Pharmacological studies have suggested the existence of ATPsensitive K ϩ (K ATP ) channel as a therapeutic target in urinary bladders; however, electrical properties have not yet been shown. Patch-clamp techniques were applied to investigate the properties of K ATP channels in pig detrusor cells. In whole-cell configuration, levcromakalim, a K ATP channel opener, induced a long-lasting outward current in a concentration-dependent manner. The current-voltage curve of the levcromakaliminduced membrane current intersected at approximately Ϫ80 mV. This current was abolished by glibenclamide. Intracellular application of 0.1 mM GDP significantly enhanced the levcromakalim-induced membrane current, whereas cAMP did not. Furthermore, neurotransmitters related to cAMP signaling, such as calcitonin gene-related peptide, vasointestinal peptide, adenosine, and somatostatin, had little effect on the membrane current. In cell-attached configuration, levcromakalim activated K ϩ channels with a unitary conductance of ϳ12 pS. When the patch configuration was changed to inside-out mode, the K ϩ channel activity ran down. Subsequent application of 1 mM GDP reactivated the channels. The openings of the ϳ12 pS K ϩ channels in the presence of 1 mM GDP was suppressed by ATP and glibenclamide. In reverse transcription-polymerase chain reaction, K ϩ channel pore 6.1 and sulfonylurea receptor (SUR)2A were predominant in pig detrusor cells. The 12 pS K ϩ channel activated by levcromakalim in pig detrusor smooth muscle cells is a K ATP channel. The predominant expression of SUR2A can account for the lack of effect of neurotransmitters related to cAMP.
Kϩ Channels inhibited by intracellular ATP [ATP-sensitive K ϩ (K ATP ) channels] are widely distributed in cells including muscles, neurons, and endocrine cells, allowing the intracellular energy level to be reflected in the membrane potential (Noma, 1983;Cook and Hales, 1984;Spruce et al., 1985;Ashford et al., 1988). In the smooth muscle, the existence of K ATP channels has been shown in single-channel recordings and by use of pharmacological tools, for example, cromakalim and nicorandil (K ATP channel openers) or glibenclamide and tolbutamide (K ATP channel blockers) (Quayle et al., 1997).K ATP channels in smooth muscle cells consist of K ϩ channel pore (Kir)6.1 or -6.2 coupled with sulfonylurea receptors (SUR), forming channels with relatively small conductance (approximately 20 pS) (Isomoto et al., 1996). A well known feature of the smooth muscle K ATP channel is activation by intracellular nucleoside diphosphates (NDP), another index for the intracellular energy level.The functions of the lower urinary tract, such as voiding urine and refilling, are produced by coordinated actions of urinary bladder and urethral smooth muscles. Disharmony of this co-operation is thought to be one of the causes of bladder incontinence (Mostwin, 2002;Brading, 2006). Because pharmacological studies had suggested the existence of K ATP channels in the lower urinary tract smooth muscle, Article, publ...