Trafficking of Receptors and Receptor Associated Proteins in Enteric Neurons and their Effectors

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Movement of food through the alimentary tract and digestion of that food are controlled by the enteric nervous system which is embedded in the walls of the stomach and intestines. The neurons of the enteric nervous system contain and release chemicals that act as neurotransmitters, passing messages from one neuron to the next. Abnormalities of neuronal function can result in increased sensitivity (pain) from the gut, contents moving in reverse (reflux), or failure to move contents (stasis) resulting in maldigestion. Many of the chemicals involved in transmission between neurons have been identified. An important further question is: where, in a pathway consisting of many neurons, is each chemical released and where does it have its effect? We are using techniques to see the chemicals within the neurons using fluorescent tags, confocal microscopy and computer imaging. We are also able to see the molecules that the transmitters bind to (their receptors) and to see changes in these receptors that occur when the chemical messenger binds. We can look at the neurons within the intestine and determine the individual neurons that receive a particular chemical message. We are determining the location of neurons that are activated by acetylcholine (the major transmitter causing excitation of neurons and contraction of the muscle), tachykinins (peptides involved in pathways of contraction, relaxation and pain) and other transmitters (vasoactive intestinal peptide, somatostatin, gastrin releasing peptide, cholecystokinin and motilin) involved in contraction, relaxation and secretion. The results of this study will provide a rational basis for therapeutic treatment of disorders that involve changes in the normal release of neurotransmitters or changes in the activation of their receptors.