Fig. 6. Acid-activated apical Na+/H+ exchange rates in differentiated C2PLKO.1 cells. In these experiments, the apical side of the cell monolayer was perfused with Na+-containing buffer A, while the basal side with Na+-free buffer C during the pHi-recovery period. (A) pHi curve of apical pHi recovery in the absence of inhibitors, (B) in the presence of 60 μM HOE642, (C) in the presence of 1 μM tenapanor, (D) in the presence of 60 μM HOE642 and 1 μM tenapanor in the apical perfusate in C2PLKO.1 cells. (E) comparisons of acid-activated apical Na+/H+ exchange rates without inhibitors, with 60 μM HOE642, 1 μM tenapanor, and 60 μM HOE642 plus 1 μM tenapanor. The total apical Na+/H+ exchange rate of C2PLKO.1 cells was 0.046 ± 0.003 (pH/min). 60 μM HOE642 reduced acid-activated apical Na+/H+ exchange rates to 0.022 ±0.002 (pH/min), 1 μM tenapanor to 0.032 ± 0.003 (pH/min), and 60 μM HOE642 plus 1 μM tenapanor to 0.008 ± 0.001 (pH/min). (F) Comparisons of initial pHi at the beginning of acid-induced pHi recovery among different groups. (n=5, mean ± SEM, one-way ANOVA with Tukey's multiple comparison tests, **p< 0.01, ***p<0.0001).