This thesis focuses on elucidating the electrical mechanisms underlying excitation of small intestinal and colonic smooth muscle initiated by interstitial cells of Cajal (ICC). All the ICC subtypes are involved in the orchestration, generation, and/or transmission of electrical signals to smooth muscle to pace gut motor patterns. Some ICC types have intrinsic activity leading to omnipresent rhythmic changes in smooth muscle excitability; others respond to stimuli, inducing pacemaker activity as required. Together they orchestrate motor patterns such as propulsion and segmentation, essential functions of the gut. To study ICC electrophysiology, I utilized patch clamping to record ion channel currents from single intestinal ICC and sharp microelectrodes to record colonic smooth muscle membrane potentials. I have made several discoveries contributing to our understanding of ICC electrophysiology. Firstly, my research increased our understanding of the properties of intrinsic pace-maker activity. I showed that maxi Cl– channels from small intestinal ICC make a significant contribution to slow wave depolarization triggered by intracellular calcium. Secondly, I showed that colonic intramuscular ICC (ICC-IM) selectively express KV7.5 channels, which are suppressed by cholinergic agonists, meaning that excitatory stimuli triggering acetylcholine release deactivate KV7.5 channels, leading to increased excitability. Thirdly, I have shown that the bile acid chenodeoxycholic acid and the nitric oxide donor sodium ni-troprusside both induce pacemaker activity, rhythmic transient depolarisations in mouse colonic muscle, which led to the hypothesis that nitrergic nerves are involved in generating inducible myenteric plexus ICC (ICC-MP) pacemaker activity. It is only when ICC are suitably stimulated by intracellular processes such as rhythmic Ca2+ transients or extracellular signalling from neurotransmitters or small molecules, that ICC produce membrane potential rhythmicity, required for generation of intrinsic slow waves, low-frequency rhythmic transient depolarisations and transmission of excitation into the muscle.

The gut is essential for digestion and absorption of food. The gut has special cells called interstitial cells of Cajal (ICC), which control the contractions of the gut muscle. ICC are pacemaker cells, like those that pace heart beats. To pace gut muscle contractions, ICC generate electrical signals which cause the muscle to contract in an organized rhythmic manner, which promotes mixing or propulsion of gut contents, called motility. I used tiny electrodes to record electrical activity from ICC or gut muscle, to improve our understanding of how ICC pacemaker activity controls motility. My research characterised ion channels, which are microscopic protein pores that allow cells to make electrical currents, that enable generation of pacemaker signals by ICC. I also investigated activation of ICC electrical activity that causes propulsive colonic motility. This will hopefully lead to treatment improvements for patients with motility disorders in the future.

Doctor of Philosophy (PhD)

Thesis