Effects of ions and drugs on cell membrane activity and tension in the postpartum rat myometrium

Modeling and experimental approaches for elucidating multi-scale uterine smooth muscle electro- and mechano-physiology: A review

The uterus provides protection and nourishment (via its blood supply) to a developing fetus, and contracts to deliver the baby at an appropriate time, thereby having a critical contribution to the life of every human. However, despite this vital role, it is an under-investigated organ, and gaps remain in our understanding of how contractions are initiated or coordinated. The uterus is a smooth muscle organ that undergoes variations in its contractile function in response to hormonal fluctuations, the extreme instance of this being during pregnancy and labor. Researchers typically use various approaches to studying this organ, such as experiments on uterine muscle cells, tissue samples, or the intact organ, or the employment of mathematical models to simulate the electrical, mechanical and ionic activity. The complexity exhibited in the coordinated contractions of the uterus remains a challenge to understand, requiring coordinated solutions from different research fields. This review investigates differences in the underlying physiology between human and common animal models utilized in experiments, and the experimental interventions and computational models used to assess uterine function. We look to a future of hybrid experimental interventions and modeling techniques that could be employed to improve the understanding of the mechanisms enabling the healthy function of the uterus.

The role of cellular coupling in the spontaneous generation of electrical activity in uterine tissue

The spontaneous emergence of contraction-inducing electrical activity in the uterus at the beginning of labor remains poorly understood, partly due to the seemingly contradictory observation that isolated uterine cells are not spontaneously active. It is known, however, that the expression of gap junctions increases dramatically in the approach to parturition, by more than one order of magnitude, which results in a significant increase in inter-cellular electrical coupling. In this paper, we build upon previous studies of the activity of electrically excitable smooth muscle cells (myocytes) and investigate the mechanism through which the coupling of these cells to electrically passive cells results in the generation of spontaneous activity in the uterus. Using a recently developed, realistic model of uterine muscle cell dynamics, we investigate a system consisting of a myocyte coupled to passive cells. We then extend our analysis to a simple two-dimensional lattice model of the tissue, with each myocyte being coupled to its neighbors, as well as to a random number of passive cells. We observe that different dynamical regimes can be observed over a range of gap junction conductances: at low coupling strength, corresponding to values measured long before delivery, the activity is confined to cell clusters, while the activity for high coupling, compatible with values measured shortly before delivery, may spread across the entire tissue. Additionally, we find that the system supports the spontaneous generation of spiral wave activity. Our results are both qualitatively and quantitatively consistent with observations from in vitro experiments. In particular, we demonstrate that the increase in inter-cellular electrical coupling observed experimentally strongly facilitates the appearance of spontaneous action potentials that may eventually lead to parturition.

A computational model of the ionic currents, Ca2+ dynamics and action potentials underlying contraction of isolated uterine smooth muscle

Uterine contractions during labor are discretely regulated by rhythmic action potentials (AP) of varying duration and form that serve to determine calcium-dependent force production. We have employed a computational biology approach to develop a fuller understanding of the complexity of excitation-contraction (E-C) coupling of uterine smooth muscle cells (USMC). Our overall aim is to establish a mathematical platform of sufficient biophysical detail to quantitatively describe known uterine E-C coupling parameters and thereby inform future empirical investigations of physiological and pathophysiological mechanisms governing normal and dysfunctional labors. From published and unpublished data we construct mathematical models for fourteen ionic currents of USMCs: currents (L- and T-type), current, an hyperpolarization-activated current, three voltage-gated currents, two -activated current, -activated current, non-specific cation current, - exchanger, - pump and background current. The magnitudes and kinetics of each current system in a spindle shaped single cell with a specified surface area∶volume ratio is described by differential equations, in terms of maximal conductances, electrochemical gradient, voltage-dependent activation/inactivation gating variables and temporal changes in intracellular computed from known fluxes. These quantifications are validated by the reconstruction of the individual experimental ionic currents obtained under voltage-clamp. Phasic contraction is modeled in relation to the time constant of changing . This integrated model is validated by its reconstruction of the different USMC AP configurations (spikes, plateau and bursts of spikes), the change from bursting to plateau type AP produced by estradiol and of simultaneous experimental recordings of spontaneous AP, and phasic force. In summary, our advanced mathematical model provides a powerful tool to investigate the physiological ionic mechanisms underlying the genesis of uterine electrical E-C coupling of labor and parturition. This will furnish the evolution of descriptive and predictive quantitative models of myometrial electrogenesis at the whole cell and tissue levels.

