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Vol. 290, Issue 2, 893-900, August 1999
Departments of Internal Medicine II (M.K., V.S., H.D.A.) and
Gynecology (D.S.), Technical University of Munich, Munich, Germany
The ascending reflex contraction of the small intestine involves
predominantly cholinergic neurotransmission. The orally projecting neural excitatory pathway of the myenteric reflex was studied in an in
vitro model of rat ileal segments. The contractile response elicited by
aboral field stimulation was significantly inhibited by a range of
muscarinic receptor antagonists. Methoctramine and tripitramine (both
M2 selective, pIC50 = 9.3 and 8.8, respectively), darifenacin and hexahydrosiladifenidol (both
M3 selective, pIC50 = 7.3 and 7.7, respectively), and pirenzepine (M1 selective,
pIC50 = 7.0). In radioligand binding experiments on
synaptosomal and smooth muscle plasma membrane fractions, we examined
whether prejunctional or postjunctional muscarinic receptors exist that
could potentially contribute to the reflex contraction. In the
synaptosomal fraction, the muscarinic ligand
[3H]N-methylscopolamine labeled a
homogeneous population of receptors (Hill coefficient = 1) with a
Kd value of 0.31 ± 0.09 nM and a Bmax value of 185 ± 16.6 fmol/mg
protein. The ratio of potency of subtype-selective muscarinic receptor
antagonists in competition studies was tripitramine
(pKi = 8.7 ± 0.3) > 1/6 × methoctramine (pKi = 7.9 ± 0.02) > 1/25 × darifenacin
(pKi = 7.3 ± 0.2) > 1/316 × hexahydrosiladifenidol (pKi = 6.2 ± 0.1) > 1/2511 × pirenzepine (pKi = 5.3 ± 0.1). In the smooth
muscle plasma membrane fraction, the Kd
value was 0.29 ± 0.05 nM and the Bmax
value was 770 ± 29 fmol/mg. The competition studies revealed a
similar ratio of potency of the respective antagonists. These data
suggest that muscarinic M2 receptors, located at
prejunctional and postjunctional sites, are predominantly involved in
the ascending reflex contraction.
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