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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on May 19, 2006; DOI: 10.1124/jpet.106.104034


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JPET 318:513-520, 2006
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GASTROINTESTINAL, HEPATIC, PULMONARY, AND RENAL

Tachykinin Receptor Expression and Function in Human Esophageal Smooth MuscleFormula

Jason R. Kovac, Tom Chrones, Harold G. Preiksaitis, and Stephen M. Sims

Departments of Physiology and Pharmacology (J.R.K., T.C., H.G.P., S.M.S.) and Medicine (H.G.P.), Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada

Received March 3, 2006; accepted May 18, 2006.


    Abstract
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Tachykinins are present in enteric nerves of the gastrointestinal tract and cause contraction of esophageal smooth muscle; however, the mechanisms involved are not understood. Our aim was to characterize tachykinin signaling in human esophageal smooth muscle. We investigated functional effects of tachykinins on human esophageal smooth muscle using tension recordings and isolated cells, receptor expression with reverse transcription (RT)-polymerase chain reaction (PCR) and immunoblotting, intracellular Ca2+ responses using fluorescent indicator dyes, and membrane currents with patch-clamp electrophysiology. The mammalian tachykinins [substance P and neurokinin (NK) A and NKB] elicited concentration-dependent contractions of human esophageal smooth muscle. These responses were not affected by muscarinic receptor or neuronal blockade indicating a direct effect on smooth muscle cells (SMCs). Immunofluorescence and RT-PCR identified tachykinin receptors (NK1, NK2, and NK3) on SMCs. Contraction was mediated through a combination of Ca2+ release from intracellular stores and influx through L-type Ca2+ channels. NK2 receptor blockade inhibited the largest proportion of tachykinin-evoked responses. NKA evoked a nonselective cation current (INSC) with properties similar to that elicited by muscarinic stimulation. The following paradigm is suggested: tachykinin receptor binding to SMCs releases Ca2+ from stores along with activation of INSC, which in turn results in membrane depolarization, L-type Ca2+ channel opening, rise of Ca2+ concentration, and contraction. These studies reveal new aspects of tachykinin signaling in human esophageal SMCs. Excitatory tachykinin pathways may represent targets for pharmacological intervention in disorders of esophageal dysmotility.


Tachykinins, present in the neurons of myenteric and submucosal plexi, affect both circular and longitudinal esophageal muscles (Holzer and Holzer-Petsche, 1997aGo; Furness et al., 2004Go). The mammalian tachykinin family includes substance P (SP), neurokinin (NK) A, and NKB (Holzer and Holzer-Petsche, 2001Go). All three peptides share a common carboxyl-terminal motif (Phe-X-Gly-Leu-Met-NH2) and are derived from precursor preprotachykinins via proteolytic processing. Tachykinins interact with three receptor subtypes (NK1, NK2, and NK3) that exhibit preferential affinities for SP, NKA, and NKB, respectively (Holzer and Holzer-Petsche, 1997aGo).

NKA is usually colocalized in enteric neurons with SP and acetylcholine (ACh) (Holzer and Holzer-Petsche, 1997aGo; Furness et al., 2004Go). In the smooth muscle portion of the human esophageal body (EB), tachykinin-positive neurons are abundant (Wattchow et al., 1987Go; Singaram et al., 1991Go). Indeed, a substantial portion of the nerve-mediated EB contraction is not blocked by the muscarinic receptor antagonist atropine (Krysiak and Preiksaitis, 2001Go). This component is largely mediated by tachykinins, with blockade by NK2 receptor antagonists (Krysiak and Preiksaitis, 2001Go). These findings are consistent with a role for tachykinins in general, and NKA in particular, in the regulation of esophageal motility.

Both cholinergic and nonadrenergic, noncholinergic neuronal pathways contribute to gastrointestinal peristalsis (Furness et al., 2004Go). Nerves in the gastrointestinal tract are closely apposed to interstitial cells of Cajal (ICC), which are now recognized to play a role in the excitation of smooth muscles (Daniel, 2001Go; Ward and Sanders, 2001Go). Although ICCs of the murine small intestine express NK1 receptors (Iino et al., 2004Go; Jun et al., 2004Go), and NK1 receptor deficient mice exhibit altered nerve-mediated ileal motility, prominent NK2-mediated components remain (Saban et al., 1999Go). In situ studies using pharmacologic manipulation also support key roles for NK2 receptors in intestinal peristalsis (Tonini et al., 2001Go).

