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Tachykinins Influence Interdigestive Rhythm and Contractile Strength of Human Small Intestine

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Abstract

The effect of the putative entericneurotransmitters neurokinin A and substance P wereinvestigated on human small intestinal motility. Eitherneurokinin A, at doses of 6-25 pmol/kg/min, or substanceP at doses of 1- 6 pmol/kg/min were administeredintravenously to healthy volunteers over 4 hr.Neurokinin A dose-dependently increased the fraction ofphase II of the migrating motor complex, contraction frequency, motility index, and amplitude ofcontractions. At the highest dose, neurokinin A induceda phase II-like pattern, disrupting the migratingmyoelectric complex. Substance P dose-dependentlyincreased phase II of the migrating motor complex. Thecontraction frequency increased slightly at the highestdose, but neither motility index nor contractionamplitude changed. It is concluded that neurokinin A and substance P stimulate small intestinalmotility in man, and it can be speculated that they playa role in the control of human small intestinalmotility.

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REFERENCES

  1. Erspamer V: The tachykinin peptide family. Trends Neurosci 4:267–269, 1981

    Google Scholar 

  2. Barthó L, Holzer P: Search for a physiological role of substance P in gastrointestinal motility. Neuroscience 16:1–32, 1985

    Google Scholar 

  3. Barthó L, Holzer P, Donnerer J, Lembeck F: Evidence for the involvement of substance P in the atropine-resistant peristalsis of the guinea-pig ileum. Neurosci Lett 32:69–74, 1982

    Google Scholar 

  4. Costa M, Furness JB, Pullin CO, Bornstein J: Substance P enteric neurons mediate non-cholinergic transmission to the circular muscle of the guinea-pig intestine. Naunyn Schmiedeberg's Arch Pharmacol 328:446–453, 1985

    Google Scholar 

  5. Holzer P: Ascending enteric reflex: Multiple neurotransmitter systems and interactions. Am J Physiol 256:G540–G545, 1989

    Google Scholar 

  6. Holzer P, Schluet W, Maggi CA: Ascending enteric reflex contraction: Roles of acetylcholine and tachykinins in relation to distension and propagation of excitation. J Pharmacol Exp Ther 264:391–396, 1993

    Google Scholar 

  7. Holzer P, Maggi CA: Synergistic role of muscarinic acetylcholine and tachykinin NK-2 receptors in intestinal peristalsis. Naunyn Schmiedeberg's Arch Pharmacol 349:194–201, 1994

    Google Scholar 

  8. Brookes SJH, Steele PA, Costa M: Identification and immunohistochemistry of cholinergic and non-cholinergic circular muscle motor neurons in the guinea-pig small intestine. Neuroscience 42:863–878, 1991

    Google Scholar 

  9. Deacon CF, Agoston DV, Nau R, Conlon JM: Conversion of neuropeptide K to neurokinin A and vesicular colocalization of neurokinin A and substance P in neurons of the guinea pig small intestine. J Neurochem 48:141–146, 1987

    Google Scholar 

  10. Schmidt P, Poulsen SS, Rasmussen TN, Bersani M, Holst JJ: Substance P and neurokinin A are codistributed and colocalized in the porcine gastrointestinal tract. Peptides 12:963–973, 1991

    Google Scholar 

  11. Sternini C, Anderson K, Frantz G, Krause JE, Brecha N: Expression of substance P/neurokinin A-encoding preprotachykinin messenger ribonucleic acids in the rat enteric nervous system. Gastroenterology 97:348–356, 1989

    Google Scholar 

  12. Shuttleworth CWR, Murphy R, Furness JB, Pompolo S: Comparison of the presence and actions of substance P and neurokinin A in guinea-pig taenia coli. Neuropeptides 19:23–34, 1991

    Google Scholar 

  13. Hellström PM, Söder O, Theodorsson E: Occurrence, release and effects of multiple tachykinins in cat colonic tissues and nerves. Gastroenterology 1991:431–440, 1991

    Google Scholar 

  14. Schmidt P, Rasmussen TN, Holst JJ: Nervous control of the release of substance P and neurokinin A from the isolated perfused porcine ileum. J Auton Nerv Syst 38:85–96, 1992

    Google Scholar 

  15. Maggi CA, Pattachini R, Giachetti A, Meli A: Tachykinin receptors in the circular muscle of the guinea-pig ileum. Br J Pharmacol 101:996–1000, 1990

    Google Scholar 

  16. Maggi CA, Pattachini R, Meini S, Quartara L, Sisto A, Potier E, Giuliani S, Giachetti A: Comparison of tachykinin NK1 and NK2 receptors in the circular muscle of the guinea-pig ileum and proximal colon. Br J Pharmacol 112:150–160, 1994

    Google Scholar 

  17. Maggi CA, Giuliani S: A pharmacological analysis of calcium channels involved in phasic and tonic responses of the guinea-pig ureter to high potassium. J Auton Pharmacol 15:55–64, 1995

    Google Scholar 

  18. Rahman M, Lördal M, Al-Saffar A, Hellström PM: Intestinal motility responses to neuropeptide gamma in vitro and in vivo in the rat: Comparison with neurokinin 1 and neurokinin 2 receptor agonists. Acta Physiol Scand 151:497–505, 1994

    Google Scholar 

  19. Tolessa T, Lördal M, Hellström PM: Contractile responses of rat duodenum caused by transmural nerve stimulation: Interaction between tachykininergic and cholinergic mechanisms. Acta Physiol Scand 158:135–142, 1996