Physiology of myometrial function: intercellular coupling and its role in uterine contractility

The mammalian uterus is composed of a preponderance of small smooth muscle cells usually aligned in two layers. The number of muscle cells in the human uterus at term is estimated at 200 billion, each minute fusiform cell measuring about 5–10μm in diameter and about 200μm in length. The main function of the uterus is to harbour the developing fetus during pregnancy and then to contract vigorously during labour to expel the products of conception. In order for the uterus to contract rhythmically and forcefully, a mechanism must exist to allow interaction between muscle cells in order to achieve synchronous activity. Phasic or cyclical patterns of contractile activity of the uterus cannot be accounted for by stimulation or inhibition from the nervous or endocrine systems. Since myometrial cells are dependent upon action potentials for their contractile processes, some system must be present between the muscle cells for the propagation of action potentials between them. The observation that gap junctions occur in large numbers between myometrial cells during parturition is thought to be significant in this regard and they are considered to play an essential role in parturition and in the control and co-ordination of uterine contractility. In this brief review, we will discuss the role of gap junctions in the modulation of myometrial contractility and the mechanisms that regulate their synthesis and permeability.

On the contractile activity and reactivity of sheep myometrial strips in juvenile, anoestral and gravid periods

Spontaneous contractions of uterine muscle strips from juvenile, anoestral and pregnant sheep were recorded in vitro isometrically. There is a spontaneous contractile activity irrespective of hormonal status of the animals. Acetylcholine increases the tone and frequency of the phasic contractions of uterine corpus and horn preparations from the three groups of animals. The adrenaline excitatory effect on the myometrial contractions was mediated by alpha-adrenoreceptors. The pregnant uterine strips showed strengthening of the inhibitory effect mediated by the beta-adrenoreceptors.

Effects of histamine, high potassium and carbachol on 42K efflux from longitudinal muscle of guinea-pig intestine

1. Shortening and rate of loss of (42)K were studied in strips of longitudinal muscle taken from guinea-pig ileum.2. Carbachol, histamine and raising the external potassium concentration, [K(+)](o), to 120 mm in the presence of atropine caused equal maximal shortenings of the muscle, but unequal maximal increases in (42)K efflux: maximal (42)K effluxes obtainable in response to raised [K(+)](o) and histamine were about (2/3) and (1/3) respectively of the maximal efflux in response to carbachol. In the absence of atropine the increase in (42)K efflux produced by 120 mm-[K(+)](o) was about 50% larger, probably because of the release of acetylcholine from nerve endings in the tissue.3. If inhibitors of histamine metabolism were applied, or a H(2)-receptor blocker (cimetidine), the maximum (42)K efflux produced by histamine was not increased. An analogue of histamine reputed to resist metabolic degradation did not produce a larger increase in (42)K efflux than histamine. The smaller maximal effect of histamine on (42)K efflux than carbachol may be because it can open fewer ion channels in the smooth muscle membrane.4. The ratio of the concentrations producing 50% maximal shortening and 50% maximal (42)K efflux was about 1:1.3 for raised [K(+)](o) but about 1:20 for histamine and carbachol. Depolarization by raising [K(+)](o) appears to be less effective in causing tension development than similar depolarizations produced by carbachol or histamine.5. The relative effects of carbachol, histamine and raised [K(+)](o) were discussed in the light of their similar depolarizing actions. Increases in (42)K efflux did not appear to be caused primarily either by contraction or by depolarization of the muscle. Access of the stimulant to cells and receptors other than those which are superficially situated was suggested as being an important factor in deciding the smaller increase in (42)K efflux seen with some stimulants. Histamine receptors may be fewer in number than muscarinic receptors and less able in their activated form to open channels through which potassium ions can escape.

Ouabain-sensitive thallium fluxes in smooth muscle of rabbit uterus

1. Rabbit myometrium accumulates Tl in a time-dependent fashion and the majority of the uptake of Tl is ouabain-sensitive. 2. In normal chloride-containing media, the uptake of Tl, though ouabain-sensitive, is less than in chloride-free media and this difference is due to a greater ouabain-insensitive uptake. 3. The ouabain-insensitive uptake in normal chloride-containing media is reduced by furosemide and furosemide also reduces total uptake in this solution. In chloride-free media, however, furosemide is without effect on total or ouabain-sensitive uptake. 4. In chloride-free media, the uptake of Tl against Tl concentration is sigmoidal, suggesting that more than one Tl ion is being transported at a time. 5. Tl was capable of substituting for K in electrogenic Na pumping; it was approximately twice as effective as K and the inhibitory effect of Tl was blocked by ouabain. 6. Tl efflux can be explained by a simple two-compartment model in both normal and chloride-free solutions. 7. The uptake of Tl was inhibited by alkali cations with the order of potency being Tl+ > K+ > Rb+ > Cs+ at 10 mM and Tl+ > K4 = Rb+ > Cs+ at 5 mM ion concentrations. 8. It is concluded that Tl enters the smooth muscle of rabbit uterus by diffusion, active ouabain-sensitive transport and active chloride- and furosemide-sensitive transport.

