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Vol. 305, Issue 2, 615-624, May 2003
-Adrenoceptors in
the Internal Anal Sphincter
Department of Medicine, Division of Gastroenterology and Hepatology (San.R., K.B., Sat.R.); and Clinical Pharmacology (S.K., S.S., S.A.W.), Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania
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Abstract |
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The purpose of the present study was to characterize
different
-adrenoceptors (
-ARs) and determine their role in the
spontaneously tonic smooth muscle of the internal anal sphincter (IAS).
The
-AR subtypes in the opossum IAS were investigated by functional in vitro, radioligand binding, Western blot, and reverse
transcription-polymerase chain reaction (RT-PCR) studies. ZD 7114 [(S)-4-[2-hydroxy-3-phenoxypropylaminoethoxy]-N-(2-methoxyethyl)phenoxyacetamide], a selective
3-AR agonist, caused a potent and
concentration-dependent relaxation of the IAS smooth muscle that was
antagonized by the
3-AR antagonist SR 59230A
[1-(2-ethylphenoxy)-3-[[(1S)-1,2,3,4-tetrahydro-1-naphthalenyl]amino]-(2S)-2-propanol hydrochloride]. Conversely, the IAS smooth muscle relaxation caused by
1- and
2-AR agonists (xamoterol and
procaterol, respectively) was selectively antagonized by their
respective antagonists CGP 20712 [(±)-2-hydroxy-5-[2-[[2-hydroxy-3-[4-[1-methyl-4-(trifluoromethyl)-1H-imidazol-2-yl]phenoxy]propyl]amino]ethoxy]-benzamide methanesulfonate salt] and ICI 118551. Saturation binding of
[125I]iodocyanopindolol to
-AR subtypes
revealed the presence of a high-affinity site
(Kd1 = 96.4 ± 8.7 pM;
Bmax1 = 12.5 ± 0.6 fmol/mg
protein) and a low-affinity site (Kd2 = 1.96 ± 1.7 nM; Bmax2 = 58.7 ± 4.3 fmol/mg protein). Competition binding with selective
-AR
antagonists revealed that the high-affinity site correspond to
1/
2-AR and the low affinity site to
3-AR. Receptor binding data suggest the predominant
presence of
3-AR over
1/
2-AR. Western blot studies identified
1-,
2-, and
3-AR subtypes. The presence of
1-,
2-, and
3-ARs was further demonstrated by mRNA analysis using
RT-PCR. The studies demonstrate a comprehensive functional and
molecular characterization of
1-,
2-, and
3-ARs in IAS smooth muscle. These studies may have
important implications in anorectal and other gastrointestinal motility disorders.
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Introduction |
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It
is well known that postjunctional
-adrenoceptors (
-ARs) mediate
the inhibitory effects of sympathetic nerve stimulation in different
smooth muscles including those of the gastrointestinal tract (Manara et
al., 1995b
; Gauthier et al., 2000
). The intestinal
-AR was
originally described as a
1- and
2-AR (Lands et al., 1967
). Further studies
with gastrointestinal preparations from several species established the
relaxant effect of classical
-AR (
1 and
2) agonists (Bennett, 1965
; Hedges and Turner,
1969
; De Ponti et al., 1996a
). Subsequently, studies investigating
-ARs in gastrointestinal smooth muscle from several species
demonstrated relaxation responses that were resistant to propranolol
and displayed lower affinity to other conventional
-AR antagonists
(Arch and Kaumann, 1993
; Goldberg and Frishman, 1995
; Strosberg, 1997
;
Manara et al., 2000
). This finding, along with the emergence of a new class of
-AR agonists described first in adipocytes (Feve et al.,
1991
), suggested the presence of an "atypical" class of
-ARs. In
1989, Emorine et al. (1989)
cloned and sequenced
3-AR and found that it shared the
pharmacological characteristics of the atypical
-AR.
The
3-AR has been found in a variety of
mammalian tissues (Berkowitz et al., 1995
) including white and brown
adipocytes (Muzzin et al., 1991
), trachea (Webber and Stock, 1992
),
heart (Kaumann and Molenaar, 1996
; Gauthier et al., 2000
),
gastrointestinal tract (De Ponti et al., 1995
; Bardou et al., 1998
),
and urinary tract (Tomiyama et al., 1998
). In the GI tract, recent
studies have focused on the ability of
3-AR
specific agonists to cause relaxation in a number of different smooth
muscle tissues including rat ileum, jejunum, colon, guinea pig ileum,
and duodenum (Manara et al., 1995b
). One of the problems in delineating
the pharmacology of
-ARs in the gastrointestinal tract has been the
lack of subtype-selective agonists and antagonists, especially those
for
3-AR. Recent in vivo studies have
demonstrated the selective, potent, and prolonged relaxant effect of CL
316,243, a selective
3-AR agonist, on
the sphincteric smooth muscles of the opossum lower esophageal
sphincter (DiMarino et al., 2002
), without the significant
systemic cardiovascular side effects that are associated with
1- and
2-AR agonists.