Muscle contraction studies of human EB support a role for tachykinins in regulating nonadrenergic, noncholinergic-mediated excitation (Huber et al., 1993aGo; Krysiak and Preiksaitis, 2001Go); however, little is known about the effects of tachykinins on individual esophageal smooth muscle cells (SMCs). The presence of NK1 (Portbury et al., 1996Go) and NK3 (Holzer and Holzer-Petsche, 1997bGo) receptors on enteric neurons in tissue strips, the ability of SP-positive neurons to corelease tachykinins and ACh, and the capability of tachykinins to bind multiple receptor subtypes (Domoto et al., 1983Go; Furness et al., 2004Go) all indicate the need for further examination of tachykinin signaling in esophageal muscle.

Tachykinin signaling differs among smooth muscles. In guinea pig ileum as well as rabbit and human colon, excitation involves influx of extracellular Ca2+ through nifedipine-sensitive, L-type Ca2+ channels (Maggi et al., 1997Go; O'Riordan et al., 2001Go). In contrast, contractions of human sigmoid colon are less dependent on Ca2+ influx but are abolished by blockade of the sarcoplasmic reticulum Ca2+ ATPase by thapsigargin (Cao et al., 2000Go). In canine colonic SMCs, tachykinins activate a nonselective cation current (INSC) (Lee et al., 1995Go). Given the importance of esophageal peristalsis in health and disease, it is important to understand the signaling mechanisms involved in tachykinin-induced contraction.

In the present study, our aim was to characterize tachykinin signaling in human esophageal smooth muscle. We identified three tachykinin receptors (NK1, NK2, and NK3) and found that SP, NKA, and NKB predominantly acted through NK2 receptors located on SMCs. The mechanism of excitation involved a combination of release of Ca2+ from intracellular stores, influx through L-type Ca2+ channels, and activation of nonselective cation current, aspects of tachykinin signaling not previously reported for esophageal muscle.


    Materials and Methods
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Tissue Retrieval, Isolation of Cells, and SMC Culture. Tissue collection was carried out in accordance with the guidelines of The University of Western Ontario Research Ethics Board for the Review of Health Sciences Research Involving Human Subjects. Tissues were obtained from patients undergoing esophageal resection as described previously (Preiksaitis and Diamant, 1997Go; Sims et al., 1997Go; Kovac et al., 2005Go). Samples were removed from disease-free regions of the distal third, placed in ice-cold, oxygenated Krebs bicarbonate solution (see below), and transported to the laboratory. The circular muscle (CM) or longitudinal muscle (LM) layers were carefully dissected based on their morphology and orientation, cleaned of nerves, blood vessels, fat, and fascia. Portions of muscle were frozen on dry ice (-70°C) for RNA extraction or further dissected for acute studies. Freshly dispersed SMCs were studied within 6 h or maintained in primary culture as described previously (Sims et al., 1997Go; Wang et al., 2000Go; Kovac et al., 2005Go). In total, muscle was studied from 55 specimens.

Tissue Bath Studies. Muscle strips were mounted in tissue baths containing 10 ml of Krebs bicarbonate solution continuously bubbled with 5% CO2-95% O2 at 37°C as described previously (Sims et al., 1997Go; Wade et al., 1999Go; Kovac et al., 2005Go).

Reverse Transcription-Polymerase Chain Reaction. Total RNA was extracted from EB smooth muscle by phenol-chloroform extraction using frozen samples or cultured cells grown to near confluence (10-15 days). Using a first strand cDNA synthesis kit (Invitrogen, Burlington, ON, Canada), 2 µg of total RNA was reverse-transcribed for 60 min at 42°C with Oligo(dT)12-18. Polymerase chain reaction (PCR) was performed in 50 µl of PCR buffer containing 3 mM MgCl2, 200 µM dNTPs, 0.1 nM primer, 0.3 µl of TaqDNA polymerase (Fermentas Life Sciences, Burlington, ON, Canada), and 5-7 µl of cDNA reaction mixture. PCR was carried out in an Eppendorf Mastercycler Gradient (Eppendorf, Westbury, NY) for 35 cycles with cycling parameters of 0.5 min at 94°C, 1 min at 58°C, 1.5 min at 72°C, and a final 10-min extension at 72°C. The PCR primers used to amplify cDNA are listed in Table 1. PCR primers for beta-actin were used to confirm fidelity of the PCR reaction and to detect genomic DNA contamination.


