Malysz J, Afeli SA, Provence A, Petkov GV. Ethanol-mediated relaxation of guinea pig urinary bladder smooth muscle: involvement of BK and L-type Ca 2ϩ channels. Am J Physiol Cell Physiol 306: C45-C58, 2014. First published October 23, 2013 doi:10.1152/ajpcell.00047.2013.-Mechanisms underlying ethanol (EtOH)-induced detrusor smooth muscle (DSM) relaxation and increased urinary bladder capacity remain unknown. We investigated whether the large conductance Ca 2ϩ -activated K ϩ (BK) channels or L-type voltage-dependent Ca 2ϩ channels (VDCCs), major regulators of DSM excitability and contractility, are targets for EtOH by patch-clamp electrophysiology (conventional and perforated whole cell and excised patch single channel) and isometric tension recordings using guinea pig DSM cells and isolated tissue strips, respectively. EtOH at 0.3% vol/vol (ϳ50 mM) enhanced whole cell BK currents at ϩ30 mV and above, determined by the selective BK channel blocker paxilline. In excised patches recorded at ϩ40 mV and ϳ300 nM intracellular Ca 2ϩ concentration ([Ca 2ϩ ]), EtOH (0.1-0.3%) affected single BK channels (mean conductance ϳ210 pS and blocked by paxilline) by increasing the open channel probability, number of open channel events, and open dwell-time constants. The amplitude of single BK channel currents and unitary conductance were not altered by EtOH. Conversely, at ϳ10 M but not ϳ2 M intracellular [Ca 2ϩ ], EtOH (0.3%) decreased the single BK channel activity. EtOH (0.3%) affected transient BK currents (TBKCs) by either increasing frequency or decreasing amplitude, depending on the basal level of TBKC frequency. In isolated DSM strips, EtOH (0.1-1%) reduced the amplitude and muscle force of spontaneous phasic contractions. The EtOH-induced DSM relaxation, except at 1%, was attenuated by paxilline. EtOH (1%) inhibited L-type VDCC currents in DSM cells. In summary, we reveal the involvement of BK channels and L-type VDCCs in mediating EtOHinduced urinary bladder relaxation accommodating alcohol-induced diuresis. smooth muscle; patch-clamp; contractility; detrusor; alcohol URINARY BLADDER FUNCTION DEPENDS on the contractile status of detrusor smooth muscle (DSM) cells. DSM relaxation allows for bladder expansion during urine storage, whereas its contraction, coupled with the opening of the bladder sphincter, permits urine voiding (3). Multiple ion channels and receptors are expressed in DSM cells regulating bladder function. Among them, the large-conductance voltage-and Ca 2ϩ -activated K ϩ channels (also known as BK, Slo, or K Ca 1.1 channels) and L-type voltage-dependent Ca 2ϩ channels (VDCCs) are recognized as key regulators of excitability and contractility of DSM (44). Supporting data, provided for DSM studies using rat, guinea pig, mouse, and importantly human tissues and cells (5,17,18,22,24,25,46), demonstrate the role of BK channels in the regulation of the resting membrane potential, modulation of the repolarization phase of DSM action potentials, and generation of spontaneous transient BK currents (TBKCs)...