Regulation of colonic propulsion by enteric excitatory and inhibitory neurotransmitters. Foxx-Orenstein, A. E., and J. R. Grider. Departments of Medicine and Physiology, Medical College of Virginia, Richmond, Virginia 23298-0711
APStracts 3:0055G, 1996.
The contribution of excitatory and inhibitory motor neurotransmitters to colonic propulsion was examined in isolated segments of guinea pig colon. Synthetic fecal pellets were inserted at the proximal end of the segment and the velocity of pellet propulsion across a fixed distance was measured in the presence and absence of selective neurotransmitter antagonists. Control velocity (0.97+/-0.02 mm/s) was inhibited in a concentration-dependent fashion by atropine and the NK-2a antagonist, MEN-10,376 (IC50 1[mu]M; maximal inhibition 98+/ -1%). The NK-1 antagonist, GR-82,334 (10 [mu]M) also inhibited velocity by 65+/-9%, consistent with involvement of acetylcholine, NKA (NK-2 agonist) and SP (NK-1 agonist) in the contractile components of the peristaltic reflex. Velocity was also inhibited in a concentration-dependent fashion by the NOS inhibitor, L-NNA (IC50 1 [mu]M; maximal inhibition 96+/-2%), and by the VIP antagonist, VIP10 -28 (IC50 30 nM; maximal inhibition 64+/-6%) consistent with involvement of both NO and VIP in descending relaxation of circular muscle and contraction of longitudinal muscle. A combination of threshold concentrations of L-NNA and the NK-2a antagonist was synergistic (53+/-7% inhibition). The potentiation implied that the ascending and descending phases were functionally coupled in series. We conclude that blockade of neurotransmitters that mediate either phase of the peristaltic reflex inhibits colonic propulsive activity. Serial coupling of the phases leads to synergism between inhibitors, a condition of potential therapeutic importance.

Received 18 September 1995; accepted in final form 26 February
1996.
APS Manuscript Number G414-5.
Article publication pending Am. J. Physiol. (Gastrointest. Liver
Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 21 March 96