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TABLE 1 Primer sequences used in RT-PCR to identify neurokinin receptor subtypes in human esophageal muscle

 

Immunofluorescence. Cells were fixed in ice-cold 95% ethanol (15-30 min), blocked with 1% goat serum in PBS (60 min), and incubated with 1° antibody (from Dr. Krause, Neurogen Inc., Branford, CT) at 4°C overnight. 1° antibodies were diluted in PBS, pH 7.4, containing 1% goat serum. The antibodies were used at the following dilutions: NK1 (1:500), NK2 (1:500), and NK3 (1:250). After washing with PBS (2 x 10 min), cells were incubated (60 min at 22°C) with fluorescein isothiocyanate-linked goat, anti-rabbit secondary (2°) antibody (1:50; Jackson Laboratories, West Grove, PA) to detect NK1 receptors, and with Cy-3-linked donkey, anti-mouse 2° antibody (1: 200; Jackson Labs) to detect NK2 and NK3 receptors. Following washes with PBS (2 x 10 min), TO-PRO-1 or TO-PRO-3 dimeric cyanine dye (5 µM, 60 min at 22°C; Molecular Probes, Eugene, OR) was used to stain nuclei. Samples were again washed with PBS (2 x 10 min), and coverslips were mounted on slides with FluoroGuard Antifade (Bio-Rad, Hercules, CA). Western blot analysis of cell homogenates confirmed the specificity of the antibodies. Single bands were apparent at predicted molecular weight values, and absent when primary antibodies were preabsorbed with the peptide immunogens (data not shown). For immunofluorescence controls, parallel preparations were processed without primary antibody.

Measurement of Ca2+ Concentration. Cells were loaded by incubation with fura-2-acetoxymethyl ester (0.2 µM) or fluo-4-acetoxymethyl ester (5 µM) at room temperature (21-24°C) for 40 min, as described previously (Kovac et al., 2005Go). Cells loaded with fluo-4 were illuminated with 488 nm of light from an argon ion laser and emissions detected at 510 to 560 nm using a Photometrics Cascade camera (Photometrics, Tucson, AZ) controlled by PTI ImageMaster software (Photon Technology Int. Inc., Birmingham, NJ).

Electrophysiological Recordings. Dispersed cells were allowed to settle and adhere to the bottom of a perfusion chamber mounted on the stage of a Nikon inverted microscope (Nikon, Tokyo, Japan) and perfused with Na+-HEPES bathing solution, as described previously (Kovac et al., 2005Go). Dispersed cells were studied at room temperature (21-24°C).

Solutions. The Krebs' solution consisted of 116 mM NaCl, 5 mM KCl, 2.5 mM CaCl2, 1.2 mM MgSO4, 2.2 mM NaH2PO4, 25 mM NaHCO3, and 10 mM D-glucose, equilibrated with 5% CO2-95% O2, pH 7.4. The bathing solution for fluorescence studies and electrophysiological recordings contained 130 mM NaCl, 5 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 20 mM HEPES, and 10 mM D-glucose (adjusted to pH 7.4 with NaOH). Ca2+-free solutions contained 0.5 mM EGTA and omitted CaCl2. In patch recordings, KCl electrode solution contained 140 mM KCl, 20 mM HEPES, 1 mM MgCl2, and 0.1 mM EGTA (adjusted to pH 7.2 with KOH). CsCl electrode solution contained 130 mM CsCl, 20 mM HEPES, 1 mM MgCl2, 10 mM TEACl, 0.4 mM CaCl2, and 1 mM EGTA (adjusted to pH 7.2 with CsOH). Cs-glutamate electrode solution contained 40 mM CsCl, 100 mM glutamate, 20 mM HEPES, 1 mM MgCl2, 0.4 mM CaCl2, and 0.01 mM EGTA (adjusted to pH 7.2 with CsOH).

Chemicals. Chemicals were from Sigma (St. Louis, MO), BDH Inc. (Toronto, ON, Canada), or Calbiochem (San Diego, CA) unless otherwise stated. SR48968, SR140333, and SR142801 were from Sanofi Recherche (Montpellier, France). Drugs were prepared in distilled water or dimethyl sulfoxide (DMSO) and diluted into bathing solution. Control experiments in which vehicle alone was applied to tissues or cells revealed no effects.

Statistics. Values are the means ± S.E.M. with sample sizes (n) indicating the number of cells or muscle strips studied. All traces are representative of at least three experiments on muscle or cells from two or more esophageal specimens. For Ca2+ fluorescence and patch-clamp experiments, only one recording was obtained per cell. Comparisons were made using the Student's paired t test, analysis of variance, and Tukey's post test as indicated. p < 0.05 was considered significant.


    Results
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Tachykinins Contract Human EB Smooth Muscle Strips. We first established the functional relevance of tachykinins by monitoring contraction of smooth muscle strips to exogenously applied tachykinins. NKA, NKB, and SP caused reproducible increases in EB tension (Fig. 1A). NKA-evoked contractions were larger than those stimulated by NKB or SP (Fig. 1A) in agreement with our previous study of human esophagus (Krysiak and Preiksaitis, 2001Go). Concentration-dependent contractions induced by NKA were consistently greater in CM than in LM (Fig. 1B, left). Depolarization with high extracellular K+ (Fig. 1B, right) evoked similar contractions among EB CM and LM. Accordingly, we focused on the functional regulation of CM for this report.


