The regulation of cytosolic Ca
2+ homeostasis is essential for cells, including vascular smooth muscle cells. Arterial tone, which underlies the maintenance of peripheral resistance in the circulation, is a major contributor to the control of blood pressure. Diuretics may regulate intracellular Ca
2+ concentration ([Ca
2+]
i) and have an effect on vascular tone. In order to investigate the influence of diuretics on peripheral resistance in circulation, we investigated the alteration of [Ca
2+]
i in testicular arterioles with respect to several categories of diuretics using real-time confocal laser scanning microscopy. In this study, hydrochlorothiazide (100 μM) and furosemide (100 μM) had no effect on the [Ca
2+]
i dynamics. However, when spironolactone (300 μM) was applied, the [Ca
2+]
i of smooth muscles increased. The response was considerably inhibited under either extracellular Ca
2+-free conditions, the presence of Gd
3+, or with a treatment of diltiazem. After the thapsigargin-induced depletion of internal Ca
2+ store, the spironolactone-induced [Ca
2+]
i dynamics was slightly inhibited. Therefore, the spironolactone-induced dynamics of [Ca
2+]
i can be caused by either a Ca
2+ influx from extracellular fluid or Ca
2+ mobilization from internal Ca
2+ store, with the former being dominant. As tetraethylammonium, an inhibitor of the K
+ channel, slightly inhibited the spironolactone-induced [Ca
2+]
i dynamics, the K
+ channel might play a minor role in those dynamics. Tetrodotoxin, a neurotoxic Na
+ channel blocker, had no effect, therefore the spironolactone-induced dynamics is a direct effect to smooth muscles, rather than an indirect effect via vessel nerves.
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