tion varies among smooth muscle tissues [5]. Caffeine has been Abstract The efllux of 45Ca2+ from preloaded intracellular the accepted means with which to identify Ca2+-induced Ca 2+ stores of saponin-permeabilised human uterine artery smooth release (CICR) in many excitable cells, however, both human muscle cultured cells was used to study the mechanisms nnderlyvascular and myometrial smooth muscle cells do not respond ing Ca 2+ release from the sarcoplasmic reticulum (SR). The present paper demonstrates directly a functional Ca 2+ release mechato caffeine with a release of intracellular Ca 2+ [6]. The IP 3 nism that is dependent on an increase in free Ca 2÷ (100 nM-30 receptor can be activated by IP 3 and Ca 2+, and has been shown pM) and is completely inhibited by 20 pM Ruthenium red. The to be inhibited by caffeine in some cells [3]. The IP 3 receptor amount of Ca 2+ released at 30 pM free Ca 2÷ was reduced by is capable of considerable variability in the sensitivity of IP 3-approximately 50% compared to the release at 10 ~M. This induced Ca 2+ release, which may give rise to the phenomenon Ca2+-induced Ca 2+ release (CICR) mechanism was not sensitive of quantal Ca 2+ release [7]. These variations may depend on to caffeine. Exposure of cells to low free Ca2+-containing solureceptor types differently expressed from different gene prodtions (10 nM) indicated that a component of the CICR mechaucts, alternative splicing or from co-expression of different IP 3 nism may be functional at basal free Ca 2+ levels of 100 nM.receptor subtypes in a single cell [8,9]. The inhibitory action of Application of ryanodine (0.1-100 /tM) induced 45Ca2+ efflux caffeine has also been explained by the reduction of IP 3 producfrom the sarcoplasmic retlculum and this release was also inhibited by 20 ~M Ruthenium red.tion in a dose-dependent manner [10]. Parker and Ivorra using Xenopus oocytes found that caffeine inhibited responses to IP3 Key words." CICR; Ryanodine; Saponin; Smooth muscle; and this may be explained by an antagonistic effect of binding Human vascular of IP 3 to its receptor [11]. The RyR has been studied predominantly in cardiac and skeletal muscle and is sensitive to Ca 2+, Mg 2+ and ATP and may be modulated by calmodulin and activated by caffeine [12]. The 1. Introduction physiological role of the RyR in smooth muscle is uncertain, however CICR, which is presumed to be the mechanism of The processes underlying smooth muscle contraction can RyR-induced Ca 2+ release in cardiac tissue [13], has been suginvolve the activation of voltage and receptor operated Ca 2+ gested to occur in skinned smooth muscle [14]. Microspecinflux pathways and the mobilisation of Ca 2÷ from an intraceltrofluorimetry studies using intact myometrial smooth muscle lular Ca 2÷ store, the sarcoplasmic reticulum (SR). In human cells indicate that a ryanodine-sensitive but caffeine-insensitive uterine artery vascular smooth muscle cells agonists such as Ca 2+ release mechanism may be operational [15]. Therefore, to histamine can activate repetit...