POTENTIATION OF NERVE-INDUCED BLADDER CONTRACTIONS AFTER CALCIUM-CHANNEL BLOCKADE

The potentiation of nerve-induced bladder contractions (NIC) by tetraethylammonium chloride (TEA), K+, or carbachol could result from a greater Ca2+ entry through Ca2+ channels in the muscle or from a greater release of transmitter by nerve terminals. Contractions of equal magnitude by the rat urinary bladder in vitro were initiated by carbachol, K+ or transmural stimulation of urinary bladder motor nerves at 1 Hz. Contractions elicited by K+ or carbachol were drastically reduced by verapamil (0.5 .mu.M), but NICs were unaffected. Thus the role of Ca2+ channels in NICs seems uncertain. NICs are potentiated .apprx. 50% by K+ (15 mM), carbachol (0.5 .mu.M), or 4-aminopyridine (0.2 mM) and over twofold by TEA (5 mM). Although verapamil (1-5 .mu.M) reduced NICs in a dose-dependent relation, potentiation by each compound was the same. Thus Ca2+ channels probably play no role in potentiation. The resistance of the bladder to distention reflects its viscoelasticity and is Ca2+ sensitive. Because viscoelasticity was decreased by verapamil coincident with the reduction in NICs, both may result from lowered intracellular Ca2+ (Cai2+). However, because the potentiating compounds failed to restore bladder viscoelasticity, they probably did not elevate Cai2+. Therefore, in verapamil-treated preparations potentiation is most probably caused by an enhancement of transmitter release.