 was mainly localized to the basolateral membrane ( Figure 1B), consistent with previous observations in mammalian intestines [25] . In contrast, the NKCC2 immunoreactivity at the colonic surface epithelia was observed predominantly in the apical membrane (arrowhead, Figure 1C), consistent with observations in rat and human colonic tissues [6,7] . The spatial distributions of NKCC1 and NKCC2 differed in the mouse colon. NKCC2 was located in the apical membrane of the mouse colonic surface epithelia, whereas NKCC1 was found in the lower crypt epithelia of the mouse distal colon. Preadsorption of NKCC1or NKCC2 antibodies with the corresponding control peptides abolished the Immunoblot analysis of whole cell homogenates of the mouse colonic mucosa showed the strong signals for the NKCC2 at 140 KD, which were also found in the kidney; this finding also confirmed the NKCC2 expression in the colon. Western blotting showed no obvious change in the overall NKCC2 abundance, similar to its behavior in the kidney ( Figure 3A); this finding indicated that vasopressin induced redistribution of NKCC2 from intracellular vesicles to the apical membrane without affecting the overall level of NKCC2 expression. To further substantiate this finding, protein samples that were enriched for plasma membranes were also analyzed. An equal amount of protein (40 μg) was loaded and we found that dDAVP caused a significant increase in the NKCC2 membrane abundance with time by comparison with unstimulated samples ( Figure 3B). Densitometry analysis confirmed the significantly higher abundance in the dDAVP-treated mouse colonic mucosa relative to that in the untreated control, which is consistent with our immunostaining data ( Figure 3C, n = 4 mice, P < 0.01).
Because NKCC2, an absorptive isoform of NKCC, was expressed in the apical region of the colonic epithelia and regulated by short-term treatment with vasopressin, we investigated whether the apical NKCC2 was responsible for the observed vasopressin-induced electrolyte transport. To avoid complications due to the effects of vasopressin on the microcirculation and motility in vivo, isolated mucosa was used for these in vitro experiments. Based on the parameters reported in the previous study, we used a vasopressin concentration of 5 × 10 -8 mol [19] . Before the experiments were performed, the freshly isolated distal colonic segment was pretreated with indomethacin (10 μmol) and TTX (tetrodotoxin, 1 μmol), a neuronal Na + channel blocker, on the serosal side to suppress endogenous prostaglandin production and the neuronally mediated effects.
The serosal addition of vasopressin (5 × 10 -8 mol) induced an immediate decrease of -11.41 ± 1.12 μA/   4). Localization of the NKCC1 protein in the basolateral membrane along lower crypt epithelium (B) (arrowhead, the left inset is enlarged image of white rectangle) and NKCC2 in the apical membrane along the surface epithelium (C) (arrowhead, the left inset is enlarged image of white rectangle n = 3 mice) were clearly observed. Preadsorption of NKCC1 and NKCC2 antibodies with their corresponding blocking peptides (+ BP) resulted in no immunoreactivity (D, H). NKCC2 expression in the apical membrane of TAL cells in the kidney served as a positive control (F). Primary NKCC2 antibody was omitted also as a negative control (G). NKCC labeling with T4 antibody at the surface and crypt of the colonic epithelium (arrowhead: apical arrow: basolateral) (E) Higher magnification of surface epithelium (I). Scale bar = 20 μm; NC: Negative control; NKCC2: Na + -K + -2Clcotransporter.

T4
T4 cm 2 (n = 13) in ISC, consistent with the results of the previous study [20] . To determine whether NKCC2 was responsible for the vasopressin-induced decrease in ISC, we pretreated the isolated distal colonic segment with bumetanide (10 μmol), a well-known inhibitor of the NKCC, on the apical side. As shown in Figure 4A and D, apical pretreatment with bumetanide significantly inhibited the vasopressin-induced ISC response by 50% (from -11.41 ± 1.12 μA/cm 2 to -6.46 ± 0.76 μA/cm 2 , n = 9, P < 0.01, Figure 4A), implying that apical NKCC2 was involved in the vasopressin-induced response. Previous studies demonstrated an effect of vasopressin on Na + absorption in the guinea pig distal colon [27] . Thus, we tested the effect of a blocker of the epithelial Na + channel, amiloride (10 μmol/L). The results indicated that the change in the vasopressin-induced ISC decrease was not altered by amiloride (from -11.41 ± 1.12 μA/cm 2 to -11.18 ± 1.46 μA/cm 2 n = 6, P > 0.05, Figure 4B and D), indicating that the vasopressin-induced response involved an amiloride-insensitive mechanism. A similar inhibition (33%), from -11.18 ± 1.46 μA/cm 2 to -7.61 ± 0.96 μA/ cm 2 , was observed for apical pretreatment with tetraethylammonium (TEA 5 mmol/L) ( Figure 4C and D, n = 6, P < 0.05), a putative K + channel blocker, indicating that the vasopressin-induced downward deflection of ISC was related to K + transport.

