Gastroenterology

Gastroenterology

Volume 115, Issue 3, September 1998, Pages 661-671
Gastroenterology

Alimentary Tract
Neuronal pathways and transmission to the lower esophageal sphincter of the guinea pig,☆☆

https://doi.org/10.1016/S0016-5085(98)70145-3Get rights and content

Abstract

Background & Aims: The lower esophageal sphincter (LES) normally controls the opening and closing of the gastroesophageal junction to resist gastric reflux but allow swallowing. Neuronal pathways controlling the guinea pig LES were investigated anatomically and physiologically in isolated preparations. Methods: Intracellular recording from the LES with focal electrical stimulation and retrograde and anterograde neuronal tracing were used. Results: Electrical stimulation on the LES evoked inhibitory junction potentials (IJPs), which were reduced by 60% by 100 μmol/L N-nitro-L-arginine and subsequently blocked by 0.5 μmol/L apamin, unmasking excitatory junction potentials, which were abolished by 1 μmol/L hyoscine. Esophageal or vagal stimulation evoked IJPs, which were blocked by 100 μmol/L hexamethonium. Focal stimulation of the upper stomach evoked IJPs at 5–8 of 20 stimulation sites, which were abolished by cutting between the stimulation site and sphincter. Application of 1,1'-didodecyl-3,3,3',3'-tetramethyl indocarbocyanine perchlorate (DiI) to the gastric sling muscle anterogradely labeled many motor axons in the sling muscle but few in the LES, confirming that the two muscles are separately innervated. DiI on the esophagus labeled nerve fibers, but not cell bodies, in the upper stomach. Conclusions: The inhibitory motor neurons of the LES receive inputs from the vagus nerve, esophagus, and upper stomach.

GASTROENTEROLOGY 1998;115:661-671

Section snippets

Materials and methods

Guinea pigs of both sexes, weighing between 250 and 350 g, were killed in a manner approved by the institutional Animal Ethnics Committee, by cervical dislocation, followed by bleeding from the carotid arteries. The stomach with 3-cm-long esophagus and vagus nerves attached was quickly removed and placed in a Petri dish filled with modified Krebs' solution (composition as follows [in mmol/L]: NaCl, 118; KCl, 4.7; MgSO4, 1.2; NaHCO3, 25; NaH2PO4, 1.0; CaCl2, 2.5; and D-glucose, 11). The antrum

Results

After removal of the muscosa, the regions of the smooth and striated muscle layers of the esophagus, LES, and stomach could be observed clearly under the dissecting microscope. The esophageal body appeared to be composed entirely of striated muscle, which had a distinctive pale pink color that abruptly changed to a pale silvery grey color in the thickened smooth muscle of the LES. The gastric smooth muscle aboral to the LES very closely resembled the color of the LES and was recognized by the

Discussion

This study, for the first time using intracellular recording techniques, has shown that the guinea pig LES receives strong inhibitory inputs from enteric inhibitory motor neurons, as previously reported in the guinea pig40 and in other species1, 7, 8, 9, 10, 41, 42, 43 using tension or intraluminal pressure recording. The results are also consistent with a recent anatomic study using retrograde tracing and immunohistochemistry.11 The relatively positive resting membrane potentials of the smooth

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    Address requests for reprints to: Shiyong Yuan, Ph.D., Department of Human Physiology and Centre for Neuroscience, Flinders University, G.P.O. Box 2100, Adelaide, South Australia 5001, Australia. Fax: (61) 8-8204-5768.

    ☆☆

    Supported by a grant from the National Health and Medical Research Council of Australia. Dr. Brookes was supported by a Senior Research Fellowship in Digestive Science from the Gastroenterological Society of Australia.

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