In the past few years,
3-agonists have emerged
as potential therapeutic agents for several gastrointestinal motility
disorders including irritable bowel syndrome (Scarpignato and Pelosini, 1999
). Anorectal dysfunctions such as Hirschsprung's disease, constipation, anal fissures, and hemorrhoids may also be associated with either hypertensive IAS or failure of sphincteric relaxation in
response to the rectoanal inhibitory reflex (Azpiroz and Whitehead, 2002
). Characterization of neurohumoral receptors that mediate selective, potent, and prolonged relaxation of IAS and other GI smooth
muscles without untoward systemic effects will be of considerable interest in the treatment of anorectal and other GI motility disorders.
The present investigation was carried out to characterize
-AR in the
gastrointestinal tonic smooth muscle of the IAS by comprehensive studies using a combination of classical pharmacology, receptor binding, and molecular biology approaches.
The aim of the present study is to determine the presence of and
characterize the
-AR subtypes involved in mediating relaxation of
the IAS smooth muscle. We used selective agonists and antagonists to
determine the receptor binding profiles of each
-AR subtype. The
presence of membrane bound
-AR and mRNA encoding for the three
-AR subtypes was determined through Western blot studies and reverse
transcription-polymerase chain reaction (RT-PCR) analysis, respectively.
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Materials and Methods |
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Preparation of Smooth Muscle Strips. Adult male opossums (Didelphis virginiana) weighing 2.5 to 3.5 kg were anesthetized with sodium pentobarbital (50 mg/kg i.p.). Laparotomy was performed, and a part of the rectum along with the anal canal was removed using sharp dissection. The IAS was identified by manometry as high-pressure zone and marked by means of sutures in situ. The animals were sacrificed by exsanguinations; the anorectal region was then dissected out and transferred immediately to oxygenated (95% O2 + 5% CO2) Krebs' physiological solution of the following composition: 118.07 mM NaCl, 4.69 mM KCl, 2.52 mM CaCl2, 1.16 mM MgSO4, 1.01 mM NaH2PO4, 25 mM NaHCO3, and 11.10 mM glucose. A longitudinal incision along the length of isolated anorectal region was made, and the tissue was pinned flat in a Sylgard (Dow Corning Corp., Midland, MI)-coated Petri dish. Once the lumen was fully exposed, the mucosa and submucosa were removed carefully by sharp dissection. The tissue was then turned on the serosal side, and all extraneous tissue including the outer longitudinal muscle was removed. Circular smooth muscle strips of the IAS (approximately 1 × 10 mm) were prepared and tied on either end using 3-0 silk suture in preparation for measurement of isometric tension.
The experimental protocol of the study was approved by the Institutional Animal Care and Use Committee of Thomas Jefferson University in accordance with the recommendations of the American Association for the Accreditation of Laboratory Animal Care.Measurement of Isometric Tension. The smooth muscle strips were transferred to 2-ml muscle baths (Radnoti Glass Technology, Inc., Monrovia, CA) containing oxygenated Krebs' solution at 35°C. One end of the muscle strip was anchored at the bottom of the muscle bath while the other end was connected to a force transducer (model FT03; Grass Instruments, Quincy, MA). Isometric tension was recorded by the PowerLab/8SP data acquisition system using Chart 4.1.2 (ADInstruments, Grand Junction, CO). Each smooth muscle strip was initially stretched to a tension of 0.7 g. The muscle strips were then given at least an hour to equilibrate, during which time they were washed with Krebs' solution every 15 min. Only smooth muscle strips that developed spontaneous tone and responded to electrical field stimulation were used in this study. The changes in tension from various drugs were expressed as the percent maximal relaxation achieved by 50 mM EGTA, at the end of each experiment. Each smooth muscle served as its own control.
Drug Responses.
To determine the
concentration-response curves (CRCs) with
1-,
2-, and
3-AR agonists
on the basal tone of the IAS smooth muscles, xamoterol, procaterol, and
ZD 7114 [(S)-4-[2-hydroxy-3-phenoxypropylaminoethoxy]-N-(2-methoxyethyl)phenoxyacetamide], respectively, were added to the muscle bath in cumulative
concentrations (Rattan and Moummi, 1989
). Successive concentrations of
the agonists were not added until the response of the previous
concentration stabilized. When no effect was observed, 10 minutes were
allowed between additions of different concentrations. In preliminary studies, when a single concentration was used, we noted that this was
an appropriate time to gauge the maximal effect of a given concentration of the agonist. No difference in the results occurred with longer exposures. To determine the effects of
1-,
2-, and
3-AR antagonists, CGP 20712A
[(±)-2-hydroxy-5-[2-[[2-hydroxy-3-[4-[1-methyl-4-(trifluoromethyl)-1H-imidazol-2-yl]phenoxy]propyl]amino]ethoxy]-benzamide methanesulfonate salt], ICI 118551, and SR 59230A
[1-(2-ethylphenoxy)-3-[[(1S)-1,2,3,4-tetrahydro-1-naphthalenyl]amino]-(2S)-2-propanol hydrochloride], respectively (in concentrations ranging from 1 × 10
8 to 1 × 10
6
M), were added 30 min before obtaining the CRC of the test agonist.
