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Departments of 3 Internal Medicine, 1 Pediatrics, and 2 Surgery, University of Iowa College of Medicine and Department of Veterans Affairs Medical Center, Iowa City, Iowa 52242
Vasoactive intestinal polypeptide (VIP) and
nitric oxide (NO ·) are thought to mediate lower esophageal
sphincter (LES) relaxation. Transverse muscle strips from the opossum
LES were used to test this hypothesis. Electrical field stimulation
(EFS) produced a biphasic LES relaxation: a rapid component during the
stimulus was more prominent at lower stimulus frequencies, and a
sustained component was more prominent at higher frequencies.
N
-nitro-L-arginine
and hemoglobin inhibited the rapid component but affected the sustained
component less. Exogenous VIP decreased LES tone. A number of purported
VIP antagonists blocked neither VIP-induced nor EFS-induced relaxation
of the LES. The calcitonin gene-related peptide (CGRP) antagonist
CGRP-(8
37) did not alter EFS-induced LES relaxation. EFS-induced
relaxation of opossum LES muscle is biphasic, and the initial, rapid
component of the relaxation is mediated primarily by NO ·.
The mediator of the sustained component was not identified.
nitric oxide; gastrointestinal motility; smooth muscle; enteric nervous system; vasoactive intestinal polypeptide; calcitonin gene-related peptide
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