Role of nitric oxide in lower esophageal sphincter relaxation to swallowing.

Role of nitric oxide in lower esophageal sphincter relaxation to swallowing.
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一氧化氮在下食管括约肌松弛吞咽中的作用。

DOI:
10.1016/0024-3205(92)90326-k
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发表时间:
1992
期刊:
影响因子:
6.1
通讯作者:
Goyal,RK
Goyal,RK
中科院分区:
医学2区
文献类型:
--
作者:
Yamato,S;Saha,JK;Goyal,RK

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Studies were performed in the opossum to define the role of the L-arginine-nitric oxide (NO) pathway in lower esophageal sphincter (LES) relaxation to swallowing and vagal stimulation in vivo and intramural nerve stimulationin vitro. In vivo, L-NAME, a water soluble NO synthase (NOS) inhibitor, caused antagonism of LES relaxation due to reflex-induced swallowing. L-NAME (20 mg/kg i.v.) reduced the amplitude of swallow induced relaxation from 88% to 28%. LES relaxation due to electrical stimulation of peripheral end of decentralized vagus nerve was also antagonized. The effects of L-NAME were reversed by L-arginine, but not by D-arginine. L-NAME treatment did not antagonize LES relaxation to intravenous administration of isoproterenol.In vitro, NO and sodium nitroprusside (SNP) caused a decrease in the sphincter tone. The relaxing effect caused by NO and SNP was not antagonized by tetrodotoxin or omega-conotoxin. Inhibitors of NO synthase, L-NMMA and L-NNA, caused slight increase in the spontaneous resting LES tone and concentration-dependent antagonism of electrical field stimulation (EFS) induced LES relaxation. L-NNA (10−4M) abolished EFS induced LES relaxation at low frequencies (<5 Hz) and antagonized the relaxation to a L-NNA was unaffected by D-arginine but was reversed by L-arginine. The inhibitory effect of NO, SNP, or two other putative inhibitory neurotransmitters (VIP and CGRP) on the LES was not antagonized by L-NNA. These studies show that inhibitors of NO synthase selectively antagonize LES relaxation to all three modes of intramural inhibitory nerve stimulation including physiological swallowing. These studies suggest that the L-arginine-nitric oxide pathway is involved in physiological relaxation of the LES.
DOI: --
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