-Adrenoceptor (
-AR) Analysis by Western Blot.
Western
blot analysis of
1-,
2-, and
3-AR in the
IAS and rectum of the opossum was performed according to the protocol of Santa Cruz Biotechnology Inc. (Santa Cruz, CA). Circular smooth muscles tissues of the IAS and rectum were cut into small pieces (2 × 2 mm cubes) and rapidly homogenized in 3 ml of boiling lysis buffer (1% SDS, 1.0 mM sodium orthovanadate, 10 mM Tris, pH 7.4) and
then put into the microwave for 10 s. The homogenates were centrifuged (16,000g, 4°C) for 15 min. The pellet obtained
was dissolved in Krebs' buffer (composition already described)
containing 1 mM EDTA, 1 mM dithiothreitol, and 1 mM
phenylmethylsulfonyl fluoride (combined pH of 7.6). The protein
contents were determined by the method described by Lowry et al. (1951)
using bovine serum albumin as the standard.
-mercaptoethanol) and boiled for 4 min. A total of 20 µl (40 µg
total protein) of each sample was applied to commercially available 7.5% SDS polyacrylamide gel PAGEr Gold Gel (Cambrex Bio Science Walkersville, Inc., Walkersville, MD) applied to a 7.5%
SDS-polyacrylamide gel apparatus by the method of Laemmli (1970)
1,
2, and
3. The NCMs were then incubated with the respective diluted isoform specific primary (1°) antibodies corresponding to the specific
-AR subtype. The NCMs were incubated with rabbit
1,
2, and goat
3
polyclonal antibodies, respectively (Santa Cruz Biotechnology Inc.) at
a dilution of 1:500. All membranes were incubated with 1° antibody for 1 h at room temperature. The membranes were then washed with Tris-buffered saline/Tween three times. Afterward, the membranes corresponding to
1 and
2 were incubated separately in 1:1000 diluted
horseradish peroxidase-conjugated donkey anti-rabbit IgG (Amersham
Biosciences Inc., Piscataway, NJ) in 2° antibody buffer for 1 h
at room temperature. The remaining membrane was incubated in 1:5000
diluted horseradish peroxidase-conjugated bovine anti-goat IgG (Santa
Cruz Biotechnology Inc.) in 2° antibody buffer. The bands were
identified by chemiluminescence using the ECL detection system and
Hyperfilm MP (Amersham Biosciences). Densitometric analysis of the
bands was performed using Image Pro Plus 4.0 software (Media
Cybernetics, Silver Spring, MD).
Membrane Preparation for Receptor Binding Studies.
The
circular smooth muscle of the IAS was dissected free by the
aforementioned procedure and placed immediately in ice-cold Krebs'
buffer (composition already described above) containing 1 mM EDTA, 1 mM
dithiothreitol, and 1 mM phenylmethylsulfonyl fluoride (combined pH of
7.6). The IAS was minced with scissors and homogenized in 5 volumes of
ice-cold TED buffer (20 mM Tris Cl, 1 mM EDTA, 1 mM
dithioreitol, pH 8) by the use of a Tekmar Tissuemizer
(Tekmar-Dohrmann, Mason, OH) for 15 s. The homogenates were
centrifuged at 100,000g for 1 h at 4°C. The
supernatant was filtered through a 500-µm Nitex mesh. The pellets
were resuspended in cold Krebs' buffer (pH 7.6) and stored at
80°C
until used. Protein content was determined by the method of Lowry et
al. (1951)
.
Radioligand Binding Studies.
The radioligand
(
)-3-[125I]iodocyanopindolol
([125I]CYP; Amersham Biosciences UK, Ltd.,
Little Chalfont, Buckinghamshire, UK) was used for identifying
-AR.
For equilibrium determination, membranes at a protein concentration of
40 µg per tube were incubated with [125I]CYP
(specific activity 2000 Ci/mmol) for 0, 15, 30, 45, 60, 90, 120, 150, and 180 min. The experiments were carried out in the presence or
absence of 100 µM propranolol (a nonselective
-AR antagonist). The
incubation mixture was composed of 50 mM Tris HCl buffer, pH 7.4, containing 10 mM MgCl2 and 1 mM EDTA in a final
volume of 250 µl. A time course (using the above-mentioned time
points) was carried out in duplicate at 35°C to determine the optimal
time needed for equilibrium. The incubation was terminated by rapid
filtration through Whatman GF/C glass-fiber filters (24-mm circles)
(Whatman, Clifton, NJ) using a 1225 sampling manifold (Millipore Corp.,
Bedford, MA), followed by washing three times with 5 ml of ice-cold 25 mM Tris HCl buffer, pH 7.4. The filters were counted in the Auto-Gamma
Counting System (model 5550; PerkinElmer Life Sciences, Boston, MA) at
an efficiency of 80%. Specific binding was calculated by subtracting
nonspecific binding from total binding.