Figure 1
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Fig. 1. Tachykinins evoke concentration-dependent contraction of human EB smooth muscle. A, exogenous application of the mammalian tachykinins NKA (1 µM), NKB (1 µM), and SP (1 µM) as well as depolarization with a high extracellular K+ solution (60 mM) and carbachol (CCh, 1 µM) contract human EB. B, NKA (left) evoked minimal contractions in LM ({blacksquare}, solid line; n = 9-15) and large, concentration-dependent contractions in CM ({square}, dashed line, n = 11-17). High extracellular K+ (right; CM and LM, n = 17-19) produced similar concentration-dependent contractions in CM and LM. The quantification of contraction in B are standardized for wet tissue weight, and other responses are presented as raw traces.

 
Tachykinin-positive neurons coexpress choline acetyltransferase, and excitation releases both tachykinins and ACh from nerve endings (Domoto et al., 1983Go; Holzer et al., 1998Go; Furness et al., 2004Go). Furthermore, tachykinins may cause release of ACh from enteric neurons via NK3 and NK1 receptors (Portbury et al., 1996Go; Holzer and Holzer-Petsche, 1997bGo). To investigate whether tachykinins had a direct action on SMCs, we blocked nerve transmission with tetrodotoxin (TTX; 1 µM) and muscarinic receptors with atropine (1 µM). Carbachol-evoked contractions were largely unaffected by TTX, whereas atropine abolished the response (Fig. 2A). NKA-evoked contractions were also insensitive to TTX, but atropine caused a small but significant decrease in the NKA-evoked contraction (Fig. 2B), with summary of the results and statistical analysis in Fig. 2C. Traces and mean values in Fig. 2 illustrate responses of circular muscle, and similar results were observed in independent experiments on longitudinal muscle. These findings are consistent with tachykinins acting directly on SMC receptors, prompting us to further investigate the presence of tachykinin receptors on these cells.


Figure 2
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Fig. 2. Neurokinin A exerts a direct effect on esophageal smooth muscle. A, CCh (1 µM, applied at arrow) evoked large, sustained contractions in EB CM. Following washout, tissues were perfused with TTX (1 µM) to block nerve transmission (left) or atropine (1 µM, right) to block muscarinic receptors. As expected, CCh responses were abolished in the presence of atropine. B, NKA (1 µM), applied at the arrows, evoked contractions that were largely unaffected by TTX. Atropine caused a small but significant inhibition of the NKA-evoked contraction, as assessed by two-way analysis of variance followed by Tukey's post test (C; *, p < 0.05).

 

Human EB SMCs Express Tachykinin Receptors. We examined tachykinin receptor expression using reverse transcription (RT)-PCR. Primers were designed to amplify sequences for the tachykinin receptors based on human sequences (Table 1). Transcripts were identified in both CM and LM of fresh EB (Fig. 3A, n = 10). The PCR products were of the expected sizes (see Table 1; Fig. 3), and the identity of the PCR product was confirmed by sequencing. The amplified beta-actin sequence was selected to span a 206-bp intron so the finding of a single band at 314 bp verified the absence of genomic DNA (Table 1; Fig. 3). Control experiments were also performed both with reverse transcriptase omitted (control lanes, Fig. 3) and water only (data not shown). To confirm that the positive responses were due to smooth muscle, we carried out further experiments using mRNA isolated from EB SMC maintained in culture, previously established to be pure SMCs (Wang et al., 2000Go). A similar pattern of tachykinin receptor mRNA expression was confirmed in these cells (Fig. 3B, n = 6).


Figure 3
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Fig. 3. Tachykinin receptor mRNA in human esophageal smooth muscle. PCR products of the expected sizes were obtained in both fresh tissue (A) and cultured cells (B) as follows: NK1, 596 bp; NK2, 557 bp; and NK3, 542 bp (see primers in Table 1). Product identity was confirmed by sequencing of the amplicons. Products were identified in LM and CM layers. beta-Actin spanned a 206-bp intron, so finding a single band of 314 bp verified the absence of genomic DNA contamination. Controls (CON) contained the same RNA samples without reverse transcriptase. Ladder (Lad) contained standard molecular weight markers.

 

Using immunofluorescence, we next examined the expression of tachykinin receptors in EB SMCs (n = 6 for each NK1, NK2, and NK3). Positive immunostaining of the tachykinin receptors was seen in all cells (Fig. 4). Immunostaining was diffuse throughout the cells, rather than localized or restricted to the plasma membrane. No immunolabeling was observed when 1° antibodies were omitted, and cells were incubated with 2° antibody only (Fig. 4). Similar findings were obtained for SMCs isolated from longitudinal and circular muscle layers.


