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BY C. CLAIRE AICKIN, ALISON F. BRADING AND TH. V. BURDYGA* Kiev 17, USSR declines PDF

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J. Physiol. (1984), 347, pp.411-430 411 With 10text-figure8 PrintedinGreatBritain EVIDENCE FOR SODIUM-CALCIUM EXCHANGE IN THE GUINEA-PIG URETER BY C. CLAIRE AICKIN, ALISON F. BRADING AND TH. V. BURDYGA* From the University Department ofPharmacology, South Parks Road, Oxford OXi 3QTand *the Research Institute ofPhysiology, Kiev State Shevchenko University, Kiev 17, U.S.S.R. (Received 5 May 1983) SUMMARY 1. Theeffectsofhigh-Kandlow-Nasolutionsonthesmoothmuscleoftheguinea-pig ureterhave beenexamined inboth normal tissues, andtissues inwhich theNapump had been blocked by exposure to K-free solutions or oualain- (high_-Na tissues). Tension recording, membrane potential measurements and ion analysis were used. 2. High-Ksolutionsdepolarizenormaltissues,leadingtoactionpotentialgeneration and phasic contractions followed, at concentrations greater than 20-30 mm, by cessation ofaction potentials and the development ofa biphasic contracture which declines slowly during continuous exposure. The contracture is abolished by Ca- antagonist drugs, procaine and Ca-free solutions. 3. Short exposures ofnormal tissues to Na-free solutions do not result in tension development. Longerexposuresmayinitiatetension,dependingontheNasubstitute used.Sucrosecausesdepolarizationofthecellsandspikedevelopmentassociatedwith phasiccontractions, superimposedonasmallcontracture; Lidepolarizesthecellsbut causes no tension generation; Tris hyperpolarizes the cells and a small increase in basal tone may be seen. 4. On exposure to K-free solutions or ouabain, the tissues do not develop significanttonebuttheirresponsetoshortapplicationofhigh-Ksolutionsgrowswith time. Thetissues alsodevelopthe ability to contracton short applications oflow-Na solutions. The low-Na contractures are resistant to concentrations ofCa antagonists thatabolishthe Kresponses ofnormal tissues, butareabolishedinCa-free solutions. 5. The ability ofthe tissues to contract in Na-free solutions is accompanied by an increase in intracellular Na and loss of intracellular K. Even after several hours' exposure to ouabain, however, the tissues still contain significant amounts ofK and the membranepotentialisthesame as, ormorenegativethanthat innormaltissues. Thereforeitappearsthatanothermechanism, apartfrom theNapump, canregulate intracellular Na. On continuous exposure to Na-free solutions, the contracture declines rapidly. The decline is associated with a loss ofintracellular Na. 6. The Na-free contracture is larger when K rather than Tris is used as the substitute. This difference persists in the presence of a concentration of Mn that abolishesthe Kcontracture ofnormaltissues butisabolished byhighconcentrations (10 mM) of procaine. Neither agent greatly modifies the depolarization caused by 412 C. C. AICKIN AND OTHERS high-K solutions or the hyperpolarization caused by Na-free (Tris). These results suggest that procaine eliminates the additional contracture associated with de- polarization which is insensitive to Mn. 7. It is concluded that the tissues can maintain a low intracellular free Ca in the absence ofan inwardly directed Na gradient, but that a Na-Ca exchange may play a role in determining both intracellular Na and Ca levels when the Na pump is inactivated. When intracellular Na is elevated and the Na gradient is reversed, the exchange can mediate entry ofsufficient Ca to initiate a contracture. INTRODUCTION Since the demonstration ofa link between transmembrane Na and Ca movements in heart (Reuter & Seitz, 1968) and squid giant axon (Baker, Blaustein, Hodgkin & Steinhardt, 1969), work has been done in many tissues to investigate the existence and role ofNa-Ca exchange. Itis interestingthatin cardiac muscles, physiologists have strongevidence for the existenceofaNa-Caexchangemechanismandhavebecomepincreasinglyenthusiastic aboutitsrolenotonlyinthe control ofintracellular free Ca, butalsoin manynormal and experimentally induced behaviour