Projections and chemical coding of neurons with immunoreactivity for nitric oxide synthase in the guinea-pig small intestine

Local neural control of intestinal motility: nerve circuits deduced for the guinea-pig small intestine

1. Propulsion of digesta along the intestine appears to occur by the action of a series of local reflexes which cause contraction oral to the digesta and relaxation of circular muscle on the anal side. 2. There is now substantial evidence available about the identities of the enteric neurons that mediate these reflexes. 3. The motor neurons and interneurons of the reflex pathways lie within the myenteric plexus. These neurons can be classified electrophysiologically as S-neurons and have distinctive projections and neurochemistries. 4. The sensory neurons may lie in the myenteric plexus, but there is some evidence for sensory neurons in the submucous plexus. A contribution from extrinsic sensory neurons to local motility reflexes cannot be ruled out. Intrinsic sensory neurons are probably AH-neurons and are large multi-axonal cells.

Nitric oxide producing neurons in the monkey and human digestive system

Nitric oxide has been proposed as an inhibitory transmitter molecule that plays a role in muscle relaxation and vasodilation in the gastrointestinal tract. The present study analyzes the distribution of nitric-oxide-producing neurons in the monkey and human digestive system by means of nicotinamide-adenine-dinucleotide-phosphate-diaphorase histochemistry. This histochemical method is reliable and convenient for the visualization of neuronal nitric-oxide synthase, the enzyme responsible for nitric-oxide generation. In the gastrointestinal tract, nitric-oxide-synthase-related diaphorase activity was present in nerve fibers running throughout the muscular layer (circular > longitudinal) and in numerous ganglion cells and processes in the myenteric plexus of monkeys and humans. Labelled ganglion cells and fibers also were observed in the submucous plexus, although they were much less numerous than those seen in the myenteric plexus. In the submucosa, a few positive fibers were seen around blood vessels. In the mucosa, stained fibers were sparse at the base of the villi and crypts, whereas they were quite abundant in the muscularis mucosae, especially in the small intestine and colon. In the gallbladder (human), labelling was found in ganglion cells and processes of the innermost and outermost ganglionated plexuses. Stained fibers also were distributed to the muscular layer and, less abundantly, to the mucosa and vasculature. Labelled fibers were more abundant in the sphincter of Oddi (human) than in the gallbladder. In the monkey and human pancreas, nicotinamide-adenine-dinucleotide-diaphorase staining was seen mainly in ganglion cells and fibers of intrapancreatic ganglia, and in processes running among acini, around ducts and in the stroma. A moderate density of stained fibers also was distributed to the vasculature, whereas the islets showed few positive processes. Finally, double label experiments performed in the pancreas showed that the vast majority of neurons producing nitric oxide are immunoreactive for vasoactive intestinal peptide.(ABSTRACT TRUNCATED AT 250 WORDS)

NADPH diaphorase (nitric oxide synthase)-containing nerves in the enteropancreatic innervation: sources, co-stored neuropeptides, and pancreatic function

Pancreatic ganglia are innervated by neurons in the gut and are formed by precursor cells that migrate into the pancreas from the bowel. The innervation of the pancreas, therefore, may be considered an extension of the enteric nervous system. NADPH-diaphorase is present in a subset of enteric neurons. We investigated the presence of NADPH-diaphorase in the enteropancreatic innervation, the contribution of extrinsic nerves to the NADPH-diaphorase-containing fibers of the gut and pancreas, and the coincident expression of NADPH-diaphorase NADPH-diaphorase in intrinsic neurons of these organs with neuropeptides. The possible role of nitric oxide in the neural regulation of pancreatic secretion was studied in isolated pancreatic lobules. Neuronal perikarya with NADPH-diaphorase activity were found in both Dogiel type I and type II neurons of the myenteric plexus of the stomach and duodenum. All galanin (GAL)-immunoreactive neurons and a small subset of vasoactive intestinal polypeptide (VIP)- and neuropeptide Y (NPY)-immunoreactive neurons contained NADPH-diaphorase activity. NADPH-diaphorase activity was also found in a subset of VIP and NPY-immunoreactive pancreatic neurons. Retrograde tracing with FluoroGold established that NADPH-diaphorase-containing neurons in the bowel project to the pancreas. NADPH-diaphorase-containing fibers were also found to be provided to both organs by neurons in dorsal root ganglia. Secretion of amylase was evoked by L-arginine. This effect was prevented by N(G)-nitro-L-arginine (L-NNA), which also inhibited VIP-stimulated secretion of amylase; however, L-NNA had no effect on amylase secretion stimulated by carbachol. These results provide support for the hypothesis that nitric oxide plays a role in the neural regulation of pancreatic secretion.

