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Functional link between muscarinic receptors and large-conductance Ca2+-activated K+ channels in freshly isolated human detrusor smooth muscle cells

  • Ion channels, receptors and transporters
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Abstract

Activation of muscarinic acetylcholine receptors (mAChRs) constitutes the primary mechanism for enhancing excitability and contractility of human detrusor smooth muscle (DSM). Since the large-conductance Ca2+-activated K+ (KCa1.1) channels are key regulators of human DSM function, we investigated whether mAChR activation increases human DSM excitability by inhibiting KCa1.1 channels. We used the mAChR agonist, carbachol, to determine the changes in KCa1.1 channel activity upon mAChR activation in freshly isolated human DSM cells obtained from open bladder surgeries using the perforated whole cell and single KCa1.1 channel patch-clamp recordings. Human DSM cells were collected from 29 patients (23 males and 6 females, average age of 65.9 ± 1.5 years). Carbachol inhibited the amplitude and frequency of KCa1.1 channel-mediated spontaneous transient outward currents and spontaneous transient hyperpolarizations, which are triggered by the release of Ca2+ from ryanodine receptors. Carbachol also caused membrane potential depolarization, which was not observed in the presence of iberiotoxin, a KCa1.1 channel inhibitor, indicating the critical role of the KCa1.1 channels. The potential direct carbachol effects on KCa1.1 channels were examined under conditions of removing the major cellular Ca2+ sources for KCa1.1 channel activation with pharmacological inhibitors (thapsigargin, ryanodine, and nifedipine). In the presence of these inhibitors, carbachol did not affect the single KCa1.1 channel open probability and mean KCa1.1 channel conductance (cell-attached configuration) or depolarization-induced whole cell steady-state KCa1.1 currents. The data support the concept that mAChR activation triggers indirect functional KCa1.1 channel inhibition mediated by intracellular Ca2+, thus increasing the excitability in human DSM cells.

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Acknowledgments

We would like to thank the Medical University of South Carolina (MUSC) Department of Urology staff surgeons Drs. Thomas Keane, Harry Clarke, Stephen Savage, Ross Rames, Jonathan Picard, Sandip Prasad, and Ahmed M. El-Zawahry as well as the MUSC Urology Residents Drs. Matthew Young, Erin Burns, Vaughan Taylor, Samuel Walker Nickles, Justin Ellett, Ryan Levey, Austin Younger, and Nima Baradaran for their help with human tissue collection. We would like to thank Drs. Wenkuan Xin and Ning Li, Mr. Aaron Provence, Mr. Vitor Fernandes, and Ms. Amy Smith for the critical evaluation of the manuscript.

Grants

This study was supported by a grant from the National Institutes of Health R01 DK084284 to Georgi V. Petkov and by a fellowship from the Urology Care Foundation Research Scholars Program and the Allergan Foundation to Shankar P. Parajuli.

Conflicts of interest

The authors declare no conflicts of interest.

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Correspondence to Georgi V. Petkov.

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Parajuli, S.P., Hristov, K.L., Cheng, Q. et al. Functional link between muscarinic receptors and large-conductance Ca2+-activated K+ channels in freshly isolated human detrusor smooth muscle cells. Pflugers Arch - Eur J Physiol 467, 665–675 (2015). https://doi.org/10.1007/s00424-014-1537-8

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  • DOI: https://doi.org/10.1007/s00424-014-1537-8

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