Isolation and Quantification of Total RNA.
Tissue specimens
from the circular smooth muscle of the IAS were carefully dissected and
homogenized as described under Membrane Preparation for Receptor
Binding Studies. Total RNA was extracted from the tissue
homogenate using the TRI reagent (Molecular Research Center,
Cincinnati, OH) protocol based on the method of Chomczynski and Sacchi
(1987)
. RNA samples were then dissolved in diethylpyrocarbonate (DEPC)-treated water (pH 7.5). The optical density (OD) of each sample
was determined by a UV-visible spectrophotometer (Amersham Biosciences)
at a wavelength of 260 nm (
260). The yield and
quality of the RNA were assessed by measuring the OD
260/OD
280 ratio.
Preparation and Amplification of cDNA Encoding
1-,
2-, and
3-ARs (RT-PCR Analysis).
RNA
samples of 2 µl (1 µg) that were of acceptable quality were used as
templates for the synthesis of cDNA. Primers for
1-,
2-, and
3-AR, and
-actin (internal standard), based
on the previous report (Dincer, 2002
), were synthesized by Thomas
Jefferson University facilities (Kimmel Cancer Institute, Nucleic Acid
Facility). The sequence and accession numbers listed in Table
1 are based on published sequences in the
National Center for Biotechnology Information GenBank database
(http://www3.ncbi.nlm.nih.gov/entrez). cDNAs were synthesized by
reverse transcription of 1.0 µg of each total RNA. The reaction
mixture consisted of 10× reverse transcription buffer,
deoxynucleoside-5'-triphosphates (20 mM), MgCl2
(25 mM), 18 U of RNasin ribonuclease inhibitor, and 20 U of AMV reverse transcriptase in a total volume of 20 µl. The contents of reaction mixture were purchased from Promega (Madison, WI). After a brief centrifugation, the reaction mixtures were incubated at 42°C for 45 min and then at 95°C for 5 min.
|
-AR using gene-specific primers as a way of
determining the amount of transcripts present. The PCR reaction mixture
was added directly to RT tubes and consisted of 10× reaction buffer,
25 mM MgCl2, 3.5 µl of recombinant
TaqDNA polymerase (Takara Shuzo Co., Shiga, Japan), and 20 mM concentrations of the respective sense and antisense primers. DEPC
water was added for a final volume of 50 µl. PCR amplification was
carried out in a Mark cycle gradient thermal sequencer (Eppendorf,
Inc., Westbury, NY). After initial heating of samples at 95°C, each cycle of amplification consisted of 45 s at 94°C, followed by 45 s at 60°C, and 2 min of extension at 72°C; this sequence
was repeated for a total of 38 cycles. At the end of the reactions, 15 µl of samples was mixed with 5 µl of 6× green/purple loading dye.
The samples were loaded onto a 2% agarose gel containing ethidium
bromide and electrophoresed for approximately 1 h at 100 V. The
gels were visualized with an ultraviolet transluminator (312-nm
variable intensity; Fisher Scientific, Pittsburgh, PA) and photographed
using a UV gel electrophoresis camera (Polaroid GH 10; Polaroid,
Hertfordshire, UK). Densitometric analysis of the gel bands was carried
out using Kodak Image Analysis software (Eastman Kodak, Rochester, NY).
Drugs and Chemicals. SR 59230A hydrochloride, propranolol hydrochloride [(±)-1-isopropylamino-3-(1-naphthyloxy)-2-propanol hydrochloride], CGP 20712A (methanesulfonate salt), dimethyl sulfoxide (DMSO), and EGTA (ethylene-bis(oxyethylenenitrilo)tetraacetic acid) were purchased from Sigma-Aldrich (St. Louis, MO). Xamoterol hemifumarate [1-(4-hydroxyphenoxy)-3-[2-(4-morpholinocarboxamido)ethylamino]-2-propanol], ICI 118,551 hydrochloride [(±)-1-[2,3-(dihydro-7-methyl-1H-inden-4-yl)oxy]-3-[(1-methylethyl)amino]-2-butanol], procaterol hydrochloride [(±)-erythro-8-hydroxy-5-[1-hydroxy-2-(isopropylamino)butyl]carbostyril], and ZD 7114 hydrochloride were purchased from Tocris Cookson (Ballwin, MO). [125I]CYP was purchased from Amersham Biosciences UK Ltd.
All agents except SR 59230A and ZD 7114 were dissolved and diluted in Krebs' buffer. Initial stock solutions (10
2 M)
of SR 59230A and ZD 7114 were prepared using DMSO and were then diluted
accordingly with Krebs' buffer to arrive at the desired final
concentrations in the muscle baths. The amounts and concentrations of
DMSO used for any of the final concentrations had no effect on the
basal tone of the IAS smooth muscle.
Data Analysis.
