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1 Department of Physiology, University of Toronto, Toronto, Ontario, Canada; Toronto Western Research Institute, University Health Network, Toronto, Ontario, Canada
2 Department of Physiology, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada
3 Department of Physiology, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto Western Research Institute, University Health Network, Toronto, Ontario, Canada
* To whom correspondence should be addressed. E-mail: ndiamant{at}sympatico.ca.
The lower esophageal sphincter (LES) has a circular muscle component exhibiting spontaneous
tone that is relaxed by nitric oxide (NO), and a low tone sling muscle that contracts vigorously to
cholinergic stimulation, but with little or no evidence of NO responsiveness. This study dissected
the responses of the sling muscle to nitrergic innervation in relationship to its cholinergic
innervation and the circular muscle responses. Motor responses were induced by electrical field
stimulation (EFS, 1-30 Hz) of muscle strips from sling and circular regions of the feline LES, in
presence of cholinergic receptor inhibition (atropine) or NO synthase inhibition (L-NNA
±atropine). This study shows 1) Sling muscle developed less intrinsic resting tone
compared to circular muscle. 2) With EFS, a) sling muscle contracted, most at
10 Hz, whereas
b) circular muscle relaxed >50% by 5 Hz. 3) On neural blockade with atropine or L-NNA
±atropine: a) Sling muscle, although predominantly influenced by excitatory cholinergic
stimulation, had a small neural NO-mediated inhibition, with no significant non-NO-mediated
inhibition; b) Circular muscle, although little affected by cholinergic influence, underwent
relaxation predominantly by neural release of NO and some non-NO inhibitory influence (at
higher EFS frequency). 4) The sling, pre-contracted with bethanecol, could relax with NO and
some non-NO inhibition. 5) The tension range of both muscles is similar. In conclusion, sling
muscle has limited NO-mediated inhibition to potentially augment or replace sling relaxation
effected by switching off its cholinergic excitation. Differences within the LES sling and circular
muscles could provide new directions for therapy of LES disorders.
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