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Temple University School of Medicine, Philadelphia, Pennsylvania 19140
The aim of this
study was to determine the functional role of muscarinic receptor
subtypes regulating gallbladder cholinergic contractions. Electrical
field stimulation (EFS; 16 Hz) produced contractile responses of guinea
pig gallbladder muscle strips in vitro that were inhibited by 1 µM
tetrodotoxin (2 ± 2% of control) and 1 µM atropine (1 ± 1%
of control), indicating activation of intrinsic cholinergic nerves.
Exogenous ACh (5 µM)-induced contractions were inhibited by atropine
(1 ± 1% of control) but not tetrodotoxin (102 ± 1% of
control), indicating a direct effect on smooth muscle. The
M1 receptor antagonist pirenzepine
(10 nM) had no effect on ACh-induced contractions but inhibited
EFS-induced contractions by 11 ± 3%. The
M2 antagonist methoctramine (10 nM) had no effect on ACh-induced contractions but augmented EFS-induced
contractions by 5 ± 2%. The
M3 antagonist 4-DAMP (10 nM)
inhibited ACh-induced contractions by 14 ± 4% and EFS-induced
contractions by 22 ± 5%. In conclusion, specific
M1,
M2, and
M3 receptors modulate gallbladder muscle contractions by regulating ACh release from cholinergic nerves
and mediating the contraction. Cholinergic contractions are mediated by
M3 receptors directly on the
smooth muscle. M2 receptors
are on cholinergic nerves and function as prejunctional inhibitory
autoreceptors. M1 receptors
are on cholinergic nerves and function as prejunctional
facilitatory autoreceptors.
gallbladder motility; atropine; muscarinic autoreceptors
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