Distribution of nitric oxide synthase containing neurons in the rectal myenteric plexus and anal canal. Morphologic evidence that nitric oxide mediates the rectoanal inhibitory reflex

PURPOSE

Following the demonstration that a novel neurotransmitter, nitric oxide (NO), is released during neurogenic relaxation of the internal anal sphincter in vitro, it has been suggested that NO could mediate the rectoanal inhibitory reflex in vivo. The aim of this study was to establish whether the distribution of NO-producing nerves in the anorectum is consistent with this proposed role.

METHODS

NO is synthesized in neurons which contain the enzyme nitric oxide synthase and their presence in the anorectum was determined in tissue obtained from nine abdominoperineal and three anterior resection specimens in patients undergoing surgery for rectal carcinoma. Cryostat sections were stained for nitric oxide synthase immunoreactivity, pan-neuronal/axonal immunoreactivity, and NADPH diaphorase activity.

RESULTS

Nitric oxide synthase immunoreactivity is present in a subpopulation of neurons in rectal myenteric ganglia which also contain NADPH diaphorase activity. Use of the latter histochemical technique enabled the structure and distribution of nitric oxide synthase containing neurons to be determined in whole-mount preparations. Individual neurons have Dogiel type 1 morphology and are present throughout the rectal myenteric plexus. In the distal rectum, positively stained axons enter shunt fascicles which descend into the anal canal, where they ramify into and throughout the internal anal sphincter. Within the sphincter, positively stained nerves lie in close proximity to smooth muscle cells.

CONCLUSION

These results are consistent with the hypothesis that NO is the neurotransmitter that mediates the rectoanal inhibitory reflex.

Distribution and morphological features of nicotinamide adenine dinucleotide phosphate diaphorase (NADPH-d) activity in intrinsic neurons of the Oddi sphincter of the cat

To clarify the role of nitric oxide (NO) in the sphincter of Oddi, we histochemically investigated the distribution of nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d), a marker for NO synthase, in the cat. NADPH-diaphorase activity was localized in two neuronal subtypes: large neurons with many dendrites and smaller with one process. Most of the nerve cell bodies (99%) in the wall of the sphincter of Oddi showed strong activity for this enzyme. The nerve fibers with NADPH-d activity were observed in all layers, chiefly in the muscle layers. These results suggest that NO may play a very important role in the neuronal regulation of sphincter of Oddi.

Extrinsic denervation increases NADPH diaphorase staining in myenteric nerves of guinea pig ileum

The number of nicotinamide adenine dinucleotide phosphate diaphorase (NADPH-d)-positive cells in the myenteric plexus increased 1 week after surgical extrinsic denervation of a loop of guinea pig ileum. NADPH-d staining in submucosal ganglia and vasoactive intestinal polypeptide immunoreactivity in submucosal and myenteric ganglia were not affected by denervation. Similar data were obtained after systemic capsaicin, but not 6-hydroxy-dopamine treatment, suggesting that loss of primary afferents increases NADPH-d staining. Increases in NADPH-d may be part of an adaptive process allowing normal gut function after loss of extrinsic nerves.