Electrophysiological study of the action of angiotensin II on the rat myometrium

Angiotensin II (A II) produces a contraction of visceral and vascular smooth muscles of different species. The accompanying electrophysiological changes were measured on strips of rat myometrium at 35 degrees C using the double sucrose-gap technique. A II at concentrations from 5 x 10(-10) to 10(-6)M produces a depolarization and an increase in membrane conductance. This increase in membrane conductance is not membrane potential dependent since it is observed even when the membrane potential is maintained at the resting level. When all Na + in the test solution is replaced by either Li + or Mg (2+), the depolarizing effect of 10(-6)M A II is either markedly reduced or abolished. Under these conditions, A II produces a small initial hyperpolarization, which is modified by external potassium concentration changes and abolished by tetraethylammonium chloride. When all Cl- is replaced by either NO (-3) or cyclohexanesulfamate, A II (10(-6) M) still produces a 20-m V depolarization. The removal of extracellular Ca (2+) or K+ does not have any effect on the depolarizing action of A II, which also is not changed by 10(-3) M ouabain. In conclusion, A II produces a depolarization of the uterine smooth muscle membrane through an increase in the membrane conductance to Na+. The membrane conductance to potassium is increased simultaneously. The contraction induced by A II shows two components: a phasic component triggered by the Ca (2+) entry associated with spike production and a tonic component due to the release of Ca(2+) from intracellular stores.

Activation of contraction of arterial smooth muscle in the presence of nitrate and other anions

Contraction strength was measured in ear artery and aorta of the rabbit and coronary artery of the pig during replacement of chloride with anions of the lyotrophic series. Contractions induced by depolarization with elevated external potassium were potentiated in the presence of foreign anions, while those induced by noradrenaline were affected only at higher concentrations of the drug. Drug induced contractions in calcium-free solutions were not affected by the anions. In the presence of nitrate and excess K the change of membrane potential per tenfold change in (K)o was 56mV in chloride and 50 mV in nitrate solution. Enhancement of contraction strength by nitrate was not associated with alterations in membrane potential. Stimulation of aorta with 29.5 mM K resulted in a larger net uptake of 45Ca in nitrate than in chloride. K-stimulated 45Ca efflux was greater in the ear artery in NO3 solution than Cl solution while 45Ca efflux induced by noradrenaline was not effected by anion replacement. These results suggest that in these arteries anions potentiate contraction by enhancing the influx of external calcium, and do not modify the release of internal stores of calcium.

Ionic fluxes in rat uterine smooth muscle

1. The K+, Na+ and Cl-fluxes from the oestrogen-stimulated rat uterine smooth muscle were measured using radioactive tracers. 2. The cellular compartment contained a concentration of K+ of 173-6 mM which exchanged at a rate of 5-9 x 10(-12) mol.cm-2.sec-1. 3. Cl- exchanged at a rate of 6-9 x 10(-12) mol.cm-2.sec-1 from a cellular compartment having a concentration of 39-3 mM. 4. The methods used for the evaluation of Na+ movements over-estimate both influx and efflux values. If an average value of flux of 9-2 x 10(-12) mol.cm-2.sec-1 is considered we obtain PNa+/PK+ ratios of 2-4 (-42 mV) or 1-3 (-57-6 mV), which are too high and do not correspond to electrophysiological evidence. 5. The relative permeabilities PCl-/PK+ in the case of a membrane potential of -42-0 mV could be 0-8, or 1-3 in the case of a membrane potential of -57-6 mV. 6. Both conductances GK+ and GCl- seem to play an important role in determining membrane conductance.

The effect of histamine on the electrical activity of rat uterus

Histamine produces a reduction in the spike frequency and the degree of depolarization which accompany spontaneous and induced contractions of rat uterus. Concentrations of 0.5 mug/ml can cause complete inhibition of both mechanical and electrical activity without producing any change in the resting membrane potential. Concentrations as high as 100 mug/ml cause no appreciable change in membrane potential.