DISCUSSION
Previous studies have demonstrated that NKCC2 was expressed in the apical membrane of the colon and played an important role in Clabsorption [6,7] . The present study not only extended these results regarding the cellular location and function of NKCC2 but also demonstrated that NKCC2 in the mouse colon is regulated by vasopressin. Our results confirmed the NKCC2 expression in the mouse distal colon and found a differential spatial distribution of NKCC1 and NKCC2. The absorptive isoform, NKCC2, was mainly located in the apical membrane of surface epithelia, whereas the secretive isoform, NKCC1, was located in the basolateral membrane of the lower crypt epithelia. The differential location pattern of NKCC1 and NKCC2 indicates their distinct roles, which are related to the functions of each cell population. The localization of NKCC2 corresponds to a possible func-tional role in mediating apical Na + -K + -2Clabsorption in the colonic epithelia. The location of NKCC1 was consistent with previous observations showing the basolateral localization of NKCC1 in the secretory epithelia, supporting its role in chloride secretion [28,29] . The immunofluorescence results showed that NKCC2 was only expressed in apical membrane of the epithelial cells in the colonic surface epithelium and was not expressed in the crypt epithelium. NKCC1 was only expressed in the basolateral membrane of the crypt epithelium and was not expressed in the surface epithelium. The results showed that the two isoforms were not located in the same cells or the same region.
Recently, the mechanism by which vasopressin regulates NKCC2 by inducing cellular redistribution in the kidney has been studied in more detail [30,31] . Furthermore, the functional activity of NKCC2 depends on the transporter density at the apical region of the surface cells, which is regulated by endocytic and exocytic trafficking [31,32] . Whether NKCC2 expression in the colon is regulated by vasopressin was unclear; our immunolocalization studies showed that a portion of NKCC2 was localized to intracellular vesicles in the unstimulated colonic epithelia. The increase in membrane-bound NKCC2 following short-term vasopressin treatment indicated a change in intracellular trafficking because the total NKCC2 expression did not increase. Moreover, the 0.5 h and 1 h intervals that were examined were shorter than the time (4-6 h) required for new protein synthesis. The approximately 1.5-and 3-fold increase in the NKCC2 fluorescence intensity after the 30 min and 1 h stimulation, respectively, in the apical membrane may reflect the onset of NKCC2 membrane recruitment. NKCC2 trafficking was not observed after a 15 min stimulation, possibly because vasopressin required a longer time to become effective after the intraperitoneal injection. To further elucidate the process of NKCC2 trafficking, we compared the NKCC2 protein expression level in the plasma membrane in the control and stimulation conditions. Consistent with laser scanning confocal microscope (LSCM) observation, the abundance of NKCC2 was indeed greater after vasopressin stimulation. Previous studies have shown that in TAL cells, trafficking to the apical membrane is the mechanism of stimulating NKCC2 activity. This finding indicated that vasopressin could activate apical NKCC2 by stimulating transporter trafficking to the plasma membrane. In contrast to NKCC2, the distribution of NKCC1 did not change obviously after vasopressin stimulation. Whether vasopressin has an effect on NKCC1 in the colon remains to be investigated. It was reported that vasopressin induced an im-mediate decrease in the short-circuit current (ISC) [17,18] . However, whether the apical NKCC2 is involved in the vasopressin-induced electrolyte transport in the distal colon remains unclear. Previous studies reported that vasopressin could enhance the amiloride-insensitive Cl --dependent Na + absorption in the normal rat distal colon [17] . Another report indicated that vasopressin inhibited the electrogenic amiloride-sensitive Na + absorption in the guinea pig distal colon [23] . In our study, apical pretreatment with amiloride, an epithelial sodium channel (ENaC) blocker, failed to affect the serosal vasopressin-induced ISC decrease, indicating that amiloride-sensitive Na + absorption cannot be involved in the ISC decrease. Apical pretreatment with bumetanide blunted the vasopressininduced ISC decrease by approximately 50%, suggesting that the effect depends at least partially on NKCC2. In other words, apical NKCC2 stimulation by vasopressin contributed to the electrolyte transport in the mouse distal colonic epithelia. Interestingly, the apical addition of TEA (5 mmol/L), a putative inhibitor of K + channel blocker, inhibited the vasopressin-induced ISC decrease by 33%, indicating that an apical K + channel was involved in this response and that the current was partially mediated by K + secretion. Moreover, we also examined the effect of vasopressin in conjunction with basolateral pretreatment with bumetanide. The basolateral pretreatment with bumetanide also inhibited the response by approximately 50% (Preliminary data). A similar blocking effect was observed for the pretreatment with basolateral bumetanide, also supporting that vasopressin mainly affects the NKCC2 cotransporter, which is predominantly located in the apical region of the distal colonic epithelia during this process. The possible explanations are that bumetanide is fat soluble and could cross the basolateral membrane to affect the apical NKCC2. Moreover, previous reports demonstrated that NKCC2 is more sensitive to inhibition by bumetanide than NKCC1 [33,34] . This finding, together with the finding that no NKCC1 redistribution was observed after stimulation by vasopressin, again suggests that vasopressin might mainly affect NKCC2. Taken together, our results suggest that NKCC2 is involved in the vasopressin-induced ISC decrease in the mouse distal colonic epithelia. Clearly, the kidney is not the only target organ through which vasopressin regulates the electrolyte balance of the whole body. The gastrointestinal tract is also a potent target of vasopressin because all vasopressin receptor subtypes are expressed throughout the gut in humans [35] , and these receptors could be activated by either circulating or local vasopressin. In the present study, we focused on the effects of vasopressin on apical NKCC2 in the mouse colon and found that vasopressin may induce NKCC2 trafficking and activate apical NKCC2 in the mouse distal colon in vivo. These effects could enhance the capacity of the distal colonic epithelia to reabsorb NaCl and water in response to short-term hormonal stimulation. These findings suggest a possible mechanism through which vasopressin regulates apical NKCC2 activity in the colon, and this mechanism resembles its mechanism of action in the kidney. Collectively, the colon and kidney are predicted to work synergistically in the electrolyte absorption regulated by vasopressin. Consequently, the action of vasopressin on NKCC2 in the colon would be recognized to supplement the role in modulating whole-body homeostasis and electrolyte balance under physiological or pathophysiological conditions.

