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ACKNOWLEDGEMENTS
This work was supported by a Grant-Aid for Special Purposes (23592371 and 26462445) from the
Japan Society for the Promotion of Science. We thank Prof. Alexaj Verkhratsky, University of
Manchester, for proofreading the manuscript and useful discussion. Noriko Hakota and Eriko
Gunshima assisted with experiments. Dr. Hirofumi Koga, Dr. Hiroyuki Nomura and Mrs. Ikumi
Takeuchi cooperated to obtain tissue from patients at Harasanshin Hospital. The English in this
document has been checked by at least two professional editors, both native speakers of English. For a
certificate, please see: http://www.textcheck.com/certificate/X06oxy
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FIGURE LEGENDS
Figure 1
Effects of cAMP on contraction induced by cumulative [Ca2+]i addition in α-toxin permeabilized
human detrusor smooth muscle.
Representative traces obtained from α-toxin permeabilized human detrusor smooth muscle following
the cumulative addition of Ca2+ in the absence (A) and presence (B) of 100 μM cAMP are shown. The
mean concentration-response curves for tension force to [Ca2+]i without (open circle) and with (filled
circle) 100 μM cAMP are shown in C. The tension force is expressed in a relative manner; the tension
force obtained at 3 μM [Ca2+]i is normalised as 100%. Error bars indicate means ± SD. Asterisks
indicate a significant difference (P < 0.05; N = 3, n = 6).
Figure 2
Effects of cyclic adenosine monophosphate (cAMP), forskolin (FSK) and rolipram on
Ca2+-induced contraction in α-toxin permeabilized human detrusor smooth muscle (DSM).
Representative traces demonstrate the effects of 100 μM cAMP (A), 10 μM FSK (B), and 10 μM
rolipram (C) on 1 μM [Ca2+]i-induced contraction in intact human detrusor smooth muscle. Graph
summarises the relaxation effect of cAMP, FSK and rolipram. The maximum tension force at 1 μM
[Ca2+]i was normalised as 100%. Columns represent means ± SD (N = 3 - 5, n = 6 - 20) (D).
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Figure 3
Effects of cAMP on Ca2+ sensitisation induced by guanosine-5'-triphosphate (GTP) plus
carbachol (CCh) in the absence and presence of AF-DX116 or
4-diphenylacetoxy-N-methyl-piperidine methiodide (4-DAMP) in α-toxin permeabilized human
detrusor smooth muscle.
Representative traces show the effects of 100 μM cAMP addition on Ca2+ sensitisation induced by
GTP plus CCh in the absence or presence of 1 μM AF-DX (A) and 1 μM 4-DAMP (B) in α-toxin
permeabilized human detrusor smooth muscle. Graph summarises the relaxation effect of cAMP with
(N = 3, n = 11) or without AF-DX (N = 3, n = 11) and 4-DAMP (N = 3, n = 10). Columns represent
means ± S.E. Only P values indicative of significance are presented.
Figure 4
Effects of cAMP on Ca2+ sensitisation induced by GTP plus carbachol (CCh) in the absence and
presence of Y-27632 or GF109203X in α-toxin permeabilized human detrusor smooth muscle.
Representative traces show the effects of 100 μM cAMP on Ca2+ sensitisation induced by 100 μM
GTP and 10 μM CCh in the absence or presence of 10 μM Y-27632 (Aa) or GF-109203X (Ba) in
α-toxin permeabilized human detrusor smooth muscle. Each graph shows the relationship between the
relaxation effect of 100 μM cAMP and the developed tension force induced by Ca2+ sensitisation (100
μM GTP and 10 μM CCh) obtained from each skinned fibre. The developed tension force induced by
GTP and CCh, and the cAMP-induced relaxation values are expressed in a relative manner; Ca2+ (1
μM)-induced tension force is normalised as 1.0. The relative values before (open circle) and after
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(filled circle) application of 10 μM Y-27632 (Ab) or 10 μM GF-109203X (Bb) obtained from the
same strip were plotted and connected with lines since Ca2+ sensitisation-enhancement by GTP plus
CCh varies among individual detrusor strips (21). Inner graphs demonstrate the relative value average
before and after application of Y-27632 or GF-109203X. Asterisks indicate significant differences
within the same strip, as compared with its own control. (Y-27632, N = 3, n = 8, P = 0.0011;
GF-109203X, N = 3, n = 6, P = 0.015).
Figure 5
Effects of cAMP on tension force induced by sphingosylphosphorylcholine (SPC), phorbol 12,13
dibutyrate (PDBu) or calyculin A in α-toxin permeabilized human detrusor smooth muscle.