Effects of changing the ionic environment on passive and active membrane properties of pregnant rat uterus

1. In pregnant rat myometrium electrotonic potentials, produced by externally applied current, were recorded intracellularly.2. The space constant, lambda, was 1.8 mm, the time constant, tau(m), 120 msec. The values obtained on the 7th day and on the 20th day of pregnancy were the same.3. The magnitude of the electrotonic potential and the time constant of the membrane were increased in the absence of potassium from the external solution and decreased by excess potassium.4. The magnitude of the electrotonic potential and the time constant of the membrane were increased by the replacement of chloride with C(6)H(5)SO(3) (-) or SO(4) (2-), and decreased with NO(3) (-) or I(-) replacement.5. When the sodium chloride was replaced with sucrose (16.7 mM sodium remaining in the buffers) the spontaneous spikes deteriorated and activity stopped within 30 min. However, for periods up to 4 hr, a spike of larger amplitude and faster rate of rise than in normal solution could be evoked when a depolarizing current was applied.6. When the external calcium concentration was raised (5 and 10 mM) the amplitude and the rate of rise of the evoked spike were increased. They were decreased by reducing calcium. In zero calcium spontaneous activity stopped within 15 min.7. The effects of calcium deficiency were much less marked and slower in onset when, simultaneously, the sodium concentration was reduced to 16.7 mM.8. When calcium was replaced with strontium (2.5 mM), the membrane was depolarized and the duration of the spontaneous and evoked action potential was prolonged, mainly due to a slowed rate of repolarization. When the concentration of strontium was raised to 7.5 or 12.5 mM the membrane was hyperpolarized, the duration of the action potential became short and the amplitude of the spike was increased.9. Addition of barium or the replacement of calcium with barium caused depolarization and oscillatory membrane activity. However, a spike could be evoked by applying conditioning hyperpolarization.10. Manganese abolished the spontaneous and evoked spike. Tetrodotoxin had no effect.11. The results show that rat uterus has cable-like properties. The action potential may be due to calcium entry, while sodium, by influencing the membrane potential in competition with calcium, may be involved in the spontaneous spike generation and the spread of excitation.

Electrophysiological actions of oxytocin on the rabbit myometrium

The electrical activities of myometrial cells of the pregnant rabbit uterus have been studied by means of sucrose-gap and intracellular micro-electrode recording techniques. The resting potential of the myometrial cell was about -50 mv, and it is unaffected by the duration of pregnancy or placental attachment. Action potentials of the myometrium, although dependent on external Na(+), were not always of the regenerative type; preparations from nonparturient uteri often produce mainly small spikes. The mean spike amplitude was 35 mv, rising at a mean maximum rate of 3 v/sec. Oxytocin, in concentrations less than 500 microU/ml, increased the mean spike amplitude to 48 mv and the mean maximum rate of rise to 7 v/sec, without affecting the resting potential. The relation between membrane potential and dV/dt of the spike was steepened by oxytocin, suggesting that oxytocin increased the number of normally sparse sodium gates in the myometrial membrane. By this action, oxytocin is believed to increase the probability of successful regenerative spikes and thereby initiate electrical activity in quiescent preparations, increase the frequency of burst discharges, the number of spikes in each burst, and the amplitude of spikes in individual cells.

Electrophysiological study of the intestinal smooth muscle of the guinea-pig

The membrane properties of single cells of intestinal smooth muscle of duodenum, jejunum, ileum, caecum and rectum of guinea-pig have been studied.1. The membrane potentials of longitudinal muscles of the duodenum, jejunum, ileum, caecum and rectum varied from 54 to 56 mV and those of circular muscles of jejunum, ileum, caecum and rectum varied from 57 to 60 mV. The ablated longitudinal muscle had a slightly lower value (50 mV) than the intact one.2. The longitudinal muscle generated spontaneous discharges but these were rare in the circular muscles of the intestine except for the caecum. Overshoot potentials could be observed in all regions of the intestine. The maximum rate of rise of the spontaneously discharging longitudinal muscles varied from 11 to 18 V/sec.3. Not all of the slow potential changes (but at least some) were generated by the nervous elements distributed between the muscle layers and in them.4. The conduction velocities measured from the longitudinal muscles of jejunum and rectum in the presence of tetrodotoxin were 2.1 cm/sec and 4.0 cm/sec respectively.5. Chronaxies of the longitudinal muscles of jejunum and rectum were 2-5 msec and 5-18 msec respectively.6. Intracellular stimulation of the single cells of the duodenum and caecum could trigger a spike, similar to that observed in the taenia coli. The spikes were mostly graded ones; a spike of full size was rarely elicited. When the spikes were triggered, the after-hyperpolarization appeared consistently presumably caused by the increased potassium conductance.7. The effective membrane resistance and the time constant were measured for the longitudinal muscles of the jejunum and rectum. When spikes were generated by intracellular stimulation the observed values were 40-50 MOmega and 3-5 msec in both tissues. These values were the same as those observed in the taenia coli.8. When the time constant of the membrane was measured by the extracellular polarizing method, the longitudinal muscles of the jejunum especially and the rectum had smaller time constants than the taenia coli.9. The differences of conduction velocity and chronaxie of the different regions of the intestine are discussed in relation to the cable properties of the tissues which are directly influenced by the morphological arrangements of the tissues.