Regulation of intracellular calcium in human esophageal smooth muscles

We have investigated sources ofCa²⁺ contributing to excitation ofhuman esophageal smooth muscle, using fura 2 to study cytosolic freeCa²⁺ concentration(Ca²⁺]_i)in dispersed cells and contraction of intact muscles. Acetylcholine (ACh) caused an initial peak rise ofCa²⁺]_ifollowed by a plateau accompanied by reversible contraction. Removal ofextracellular Ca²⁺ or addition ofdihydropyridine Ca²⁺ channelblockers reduced the plateau phase but did not prevent contraction.Caffeine also caused elevation ofCa²⁺]_iand blocked responses to ACh. Undershoots ofCa²⁺]_iwere apparent after ACh or caffeine. Blockade of the sarcoplasmic reticular Ca²⁺-ATPase bycyclopiazonic acid (CPA) reduced the ACh-evoked increase ofCa²⁺]_iand abolished the undershoot, indicating involvement ofCa²⁺ stores. When contraction wasstudied in intact muscles, removal ofCa²⁺ or addition of nifedipinereduced, but did not abolish, carbachol (CCh)-induced contraction.Elevation of extracellular K⁺caused contraction that was inhibited by nifedipine, although CCh stillelicited contraction. CPA caused contraction and suppressed theCCh-induced contraction, whereas ryanodine reduced CCh-induced contraction. Our studies provide evidence that muscarinic excitation ofhuman esophagus involves both release ofCa²⁺ from intracellular stores andinflux of Ca²⁺.