We have recently identified HERG-like K+ currents in esophageal smooth muscle where it importantly contributes to the resting membrane potential (RMP)(Akbarali et aI., Am.J.Phys. 277: C1284, 1999). Drugs that block cardiac HERG channels cause abnormalities such as long Q-T syndrome, an effect that can be induced by the gastrointestinal prokinetic agent, cisapride. The aim of this study was, therefore, to determine a) the presence and role of HERG-like currents in colonic smooth muscle and b) the potential effect of cisapride on these K+ currents. Whole cell patch-clamp experiments were carried out on freshly isolated rabbit colonic circular muscle cells. The conductance of inwardly rectifying HERG-like K+ channels in cells was enhanced by perfusing with isotonic extracellular K+ solution (140 mM K+). Under these conditions, when cells were voltageclamped at 0 mV (EK ) , step hyperpolarizations to -120 mV in 10 mV increments resulted in large inward currents that activated rapidly and then slowly inactivated in a timeand voltage-dependent fashion (Tinac .= 55 ± 5ms at -120 mY; n=4). The peak current-voltage relationship showed marked inward rectification with a reversal at EK . The amplitude of peak currents at -120 mV was -170 ± 14 pA (n=26). At potentials negative to -60 mV, prominent inactivation resulting in cross-over of the currents was observed. A U-shaped voltage-dependence for non-inactivating (window) currents occured between -80 mV and -40 mV (peak amplitude of -80 ± 4 pA; n=3) suggesting contribution of the HERG-like channels to the resting potential of the smooth muscle cells. These K+ currents were completely abolished by the selective HERG channel blocker, E-4031 (I /LM; n= 10). Cisapride also dose-dependently blocked (0.001 10 /LM; n=24) the HERG-like K+ current with an ICso of I/LM. E-4031 and cisapride-sensitive currents demonstrated strong inward rectification. In further studies, the RMP of whole muscle strips was measured using high resistance microelectrodes. Cisapride (I/LM) and E-4031 (3/LM), in the presence of atropine (I/LM) and nifedipine (I/LM), depolarized the RMP from -47 ± 2 mV to -34 ± 4 mV and from -54mV ± 3mV to -37 ± 3 mY, respectively (n=3). These studies demonstrate a) that HERG-like currents in rabbit colonic smooth muscle are involved in maintaining resting potential and b) these gastrointestinal smooth muscle K+ channels, like in the heart, are potential targets for the prokinetic agent, cisapride. Supported by NIH(DK46367)
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