Figure 4
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Fig. 4. Immunofluorescent labeling of tachykinin receptors in cultured human EB SMCs. Subtype-specific antibodies were used to label NK1 (green, top left), NK2 (red, top middle), and NK3 receptors (red, top right). Receptor expression was observed as diffuse labeling in all cells (only CM shown). For controls, the 1° antibody was omitted, and no labeling was observed (control, bottom). Nuclei were stained red with TO-PRO-3 (left) and green with TO-PRO-1 (middle and right). Calibration bar applies to all panels.

 
Direct Effect of NKA on Human Esophageal SMCs. With confirmation of tachykinin receptors on individual esophageal SMCs, we proceeded to study the effects of tachykinins on freshly isolated and cultured human EB SMCs. Freshly isolated cells ranged in length from 70 to 200 µm and appeared spindle shaped with a phase bright periphery. In response to tachykinin stimulation, SMCs rapidly and reversibly contacted to ~60% of resting state. Subsequent ACh stimulation evoked similar reversible contractions (Fig. 5A). Maximal shortening occurred in all cases within 20 s of agonist application.


Figure 5
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Fig. 5. Tachykinins cause reversible contraction and increased [Ca2+]i in human esophageal SMCs. A, series of video frames illustrating a typical cell before stimulation (far left) and then 10 s following application of NKA (1 µM). The cell contracted to ~60% of its original length with recovery to ~85% of initial length after a 10-min washout. ACh (10 µM) elicited a similar contraction that was also reversible following washout (far right). Agonists were applied by pressure ejection from an application pipette (seen at lower left in the NKA panel). B, in conjunction with both tachykinin (left) and cholinergic (right) stimulation, a rapid and transient increase in [Ca2+]i is observed ({Delta}f, percent change of baseline fluorescence), consistent with the role for Ca2+ in initiating contraction.

 
We next sought to establish the signaling mechanisms underlying tachykinin-evoked contractions. Ca2+-sensitive dyes were used to determine whether changes of intracellular free Ca2+ concentration ([Ca2+]i) occurred in response to tachykinins. Focal application of NKA onto freshly isolated SMCs resulted in contraction accompanied by an increase of [Ca2+]i (Fig. 5B, left). ACh resulted in similar responses (Fig. 5B, right), consistent with previous studies (Sims et al., 1997Go). As such, we went on to study the mechanisms of these responses.

NKA-Evoked Contractions Involve Release of Ca2+ from Stores and Influx. It has been previously shown that cholinergic excitation induces both Ca2+ influx and release from stores (Sims et al., 1997Go); however, the Ca2+ sources involved in tachykinin-evoked contractions are unknown. NKA caused a rapid, transient rise of [Ca2+]i in cells from primary culture (Fig. 6). When Ca2+ was eliminated from the bathing solution (with addition of 0.5 mM EGTA), repeated applications of NKA resulted in diminishing responses (Fig. 6A). Recovery occurred following readdition of extracellular Ca2+ confirming that the decline in the amplitude of the responses was not due to cellular run-down or desensitization (Fig. 6A). The timing of the response varied from cell to cell, so representative traces are presented. Similar responses were recorded in four additional cells from multiple esophageal specimens.


Figure 6
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Fig. 6. NKA-mediated excitation involves release of Ca2+ from stores and influx. A, NKA (1 µM, applied for 10 s at arrowheads) caused a transient rise of [Ca2+]i in cultured EB SMCs. Responses were diminished in a Ca2+-free solution (0.5 mM EGTA) consistent with the depletion of intracellular stores. Breaks in the trace represent 5-min intervals for washout and recovery. Following a 10-min reperfusion with a Ca2+-containing solution, NKA-evoked Ca2+ transients recovered (at right). B, blockade of the sarcoplasmic reticulum Ca2+-ATPase with CPA (10 µM, applied for duration indicated by solid bar), resulted in a gradual rise of [Ca2+]i. The first response to NKA in the presence of CPA was prolonged, whereas the second stimulation had no effect, indicating depletion of stores. Store depletion was reversible on washout of CPA and reintroduction of bath Ca2+. C, Ca2+ channel blocker nifedipine (10 µM, 90 s) decreased NKA-induced rise of [Ca2+]i. D, summary of the experiments in C with mean values ± S.E.M. (*, p < 0.01), indicating a role for Ca2+ influx in NKA-evoked responses.

 

To evaluate directly the contribution of intracellular stores, we blocked the sarcoplasmic reticulum Ca2+-ATPase with cyclopiazonic acid (CPA; 10 µM). CPA induced a slow, gradual rise in [Ca2+]i, and an initial application of NKA elicited a rapid and slightly prolonged [Ca2+]i increase. However, subsequent application of NKA had no effect, indicating depletion of stores. This reduction was reversible upon washout of CPA and reintroduction of extracellular Ca2+, indicating intact receptor signaling (Fig. 6B, n = 5).

