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Research Article| Volume 234, 102830, September 2021

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P2X3 receptors participate in purinergic inhibition of gastrointestinal smooth muscle

      Highlights

      • Inhibitory nerves control the contractility of gastrointestinal smooth muscle.
      • ATP and β-NAD are released from inhibitory nerves and target P2Y1 receptors.
      • A synthetic nucleotide α,β-meATP mimics ATP and β-NAD, but cannot directly activate P2Y1 receptors.
      • Instead, α,β-meATP activates P2X3 receptors on inhibitory nerves.
      • P2X3 receptors are Ca2+-permeable ion channels which can release neurotransmitters.

      Abstract

      The ATP analogue α,β-meATP is a potent relaxant of gastrointestinal smooth muscle, but its molecular target is uncertain inside the gut. α,β-meATP relaxed the carbachol-precontracted guinea-pig taenia coli in a concentration-dependent manner (EC50, 2.0 ± 0.1 μM). A luciferase-based assay confirmed that α,β-meATP solutions were minimally contaminated with ATP. α,β-meATP-evoked relaxations were inhibited by the competitive P2Y1 antagonist MRS2179 (pA2 = 5.36), but also by the competitive P2X3 antagonist, A-317491 (pA2 = 5.51). When MRS2179 and A-317491 were applied together, residual α,β-meATP responses converted from brief to prolonged relaxations. Sodium nitroprusside (a nitric oxide donor) also caused prolonged relaxations. Immunohistochemistry revealed that P2X3 receptors were present in myenteric ganglion cells and their varicose nerve terminals. The amplitude of α,β-meATP responses was not inhibited by TTX (NaV channel blocker) and ωCgTx (N-type CaV channel blocker). However, responses to α,β-meATP were inhibited by TEA (non-selective K+-channel blocker), indicating that relaxations involved opening K+-channels. The findings of this study are consistent with the conclusion that α,β-meATP stimulates Ca2+-permeable P2X3 receptors on varicose nerve terminals to release inhibitory nucleotides: 1) ATP and β-NAD release results in P2Y1-mediated brief relaxations; 2) another released transmitter (possibly NO) results in prolonged relaxations. Prejunctional P2X3 receptors represent a purinergic feed-forward mechanism to augment the action of inhibitory nerves on gut motility. This positive feed-forward mechanism may counter-balance the known negative feedback mechanism caused by adenosine and prejunctional A1 receptors on inhibitory motor nerves.

      Graphical abstract

      Keywords

      Abbreviations:

      A1 (adenosine receptor (Type 1)), A2B (adenosine receptor (Type 2B)), A-317491 (competitive P2X3 antagonist), [3H]-ACh (tritiated acetylcholine), ATP (adenosine 5′-triphosphate), α,β-meATP (alpha,beta-methylene-ATP), EC50 (estimate of agonist potency), ICC (interstitial cells of Cajal), IJP (inhibitory junction potential), MRS2179 (competitive P2Y1 antagonist), [3H]-NA (tritiated noradrenaline), β-NAD (beta-nicotinamide adenine dinucleotide), NANC (nonadrenergic, noncholinergic), nH (Hill co-efficient (slope of C/R curve)), NO (nitric oxide), pA2 (estimate of antagonist efficacy), PDGFR (platelet-derived growth factor receptor), RLU (relative light units), SK channels (small-conductance Ca2+-activated K+-channels), SMCs (smooth muscle cells), SNP (sodium nitroprusside), TEA (tetraethylammonium chloride), TTX (tetrodotoxin), ωCgTx (omega conotoxin GV1A)
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