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1 Division of Gastroenterology
and 4 Department of Surgery,
Previous studies
indicated that the peptide substance P (SP) causes
Cl
-dependent secretion in
animal colonic mucosa. We investigated the effects of SP in human
colonic mucosa mounted in Ussing chamber. Drugs for pharmacological
characterization of SP-induced responses were applied 30 min before SP.
Serosal, but not luminal, administration of SP
(10
8 to
10
6 M) induced a rapid,
monophasic concentration and
Cl
-dependent,
bumetanide-sensitive short-circuit current
(Isc) increase, which was inhibited by the SP neurokinin 1 (NK1)-receptor antagonist CP-96345, the neuronal blocker TTX, the mast cell stabilizer
lodoxamide, the histamine 1-receptor antagonist pyrilamine, and the PG
synthesis inhibitor indomethacin. SP caused TTX- and
lodoxamide-sensitive histamine release from colonic mucosa. Two-photon
microscopy revealed NK1
(SP)-receptor immunoreactivity on nerve cells. The tyrosine kinase
inhibitor genistein concentration dependently blocked SP-induced Isc increase
without impairing forskolin- and carbachol-mediated Isc increase. We
conclude that SP stimulates
Cl
-dependent secretion in
human colon by a pathway(s) involving mucosal nerves, mast cells, and
the mast cell product histamine. Our results also indicate that
tyrosine kinases may be involved in this SP-induced response.
genistein; histamine; short-circuit current; neurokinin 1 receptor
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