The fall in basal tension of the IAS smooth
muscle following administration of agonists was expressed as the
percentage of maximal relaxation as explained above. The results were
expressed as means ± S.E. of different experiments. The
statistical significance between different groups was determined by
analysis of variance and by paired or unpaired t test. A
p value smaller than 0.05 was considered significant.
Agonist potencies, pA2 of antagonists, and
receptor binding data (Bmax,
Kd, and
Ki) were calculated using GraphPad
Prism software. pA2 values were calculated
based on the earlier method (Arunlakshana and Schild, 1959
).
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Results |
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Effect of ZD 7114 on the Basal Tone of IAS Smooth Muscle.
The
3-AR agonist ZD 7114 (formerly ICI D7114)
(Growcott et al., 1993b
) produced a concentration-dependent fall in the
basal tension of the IAS smooth muscle (Fig.
1A) with an EC50
value of 5.30 × 10
8 M (n = 8-10). The concentration causing maximal relaxation
(ECmax) was 1 × 10
6
M. The maximal relaxation in different experiments ranged from 80.7 to
88.5%. The selective
3-AR antagonist SR
59230A (De Ponti et al., 1996b
) significantly attenuated the relaxant
response to ZD 7114 in a concentration-dependent manner
(p < 0.05; n = 5-8; Fig. 1A). A
Schild plot produced a line with a slope of 0.90 ± 0.15 (Fig. 1B)
and a corresponding pA2 value of 7.8 ± 0.24.
|
1-AR antagonist CGP 20712A
(Dooley et al., 1986
7 M) and the
selective
2-AR antagonist ICI 118551 (Bilski
et al., 1983
7 M) failed to
produce any significant shifts in the CRCs of ZD 7114 (p > 0.05; n = 5-8; Fig. 1C).
The EC50 and pA2
values of
3- and other
-AR agonists and
antagonists are given in Table 2.
|
Effect of Procaterol on the Basal Tone of IAS Smooth Muscle.
Procaterol, a
2-AR selective agonist (Kotsonis
and Majewski, 1994
) produced a concentration-dependent fall in basal
tension of the IAS smooth muscle with an EC50
value of 2.51 × 10
8 M (n = 5-8) (Fig. 2A). The concentration
causing maximal relaxation (ECmax) was 3 × 10
6 M. The maximal relaxation in different
experiments ranged from 79.1 to 83.7%. The selective
2-AR antagonist ICI 118551 (Bilski et al.,
1983
) significantly attenuated the relaxant response to ZD 7114 in a
concentration-dependent manner (p < 0.05;
n = 5-8; Fig. 2A). A Schild plot produced a line with
a slope of 0.88 ± 0.07 (Fig. 2B) and a corresponding
pA2 value of 7.70 ± 0.31.
|
1-AR antagonist CGP 20712A
(1 × 10
7 M) and the selective
3-AR antagonist SR 59230A (1 × 10
7 M) did not produce any significant shifts
in the CRC of procaterol (p < 0.05; n = 5-8; Fig. 2C).
Effect of Xamoterol on the Basal Tone of IAS Smooth Muscle.
The
1-AR agonist xamoterol (Malta et al.,
1985
) produced a concentration-dependent fall in the basal tension of
the IAS smooth muscle (Fig. 3A) with an
EC50 value of 1.02 × 10
7 M (n = 5-8). The
concentration causing maximal relaxation (ECmax) was 3 × 10
6 M. The maximal relaxation in
different experiments ranged from 71.5 to 78.7%. The selective
1-AR antagonist CGP 20712A (Dooley et al.,
1986
) caused a significant shift in the CRC of xamoterol in a
concentration-dependent manner (p < 0.05;
n = 5-8; Fig. 3A). A Schild plot produced a line with
a slope of 0.82 ± 0.08 (Fig. 3B) and a corresponding
pA2 value of 7.12 ± 0.18.
|
2-AR antagonist ICI 118551 (1 × 10
7 M) did not inhibit relaxation by
xamoterol at concentrations below 3 × 10
7
M. However, ICI 118551 significantly reduced the xamoterol-mediated relaxation at higher concentrations (p < 0.05;
n = 5-8). The selective
3-AR
antagonist SR 59230A (1 × 10
7 M) did not
produce any significant shifts in the CRC of xamoterol (p < 0.05; n = 4; Fig. 3B).
Receptor Binding Studies on
-ARs in IAS Smooth Muscle.
To
characterize and determine the levels of
-ARs in the IAS, we
conducted radioligand binding studies with
[125I]CYP. Based on reports that
[125I]CYP has a significantly lower affinity
for
1/
2-AR than for
3-AR (Dunigan et al., 2000
; Kohout et al.,
2001
), we investigated the binding profiles of the three
-AR
subtypes in the IAS. Initially, to determine the appropriate time need
for the equilibrium, a time course was plotted.
[125I]CYP specifically bound to membrane
preparations of the IAS in a time-dependent fashion, with equilibrium
achieved at 90 min (35°C), and remained constant for 180 min (data
not shown).
-antagonist, the specific binding of
[125I]CYP was found to be saturable with a
plateau of saturation between 750 and 1200 pM radioligand (Fig.
