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1 Surgery, UCSF, United States
2 Physiology, UCSF, San Francisco, California, United States
3 Surgery, UCSF, United States; Physiology, UCSF, San Francisco, California, United States
4 Surgery, UCSF, Parnassus Ave, United States; Surgery, VA Medical Center, 4150 Clement Street (112), United States
* To whom correspondence should be addressed. E-mail: carlos.corvera{at}med.va.gov.
Cholecystitis is one of the most common gastrointestinal diseases. Inflammation induces activation of proteases that can signal to cells by cleaving protease-activated receptors (PARs) to induce hemostasis, inflammation, pain and repair. However, the distribution of PARs in the gallbladder is unknown, and their effects on gallbladder function have not been fully investigated. We localized immunoreactive PAR1 and PAR2 to the epithelium, muscle and serosa of mouse gallbladder. mRNA transcripts corresponding to PAR1 and PAR2, but not PAR4, were detected by RT-PCR and sequencing. Addition of thrombin and PAR1-selective activating peptide (AP, TFLLRN-NH2) to the serosal surface of mouse gallbladder mounted in an Ussing chamber stimulated an increase in short circuit current (Isc) in wild-type but not PAR1-/- mice. Similarly, serosally-applied trypsin and PAR2-AP (SLIGRL-NH2) increased Isc in wild-type but not PAR2-/- mice. Proteases and APs strongly inhibited electrogenic responses to subsequent stimulation with the same agonist, indicating homologous desensitization. Removal of HCO3- ions from the serosal buffer reduced responses to thrombin and trypsin by >80%. Agonists of PAR1 and PAR2 increase [Ca2+]i in isolated and cultured gallbladder epithelial cells (GBEC). COX-2 inhibitor, meloxicam and an inhibitor of CFTR prevented the stimulatory effect of PAR1 but not PAR2. Thus, PAR1 and PAR2 are expressed in the epithelium of the mouse gallbladder, and serosally applied proteases cause a HCO3- secretion. The effects of PAR1 but not PAR2 depend on generation of prostaglandins and activation of CFTR. These mechanisms may influence fluid and electrolyte secretion of the inflamed gallbladder, when proteases are generated.
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