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Divisions of 1 Gastroenterology and Hepatology and 2 Gastroenterologic and General Surgery, Gastroenterology Research Unit and Enteric Neurosciences Program, and 3 Department of Physiology, Mayo Clinic, Rochester, Minnesota 55905
The human colon can dilate, often to
life-threatening proportions. Our aim was to explore nitrergic
mechanisms underlying colonic dilation in conscious dogs with
enterically isolated ileocolonic loops either extrinsically innervated
(n = 4) or extrinsically denervated (n = 4). We recorded phasic pressures in ileum and ileocolonic sphincter
(ICS), colonic tone, compliance, and relaxation during ileal
distension. By NADPH-diaphorase histochemistry, we assessed effects of
extrinsic denervation and enteric isolation on nitrergic fibers.
Extrinsic denervation increased phasic pressures in ileum, ICS, and
colon and abolished ICS and colonic relaxation in response to ileal
distension. The nitric oxide synthase (NOS) inhibitor
N
-nitro-L-arginine
(L-NNA) increased phasic pressures at all sites and
ICS tone but did not abolish colonic relaxation during ileal distension
in innervated loops. L-NNA reduced compliance and induced colonic high-amplitude propagated contractions in denervated loops. The
NOS substrate donor L-arginine reversed effects of
L-NNA. The number of NADPH-diaphorase fibers increased in
both enterically isolated preparations. Nonnitrergic extrinsic nerve
pathways mediate reflex colonic relaxation during ileal distension.
Enteric isolation augments the number of NOS fibers, an effect not
modified by extrinsic denervation.
nitric oxide; nitric oxide synthase; nitrergic nerves; extrinsic denervation; ileal motility; ileocolonic sphincter; colonic motility
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