Physiologisches Institut, Universität Würzburg, Würzburg, Germany.
Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Neurogastroenterol Motil. 2019 Jun;31(6):e13589. doi: 10.1111/nmo.13589. Epub 2019 Apr 4.
Nitric oxide (NO) mediates inhibitory neurotransmission and is a critical component of neuronal programs that generate propulsive contractions. NO acts via its receptor NO-sensitive guanylyl cyclase (NO-GC) which is expressed in smooth muscle cells (SMC) and interstitial cells of Cajal (ICC). Organ bath studies with colonic rings from NO-GC knockout mice (GCKO) have indicated NO-GC to modulate spontaneous contractions. The cell-specific effects of NO-GC on the dominant pan-colonic propulsive contraction, the long distance contractions (LDCs), of whole colon preparations have not yet been described.
Contractions of whole colon preparations from wild type (WT), global, and cell-specific GCKO were recorded. After transformation into spatiotemporal maps, motility patterns were analyzed. Simultaneous perfusion of the colon enabled the correlation of outflow with LDCs to analyze contraction efficiency.
Deletion of NO-GC in both ICC and SMC (ie, in GCKO and SMC/ICC-GCKO) caused loss of typical LDC activity and instead generated high-frequency LDC-like contractions with inefficient propulsive activity. Frequency was also increased in WT, SMC-GCKO, and ICC-GCKO colon in the presence of L-NAME to block neuronal NO synthase. LDC efficiency was dependent on NO-GC in SMC as it was reduced in GCKO, SMC-GCKO, and ICC/SMC-GCKO colon; LDC efficiency was decreased in all genotypes in the presence of L-NAME.
NO/cGMP signaling is critical for normal peristaltic movements; as NO-GC in both SMC and ICC is essential, both cell types appear to work in synchrony. The efficiency of contractions to expel fluid is particularly influenced by NO-GC in SMC.
一氧化氮(NO)介导抑制性神经传递,是产生推进性收缩的神经元程序的关键组成部分。NO 通过其受体一氧化氮敏感型鸟苷酸环化酶(NO-GC)发挥作用,NO-GC 表达于平滑肌细胞(SMC)和 Cajal 间质细胞(ICC)中。用 NO-GC 基因敲除小鼠(GCKO)的结肠环进行器官浴研究表明,NO-GC 可调节自发性收缩。NO-GC 对整个结肠制剂中占主导地位的全结肠推进性收缩,即长距离收缩(LDC)的细胞特异性影响尚未被描述。
记录野生型(WT)、整体和细胞特异性 GCKO 全结肠制剂的收缩。将收缩转化为时空图谱后,对运动模式进行分析。同时对结肠进行灌流,使流出物与 LDC 相关联,以分析收缩效率。
ICC 和 SMC 中 NO-GC 的缺失(即 GCKO 和 SMC/ICC-GCKO)导致典型 LDC 活动的丧失,反而产生具有低效推进活性的高频 LDC 样收缩。在存在阻断神经元型一氧化氮合酶的 L-NAME 的情况下,WT、SMC-GCKO 和 ICC-GCKO 结肠中的频率也增加。LDC 效率依赖于 SMC 中的 NO-GC,因为在 GCKO、SMC-GCKO 和 ICC/SMC-GCKO 结肠中效率降低;在所有基因型中,L-NAME 的存在都会降低 LDC 效率。
NO/cGMP 信号对正常蠕动运动至关重要;由于 SMC 和 ICC 中的 NO-GC 都是必需的,因此这两种细胞类型似乎协同工作。SMC 中的 NO-GC 对排出液体的收缩效率影响尤其大。