patterns. The exchange is thought to be electrogenic and voltage sensitive, and thus to affect not only tension development (Vassort, 1973; Chapman, 1974; Chapman & Tunstall, 1980; Eisner, Lederer & Vaughan-Jones, 1983) but also the membrane potential itself(Coraboeuf, Gautier & Guiraudou, 1981; Mullins, 1981, 1983; but see Lederer, Sheu, Vaughan-Jones & Eisner, 1983). In contrast, smooth muscle physiologists have less direct evidence for the exchange, although the importance ofNa in determining the contractile state of the tissues has been frequently investigated. Initially, such studies led research workersto lookfavourablyonthe ideathataNa-Caexchange wasinvolved (see e.g. Biamino & Johansson, 1970; Bohr, Seidel & Sobieski, 1973). This outlook was reinforcedbythedemonstration(Reuter,Blaustein&Haeusler,1973)ofNa-dependent Caeffluxinarterialsmoothmuscle,andculminatedinspeculationsontheinvolvement ofNa-Caexchange in the aetiology ofhypertension (Blaustein, 1977). More recently several workers, as a result of more detailed studies, have become increasingly reluctant to assign much importance to a Na-Ca exchange, either in the regulation ofintracellularCaorincontributingtothebehaviourofsmoothmuscle(Raeymaekers, Wuytack & Casteels, 1974; Casteels & van Breemen, 1975; van Breemen, Aaronson & Loutzenhiser, 1978; Droogmans & Casteels, 1979). The smooth muscle ofthe ureter is rather unusual, and in many ways resembles cardiacmuscle,thecontractionofthemusclebeingcontrolledalmosttotallybyaction potential generation; the action potentials are prolonged, with a marked plateau phase following the initial upstroke, and are dependent on both Na and Ca entry (Kuriyama & Tomita, 1970; Shuba, 1977a); agonistdrugs suchasnoradrenaline and histamine do not initiate changes in tonic tension as they do in most other smooth muscles, butatlowconcentrationsalterthesizeanddurationofthephasiccontractile responses through effects on the action potential configuration (Shuba, 1977b), and in higher concentrations may initiate action potentials. Tonic tension can however beinitiatedbydepolarizingthetissuewithhigh-Ksolutions (Washizu, 1967; Sunano, Na-Ca EXCHANGE IN THE GUINEA-PIG URETER 413 1976; Johnishi & Sunano, 1978), and the contractures induced relax spontaneously, as they do in heart muscle (Chapman, 1974). Heart muscle, particularly from amphibia, is known to produce contractile responses to low-Na solutions, an effect thought to reflect the activity of a Na-Ca exchange mechanism (Chapman, 1974). Mammalian heart will show a similar response under conditions of increased intracellular Na content (Coraboeuf et al. 1981). Because of the similarity in behaviour between heart and ureter, it seemed possible that ureter might be a useful preparation to study with the hope ofgetting more evidence as to the presence and properties ofa Na-Ca exchange mechanism in asmooth muscle. WehavethereforestudiedtheabilityoflowNaandhighKtoinduce contractions in guinea-pig ureter with normal and elevated intracellular Na, the susceptibility of these responses to Ca-antagonist drugs and the changes in the membrane potential that accompany them. METHODS Dissection. Male white guinea-pigs were stunned and bled. The ureters were cut close to the bladderandkidneys, andremovedfromtheanimal. Theywerecarefullycleanedofconnectivetissue underadissectionmicroscope. Forionanalysis, eachureterwasmountedonastainless-steel holder; for tension recording, thin threads were tied round the ureter and each tissue was cut into three pieces; for micro-electrode studies, the ureter was cut in halflengthwise and a short length ofthe central portion used. Solutions. A modified Krebs solution was used ofthe following composition (mM): Na, 120-3; K, 5-9; Tris, 16-6; Ca, 2-5; Mg, 1-2; Cl, 150-2; glucose, 11-5; equilibrated with 100% 02, pH 7-4. Variations in the Na concentration were made by replacing NaCl isosmotically with KCl, Tris Cl, LiCl, MgCl2 or sucrose. Ionanalysis. Tissues wereallowed toequilibrate forat least 1 h in Krebssolution at 37 TCbefore being exposed to the experimental solution. Tissues were removed from the holders and