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1 Division of Gastroenterology, Rhode Island Hospital and Brown University, Providence, RI, USA
2 Division of Gastroenterology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA
* To whom correspondence should be addressed. E-mail: karen_harnett{at}brown.edu.
BACKGROUND & AIMS We have shown that IL-1
and IL-6, possibly originating from the
mucosa in response to injury, inhibit neurally mediated contraction of esophageal circular muscle,
but do not affect ACh-induced contraction, reproducing the effect of experimental esophagitis on
esophageal contraction.
METHODS To examine the interaction of mucosa and circular muscle in inflammation, we
examined the effect of HCl on in vitro esophageal mucosa and circular muscle.
RESULTS Circular muscle strips, when directly exposed to HCl, contracted normally. However,
when, exposed to supernatants of mucosa incubated in HCl (2-3 h, pH 5.8), contraction decreased,
and the inhibition was partially reversed by an IL-6 antibody. Supernatants from the mucosa of
animals with in vivo-induced acute esophagitis (AE) similarly reduced contraction. IL-6 levels
were higher in mucosal tissue from AE animals than in control mucosa, and in AE mucosa
supernatant than in normal mucosa supernatant. IL-6 levels increased significantly in normal
mucosa and supernatants in response to HCl, suggesting increased production and release of IL-6
by the mucosa. IL-6 increased H2O2 levels in circular muscle layer but not in mucosa. Exposure
of mucosa to HCl, caused IL-1
to increase only in mucosa and not in supernatant.
CONCLUSION These data suggest that HCl-induced damage occurs first in the mucosa, leading
to production of IL-1
and IL-6, but not H2O2. IL-1
appears to remain in the mucosa. In
contrast IL-6 is produced and released by mucosa, eventually resulting in production of H2O2 by
the circular muscle and this affecting circular muscle contraction.
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