Constitutively active HCN Channels Constrain Detrusor Excitability and
Modulate Evoked Contractions of Human Bladder
Abstract
BACKGROUND AND PURPOSE: Although expression of
Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels in
bladder is reported, their functional role remains unsettled. Here, we
immunolocalized the expression of HCN1 and HCN4 subtype in human bladder
and investigated their functional significance. EXPERIMENTAL APPROACH:
Bladder procured from ten human organ donors were dissected into mucosa
(containing urothelium and submucosa) and detrusor for double
immunofluorescence of HCN with markers and isometric tension recordings.
Mucosa intact and denuded detrusor strips were stretched to a basal
tension of 10 mN for eliciting either tetrodotoxin (TTX) resistant
spontaneous contractions or TTX sensitive electrical field stimulated
(EFS) evoked contractions or carbachol evoked contractions before and
after the addition of HCN blocker, ZD7288 or activator, Lamotrigine. KEY
RESULTS: Double immunofluorescence revealed prominent immunolocalization
of HCN1 and HCN 4 subtype with calcitonin gene related peptide (CGRP),
choline acetyl transferase and gap junction proteins in mucosa and
detrusor. Removal of mucosa significantly enhanced the basal tension and
the spontaneous contractions upon cumulative addition of ZD7288 but not
with Lamotrigine (p<0.05). ZD7288[10nM] did not influence
the carbachol response, but in presence of Neostigmine [1µM],
significantly enhanced the atropine and TTX sensitive EFS contractions
of mucosa intact strips. CONCLUSION & IMPLICATIONS: Overall, HCN
channels immunolocalized in mucosa, smooth muscle, gap junctions and
nerve fibers exert a tonic constraint on detrusor excitability, enable
spatio-temporal integration of evoked contraction and constrain the
release of neurotransmitters, respectively. In contrast to the pacemaker
role in other organs, findings argue for a non-pacemaking role of HCN
channels in bladder.