ACKNOWLEDGMENTS
We are grateful to Prof. Zhu JX for kindly providing the Ussing chamber and valuable suggestions for the experiments.

Background
The Na + -K + -2Clcotransporter (NKCC2), which was thought to be expressed only in the apical membrane of the epithelial cells in the thick ascending limb of Henle's loop, was recently found to be expressed in the rat and human distal colon also. However, the role and regulating mechanism of NKCC2 in the gut are still not completely understood.

Research frontiers
Previous studies have focused on the regulation of NKCC2 by vasopressin in the kidney. How vasopressin regulates colonic NKCC2 is unknown. The present study addresses this issue by showing the NKCC2 expression and spatial distribution in the mouse colonic epithelia. The results show that the effects of vasopressin on colonic NKCC2 are similar to those described for the kidney.

Innovations and breakthroughs
Several reports have verified that vasopressin has both long-term and shortterm effects on NKCC2 expression and function in thick ascending limb of Henle's loop cells. The colon could also be a target for vasopressin because vasopressin stimulates NaCl and water absorption in in vitro preparations of mouse, rat, and human colons. However, little is known about the mechanism of ion transport that is induced by vasopressin in the colon. Specifically, the identity of the protein that mediates NaCl absorption in the colon and whether NKCC2 is involved in this process are currently unclear. The present study provide direct evidence that vasopressin also plays an important role in the distal colonic epithelia by stimulating trafficking of NKCC2 to the apical membrane and inducing NKCC2-mediated ion transport at the apical region of the colonic epithelia.

Applications
The action of vasopressin on NKCC2 in the colon would be recognized to supplement the role of the kidney in modulating whole-body homeostasis and electrolyte balance under physiological or pathophysiologic conditions.

Terminology
Endocytic trafficking involves the cellular internalization and sorting of extracellular molecules, plasma membrane proteins and lipids. Endocytosis is required for a vast number of functions, including nutrient uptake, cell adhesion and migration, receptor signaling, pathogen entry and cell polarity. Exocytic trafficking is the durable, energy-consuming process by which a cell directs the contents of secretory vesicles out of the cell membrane and into the extracellular space.

Peer review
The authors have conducted experiments using immunofluorescence, Ussing chamber, reverse transcriptase polymerase chain reaction, and Western blotting techniques to demonstrate, for the first time in mice, that vasopressin plays a role in the trafficking of NKCC2 to the apical membrane of distal colonic epithelia. The results are interesting and may suggest a mechanism through which vasopressin regulates apical NKCC2 activity in the colon.