Accommodation mediated by enteric inhibitory reflexes in the isolated guinea-pig small intestine

1. The aim of the present study was to investigate whether the guinea-pig small intestine shows accommodation to infused fluid, similarly to other regions of the gastrointestinal tract. Tetrodotoxin, papaverine and transmitter antagonists were used to establish the existence of reflex pathways and the nature of the neurotransmitters involved. 2. Compliance, measured as the change in volume of infused fluid divided by the intraluminal pressure change, was reduced by tetrodotoxin (0.6 microM), indicating that there is an overall neurally mediated relaxation of the circular muscle in response to low rates of distension. Papaverine (10 microM) did not have any significant effect on compliance at the low rates of distension, suggesting that the circular muscle is fully relaxed. 3. At each rate of distension, 400 microM N omega-nitro-L-arginine methyl ester (L-NAME, a nitric oxide synthase inhibitor) significantly decreased the compliance of the intestinal wall, indicating that the circular muscle was relaxed by a nitric oxide-mediated mechanism. Apamin (0.5 microM), which blocks a component of inhibitory transmission, did not have a significant effect. 4. In control preparations, the intestinal wall was less compliant when distended by fluid at a fast rate, compared with the lower rates of distension. This was not due to changes in passive components of the intestinal wall or a myogenic response to rapid stretch. 5. When the intestine was distended rapidly, 1 microM hyoscine and 100 microM hexamethonium increased intestinal compliance. However, they had no detectable effect on compliance with low rates of distension.(ABSTRACT TRUNCATED AT 250 WORDS)

Abnormalities of nitric-oxide-producing neurons in Hirschsprung's disease: morphology and implications

Nitric oxide (NO) is a recently discovered neurotransmitter that is thought to mediate relaxation of gut smooth muscle during peristalsis. To assess its role in the pathophysiology of Hirschsprung's disease, the authors examined the distribution of neurons that produce NO in specimens from seven infants with this condition. Immunohistochemical analysis of cryostat sections for nitric oxide synthase (NOS) immunoreactivity (NOS catalyzes the production of NO) showed that NOS is localized in a substantial subpopulation of enteric neurons in both the myenteric and submucosal plexuses in the ganglionated gut, but it was completely absent in aganglionic bowel. NOS immunoreactivity specifically colocalizes in neurons that also contain NADPH-diaphorase activity. This finding enabled the distribution of NO-producing neurons to be determined using whole-mount histochemistry, a technique that allows the enteric neural network to be examined intact. In normal bowel, NO-producing neurons are arranged in star-shaped myenteric and submucosal ganglia, which are joined to one another by nerve fibers to form a meshwork of variable geometry. Individual neurons exhibit Dogiel type 1 morphology. Axonal processes leave the myenteric plexuses and lie parallel to muscle bundles in both muscle layers of the gut. In the transition zone, ganglia are initially present, but their orientation changes so that both they and the internodal strands that connect them are aligned linearly along the craniocaudal axis of the gut tube. More distal still, ganglia and then all NOS activity disappear completely. These results suggest that in Hirschsprung's disease, the failure of aganglionic bowel to relax during peristalsis might be caused by the absence of NO-producing neurons.

Origins of nerve terminals containing nitric oxide synthase in the guinea-pig coeliac ganglion

Nitric oxide synthase was localised immunohistochemically and by NADPH diaphorase activity in two groups of nerve terminals and in rare cell bodies in the guinea-pig coeliac ganglion. Strongly reactive varicose terminals surrounded a subgroup of principal ganglion cells, most of which were in the medial lobes of the ganglion and most of which were somatostatin immunoreactive. A second set of varicose terminals, which were less intensely reactive, were found throughout the ganglia. Nitric oxide synthase containing nerve cell bodies in the intermediolateral cell columns of the spinal cord were labelled by dye retrogradely transported from the coeliac ganglion. Lesion of nerve connections between abdominal viscera and the coeliac ganglion caused a loss of the strongly reactive fibres, while the widely distributed, less intensely reactive fibres persisted. It is concluded that nitric oxide synthase terminals in the coeliac ganglion come from two sources, sympathetic preganglionic neurons and intestinofugal neurons.

Projections of nitric oxide synthase- and peptide-containing neurons in the small and large intestines of the toad (Bufo marinus)

