Cholinergic tone is elevated in obstructive lung conditions such as COPD and asthma, but the cellular mechanisms underlying cholinergic contractions of airway smooth muscle (ASM) are still unclear. Some studies report an important role for L-type Ca2+ channels (LTCC) and Ano1 Ca2+-activated Cl™ channels (CACC) in these responses, but others dispute their importance. Cholinergic contractions of ASM involve activation of M3Rs, however stimulation of M2Rs exerts a profound hypersensitisation of these responses. Here we show that M2R-dependent potentiation of cholinergic nerve-evoked contractions of ASM was reversed by the LTCC blocker nifedipine and the Ano1 CACC inhibitors Ani9 and CaCCinh-A01. Carbachol induced sustained contractions of ASM which were converted into oscillatory contractions when M3Rs were blocked with 4-DAMP. The 4-DAMP resistant contractions were absent in preparations taken from M2R knock out mice. The remaining M2R-dependent responses, observed in wild-type mice, were abolished by nifedipine and Ani9. Inhibition of sarcoplasmic endoplasmic reticulum Ca2+ ATPases (SERCA) with thapsigargin increased the amplitude of contractions induced by EFS and these effects were also reversed by nifedipine and Ani9. Thapsigargin also potentiated contractions of ASM induced by the LTCC activator FPL64176. Therefore, contractions of ASM that involved Ca2+ influx via LTCC were enhanced by inhibition of SERCA. Immunocytochemistry experiments revealed prominent SERCA staining around the periphery of ASM cells. These data indicate that M2R-dependent contractions of ASM involves Ano1 CACC and LTCC by a mechanism involving inhibition of buffering of Ca2+ influx by SERCA.
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