To examine the contribution of Ca2+ entry to the observed transients, L-type Ca2+ channels were blocked with nifedipine (10 µM, Fig. 6C), a dose shown previously to be effective in abolishing L-type Ca2+ current in EB SMCs (Kovac et al., 2005Go). A significant decrease in NKA-evoked rise of [Ca2+]i was observed (Fig. 6D; control rise of 248 ± 46 nM versus rise in the presence of nifedipine of 156 ± 26 nM, p < 0.05, n = 8). These data support a role for both Ca2+ entry through L-type Ca2+ channels and Ca2+ release from intracellular stores in tachykinin signaling.

Tachykinin Responses Are Mediated by the NK2 Receptor. We next examined which receptor subtype(s) contributed to signaling in esophageal muscle. Tachykinin receptor subtypes NK1, NK2, and NK3 are activated preferentially by SP, NKA, and NKB, respectively (Holzer and Holzer-Petsche, 1997aGo). Given that NKA evoked the largest EB muscle strip contractions (Fig. 1A), we asked which receptors might mediate the actions of NKA. Although a 3-min perfusion of the NK1 antagonist SR140333 (2 nM, n = 7; Fig. 7A) and the NK3 antagonist SR142801 (2 nM, n = 7; Fig. 7B) caused only slight inhibition of NKA-evoked [Ca2+]i transients, the NK2 antagonist SR48968 (2 nM, n = 7; Fig. 7C) effectively abolished NKA responses. Recovery was apparent following a 10-min washout. This concentration of tachykinin antagonists is effective at blocking contractions of guinea pig esophageal muscularis mucosa and ileum, rat duodenum, and rabbit colonic muscle (Croci et al., 1995Go; Kerr et al., 2000Go; Onori et al., 2000Go). Thus, our data are consistent with the literature and the selective action of tachykinin antagonists at this concentration. We next pretreated cells with the NK2 blocker SR48968 and found that both NKB (1 µM, n = 10, Supplemental Fig. 1A)- and SP (1 µM, n = 6, Supplemental Fig. 1B)-evoked [Ca2+]i transients were significantly inhibited.


Figure 7
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Fig. 7. NK2 receptor-mediated rise of [Ca2+]i in cultured human EB SMCs. Subtype-selective tachykinin receptor antagonists were applied for 3 min before NKA. A and B, NK1 antagonist SR140333 (2 nM) and the NK3 antagonist SR142801 (2 nM) had significant but modest effects on the NKA-evoked [Ca2+]i transients. C, in contrast, the NK2 antagonist SR48968 (2 nM) profoundly blocked the NKA-evoked response. In all experiments, responses recovered following a 10-min washout of the antagonists. D, summary of the data obtained in A to C, suggesting that NKA acted through all three tachykinin receptors with NK2-mediating responses to a greater degree. Values expressed as a percentage of control [Ca2+]i transients ({ddagger}, p < 0.05 compared with control responses; *, p < 0.01 compared with samples treated with antagonists).

 

We verified the results obtained above in cultured cells using freshly dissociated EB SMCs. Removal of extracellular Ca2+ (n = 5), L-type Ca2+ channel blockade with nifedipine (n = 11), as well as NK1 (n = 10), NK2 (n = 10) and NK3 (n = 8) receptor blockade experiments all yielded results that were essentially the same as those obtained in cultured cells (Supplemental Fig. 2). The observation that NK1 and NK3 antagonists reduced responses to NKA could reflect promiscuity in receptor blockade because we saw no differences in expression of NK1 or NK3 in cultured cells versus freshly isolated cells using PCR and immunolocalization. As a control, tachykinin antagonists had no effect on carbachol-evoked transients. Therefore, in cases where the recovery time following washout of tachykinin receptor blockers in fresh cells was prolonged, we applied ACh to confirm cellular viability (Supplemental Fig. 2C).

Agonists Activate Nonselective Cation Current. The ability of nifedipine to inhibit [Ca2+]i elevations led us to hypothesize that tachykinins could elicit excitatory inward, depolarizing currents. When esophageal cells were held under voltage clamp at -60 mV, NKA induced a transient inward current (Fig. 8A). Responses were reproducible and recovered following washout in both fresh and cultured cells. Recordings of whole-cell currents using voltage ramp commands (from -100 to 50 mV) were used to evaluate the voltage dependence and reversal potential of the NKA-evoked current (Fig. 8A). With cesium (Cs+) in the recording electrode solution to block outward K+ currents (Wade et al., 1999Go), the evoked current was linear and reversed direction at -5 ± 2 mV (n = 4, Fig. 8A). Since this reversal potential was close to the equilibrium potential for Cl-, NKA may have activated either a nonselective INSC and/or Cl- current. When Cl- was replaced with glutamate (shifting the Cl- equilibrium potential from 0 to -30 mV), the substitution had no effect on the reversal potential (-6 ± 4 mV, n = 4), indicating negligible contribution of anions.