blotted to obtain the wet weight before analysis. For total ion analysis, the ureters were extracted in a diluting fluid containing N-HNO3, 18 mM-La3+ and 5-5 mM-Li, and the solution analysed by flame photometry. To estimate the cellular Na and K content, tissues were exposed to a Na-free, K-free (Tris) solution for 5 min at 4 'C to remove most ofthe extracellular ions, before extraction in the dilutingfluid. In theexperiment to measure the effect ofouabain on total tissue NaandK content (Table 1), tissues were collected by colleagues from animals killed for other tissues and, in consequence, were perhaps less carefully prepared than those specifically dissected (Table 2). This may account for the lower K content ofthe control tissues in Table 1. Tension recording. Sixpieces ofureterweresuperfusedsimultaneously intheapparatusdescribed byBrading & Sneddon (1980) ataflow rateof1-2 ml/min andatemperature 32-37 'C. Contractile responses were normally expressed as a percentage ofa control response to a 1-2 min application of 126 mM-K. Measurement ofmembranepotential. Pieces ofureterwere mounted well stretched over a silicone rubber wedge with the outer surface uppermost (Aickin & Flaxman, 1983) and superfused with solutions at 35 'C. Membrane potentials were recorded with micro-electrodes filled with a solution of85% 0-6M-K2SO4 and 15% 1-5M-KCl, which had resistances of 30-50 MCI. They were dipped in a solution of 1% tri-n-butylcholorosilane in 1-chloronaphthalene after they had been filled with electrolyte. This procedure had no effect on the electrode resistance and greatly improved the stability and duration ofintracellular recording (Aickin, 1981). Drugs. Papaverine hydrochloride, nifedipine (a gift from Bayer, U.K.), D-600 and procaine hydrochloride were used. Stock solutions were made upin distilled waterand added to the bathing solution to give the desired concentration. Statistics. Resultsareexpressedasthemean+S.E. ofthemean(numberofmeasurements), except in Fig. 10, where the S.D. ofan observation is given. 414 C. C. AICKIN AND OTHERS RESULTS Much ofthe evidence put forward to suggest that Na-Ca exchange plays a role in smooth muscle has been obtained from studying contractile responses to alterations ofthe Na gradient across the cell membrane. This can be done either by reducing externalNa, increasinginternalNa, oracombinationofthetwo. Oneoftheproblems is that reducing external Na may have effects that are due to the substitute used, rather than a change in the Na gradient. Therefore we have looked at the effects of 2min 10min K K K I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~I Na-free(sucrose) Fig. 1. TheeffectofNa-free (sucrose) solution onnormal tissues. The ureterwasexposed to 126mM-K for 1 min at the times indicated by the arrows. On application ofNa-free (sucrose) solution, the tissue remained relaxed for about 15 min and then began to produce phasic contractions. These were superimposed on a tonic tension which showed aninitialtransientphase, andthenasmallsustainedincrease. Theresponseto 126 mM-K was considerably decreased after exposure for more than 1 h to Na-free solution. Re- addition of Na relaxed the tonic tension, but did not immediately restore the high-K contracture. several Na substitutes (including K, which clearly has its own effects due to depolarization ofthe cell membrane). In this section we describe first the effects of Na-free and high-K solutions on normal tissues, and the effects ofCa antagonists on the responses. Thenwe describe the responses oftissues inwhichthe internal Na has beenraised byincubation in ouabain orK-free solution (high-Natissues). Finallywe havelookedinmoredetailattheeffectsofMnandalsostudiedtheeffectsofprocaine, whichisknowntohaveactionsnotonlyontheplasmamembrane, butalsoonrelease ofCa from intracellular stores (see e.g. Itoh, Kuriyama & Suzuki, 1981). Normal tissues (1) Effect ofNa-free (normal K) 8olution. Ifsmooth muscle from ureter is exposed for a short period (1-2 min) to a Na-free solution in which Na is replaced by Tris, Li or Mg, or NaCl is replaced by sucrose, it does not generate any tension. Ifthe