4A). Sigmoid representation of the data
illustrates the binding of [125I]CYP over large
concentration ranges from the high affinity site (picomolar) to the low
affinity site (nanomolar) (Fig. 4B). The two populations of
-ARs
were also evident by the curvilinear Scatchard plot of the data (Fig.
4C). Nonlinear regression analysis revealed that the saturation binding
isotherm was best fit by a double hyperbolic plot, indicating the
presence of two distinct binding sites with high
(RH) and low (RL)
affinities for [125I]CYP.
|
-AR binding sites in the IAS
smooth muscle was assessed by performing competition experiments against [125I]CYP binding with
-subtype-specific ligands used in functional studies. To focus on
the ligand binding properties of the low- or high-affinity sites,
experiments were performed at both RH (96.4 pM)
and RL (1.96 nM) radioligand concentrations. In
the presence of a low concentration of radioligand (66 pM), the rank order potency for the selective
-AR antagonist causing 50%
displacement of [125I]CYP
(IC50) was as follows: ICI 118551 > CGP
20712A > SR 59230A (Fig. 5). By
contrast, at concentrations of [125I]CYP
indicative of the RL (1.60 nM), there was an
inversion of the ligand binding profile where SR 59230A > ICI
118551 > CGP 20712A (Fig. 6).
Similar trends were seen with the respective selective
1-,
2-, and
3-AR agonists (data not shown). The
Ki value was calculated according to
the Cheng-Prusoff equation (Cheng and Prusoff, 1973
|
|
|
3-ARs.
From the entire population of
-ARs, high-affinity
(
1/
2-AR) constituted
21.3% and low affinity (
3-ARs) comprised
78.7%.
Determination of
1-,
2-, and
3-AR Membrane Protein in the IAS and Rectum.
To
identify and quantify
-AR protein expression in the rectum and IAS,
the membrane preparations were fractionated by SDS-polyacrylamide gel
electrophoresis and subjected to Western blotting by primary antibodies
specific to each
-AR subtype (see Materials and Methods). All three subtypes of
-AR were found to be present in the rectum and
IAS membranes as shown by the representative blots in Fig. 7. The blots demonstrate the relative
distribution of membrane receptor proteins for
1-AR, (63 kDa),
2-AR
(68 kDa), and
3-AR (65 kDa) in these tissues.
Data suggest that the distribution of the three subtypes of membrane
-AR in these tissues was similar (p > 0.05; Fig.
7).
|
Detection of
-AR mRNA in the IAS Using RT-PCR.
RT-PCR
amplification was used to detect
1-,
2-, and
3-AR, and
-actin mRNA in the circular smooth muscle layer of the IAS. To
ensure that the PCR products were exclusively derived from mRNA, total
RNA samples were treated with DNase to eliminate genomic DNA. As shown
in Fig. 8, the resultant PCR products
demonstrated the expected sizes of 608 (
1-AR),
194 (
2-AR), and 444 bp
(
3-AR). The PCR product for
-actin, an
internal standard, was also detected in each preparation at its
expected size of 387 bp.
|
| |
Discussion |
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|
|
|---|
The studies demonstrate a systematic and comprehensive
characterization of
-adrenoceptors (
-ARs) in the tonic smooth
muscle of the gastrointestinal tract. The IAS smooth muscle served as the prototype using functional, classical pharmacology, molecular, and
receptor binding approaches. The studies demonstrate: 1) the presence
of membrane-bound
-AR through Western blotting and
-AR mRNA
through RT-PCR; 2) the role of a heterogeneous population of
-ARs
(
1,
2, and
3) in mediating potent relaxation of the IAS
smooth muscle; and 3) the presence of both high
(
1/
2)- and low
(
3)-affinity binding sites, with a
significantly higher population of
3-AR
compared with
1/
2.
The contribution of the three
-AR subtypes in mediating IAS smooth
muscle relaxation is in general agreement with previous reports in
different smooth muscles including the GI tract (Goldberg and Frishman,
1995
; De Ponti et al., 1996a
; Roberts et al., 1997
; Strosberg, 1997
).
The conclusions are based on the ability of
1-,
2-, and
3-agonists to cause a full relaxation that is
selectively antagonized by their respective antagonists. ZD 7114, a
3-selective agonist (Growcott et al., 1993b
),
produces a concentration-dependent relaxation of the IAS smooth muscle
that is antagonized by the
3 antagonist SR
59230A (De Ponti et al., 1996b
) but not by CGP 20712A or ICI 118551 (
1- and
2-AR
antagonists, respectively). The affinity values for antagonism by SR
59230A (pA2 of 7.8) are consistent with
previous studies in guinea pig ileum (pA2,
7.7) (Roberts et al., 1999
) and human colon
(pA2, 8.3) (De Ponti et al., 1996b
).
Procaterol, a
2-selective agonist (Kotsonis
and Majewski, 1994
), also causes a concentration-dependent relaxation of the smooth muscle strips with a pEC50 of 7.6, whereas ICI 118,551 (
2-selective antagonist)
(Bilski et al., 1983
) antagonizes this relaxation with a
pA2 value of 7.7. This is consistent with
pA2 values reported by Strosberg (1997)
.
