Effects of brain stem cholecystokinin-8s on gastric tone and esophageal-gastric reflex

Am J Physiol Gastrointest Liver Physiol. 2009 Mar;296(3):G621-31. doi: 10.1152/ajpgi.90567.2008. Epub 2009 Jan 8.

Abstract

The actions of cholecystokinin (CCK) on gastrointestinal functions occur mainly via paracrine effects on peripheral sensory vagal fibers, which engage vago-vagal brain stem circuits to convey effector responses back to the gastrointestinal tract. Recent evidence suggests, however, that CCK also affects brain stem structures directly. Many electrophysiological studies, including our own, have shown that brain stem vagal circuits are excited by sulfated CCK (CCK-8s) directly, and we have further demonstrated that CCK-8s induces a remarkable degree of plasticity in GABAergic brain stem synapses. In the present study, we used fasted, anesthetized Sprague-Dawley rats to investigate the effects of brain stem administration of CCK-8s on gastric tone before and after activation of the esophageal-gastric reflex. CCK-8s microinjected in the dorsal vagal complex (DVC) or applied on the floor of the fourth ventricle induced an immediate and transient decrease in gastric tone. Upon recovery of gastric tone to baseline values, the gastric relaxation induced by esophageal distension was attenuated or even reversed. The effects of CCK-8s were antagonized by vagotomy or fourth ventricular, but not intravenous, administration of the CCK-A antagonist lorglumide, suggesting a central, not peripheral, site of action. The gastric relaxation induced by DVC microinjection of CCK-8s was unaffected by pretreatment with systemic bethanecol but was completely blocked by NG-nitro-L-arginine methyl ester, suggesting a nitrergic mechanism of action. These data suggest that 1) brain stem application of CCK-8s induces a vagally mediated gastric relaxation; 2) the CCK-8s-induced gastric relaxation is mediated via activation of nonadrenergic, noncholinergic pathways; and 3) CCK-8s reverses the esophageal-gastric reflex transiently.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Brain Stem / drug effects
  • Brain Stem / physiology*
  • Cholecystokinin / pharmacology
  • Cholecystokinin / physiology*
  • Dose-Response Relationship, Drug
  • Dyspepsia / physiopathology*
  • Esophagus / innervation
  • Esophagus / physiology
  • Fasting
  • Male
  • Microinjections
  • Neural Inhibition / drug effects
  • Neural Inhibition / physiology
  • Peptide Fragments / pharmacology
  • Peptide Fragments / physiology*
  • Rats
  • Rats, Sprague-Dawley
  • Reflex / drug effects
  • Reflex / physiology*
  • Stomach / innervation
  • Stomach / physiology
  • Vagus Nerve / drug effects
  • Vagus Nerve / physiology*

Substances

  • Peptide Fragments
  • cholecystokinin 8
  • Cholecystokinin