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1 Heymans Insitute of Pharmacology, Ghent University, Ghent, Belgium; Johnson & Johnson Pharmaceutical Research and Development, a division of Janssen Pharmaceutica N.V., Beerse, Belgium
2 Pharsight Corporation, Mountain View, CA, USA
3 Johnson & Johnson Pharmaceutical Research and Development, a division of Janssen Pharmaceutica N.V., Beerse, Belgium
4 Heymans Insitute of Pharmacology, Ghent University, Ghent, Belgium
* To whom correspondence should be addressed. E-mail: Pieter.Janssen{at}AstraZeneca.com.
We aimed to evaluate the gastric relaxant capacity of the 5-HT1/7 receptor agonist 5-
carboxamidotryptamine (5-CT) in conscious dogs and to clarify the mechanism of action by use of
selective antagonists, vagotomy and in vitro experiments. A barostat enabled us to monitor the intragastric
volume in response to different treatments (intravenously administered) before and after
supradiaphragmatic vagotomy [results presented as the maximum volume change after treatment (mean;
n=5-11)]. In vitro experiments were performed with isolated muscle strips cut from 4 different stomach
regions of the vagotomized dogs [results were fitted to the operational model of agonism to determine the
efficacy parameter
(n=5)]. 5-CT (0.5-10 µgkg-1) caused a dose-dependent gastric relaxation (29-267
ml), that was completely blocked by the selective 5-HT7 receptor antagonist SB-269970 (50 µgkg-1).
After vagotomy, the relaxation to 10 µgkg-1 5-CT was significantly less pronounced (73 vs. 267ml;
P<0.05) but still blocked by SB-269970 while the response to the NO-donor nitroprusside was similar to
that before vagotomy (178 vs. 218ml). In vitro, 5-CT concentration-dependently inhibited the PGF2
-
contracted muscle strips before and after vagotomy. Although before and after vagotomy the response in
every region was mediated by 5-HT7 receptors (pA2 SB-269970: 8.2-8.6 vs. 8.3-8.6 respectively), the
response after vagotomy was less efficacious (log
: 1.9 to 0.5 vs. 1.4 to -0.1 respectively). The results
indicate that the 5-CT-induced proximal stomach relaxation in conscious dogs before and after vagotomy
is mediated via 5-HT7 receptors. The decreased efficacy of 5-CT in vitro after vagotomy is probably
related to vagotomy-induced changes in receptor density or coupling-efficiency and provides a possible
explanation for the decreased in vivo response to 5-CT after vagotomy.
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