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Vol. 299, Issue 2, 768-774, November 2001
Departments of Medicine (A.Z., T.S.-D.) and Pediatrics (V.P.-C.),
Uniformed Services University of the Health Sciences, Bethesda,
Maryland; and Walter Reed Army Institute of Research, Forest Glen,
Maryland (C.B.)
The present study investigated inflammation-induced changes in
adrenergic regulation of smooth muscle. Colitis was induced in rats by
intrarectal administration of trinitrobenzenesulfonic acid in ethanol.
After 4 h (acute) or 7 days (chronic), in vitro isometric tension
was measured in strips of circular smooth muscle taken from the distal
colon. In controls, the major inhibitory control of smooth muscle
responses to nerve stimulation was mediated by nitric oxide and
adrenergic receptors. There was less evidence of
adrenergic
control. Studies with the
3 receptor antagonist cyanopindolol and the
3 receptor agonist BRL37344
revealed that
adrenergic regulation of spontaneous contractions and
responses to nerve stimulation were mediated primarily by the
3 adrenoreceptor. Both acute and chronic colitis
significantly increased responses to electrical field
stimulation. This effect was attributed to a loss of inhibitory
nitrergic regulation as well as to selective changes in the
adrenergic control of colonic circular smooth muscle. Inflammation did
not alter
adrenergic control. Chronic colitis also decreased the
sensitivity to nerve stimulation and pharmacological contractile
agents. Acute and chronic inflammation reduced the ability of BRL37344
to inhibit contractions in response to nerve stimulation. In addition,
in inflamed colon, BRL37344 was less effective in relaxing
carbachol-induced precontractions. Finally, inflammation resulted in a
loss of the ability of the cyanopindolol to increase the amplitude of
both spontaneous contractions and contractions in response to nerve
stimulation. These effects indicated that colitis induced a
down-regulation of inhibitory
3 adrenergic control of
colonic smooth muscle function. This loss of adrenergic regulation may
contribute to the diarrhea in inflammatory bowel disease.
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