Likewise, xamoterol (
1 agonist) (Malta et al.,
1985
), causes a concentration-dependent relaxation of the IAS smooth
muscle that is selectively antagonized by CGP 20712A
(
1-AR antagonist).
In the rat (Roberts et al., 1999
; Brown and Summers, 2001
) and mouse
(Hutchinson et al., 2001
) ileum, it has been shown that
3-ARs play a predominant role, whereas
1-ARs have only a small role in smooth muscle
relaxation. The presence of atypical or
3-ARs
was established in rat ileum by [125I]CYP
binding studies (Roberts et al., 1995
) and by
3-mRNA on RT-PCR analysis (Roberts et al.,
1999
). Roberts et al. (1995
, 1999
) were able to show the
presence of
3-AR but not those of
1- and
2-AR binding
sites, even under classical binding conditions. Roberts et al. (1995
,
1999
) did, however, find an abundance of
2-AR
mRNA, in addition to
3. Nevertheless, the role
of
2-AR was discounted because smooth muscle
relaxation caused by zinterol (
2-AR-selective
agonist) was antagonized by the
3 antagonist SR 58894A and not by ICI 118551. The exact reason for the differences in the functional, binding, and molecular findings in these studies has
not been fully delineated.
In contrast, the results of our studies in the IAS are in agreement
with those in human colonic smooth muscle (De Ponti et al., 1996b
)
showing that the respective
1- and
2-selective antagonists CGP 20712A and ICI
118551 inhibit isoprenaline-mediated relaxation, which is further
inhibited by SR 59230A. Differences between various studies may be
reconciled on the basis of variations in species and tissues. The
present studies, like those in human colon (De Ponti et al., 1996b
),
were conducted in spontaneously tonic smooth muscle, compared with
others in which contraction was elicited by different contractile
agonists. Whether such contractile agonists have attenuating effects in
the functional expression of different
-ARs remains to be determined.
Receptor binding, Western blot, and RT-PCR studies provide additional
support in favor of the functional data. The receptor binding studies
demonstrate, for the first time in the GI tract, the presence of two
binding sites. These binding sites correspond to high affinity
(RH)
1/
2 and low affinity
(RL)
3 sites. We identified these binding sites with Kd
values of 96 pM and 1.96 nM, respectively. The
Kd values of the respective binding
sites are similar to those described in adipocytes and Chinese hamster ovary (CHO) cells (Feve et al., 1991
).
Two classes of binding sites were identified using competition studies
with
-AR subtype-selective antagonists. The rank order potency of
the antagonists at the high-affinity site is ICI 118551 > CGP
20712A > SR 59230A with Ki
values of 3.04 × 10
8, 1.14 × 10
7, and 8.53 × 10
7 M, respectively. When radioligand
concentrations were employed in the low-affinity range (1.61 nM), the
potency was reversed, with SR 59230 > ICI 118551 > CGP
20712A. The corresponding Ki values
with these antagonists were 4.81 × 10
8,
6.80 × 10
7, and 1.78 × 10
6 M, respectively. The
Ki values of CGP 201712A and ICI
118551 at the RH are consistent with those
reported at
1- and
2-ARs in CHO cells (Mejean et al., 1995
). The
Ki value for SR 59230A at the
RL is similar to that of the
3-AR found in rat colon (Manara et al.,
1995a
). The Ki values of CGP 20712A
and ICI 118551 are similar to those reported in guinea pig ileum and
vascular smooth muscles (Kohout et al., 2001
).
ZD 7114 was first described as a selective
3-AR agonist in brown fat and guinea pig ileum
(Holloway et al., 1991
). Some subsequent studies have described ZD 7114 as having atypical
3-AR antagonistic effects
in certain tissues (Growcott et al., 1993a
). In the IAS smooth muscle,
ZD 7114 behaves as a full
3-AR-selective
agonist causing relaxation that is potently inhibited by SR 59230A.
Therefore, the actions of ZD 7114 may be tissue- and species-specific.
SR 59230A was developed as the first
3-AR-selective antagonist for the gut (Manara
et al., 1995a
). Recently, Horinouchi and Koike (2001)
have raised the
possibility that the effects of SR 59230A are tissue-specific. In the
guinea pig gastric fundus and duodenum, SR 59230A may possess atypical
-AR-agonistic activity by recognizing an aminotetralin moiety in the
-AR. In our study, however, SR 59230A was found to be a selective
3-AR antagonist with a
pA2 value of 7.8. It causes a
concentration-dependent rightward shift in the CRC of ZD 7114 without
modifying the effects of
1-and
2-AR agonists. In addition, SR 59230A alone
does not cause a fall in IAS basal tone at concentrations up to 1 × 10
4 M. It is possible that the presence of a
bulky group on the arylethanolamine or aryloxypropanololamine side
chain on both ZD 7114 and SR 59230A (Horinouchi and Koike, 2001
) may
render the receptor tissue- and species-specific. However, the opposing
actions of ZD 7114 and SR 59230A in the IAS may not support that concept.
