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Vol. 295, Issue 3, 879-888, December 2000
Departments of Medicine (H.G.P., L.G.L.) and Physiology (H.G.P.,
P.S.K.), The University of Western Ontario, London, Ontario,
Canada; and The Lawson Research Institute, St. Joseph's Health
Centre of London, Department of Medicine, London, Ontario, Canada
(H.G.P., P.S.K., T.C., V.R., L.G.L.)
Esophageal peristalsis is dependent on activation of muscarinic
receptors, but little is known about the roles of specific receptor
subtypes in the human esophagus. We examined muscarinic receptor
expression and function in human esophageal smooth muscle obtained from
patients undergoing resection for cancer.
[3H]Quinuclidinyl benzylate (QNB)-specific binding was
similar in longitudinal muscle
(Bmax = 106 ± 22 fmol/mg of
protein, Kd = 68 ± 9 pM) and
circular muscle (Bmax = 81 ± 16 fmol/mg of protein, Kd = 79 ± 15 pM). Subtype-selective antagonists inhibited [3H]QNB
similarly in muscle from both layers. Further analysis of antagonist
inhibition of [3H]QNB binding showed a major site
(60-70%) with antagonist affinity profile consistent with the M2
subtype and a second site that could not be classified. Reverse
transcription-polymerase chain reaction and immunoblotting demonstrated
the presence of all five known muscarinic receptor subtypes, and
immunocytochemistry on acutely isolated smooth muscle cells confirmed
the expression of each subtype on the muscle cells. Subtype-selective
antagonists had similar inhibitory effects on carbachol-evoked
contractions in longitudinal muscle and circular muscle strips with
pA2 values of 9.5 ± 0.1 and 9.6 ± 0.2 for
4-diphenylacetoxy-N-methylpiperidine methiodide,
7.1 ± 0.1 and 7.0 ± 0.2 for pirenzepine, and 6.2 ± 0.2 and 6.4 ± 0.2 for methoctramine, respectively. We conclude that human esophageal smooth muscle expresses muscarinic receptor subtypes M1 through M5. The antagonist sensitivity profile for muscle
contraction is consistent with activation of the M3 subtype.
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