tissue is continuously superfused with Na-free solution it normally remains relatively relaxed except when NaCl is replaced with sucrose. In this case the tissue goes into a contracture, after a lag of about 10-15 min, with phasic contractions generated in response to spontaneous action potentials (see Figs. 1 and 2A). There Na-Ca EXCHANGE IN THE GUINEA-PIG URETER 415 A 10min -10 _ m -20 - E -30 - E -40 - -50 -60 - Na-free(sucrose) Na-free(Tris) Na-free(Li) 8 10min 0 -10 _ Ouabain(10'M) -20- E-30- E -40- -50 -60 3mi -70L 50%Na(Tris) 50%Na(Tris) Na-free(Tris) 33mM-K Fig. 2. Effects ofalterations in the ionic composition ofthe superfusing solution on the membrane potential (Em) ofureter smooth muscle cells. A, effects ofNa-free solutions on normal tissues. Note the depolarization on exposure to Na-free (sucrose) solution, which after 10min reaches the firing threshold of the cell. Na-free (Li) solution also depolarizes the cell, but not to firing level, whereas Na-free (Tris) causes a transient hyperpolarization. In all cases re-application ofthe normal Na concentration causes a transient depolarization, followed by a longer lasting and more pronounced hyper- polarization. B, arecordfromasinglepreparation. Inthenormaltissue, reductionofthe Na content ofthe superfusing solution to 50% (Tris substitution) hyperpolarized the membrane.Applicationofouabain(10-4 M,whichwaspresentinthesolutionsfortherest ofthe experiment) caused a transient depolarization, after which there was a sustained hyperpolarization ofthe membrane. After 80min in ouabain, the high-Na tissue shows agreaterhyperpolarizationonreductionoftheexternalNa,andthereisnowapronounced depolarization on re-addition ofthe normal Na concentration. Application of33mM-K depolarizes the tissue. is a small and slowly developing increase in the resting tone ofthe tissues in Na-free (Tris) solution, whereas a decrease in the resting tone is often observed in Na-free (Li) solution (see Fig. 3). Fig. 2A shows examples of the change in resting potential (Em) that occurs on replacement of Na with various substitutes. When sucrose is used, the membrane depolarizesandafter 10 minactionpotentialsareseen. InNa-free (Tris) solution, the membrane undergoes a transient hyperpolarization, and in Na-free (Li) solution the membrane is depolarized after a briefhyperpolarization. In all cases there is a small transient depolarization on re-admission of Na, which is followed by a hyper- polarization before the initial resting potential is regained. (2) Effectofhigh-KsolUtions Ashort (1-2 min) application of126 mM-K causesthe generationofseveralphasiccontractions, followedbyabiphasiccontractureasshown 416 C. C. AICKINAND OTHERS in Figs. 1 and 5a. The initial phasic contractions are initiated by action potentials (Washizu, 1967). They are identical in size and shapetothephasic contractions that can be initiated in response to depolarizing current pulses which have been shown to produce action potentials in this tissue (Brading, Burdyga & Scripnyuk, 1983). The dose-response curve ofthehighestpeakofthe contractureto 1 minapplications ofincreasing Kconcentrations isshownincurvea, Fig. 5. Thiscanbecomparedwith the relationship between the membrane potential and external K concentration A B 20min 0 * * 0 0 0 *0 0 * 0 0 0 0 00 0 0 0 0*S I ~~~,II g L Na-free (Tris) Na-free Na-free Na-free(Li) (Li) (Tris) Fig. 3. A comparison ofthe effects of Na-free (Tris) and Na-free (Li) solutions on the contractileresponseto 1 minapplicationsof126mM-K (0). A, inNa-free (Tris)solution, there is a small increase in basal tone of the tissues, and the K response increases transiently. Ifthe solution is changed to Na-free (Li), the response to K is immediately abolishedandonlyreturnsslowlywhenNa-free(Tris)isre-applied.B,Na-free(Li)solution causes a reduction in the basal tone ofthe tissues and rapidly suppresses the response toK. shown in Fig. 10. Three out ofsix tissues produced phasic contractions in response to 11 mM-K (which depolarized the membrane by about 9 mV) but contracture was only just beginning at 25 mm, and rose steeply from about 45 mM-K (which