Receptor binding analysis reveals a higher receptor density of
3-AR in the IAS smooth muscle. This is
supported by the severalfold higher
Bmax in the case of low-affinity
-AR (
3-AR) compared with high-affinity
-AR (
1/
2-AR).
With this information, one would have expected higher potencies of
3- versus
1- and
2-AR agonists in causing IAS smooth muscle
relaxation. The functional studies, however, show that in this respect,
1-,
2-, and
3-agonists are nearly equipotent. We speculate
three possible explanations for this disparity. The first and simplest
explanation is the lack of effective
3-AR
agonists as compared with
1- and
2-AR agonists for the IAS smooth muscle at the
present time. Second,
3-AR in the IAS smooth
muscle may have a large number of spare receptors. Third,
3-AR may represent a heterogeneous population such as
3a- and
3b-ARs, as suggested by the recent studies in CHO (Hutchinson et al., 2002
). Furthermore, the activation and signal
transduction of such a
3a- and
3b-AR complex may prevent the full potency of
the
3-AR agonist. Therefore, it is no surprise that the
3-AR agonist ZD 7114 has variable
effects in different GI smooth muscle preparations (Growcott et al.,
1993a
,b
). The involvement of
3a- and
3b-AR complex and the exact signal
transduction involved in
3-AR-mediated IAS
relaxation by agonists such as ZD 7114 remains to be determined.
In addition to receptor binding studies, the presence of
-AR in the
IAS smooth muscle is further demonstrated by Western blot and RT-PCR
studies. Western blot studies using primary antibodies specific to each
-AR subtype reveal the presence of all three subtypes of
-AR
(
1-AR, 63 kDa;
2-AR,
68 kDa; and
3-AR, 65 kDa) in the rectum and
IAS membranes. RT-PCR amplification was used to detect
1-,
2-, and
3-AR in the circular smooth muscle layer of
the IAS. The PCR products demonstrated the expected sizes of 608 (
1-AR), 194 (
2-AR),
and 444 bp (
3-AR).
The present studies, therefore, provide comprehensive evidence for the
presence and actions of
1-,
2-, and
3-AR in IAS smooth muscle. In light of these findings, combined with the previously described actions of
3-AR activation in the
lower esophageal sphincter (DiMarino et al., 2002
) with limited
side effects and prolonged smooth muscle relaxation, we suggest that
3-AR agonists in particular may have
considerable physiological and therapeutic implications in anorectal
and other spastic gastrointestinal motility disorders.
| |
Acknowledgments |
|---|
We thank Dr. John Gartland of Thomas Jefferson University for reviewing the manuscript.
| |
Footnotes |
|---|
Accepted for publication February 4, 2003.
Received for publication December 20, 2002.
The studies were supported by National Institute of Diabetes and Digestive and Kidney Diseases Grant DK-35385 and an institutional grant from Thomas Jefferson University, Philadelphia, Pennsylvania.
DOI: 10.1124/jpet.102.048462
Address correspondence to: Dr. Satish Rattan, Jefferson Medical College, Thomas Jefferson University, 1025 Walnut Street, Room no. 901 College, Philadelphia, PA 19107. E-mail: satish.rattan{at}mail.tju.edu
| |
Abbreviations |
|---|
-AR,
-adrenergic receptor;
GI, gastrointestinal;
IAS, internal anal sphincter;
RT-PCR, reverse
transcription-polymerase chain reaction;
CRC, concentration-response
curve;
ECmax, concentration causing maximal relaxation;
EC50, concentration causing 50% of maximal relaxation;
ZD 7114 hydrochloride, (S)-4-[2-hydroxy-3-phenoxypropylaminoethoxy]-N-(2-methoxyethyl)phenoxyacetamide);
CGP 20712A methanesulfonate salt, (±)-2-hydroxy-5-[2-[[2-hydroxy-3-[4-[1-methyl-4-(trifluoromethyl)-1H-imidazol-2-yl]phenoxy]propyl]amino]ethoxy]-benzamide methanesulfonate salt;
ICI 118,551 hydrochloride, (±)-1-[2,3-(dihydro-7-methyl-1H-inden-4-yl)oxy]-3-[(1-methylethyl)amino]-2-butanol;
SR 59230A hydrochloride, 1-(2-ethylphenoxy)-3-[[(1S)-1,2,3,4-tetrahydro-1-naphthalenyl]amino]-(2S)-2-propanol
hydrochloride;
NCM, nitrocellulose membrane;
[125I]CYP, [125I]iodocyanopindolol;
DMSO, dimethyl sulfoxide;
bp, base pair;
CHO, Chinese hamster ovary;
CL 316,243, 5-[2-(R)-2-([(2R)-2-(3-chlorophenyl)-2-hydroxyethyl]amino)popyl]-1,3-benzodioxole-2,2-dicarboxylate.
| |
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