Representative traces show the effects of 100 μM cAMP on tension force activated by 1 μM SPC (A),
1 μM PDBu (B) or 1 μM calyculin A (C) at 1 μM [Ca2+]i in α-toxin permeabilized human detrusor
smooth muscle. (D) The graph summarises normalised cAMP-induced relaxation following
augmentation by 1 μM SPC (N = 5, n = 21), 1 μM PDBu (N = 4, n = 16) or 1 μM calyculin A (N = 2,
n = 8). Columns represent means ± SE.
Figure 6
Effects of cAMP on Ca2+-induced contraction in the presence of a protein kinase A (PKA)
inhibitor, calmodulin antagonist, or PI3K inhibitor in α-toxin permeabilized human detrusor
smooth muscle.
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Representative traces show the effects of 100 μM cAMP on 1 μM Ca2+-induced contraction in the
presence or absence of 10 μM H-89 (A), 100 μM W-7 (B) or 10 μM LY-294002 (C) in α-toxin
permeabilized human detrusor smooth muscle. Graph shows the relative cAMP-induced relaxation
value following 10 μM H-89 (slashed column; N=4, n=8), 100 μM W-7 (dotted column; N = 4, n = 8)
or 10 μM LY-294002 (open column; N = 3, n = 6). Relaxation without any reagents (control; filled
column) is normalised as 100%. Columns represent means ± SE. Only P values indicative of
significance are presented.
Figure 7
Effects of cAMP analogues on Ca2+-induced contraction in α-toxin permeabilized human
detrusor smooth muscle.
Representative traces show the effects of 100 μM cAMP (Aa), 100 μM 6Bnz-cAMP (Ab) and 100
μM 8pCPT-2’-O-Me-cAMP (Ac) on 1 μM Ca2+-induced contraction, and the effects of 100 μM
6Bnz-cAMP (Ba) and 100 μM 8pCPT-2’-O-Me-cAMP (Bb) on Ca2+ sensitisation (100 μM GTP plus
10 μM CCh at fixed 1 μM [Ca2+]i) in α-toxin permeabilized human detrusor smooth muscle. Columns
show the relaxation effects of cAMP (filled column), 6Bnz-cAMP (slashed column) and
8pCPT-2’-O-Me-cAMP (open column) in C. Columns represent means ± SE. The relaxation effect of
6Bnz-cAMP was insignificant compared with the relaxation effect of cAMP (P = 0.32 on 1 μM
Ca2+-induced contraction; N = 5, n = 18, P = 0.075 on Ca2+ sensitisation; N = 4, n = 11). In contrast,
the relaxation effect of 8pCPT-2’-O-Me-cAMP was significantly different compared with the
relaxation effect of cAMP (P < 0.0001 on 1 μM Ca2+-induced contraction; N = 4, n = 17, P = 0.00017
on Ca2+ sensitisation; N = 5, n = 19).
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Figure 8
Western blot examination of exchange protein activated by cAMP (Epac)1, Epac2, Ras-related
protein 1 (Rap1) and Ras-related C3 botulinum toxin substrate 1 (Rac1) in human detrusor
smooth muscle. Various mouse organs (brain, pancreas, kidney and detrusor smooth muscle) were
used as positive and negative controls. Arrows indicate the expected molecular weights (MW) of
target proteins.
Figure 9
Schematic diagram illustrating plausible mechanisms underlying the relationship between cAMP and
a Ca2+ sensitisation-related kinase.; FSK, forskolin
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Table 1
chemical reagents
principle action
A-23187
Ca2+ ionophore
AF-DX116
selective muscarinic receptor 2 (M2) inhibitor
6-Bnz-cAMP
selective protein kinase A (PKA) activator
calyculin A
myosin light chain phosphatase (MLCP) inhibitor
carbachol (CCh)
selective muscarinic receptor agonist
cyclopiazonic acid (CPA)
inhibitor of endo-(or sarco-)plasmic reticulum Ca2+-ATPase
4-DAMP
selective muscarinic receptor 3 (M3) inhibitor
dibutyryl-cAMP
membrane-permeable cAMP
forskolin
adenylyl cyclase activator
GF-109203X
selective protein kinase C (PKC) inhibitor
H-89
selective protein kinase A (PKA) inhibitor
LY-294002
selective phosphoinositide 3 kinase (PI3K) inhibitor
8-pCPT-2’-O-Me-cAMP
selective Epac activator
phorbol 12, 13-dibutyrate (PDBu)
selective protein kinase C (PKC) activator
rolipram
selective phosphodiesterase (PDE) IV inhibitor
sphingosylphosphorylcholine (SPC)
selective rho kniase (ROK) activator
W-7
selective calmodulin inhibitor
Y-27632
selective rho kniase (ROK) inhibitor
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