depolarized the membrane by about 34 mV). Fig. 9 illustrates that small increases inextracellular K initiated action potentials responsible forthe phasic contractions. On continuous superfusion with high-K solutions the contracture slowly declined with time, as previously reported by Washizu (1967) and Sunano (1976). If tissues are exposed continuously to Na-free solutions and then tested with 126 mM-K, theresponse againdependsontheNasubstituteused. Inoneexperiment, after 2 h in Na-free (Mg) solution the K response was totally absent, and in Na-free (Li) solution the response was almost abolished, whereas in Na-free (Tris or sucrose) solution theresponse waspresent butdiminishedinsize. Furtherexperimentson the effect ofTris and Li as Nasubstitutes are illustrated in Fig. 3. The response to 1 min application of 126 mM-K initially grows in size during the first hour ofexposure to Na-free (Tris) solution before gradually diminishing, whereas it is progressively and Na-Ca EXCHANGE IN THE GUINEA-PIG URETER 417 rapidly reduced in Na-free (Li) solution. When, after 1 h 20 min in Na-free (Tris) solution, change was made to Na-free (Li) solution, the response to 126 mM-K was immediatelyabolished, andonreturningtoNa-free(Tris)solutiontheresponsebegan to recover. It appears that Li has some effect of its own in suppressing the K contracture, an effect that has also been observed by Kishimoto & Urakawa (1980) in the guinea-pig taenia. Ofthevarious Nasubstitutesused, Trisseemedtobethe mostsuitableand, unless otherwise stated, it was used to replace Na in the rest ofthe experiments described. (3)EffectofCaantagonistsonhigh-Kcontractttres.TheeffectsofseveralCa-antagonist drugs (including papavarine, which acts as a Ca antagonist in this tissue: Brading et al. 1983) have been investigated on the contracture to a 1 min exposure to 126 mM-K. Nifedipine, D-600, papavarine and Mn are all capable of completely abolishing the K-induced contracture, and have parallel log dose-inhibition curves in a descending order ofpotency. The Ca-antagonist drugs have different effects on the ability of the tissues to produce phasic contractions and contractures when exposed to high-K solutions. Nifedipine and D-600 both abolish the contractures at concentrationswhich have little effect onthephasiccontractions (I9-7 M and 10-6 M respectively); papavarine abolishes both at a similar concentration (10-4M); Mn abolishes the phasic contractions at 1 mm, which reduces but does not abolish the Kcontracture. Anexample ofthisdifferentiation (bynifedipine andMn) canbe seen in Fig. 6. Brading & Sneddon (1981) have also noted a differential effect of D-600 on spikes and depolarization-induced contractures in guinea-pig taenia. TABLE 1.Theeffectof10-4M-ouabainonthetotaltissueKandNacontent.Thenumberofsamples isgiven in parentheses. Values are means+s.E. ofmeans Exposure Na K Na+K to ouabain (mM/kg) (mM/kg) (mM/kg) 0 52-7+2-3 (4) 59-3±3-6 (4) 112-0 2h 75-3±4-1 (6) 32-5+1-6 (6) 107-8 3h 78-5+3-5 (8) 29-6±2A4 (8) 108-1 4h 73-3±20 (8) 26-4+1-4 (8) 99-7 5h 75-3±1-6 (6) 272+06 (6) 102-5 High-Na tissues In the presence ofouabain 10-4 M or in the absence ofextracellular K (conditions which block the Na pump) the ureter gains Na. Table 1 shows the total Na and K content of tissues exposed for various intervals to 10-4 M-ouabain. Although the tissues gain Na and lose K during the first 2 h, there is then little further change. Even after 5 h in ouabain, there is still considerable K in the tissues. This behaviour is reminiscent of heart muscle in which intracellular Na only rises a small amount even after prolonged exposure to quabain (Ellis, 1977), and at variance with other smooth muscles in which there is a striking elevation oftissue Na (Casteels, 1966). High-Na tissues remain relatively relaxed even after several hours in ouabain (although a very small degree of resting tone is occasionally apparent) and the membrane potential remains virtually unchanged (see Figs. 2 and 10) but there are changes in the responses to high-K and Na-free solutions. 