The projections of galanin (GAL)- and vasoactive intestinal peptide (VIP)-immunoreactive (IR) and nitric oxide synthase (NOS)-containing neurons in the small and large intestines of the amphibian Bufo marinus were investigated by their reactions to surgical interruption (myotomy). In the small intestine, myotomy caused accumulation of GAL- and VIP-IR and of NADPH diaphorase reaction product (revealing NOS) in cut axons on the oral side of the operation site. On the anal side there was loss of GAL-IR axons from the circular muscle and myenteric plexus and long, anally directed processes could be traced from GAL-IR nerve cell bodies. There was no significant loss of VIP-IR or NADPH diaphorase from nerve fibres in the myenteric plexus or circular muscle layer, although anally-directed axons could be traced from nerve cell bodies on the anal side of the operation sites. In the large intestine, myotomy caused accumulation of VIP-IR and of NADPH diaphorase reaction product in cut axons on the oral side of the operation site. Anal to the cut, although there was no significant loss of these fibres from the muscle or myenteric plexus, anally directed axons could be traced from nerve cell bodies. GAL-IR fibres in the large intestine are of two types: a few contain GAL-IR alone and are thought to arise from enteric neurons; many contain both GAL- and SOM-IR and are thought to arise from nerve cell bodies in the hindgut. Myotomy caused an accumulation of GAL/SOM-IR material in fibres on the anal side of the cut and a substantial decrease in the number of fibres on the oral side. There was no detectable effect of myotomy on the GAL-IR fibres, although an abnormally high density of GAL-IR nerve cell bodies was found oral to the cut. These results indicate that VIP-IR and NOS-containing enteric neurons project in an oral to anal direction in the toad small and large intestines. Some of the neurons have short anal projections to the circular muscle. GAL-IR enteric neurons have similar projections in the small intestine, but their projections could not be determined in the large intestine. GAL/SOM-IR axons in the large intestine project from anal to oral. Myotomy in the large intestine appears to induce an increased or de novo expression of GAL-IR in enteric neurons oral to the cut.

Localization of NADPH-diaphorase reactivity in the chick and mouse thyroid gland

In the present study, nicotinamide adenine dinucleotide hydrogen phosphate-diaphorase (NADPH-d) histochemistry has been used as a marker for nitric oxide synthase (NOS). The colored reaction product, formazan, was localized in neuronal cell bodies, nerve fibers, and vascular endothelium in the thyroid of chick and mouse. In these two animal species, most of the NADPH-d-labeled neuronal cell bodies were found in the thyroid capsule and interfollicular connective tissue while some were associated with blood vessels. Most nerve fibers travelled with blood vessels supplying the thyroid gland, while a few of them were intimately associated with the thyroid follicular cells. Control sections not incubated with beta-NADPH failed to show labeling of the above structures. It is concluded that nitric oxide may play an important role in endocrine secretion by controlling the regional blood flow in the thyroid gland and by directly acting on the thyroid follicular cells.

Gastrointestinal neurotransmitters

The enteric nervous system contains neurones that are intrinsic to the gastrointestinal tract and the axons of extrinsic neurones. More than 30 functional types of neurone are present and about 25 different possible neurotransmitters have been identified in enteric neurones. Most neurones utilize several transmitters; amongst the transmitters of an individual neurone, one is usually a primary transmitter and other substances are subsidiary transmitters or neuromodulators. The primary transmitter is the substance that has the major role in acutely changing the excitability of the innervated cell. Current evidence indicates that primary transmitters are strongly conserved; that is, the same substance will be the neurotransmitter in functionally equivalent neurones in different regions of the gastrointestinal tract and in different species. In contrast, subsidiary transmitters and neuromodulators of equivalent neurones in different regions are not necessarily the same. Only about seven of the approximately 25 enteric neurotransmitters are known to be primary transmitters. Acetylcholine is the primary transmitter of vagal and pelvic preganglionic neurones, of enteric interneurones, of one class of secretomotor neurone in the intestine and of motor neurones controlling gastric acid secretion. Acetylcholine and tachykinins are co-primary transmitters of muscle motor neurones, with acetylcholine appearing to have the greater role. Tachykinins are probably primary transmitters of enteric sensory neurones at neuroneuronal synapses. Serotonin may also be a transmitter to neurones in the enteric ganglia. Nitric oxide appears to be the usual primary transmitter of enteric inhibitory motor neurones to the muscle. ATP and vasoactive intestinal peptide are subsidiary transmitters of these neurones, although in some regions they may have a primary transmitter role. Vasoactive intestinal peptide is the primary transmitter of non-cholinergic secretomotor neurones. Gastrin releasing peptide is the primary transmitter of motor neurones to gastrin cells. Noradrenaline is the primary transmitter of sympathetic neurones that supply the intestine.