Figure 8
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Fig. 8. Tachykinin and cholinergic agonists activate INSC in human EB SMCs. A, representative trace from a cultured SMC held at -60 mV with Cs+ present to block outward currents. NKA (1 µM), applied for the duration of the bar, activated inward current. Voltage ramp commands were applied periodically to evaluate current-voltage relationships. Subtraction of control current from the NKA-evoked current revealed the activated current ({Delta}I, right) that reversed close to 0 mV, consistent with activation of a INSC. B and C, representative trace from a freshly dissociated SMC. ACh (10 µM) elicited similar whole-cell inward currents that reversed close to 0 mV. For both tachykinin and cholinergic agonists, similar results were obtained in cultured and fresh cells using KCl, CsCl, and Cs-glutamate electrode solutions, confirming the presence of an agonist-evoked INSC in human EB SMCs.

 
ACh activated a similar inward current (Fig. 8B) that was linear and reversed at 0 ± 3 mV with a CsCl electrode solution (Fig. 8C; n = 16), at -1 ± 4 mV with a KCl electrode solution (n = 7), and at -2 ± 2 mV with a Cs-glutamate electrode solution (n = 10). These findings are consistent with the activation of an INSC in response to tachykinins and muscarinic agonist.


    Discussion
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
The mechanisms of tachykinin signaling in human esophageal excitation were examined using a combination of intact muscle strips to evaluate contraction, RT-PCR and immunofluorescence to study receptor expression, as well as isolated SMCs to evaluate Ca2+ responses and to characterize ionic currents. We show the existence of multiple tachykinin receptors and demonstrate, for the first time, that tachykinins cause excitation through a combination of mechanisms: Ca2+ influx, Ca2+ release from stores, and activation of INSC.

Tachykinin-containing enteric nerves innervate large portions of the gastrointestinal tract and, with projections to both longitudinal and circular muscle layers, are thought to play important roles in regulating peristalsis (Holzer and Holzer-Petsche, 1997aGo). Tachykinin-containing neurons have been described in human esophagus (Wattchow et al., 1987Go; Singaram et al., 1991Go), where they have been suggested to play a role in the physiological regulation of esophageal function. In addition to direct effects on smooth muscle cells, enteric nerves are suggested to mediate excitation through actions on ICCs. Indeed, c-Kit-positive cells (a marker for ICC) have been identified in the LM and CM layer of human esophagus (Torihashi et al., 1999Go). In other gastrointestinal tissues, ICCs express tachykinin receptors and receive excitatory inputs from enteric neurons (Daniel, 2001Go; Ward and Sanders, 2001Go). Although our data do reveal that tachykinins can act directly on the SMCs, they do not exclude the additional involvement of ICCs in regulating esophageal peristalsis in vivo.

To establish the functional effects of exogenous tachykinins on esophageal contraction, our initial experiments employed whole-tissue strips. With neuronal transmission blocked using TTX and muscarinic receptors antagonized with atropine (Preiksaitis et al., 2000Go), tachykinins evoked contraction of EB smooth muscle. Previous studies employing muscle strips have shown tachykinins to contract several gastrointestinal smooth muscles, including those from opossum and human esophagus (Crist et al., 1986Go; Huber et al., 1993aGo; Krysiak and Preiksaitis, 2001Go). However, the potential presence of heterogeneous cells within these preparations (Portbury et al., 1996Go; Holzer and Holzer-Petsche, 1997bGo) motivated us to confirm our muscle strip findings in cultured and freshly isolated SMCs. In our studies, atropine caused a small but significant inhibition of the NKA-evoked contraction, suggesting a minor cholinergic component to the tachykinin contraction, similar to that reported for human colonic muscle (Liu et al., 2002Go).

In early studies, tachykinin receptors were identified using a combination of contraction and receptor binding studies (Holzer and Holzer-Petsche, 1997aGo). However, given that each tachykinin is capable of acting as an agonist at all receptor types, the results are difficult to interpret. The advent of nonpeptide antagonists (Snider et al., 1991Go) allowed a more detailed examination of binding characteristics. Despite this, early compounds such as the NK1 antagonist CP-96,345 used by Huber et al. (1993aGo,bGo) were later found to have confounding effects, including a strong affinity to block the L-type Ca2+ channel (Guard et al., 1993Go). As such, in the present study, we have extended the pioneering observations by Huber et al. (Huber et al., 1993aGo,bGo) by using a newer generation of selective receptor antagonists (Holzer and Holzer-Petsche, 1997aGo). Furthermore, by employing RT-PCR and immunofluorescence, we have been able to confirm that tachykinin receptors are present on human esophageal SMCs.

