. Spontaneous electrical rhythmicity and the role of the sarcoplasmic reticulum in the excitability of guinea pig gallbladder smooth muscle cells. Am J Physiol Gastrointest Liver Physiol 290: G655-G664, 2006. First published November 17, 2005 doi:10.1152/ajpgi.00310.2005.-Spontaneous action potentials and Ca 2ϩ transients were investigated in intact gallbladder preparations to determine how electrical events propagate and the cellular mechanisms that modulate these events. Rhythmic phasic contractions were preceded by Ca 2ϩ flashes that were either focal (limited to one or a few bundles), multifocal (occurring asynchronously in several bundles), or global (simultaneous flashes throughout the field). Ca 2ϩ flashes and action potentials were abolished by inhibiting sarcoplasmic reticulum (SR) Ca 2ϩ release via inositol (1,4,5)-trisphosphate [Ins(1,4,5)P 3] channels with 2-aminoethoxydiphenyl borate and xestospongin C or by inhibiting voltage-dependent Ca 2ϩ channels (VDCCs) with nifedipine or diltiazem or nisoldipine. Inhibiting ryanodine channels with ryanodine caused multiple spikes superimposed upon plateaus of action potentials and extended quiescent periods. Depletion of SR Ca 2ϩ stores with thapsigargin or cyclopiazonic acid increased the frequency and duration of Ca 2ϩ flashes and action potentials. Acetylcholine, carbachol, or cholecystokinin increased synchronized and increased the frequency of Ca 2ϩ flashes and action potentials. The phospholipase C (PLC) inhibitor U-73122 did not affect Ca 2ϩ flash or action potential activity but inhibited the excitatory effects of acetylcholine on these events. These results indicate that Ca 2ϩ flashes correspond to action potentials and that rhythmic excitation in the gallbladder is multifocal among gallbladder smooth muscle bundles and can be synchronized by excitatory agonists. These events do not depend on PLC activation, but agonist stimulation involves activation of PLC. Generation of these events depends on Ca 2ϩ entry via VDCCs and on Ca 2ϩ mobilization from the SR via Ins(1,4,5)P3 channels. calcium transients; gallbladder motility; slow waves; action potentials THE GALLBLADDER, which is derived from the foregut, differs from the gastrointestinal (GI) tract in the structural organization of its wall musculature (1) and motor patterns. The gallbladder muscularis propria is composed of a single layer in which gallbladder smooth muscle (GBSM) occurs in interdigitating bundles of variable sizes that either converge, diverge, or overlap and are separated by variable amounts of connective tissue. The architectural and topographical organization is nonuniform regionally; interdigitation between bundles does not present a specified pattern and some bundles extend into the submucosal layer. Unlike the gut, the gallbladder is a tonic, compliant organ that is capable of storing a large volume of bile that is released postprandially after appropriate neurohumoral stimulations (20,21). While the gallbladder functions as a tonic organ, the membranes of individual GBSM cell...