New transmitters and new targets in the autonomic nervous system

Several recent findings have made research into the autonomic nervous system even more exciting, such as the revelation that nitric oxide is a major neurotransmitter, the delineation of the physiological roles for purines and vasoactive intestinal peptide, and the discovery that the interstitial cells of Cajal are major target cells for enteric innervation. Nitric oxide is probably the major neurotransmitter evoking inhibitory junction potentials in smooth muscle. ATP is a mediator of non-adrenergic non-cholinergic enteric innervation, as well as being a fast neurotransmitter in peripheral and autonomic neuro-neuronal synapses. The interactions between enteric nerves and both immune cells and interstitial cells of Cajal (as pacemaker cells of gut smooth muscle) are forcing a rethink of many aspects of gut physiology.

Nitric oxide mediates nonadrenergic, noncholinergic neural relaxation in the Australian possum

BACKGROUND

Nitric oxide has been shown to play an important role in neurally mediated relaxations of gastrointestinal smooth muscle. The aim of this study was to determine whether NO may be the inhibitory transmitter to circular smooth muscle from the sphincter of Oddi of the Australian brush-tailed possum (Trichosurus vulpecula).

METHODS

The effects of drugs on relaxations evoked by electrical-field stimulation of circular muscle strips precontracted with either erythromycin or carbachol were studied. Preparations were also processed histochemically to determine the presence of nicotinamide adenine dinucleotide phosphate (NADPH)-diaphorase reactivity in the tissue.

RESULTS

NG-nitro-L-arginine methyl ester reduced the amplitude of relaxations; this effect could be partially reversed by millimolar concentrations of L-arginine but not by D-arginine. Oxyhemoglobin also reduced the amplitude of the relaxations, and sodium nitroprusside mimicked the relaxations in precontracted strips. Histochemical processing revealed the presence of nerve cell bodies and nerve fibers associated with the circular muscle layer, which are reactive for NADPH-diaphorase and are thus likely to contain NO synthase.

CONCLUSIONS

These results are all consistent with NO released from nerve cells mediating a significant part of the nonadrenergic, noncholinergic relaxation of the circular muscle layer of the sphincter of Oddi.

Neuronal nitric oxide in the gut

Motility of the gastrointestinal tract is directly controlled by enteric inhibitory and excitatory motor neurons that innervate the layers of smooth muscle. Inhibitory motor neurons mediate receptive and accommodative relaxations and control the opening of sphincters, thus playing an important role in normal gut motility. Recent studies have demonstrated that nitric oxide (NO) is an important neurotransmitter released by inhibitory motor neurons in animal and human gut. Antagonists of nitric oxide synthase (NOS), the synthetic enzyme for NO, reduce the effectiveness of transmission from inhibitory motor neurons. Exogenous NO mimics inhibitory nerve activation, and a variety of compounds that affect the availability of endogenously produced NO modulate relaxations of gastrointestinal smooth muscle. It is clear, however, that NO is unlikely to be the only transmitter released by enteric inhibitory motor neurons: several other substances such as vasoactive intestinal polypeptide (VIP), or related peptides, and adenosine triphosphate (ATP) are also likely to contribute to nerve-mediated inhibition. The identification of NO as a major inhibitory neurotransmitter to gastrointestinal smooth muscle fills an important gap in our understanding of the physiological control of motility and opens up a wide range of new experimental possibilities. It may eventually lead to the development of new drugs for motility disorders. It should be noted, however, that NO is important in the brain, in cardiovascular control, in blood cell function and in many other organ systems, suggesting that it may be difficult to achieve specific pharmacological intervention targeted on inhibitory neurotransmission in the gut, without undesirable side effects.

