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Am J Physiol Gastrointest Liver Physiol (April 9, 2009). doi:10.1152/ajpgi.90712.2008
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Submitted on December 19, 2008
Revised on March 16, 2009
Accepted on April 2, 2009

Norepinephrine mediates the transcriptional effects of heterotypic chronic stress on colonic motor function

Barun K. Choudhury1, Xuan-Zheng Shi2, and Sushil K. Sarna1*

1 University of Texas Medical Branch at Galveston
2 The University of Texas Medical Branch, Galveston

* To whom correspondence should be addressed. E-mail: sksarna{at}utmb.edu.

Chronic stress precipitates or exacerbates the symptoms of functional bowel disorders, including motility dysfunction. The cellular mechanisms of these effects are not understood. We tested the hypothesis that heterotypic chronic stress (HeCS) elevates the release of norepinephrine from the adrenal medulla, which enhances transcription of the gene regulating expression of Cav1.2 (L-type) channels in colonic circular smooth muscle cells, resulting in enhanced colonic motor function. The experiments were performed in rats using a nine-day heterotypic chronic stress protocol. We found that HeCS, but not acute stress, time-dependently enhances the contractile response to acetylcholine in colonic circular smooth muscle strips and in single dissociated smooth muscle cells, the plasma levels of norepinephrine and the mRNA and protein expressions of the {alpha}1C subunit of Cav1.2 channels. These effects result in faster colonic transit and increase in defecation rate. The effects of HeCS are blocked by adrenalectomy, but not by depletion of norepinephrine in the sympathetic neurons. The inhibition of receptors for glucocortocoids, corticotropin-releasing hormone or nicotine also does not block the effects of heterotypic chronic stress. Norepinephrine acts on {alpha}- and {beta}3-adrenergic receptors to induce the transcription of {alpha}1C subunit. We conclude that HeCS alters colonic motor function by elevating the plasma levels of norepinephrine. Colonic motor dysfunction is associated with enhanced gene transcription of Cav1.2 channels in circular smooth muscle cells. These findings suggest the potential cellular mechanisms by which heterotypic chronic stress may exacerbate motility dysfunction in irritable bowel syndrome patients.







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