14 PHY 347 418 C. C. AICKIN AND OTHERS (1)EffectofNa-free (normalK)andlow-Nasolutions. WhentheNapumpisblocked, the tissues develop an ability to contract on briefapplications ofNa-free solutions. Fig. 4 shows the time course of the development of the contractures to 1 min application ofNa-free (Tris) solution in tissues exposed to either 1O-4 M-ouabain, or toK-free solution. The response develops morerapidlywhenouabainisusedto block theNapumpthanwhenextracellularKisremoved, probablybecauseKleakingfrom 140 20 (5) - g 100 .,_ 80 C 0 60 (m) C 40 cr s3) I 20 0L 0 10 20 30 40 50 60 70 80 90 100 Time (min) Fig.4.EffectofblockingtheNapumponthecontractileresponsesoftheureter.Theupper curve (filled squares) shows the effect of ouabain (10-4 m, applied at time zero) on the response to a 2 min application of 126 mM-K. The lower curves show the time course of the development ofthe Na-free (Tris) contracture (applied for 1 min) after the addition ofouabain(10-4 M,filledtriangles),andafterapplicationofK-freesolution(crosses).Each curve shows the mean+S.E. ofmean; the number oftissues is shown in parentheses. the cells can, in the absence ofouabain, partially activate the pump and thus slow the gain oftissue Na. Forthe restoftheexperimentswith high-Natissues, thepump was blocked with 1O-4 M-ouabain for at least 1 h to allow the maximum Na-free response to be reached, before the experiment was begun. Curve bofFig. 5shows the dose-response curve to reducingextracellular Nausing Tris as a substitute. The maximum contracture that can be elicited in Na-free (Tris) solution is less than the contracture ofnormal tissues to 126 mM-K solution. High-Na tissueswill contract onexposure toNa-free solutions withanyofthefour Na substitutes we have tested (sucrose, Tris, Li and Mg). The time course of development ofthe ability ofNa-free solution to initiatea contracture afteraddition ofouabain is the same with each, but the size and shape ofthe response to different substitutes varies somewhat from tissue to tissue. In one series of experiments in which only one Na substitute was investigated on each tissue, the size ofthe peak response in Na-free solution after 50 min exposure to ouabain, expressed as a percentage ofthe response ofthe high-Na tissues to 126 mM-K, was 31-1+4-8% for Mg, 44-9+3-8% for sucrose, 47-0+6-1 % for Tris and 51-5+7-3% for Li (n = 5). Na-Ca EXCHANGE IN THEGUINEA-PIG URETER 419 100 1 80- C 0 a C 60- 0 40- 20- 0 L 5 10 20 50 126 KorTris(mm) 1min 121 116 106 76 0 NaorTris(mM) Fig.5.Dose-responsecurvesofthepeakofthecontractureelicitedinnormalandhigh-Na tissues by 1 min applications ofsolutions containing altered K and Na concentrations. a, normal tissues; *, response to increasing K at the expense of Na, expressed as a percentage of the response to 126mM-K (Na-free). b, high-Na tissues; A, response to decreasingNaattheexpenseofTris,expressedasapercentageoftheresponseofthehigh-Na tissues to 126mM-K (Na-free). c, high-Na tissues; *, response to increasing K at the expense ofNa (or to decreasing Na at the expense ofK), expressed as a percentage of the response to 126mM-K (Na-free). d, high-Na tissues; A, response to increasing K at the expense ofTris. In this experiment all the test solutions were Na-free (Tris), so the response to increasing K will, in effect, be superimposed on a Na-free contracture. Experiments ab andcshowthe means+s.E. ofmeansofsix tissues, anddofthree. The high-Natissueshadbeenexposedtoouabain(10-4M)foratleast 1 hbeforethebeginning ofthe experiment and ouabain was present for the duration ofthe experiment. On the right are shown typical responses ofthe tissues to the corresponding conditions used in thedose-responsecurves.Thecontractileresponseindwasverysimilartothatinb.Each ofthese traces is the response to a2 min application ofthe relevant Na-free solution. If Na-free solution is applied continuously to high-Na tissues, the resulting contracture is of surprisingly short duration, the tissues relaxing within a few minutes. If such relaxed tissues are then re-exposed to normal Na solution (in the continuing presence of ouabain) their ability to contract again on removal of extracellular Naalso recoversremarkably quickly. Thetime