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Bile acids are known to initiate intricate signaling events in a variety of tissues, primarily in the liver and gastrointestinal tract. Of the known bile acids, only the 7α-dihydroxy species, deoxycholic acid and chenodeoxycholic acid (CDCA), and their conjugates, activate processes that stimulate epithelial Cl −  secretion. We have previously published that CDCA acts in a rapid manner to stimulate colonic ion secretion via protein kinase A (PKA)-mediated activation of the dominant Cl −  channel, the cystic fibrosis transmembrane conductance regulator (CFTR) (Ao M, Sarathy J, Domingue J, Alrefai WA, and Rao MC. Am J Physiol Cell Physiol 305: C447–C456, 2013); however, PKA signaling did not account for the entire CDCA response. Here we show that in human colonic T84 cells, CDCA's induction of CFTR activity, measured as changes in short-circuit current ( I sc ), is dependent on epidermal growth factor receptor (EGFR) activation and does not involve the bile acid receptors TGR5 or farnesoid X receptor. CDCA activation of Cl −  secretion does not require Src, mitogen-activated protein kinases, or phosphoinositide 3-kinase downstream of EGFR but does require an increase in cytosolic Ca 2+ . In addition to PKA signaling, we found that the CDCA response requires the novel involvement of the exchange protein directly activated by cAMP (EPAC). EPAC is a known hub for cAMP and Ca 2+  cross talk. Downstream of EPAC, CDCA activates Rap2, and changes in free cytosolic Ca 2+  were dependent on both EPAC and EGFR activation. This study establishes the complexity of CDCA signaling in the colonic epithelium and shows the contribution of EGFR, EPAC, and Ca 2+  in CDCA-induced activation of CFTR-dependent Cl −  secretion.

american journal of physiology. cell physiology

Chenodeoxycholic acid requires activation of EGFR, EPAC, and Ca<sup>2+</sup>to stimulate CFTR-dependent Cl<sup>−</sup>secretion in human colonic T84 cells

Chenodeoxycholic acid requires activation of EGFR, EPAC, and Ca2+to stimulate CFTR-dependent Cl−secretion in human colonic T84 cells

Chenodeoxycholic acid requires activation of EGFR, EPAC, and Ca²⁺to stimulate CFTR-dependent Cl⁻secretion in human colonic T84 cells