Indeed, when freshly dissociated cells were stimulated with tachykinins, all agonists evoked substantial SMC contractions. Few studies have examined the transduction mechanisms underlying tachykinin-evoked smooth muscle contraction and to our knowledge, none of these have investigated human esophageal muscle. Previous studies suggested that Ca2+ influx through L-type Ca2+ channels was critical for tachykinin-evoked contraction in guinea pig, rabbit, and human colonic smooth muscles (Maggi et al., 1997Go; O'Riordan et al., 2001Go). In contrast, a major role for Ca2+ stores has been suggested in human sigmoid colon muscle by Cao et al. (2000Go). The authors noted tachykinin-evoked contractions and [Ca2+]i elevations were abolished by sarcoplasmic reticulum Ca2+ ATPase blockade with thapsigargin, but contractions were unaffected by Ca2+ removal (Cao et al., 2000Go). In the present study, we showed that tachykinin signaling in human EB SMC involves a combination of Ca2+ influx and release from intracellular stores.

We have identified, for the first time, the presence of a INSC current in human esophageal smooth muscle. The INSC evoked by acetylcholine in human EB SMCs is similar to that identified in several gastrointestinal tissues including guinea pig (Inoue and Isenberg, 1990Go) and rabbit (Benham et al., 1985Go) small intestine, canine colonic (Lee et al., 1993Go) as well as canine gastric corpus (Sims, 1992Go) smooth muscles. Tachykinins are reported to evoke INSC in canine colonic smooth muscles (Lee et al., 1995Go), although the magnitude is somewhat smaller than we found in human esophagus. It has not been established whether the INSC in esophageal SMCs allows entry of Ca2+. Nevertheless, this inward current, evoked by both cholinergic and nonadrenergic, noncholinergic agonists, would cause membrane depolarization. The resultant activation of voltage-dependent L-type Ca2+ channels, previously characterized in these cells (Kovac et al., 2005Go), would lead to Ca2+ influx that, along with the Ca2+ released from stores, would initiate contraction.

In summary, the present study reveals that tachykinins bind and activate human esophageal SMCs directly to initiate contraction. Excitation involves a combination of Ca2+ release from intracellular stores, influx through L-type Ca2+ channels, and INSC activation, features of physiological regulation not previously reported. It has been suggested that tachykinins play an important role in the pathologic regulation of smooth muscle contraction. Indeed, under inflammatory conditions, tachykinin-secreting immune cells including macrophages, lymphocytes, and mast cells are recruited to the gastrointestinal tract (O'Connor et al., 2004Go). Since prevention of mast cell degranulation reduces injury-induced esophageal contraction (Paterson, 1998Go), our studies may have relevance to therapeutic intervention in the treatment of esophageal motility disorders.


    Acknowledgements
 
We thank P. Krysiak, J. Wang, and L. Laurier for preliminary experiments and R. I. Inculet and R. A. Malthaner for esophagectomy specimens.


    Footnotes
 
This work was supported by Canadian Institutes of Health Research, by a Ontario Ministry of Health Career Scientist Award (to H.G.P.), and by a CIHR M.D./Ph.D. Studentship (to J.R.K.).

Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.

doi:10.1124/jpet.106.104034.

ABBREVIATIONS: SP, substance P; NK, neurokinin; ACh, acetylcholine; EB, esophageal body; ICC, interstitial cell(s) of Cajal; SMC, smooth muscle cell; INSC, nonselective cation current; CM, circular muscle; LM, longitudinal muscle; RT, reverse transcription; PCR, polymerase chain reaction; PBS, phosphate-buffered saline; SR48968, (S)-N-methyl-N[4-(4-acetyl-amino-4-phenylpiperi-dino)-2-(3,4-dichloro-phenyl)butyl]benzamide; SR140333, (S)-1-[2-[3-(3,4-dichlorphenyl)-1 (3-isopropoxy-phenylacetyl)piperidin-3yl]ethyl]-4-phenyl-1 azaniabicyclo [2.2.2] octane chloride; SR142801, (R)-(N)-[1-[3-[1-benzoyl-3-(3,4-dichlorophenyl)piperidin-3-yl]propyl]-4-phenylpiperidin-4-yl]-N-methylacetamide; TTX, tetrodotoxin; [Ca2+]i, intracellular free Ca2+ concentration; CPA, cyclopiazonic acid; bp, base pair(s); CCh, carbachol.

Formula The online version of this article (available at http://jpet.aspetjournals.org) contains supplemental material. Back

Address correspondence to: Dr. Stephen M. Sims, Department of Physiology and Pharmacology, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada N6A 5C1. E-mail: stephen.sims{at}schulich.uwo.ca


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 Materials and Methods
 Results
 Discussion
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