course oftherelaxation in Na-free solution and the subsequent recovery ofthe ability oftissues to contract again to Na-free solution was measured in a series oftissues. Both had half-times of between 1-5 and 2 min. Table 2 showsthe results ofanexperiment inwhich the cellularNaand Kcontent oftissues wasanalysed. Afterexposure to ouabain for 1 h the tissues had lost K and gained Na, but during a subsequent 10 min exposure to Na-free (Tris) solution at 14-2 424020 ~~~C. C. AICKIN AND OTHERS TABLE 2. The effect of 10 min exposure to Na-free (Tris) solution on the Na content ofhigh-Na tissues. High-Natissueswerepreparedbyexposingthemto 10-4 m-ouabainfor 1 h. Alltissueswere rinsed for 5 mmn in Na-free (Tris) solution at 40C to remove most ofthe extracellular ions before analysis. The number ofsamples is given in parentheses. Values are means+S.E. ofmeans Na K Na+K Treatment (mm/kg) (mm/kg) (mm/kg) Normal tissues in Krebs 19-1± 1-1(8) 69-2±+36 (8) 88-3 High-Na tissues 44-1 ±22 (8) 40-9±+2-4 (8) 85-0 High-Na tissues after 10 min 14-1±1-1 (8) 35-3± 1-1 (8) 49-4 in Na-free (Tris) solution 37 'C (still in the presence of ouabain) the tissues lost all the Na they had gained, with little change in the K content. In the presence of ouabain, Na-free and low-Na solutions cause larger hyper- polarizations than innormal tissues, even though the tissues contract. Fig. 2B shows the effects of50% Na (Tris) on the membrane potential before and after the tissue hadbeenexposedformorethan 1 htoouabain, andalsothe'effectsofNa-freesolution on the high-Na tissue. Note the transient depolarization on application ofouabain, and the fact that after 1 h in ouabain (and in other experiments, even after several hours) the membrane potential is, ifanything, slightly more negative than in normal Krebs solution. (2) Effect ofhigh-Ksolutions. Fig. 4 shows how the response to a 1 min application of high-K solution changes in size when the tissues are exposed to 10-4 m-ouabain. During the first 40 min there is an increase in the size of the response which, with some variation, then remains higher than the control for several hours (not shown in Fig. 4). There is also a change in the shape of the response as the phasic contractions, which precede the contracture in normal tissues, are abolished. Fig. 5 shows dose--response curves for the contractile response ofhigh-Na tissues to 1 min application ofincreasing levels ofextracellular K. Since replacing Na with K could be having an effect through both the increase in extracellular K and the reduction ofextracellular Na, two curves are shown. In curve c ofFig. 5, K is increased at the expense of Na, which means that both important variables are changing, whereas in curve d all the test solutions are Na-free (Tris) and K is increased at the expense ofTris. When K is increased at the expense ofNa, the curve is also a dose-response curve to reducing extracellular Na, and it can be compared with the Na/Tris curve (b)plottedonthesamegraph.WhenKisincreasedattheexpenseofTris,theK-induced contracture will, ineffect, be superimposed on aNa-free contracture, andifthe curve is scaled taking the Na-free, normal-K contracture as 0, it is similar in shape to the K/Na dose-response curve (c). Fig. 10 shows a dose--response curve ofthe membrane potential ofhigh-Na tissues to extracellular K (Na replacement) which can be comparedwith Fig. 5, curve c. The relationship between potential and extracellular K is slightly steeper in the high-Na tissues than in normal tissues. An example ofa recording ofthe membrane potential response ofa high-Na tissue to 33 mm-K is also shown in Fig. 2B. (3) Effects ofCaantagonist8. The contractile responses ofhigh-Natissuesto Na-free solutions (includingNa-free (K))aremuchmoreresistanttoCa-antagonistdrugsthan

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The smooth muscle of the ureter is rather unusual, and in many ways Papaverine hydrochloride, nifedipine (a gift from Bayer, U.K.), D-600 and .. and the fact that after 1 h in ouabain (and in other experiments, even after several.
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