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Gastrointestinal Smooth Muscle in Health & Disease

$95,609R01FY2007DKNIH

Mayo Clinic Rochester, Rochester MN

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Linked publications & trials

Abstract

In all mammalian species examined, there is a 10'mV or more gradient in resting membrane potential (RMP) across the muscle wall of the gastric antrum, small intestine and large intestine, and an even larger gradient along the long axis of the stomach. These voltage gradients, which may be considered biological rheostats, are central to the ability of circular smooth muscle to vary the strength of contraction from weak to propulsive and occluding. Our previous work shows that constitutive heme oxygenase 2 (HO-2), the enzyme that generates carbon monoxide (CO), is present in interstitial cells of Cajal (ICC).and that exogenous CO hyperpolarizes the mertibrane potential of freshly dissociated circular smooth muscle cells. We hypothesize that CO is generated in different amounts across the thickness of the gut wall with more generated jn regions where RMPs are more hyperpolarized compared to regions where RMPs are more depolarized. We focus on CO generated in ICC because!RMF^s in circular smooth muscle cells are significantlydepolarized when ICC are absent'or when HO2 is absent (HO-2"A mice) but are normal in mice lacking an enteric,nervous system. Our experiments are designed to test"the hypothesis that CO is generated in the gut wall and that it acts on circular smooth;muscle cells to hyperpolarize the RMP. Our work is organized under six Specific Aims. We begari'in Specific Aim' 1 by measuring RMPs across the circular smooth muscle layer throughout the gastrointestinal tract of the human, canine and murine species and end with Specific Aim 6 designed to "rescue" primary cultures of depolarized smooth muscle cells by adding Cp-prpducingJCC to the culture. In between these two aims, we will directly measure CO generation in hyperpolarized and depolarized regions of the gut wall, measure CO production from enriched ICC cell cultures, measure bilirubinproduction as a marker of HO activity, and use Laser Capture Microdissection to selectively obtain distinct populations of cells for analysis of HO-2 copy number by microarrays and real time PCR. The significance of our work is two fold. Firstly, it will provide data to support the notion that CO generated in the gut wall is a hyperpolarizing factor and the root of the essential voltage gradient across the gut wall. Secondly, it may be of more generalized physiological significance. Our work on CO in the gut may lend support to the general hypothesis that endogenously generated CO in smooth muscle tissues is a central factor in maintainingnormal physiological function.

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