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Am J Physiol Lung Cell Mol Physiol 292: L438-L447, 2007. First published October 13, 2006; doi:10.1152/ajplung.00222.2006
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The reverse mode of the Na+/Ca2+ exchanger provides a source of Ca2+ for store refilling following agonist-induced Ca2+ mobilization

Simon Hirota, Evi Pertens, and Luke J. Janssen

Asthma Research Group, Firestone Institute for Respiratory Health, St. Joseph's Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada

Submitted 15 June 2006 ; accepted in final form 11 October 2006

Agonist-induced contraction of airway smooth muscle (ASM) can be triggered by an elevation in the intracellular Ca2+ concentration, primarily through the release of Ca2+ from the sarcoplasmic reticulum (SR). The refilling of the SR is integral for subsequent contractions. It has been suggested that Ca2+ entry via store-operated cation (SOC) and receptor-operated cation channels may facilitate refilling of the SR. Indeed, depletion of the SR activates substantial inward SOC currents in ASM that are composed of both Ca2+ and Na+. Accumulation of Na+ within the cell may regulate Ca2+ handling in ASM by forcing the Na+/Ca2+ exchanger (NCX) into the reverse mode, leading to the influx of Ca2+ from the extracellular domain. Since depletion of the SR activates substantial inward Na+ current, it is conceivable that the reverse mode of the NCX may contribute to the intracellular Ca2+ pool from which the SR is refilled. Indeed, successive contractions of bovine ASM, evoked by various agonists (ACh, histamine, 5-HT, caffeine) were significantly reduced upon removal of extracellular Na+; whereas contractions evoked by KCl were unchanged by Na+ depletion. Ouabain, a selective inhibitor of the Na+/K+ pump, had no effect on the reductions observed under normal and zero-Na+ conditions. KB-R7943, a selective inhibitor of the reverse mode of the NCX, significantly reduced successive contractions induced by all agonists without altering KCl responses. Furthermore, KB-R7943 abolished successive caffeine-induced Ca2+ transients in single ASM cells. Together, these data suggest a role for the reverse mode of the NCX in refilling the SR in ASM following Ca2+ mobilization.

calcium handling; airway smooth muscle; sodium-calcium exchanger



Address for reprint requests and other correspondence: L. J. Janssen, L-314, St. Joseph's Healthcare, 50 Charlton Ave. East, Hamilton, Ontario, Canada L8N 4A6 (e-mail: janssenl{at}mcmaster.ca)




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