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Am J Physiol Gastrointest Liver Physiol (July 14, 2005). doi:10.1152/ajpgi.00529.2004
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Submitted on November 30, 2004
Accepted on July 12, 2005

Functional and molecular analysis of L-type calcium channels in human esophagus and lower esophageal sphincter smooth muscle

Jason R. Kovac1, Harold G. Preiksaitis2, and Stephen M. Sims1*

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 {alpha}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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