Nitric oxide is the mediator of tachykinin NK3 receptor-induced relaxation in the circular muscle of the guinea-pig ileum

The tachykinin NK3 receptor agonist, senktide, produces concentration-dependent contraction of the circular muscle of the guinea-pig ileum (EC50 2.59 nM). In the presence of the blocker of neuronal type of voltage-sensitive calcium channels, omega-conotoxin (0.1 microM), the contractile response to a low concentration of senktide was converted to an inhibitory effect on spontaneous activity of the ileum. This inhibitory effect was further enhanced in the presence of atropine (1 microM) and was abolished by tetrodotoxin (1 microM), indicating its neural origin. In the presence of atropine and omega-conotoxin, the inhibitory response to senktide (1 nM) was greatly inhibited or even abolished by L-nitroarginine (30 microM), its effect being prevented by L-arginine but not by D-arginine (300 microM in each case). Apamin (0.1 microM) failed to significantly affect the inhibitory response to senktide. Apamin enhanced spontaneous activity of the preparation while L-nitroarginine had no effect. Neither apamin nor L-nitroarginine affected the inhibitory response to isoprenaline. These findings indicate that inhibition of circular muscle activity produced through NK3 receptor stimulation in the guinea-pig ileum is mediated through a neuronal pathway involving nitric oxide or a nitric oxide-like substance(s) generation.

Relationships between nitric oxide synthase, vasoactive intestinal peptide and substance P immunoreactivities in neurons of the amphibian intestine

Nitric oxide synthase (NOS)-containing neurons (localized using NADPH diaphorase histochemistry or NOS immunoreactivity) and vasoactive intestinal peptide-immunoreactive (VIP-IR) neurons were found in the myenteric plexus of the gastrointestinal tract of the amphibian, Bufo marinus. Only limited co-localization of the two substances was observed in nerve cell bodies, about 11% of the NOS-containing neurons were also labelled by VIP-IR and about 37% of VIP-IR nerve cell bodies contained NOS. The relationship between VIP, NOS and SP-IR in nerve fibres in the circular muscle was examined. There was partial co-localization of VIP and NOS, but no co-localization of NOS or VIP with substance P. Of fibres that were immunoreactive for VIP or NOS, fewer than 10% contained VIP alone.

Nitric oxide targets in the guinea-pig intestine identified by induction of cyclic GMP immunoreactivity

The immunohistochemical localization of cyclic GMP was used to determine potential physiological sites of action of nitric oxide in the guinea-pig small intestine and colon. In control tissue, cyclic GMP-immunoreactivity was observed only in macrophages, whose identity was confirmed by double-label experiments using either F4/80, a macrophage-specific antibody, or fluorescein isothiocyanate-labelled dextran injected intravenously. Following exposure to the nitric oxide donor, sodium nitroprusside, cyclic GMP-immunoreactivity was induced in subpopulations of neurons in the myenteric and submucosal plexuses of the ileum and colon. In the colon, cyclic GMP-immunoreactivity was induced in 5-10% of myenteric neurons. The cyclic GMP-immunoreactive neurons did not contain nitric oxide synthase. In the ileum, cyclic GMP-immunoreactive neurons comprised about 2% of myenteric neurons and 40% of submucosal neurons; these cyclic GMP-immunoreactive neurons were also immunoreactive for vasoactive intestinal peptide, but they did not contain nitric oxide synthase. Interstitial cells between the mesothelium and the longitudinal muscle layer, vascular smooth muscle and vascular pericytes also showed sodium nitroprusside-induced cyclic GMP-immunoreactivity. The interstitial cells of Cajal at the inner surface of the circular muscle layer and the smooth muscle cells of the circular and longitudinal muscle layers showed increases in cyclic GMP-immunoreactivity that varied in extent from animal to animal. The results suggest that nitric oxide could act at several sites in the intestine through the stimulation of guanylyl cyclase.

Origins of synaptic inputs to calretinin immunoreactive neurons in the guinea-pig small intestine

