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1 Department of Physiology and Pharmacology, The University of Western Ontario, London, ON, Canada
2 epartment of Medicine, The University of Western Ontario, London, ON, Canada
* To whom correspondence should be addressed. E-mail: stephen.sims{at}fmd.uwo.ca.
Excitation of human esophageal smooth muscle (SM) involves release of Ca2+ from intracellular
stores and influx. The lower esophageal sphincter (LES) shows the distinctive property of tonic
contraction; however the mechanisms by which this is maintained are incompletely understood.
We examined Ca2+ channels in human esophageal muscle and investigated their contribution to
LES tone. Functional effects were examined with tension recordings, currents recorded with
patch-clamp electrophysiology, channel expression explored by RT-PCR and intracellular Ca2+
concentration ([Ca2+]i) monitored by fura-2 fluorescence. LES muscle strips developed tone that
was abolished by removal of extracellular Ca2+, reduced by application of the L-type Ca2+
channel blocker nifedipine (to 13±6% of control), but was unaffected by inhibition of the
sarcoplasmic reticulum Ca2+-ATPase by cyclopiazonic acid (CPA). Carbachol increased tension
above basal tone, and this effect was attenuated by treatment with CPA and nifedipine. Voltage-dependent
inward currents were studied using patch clamp techniques and dissociated cells.
Similar inward currents were observed in esophageal body (EB) and LES smooth muscle cells.
The inward currents in both tissues were blocked by nifedipine, enhanced by Bay K8644, and
transiently suppressed by acetylcholine. The molecular form of Ca2+ channel was explored using
RT-PCR, and similar splice variant combinations of the pore forming
1C subunit were
identified in EB and LES. This is the first characterization of Ca2+ channels in human
esophageal smooth muscle, and we establish that L-type Ca2+ channels play a critical role in
maintaining lower esophageal sphincter tone.
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