    Google Scholar 

  20. Maggi CA, Holzer P, Giuliani S: Effect of omega-conotoxin on cholinergic and tachykininergic excitatory neurotransmission to the circular muscle of the guinea-pig colon. Naunyn Schmiedeberg's Arch Pharmacol 350:529–536, 1994

    Google Scholar 

  21. Maggi CA, Zagorodnyuk V, Giuliani S: Specialization of tachykinin NK1 and NK2 receptors in producing fast and slow atropine-resistant neurotransmission to the circular muscle of the guinea-pig colon. Neuroscience 63:1137–1152, 1994

    Google Scholar 

  22. Liljedahl SO, Mattsson O, Pernow B: The effect of substance P on intestinal motility in man. Scand J Clin Lab Invest 10:16–25, 1958

    Google Scholar 

  23. Maggi CA, Patacchini P, Santicioli S, Giuliani D, Turini G, Barbanti A, Giachetti A, Meli A: Human isolated ileum: motor responses of the circular muscle to electrical field stimulation and exogenous neuropeptides. Naunyn Schmiedeberg's Arch Pharmacol 341:256–261, 1958

    Google Scholar 

  24. Maggi CA, Patacchini R, Santicioli P, Giuliani S, Turini D, Barbanti G, Beneforti P, Misuri D, Meli A: Human isolated small intestine: Motor responses of the longitudinal muscle to field stimulation and exogenous neuropeptides. Naunyn Schmiedeberg's Arch Pharmacol 339:415–423, 1989

    Google Scholar 

  25. Grider JR: Identification of neurotransmitters regulating intestinal peristaltic reflex in humans. Gastroenterology 97:1414–1419, 1989

    Google Scholar 

  26. Maggi CA, Giuliani S, Patacchini R, Santicioli P, Theodorsson E, Barbanti G, Turini D, Giachetti A: Tachykinin antagonists inhibit nerve-mediated contractions in the circular muscle of the human ileum. Gastroenterology 102:88–96, 1992

    Google Scholar 

  27. Giuliani S, Barbanti G, Turini D, Quartara L, Rovero P, Giachetti A, Maggi CA: NK2 tachykinin receptors and contraction of circular muscle of the human colon: Characterization of the NK2 receptor subtype. Eur J Pharmacol 203:365–370, 1991

    Google Scholar 

  28. Kölbel CB, Mayer EA, Holtmann G, Layer P, Petschulat W, Erhard J, Goebell H: Effects of neurokinins on human colonic motility. Neurogastroenterol Motil 6:119–127, 1994

    Google Scholar 

  29. Snape WJ Jr, Mayer EA, Koelbel CB, Hyman PE, Williams R, Root D: Response of smooth muscle from proximal and distal human colon. J Gastrointest Motil 1:29–34, 1989

    Google Scholar 

  30. Vantrappen G, Janssens J, Hellemans J, Ghoos Y: The interdigestive complex of normal subjects and patients with bacterial overgrowth of the small intestine. J Clin Invest 59:1158–1166, 1977

    Google Scholar 

  31. Theodorsson-Norheim E, Norheim I, Öberg K, Lundberg JM, Tatemoto K, Lindgren PG: Neuropeptide K: A major tachykinin in plasma and tumor tissues from carcionid patients. Biochem Biophys Res Commun 131:77–83, 1985

    Google Scholar 

  32. Brodin E, Lindefors N, Dalsgaard CJ, Theodorsson-Norheim E, Rosell S: Tachykinin multiplicity in rat CNS as studied using antisera raised against NKA and SP. Regul Pept 13:253–272, 1983

    Google Scholar 

  33. Wallin C, Grupcev G, Emås S, Theodorsson E, Hellström PM: Release of somatostatin, neurotensin and vasoactive intestinal peptide upon inhibition of gastric acid secretion by duodenal acid and hyperosmolal solutions in the conscious rat. Acta Physiol Scand 154:193–203, 1995

    Google Scholar 

  34. Lördal M, Johansson C, Hellström PM: Myoelectric pattern and effects on small bowel transit induced by the tachykinins neurokinin A, neurokinin B, substance P and neuropedtide K in the rat. J Gastrointest Motil 5:33–40, 1993

    Google Scholar 

  35. Thor PJ, Sendur R, Konturek SJ: Influence of substance P on myoelectric activity of the small bowel. Am J Physiol 243:G493–G496, 1982

    Google Scholar 

  36. Tramontana M, Maggi CA, Evangelista S: Spasmolytic effect of the NK2-receptor-selective antagonist MEN 10.627 in rat small intestine. Jpn J Pharmacol 65:281–283, 1994

    Google Scholar 

  37. Holzer-Petsche U, Schmiek E, Amann R, Lembeck F: In vivo and in vitro actions of mammalian tachykinins. Naunyn Schmiedeberg's Arch Pharmacol 330:130–135, 1985

    Google Scholar 

  38. Evans TW, Dixon CM, Clarke B, Conradson T-B, Barnes PJ: Comparison of neurokinin A and substance P on cardiovascular and airway function in man. Br J Clin Pharmacol 25:273–275, 1988

    Google Scholar 

  39. Martling C-R, Theodorsson-Norheim E, Norheim I, Lundberg JM: Smooth muscle effects and pharmacokinetics of tachykinins in the guinea pig—evidence for extraneuronal cleavage of neuropeptide K to neurokinin A. Naunyn Schmiedeberg's Arch Pharmacol 336:183–189, 1987

    Google Scholar 

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Lordal, M., Theodorsson, E. & Hellstrom, P.M. Tachykinins Influence Interdigestive Rhythm and Contractile Strength of Human Small Intestine. Dig Dis Sci 42, 1940–1949 (1997). https://doi.org/10.1023/A:1018875529739

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