Calretinin immunoreactivity is almost completely confined to two classes of neuron in the myenteric plexus of the guinea-pig small intestine, longitudinal muscle motor neurons and ascending interneurons. Nerve cell bodies of the two classes can be readily identified by their sizes and positions in ganglia. The motor neurons, which are small Dogiel type I neurons, are about 20% and the interneurons, which are medium-sized Dogiel type I neurons, are about 5% of myenteric neurons. In the present work, we have also discovered a minor population (0.1%) of small filamentous neurons. In unoperated regions of intestine, at the light microscopic level, numerous calretinin immunoreactive nerve fibres were found in the tertiary plexus that innervates the longitudinal muscle and a medium density of varicose fibres formed pericellular endings in the myenteric ganglia. After double myotomy operations, in areas of plexus 0.5 to 1.5 mm wide which were isolated from ascending and descending inputs, calretinin-immunoreactive fibres of the tertiary plexus were unchanged, but the pericellular endings in the ganglia disappeared. Both the ascending interneurons and the longitudinal muscle motor neurons received ultrastructurally identified synapses and close axonal contacts that were calretinin-immunoreactive. These were counted in semi-serial sections from normal intestine and from regions between myotomy operations. In unoperated intestine, the proportions of calretinin-immunoreactive synapses on small, calretinin-immunoreactive, Dogiel type I nerve cells and small filamentous nerve cells were 30% and 0.1% respectively and on medium-sized Dogiel type I cells the proportion was 28%. Electron microscopy revealed an almost complete loss of immunoreactive inputs to the small Dogiel type I cells between double myotomies, but the number of unreactive inputs was the same as in normal intestine. This work demonstrates that the ascending calretinin-immunoreactive interneurons connect with one another to form ascending chains in the myenteric plexus and that they also provide about 1/3 of the inputs received by calretinin-immunoreactive longitudinal muscle motor neurons. Many of the remaining inputs to these motor neurons are local; we have deduced that these are mainly from primary sensory neurons.

Colocalization of vasoactive intestinal peptide and nitric oxide synthase in neurons of the ferret trachea

Neurally-mediated relaxation of smooth muscle in human, guinea-pig, cat, and pig airways is largely attributed to a nonadrenergic, noncholinergic mechanism. While the specific transmitter(s) of this relaxant system have not been conclusively identified, vasoactive intestinal peptide and nitric oxide have emerged as likely mediators in airway smooth muscle. Both vasoactive intestinal peptide and nitric oxide relax guinea-pig, pig and human smooth muscle. Vasoactive intestinal peptide is present in nerve fibers associated with airway smooth muscle in humans and several animal species. In guinea-pigs, vasoactive intestinal peptide is released during electrical field stimulation of airway strips and the release correlates with the nonadrenergic relaxation. This relaxation is markedly reduced after incubation of tracheal tissue with a specific VIP antibody and by immunization to vasoactive intestinal peptide. Similarly, nonadrenergic relaxations induced by electrical field stimulation are reduced in human, pig, guinea-pig and bovine airways by nitric oxide synthesis inhibitors. Vasoactive intestinal peptide is present in nerve cell bodies of airway ganglia, suggesting that these nerves in airway smooth muscle originate from intrinsic neurons. It is stored in dense-core vesicles of nerve terminals near airway smooth muscle, suggesting that preformed vasoactive intestinal peptide is released by fusion of the vesicles with the cell membrane of the nerve terminal. Nitric oxide is probably generated by a novel mechanism involving de novo synthesis at the nerve terminal during neural activation by the action of the enzyme nitric oxide synthase.(ABSTRACT TRUNCATED AT 250 WORDS)

Projections of nitric oxide synthesizing neurons in the guinea-pig colon

The neuronal form of the enzyme nitric oxide synthase, which is an obligatory constituent of neurons that utilise nitric oxide as a transmitter, was revealed histochemically in this study by its ability to transfer a proton from reduced nicotinamide adenine dinucleotide phosphate to nitro-blue tetrazolium. In the guinea-pig colon, nitric oxide synthase was located in numerous irregularly-shaped myenteric neurons with single axons. In the submucosa, a small number of neurons had strong enzyme activity, whereas many were weakly stained. Nerve fibres were found in the longitudinal muscle, circular muscle, muscularis mucosae and ganglia of the two plexuses. No nerve fibres were found in the lamina propria of the mucosa. The same distribution of nerve cells and fibres was revealed using immunohistochemistry for nitric oxide synthase. Lesion studies showed that the axons of myenteric neurons all projected anally. Myenteric cells were the source of nerve fibres in the circular muscle and in more anally located myenteric ganglia. The sparse innervation of submucous ganglia was intrinsic to the submucous plexus. It is suggested that nitric oxide synthase is one of the transmitters of inhibitory neurons to the muscle and is also utilized by descending interneurons of the myenteric plexus.