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Oxytocin and its effects on the gastrointestinal tract

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Abstract

Oxytocin is released into plasma in response to a meal (Ohlsson et al., 2002) and injection of cholecystokinin (CCK) (Ohlsson et al., 2004a). There are 2 phases in the release after a meal, whereas only one phase after CCK injection. Postprandially, the peak value in oxytocin release comes after the peak level of CCK (Ohlsson et al., 2002). This is in line with the findings in rats, where both parvocellular neurons projecting to the dorsal vagal complex, and magnocellular neurons projecting to the pituitary, secrete oxytocin in response to CCK (Verbalis et al., 1991). Oxytocin and its receptor mRNA is detected by the PCR method in almost all segments of the human gastrointestinal (GI) tract (Monstein et al., 2004). The indirect immunofluorescence approach has shown that oxytocin is expressed in myenteric and submucous ganglia, suggesting that it is important for both GI sensitivity and motility (Ohlsson et al., 2006a). It has not been possible to demonstrate the oxytocin receptor by immunohistochemistry. In human, oxytocin has been shown to stimulate gastric emptying (Hashmoni et al., 1979, Petring 1989) and colonic peristalsis (Ohlsson et al., 2004b). In addition, inhibition of the binding of endogenous oxytocin by the receptor antagonist atosiban delays gastric emptying (Ohlsson et al., 2006b), and diabetics with gastro paresis have impaired oxytocin secretion (Faraj et al., 2008). Despite the stimulatory effect of oxytocin on peristalsis, treatment with nasally administered oxytocin does not improve the stool habits in women with refractory constipation (Ohlsson et al., 2005). In animals, oxytocin exerts divergent effects in different species and segments of the GI tract. Oxytocin is also known to have analgetic and antidepressive effects in rats (Arletti et al., 1995, Petersson et al., 1996), and its plasma levels are found to be decreased in patients suffering from dyspepsia and IBS (Uvnäs-Moberg et al., 1991). Furthermore, children suffering from recurrent abdominal pain exhibit lower plasma levels of oxytocin than healthy controls (Alfven 2004). Interestingly, both depression and fibromylagia are associated with IBS (Lydiard et al., 1993, Sperber et al., 1999), and both of these conditions are also characterised by low plasma levels of oxytocin (Frash et al., 1995, Anderberg et al., 2000). Accordingly, treatment of IBS patients with intravenously (Louvel et al., 1996) or nasally (Ohlsson et al., 2005) administered oxytocin result in the reduction of abdominal pain and reduced depression. The questions remain as to whether oxytocin could be used clinically to improve the suffering of patients with IBS, fibromyalgia and depression by reducing their pain and their depressive mood, or improve gastric emptying in patients suffering from gastro paresis. Further randomised clinical trials are needed to answer these questions.

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To study the effects of oxytocin on both spontaneous phasic contractions and K ⁺ outward currents (I K ) of the so-called 'non-target' smooth muscle cells, physiological concentrations of oxytocin ranging between 10 ⁻¹² mol/l and 10 ⁻⁸ mol/l were applied to smooth muscle preparations and single voltage-clamped cells isolated from the circular layer of the guinea-pig gastric antrum. Oxytocin (10 ⁻¹² mol/l to 10 ⁻⁸ mol/l) suppressed, in a dose-dependent manner, the tetrodotoxin- and atropine-resistant spontaneous phasic contractions and shifted rightward the dose–response curves of 10 ⁻⁷ mol/l charybdotoxin and 10 ⁻³ mol/l BaCl 2 . In cells with preloaded intracellular Ca ²⁺ stores, oxytocin (10 ⁻¹² mol/l to 10 ⁻⁹ mol/l) caused a dose-dependent activation of the charybdotoxin-blockable non-inactivating component of I K (I K(s1) ) of single voltage-clamped cells, which was accompanied by hyperpolarization of the cell membranes. ⁸ Lys-vasopressin and ⁸ arg-vasopressin failed to mimic the effects of oxytocin on both contraction and K ⁺ currents. Further, the oxytocin-induced activation of I K(s1) was effectively antagonized by 5× 10 ⁻⁸ mol/l U-73122 or 5× 10 ⁻⁶ mol/l 2-nitro-4-carboxyphenyl N,N-diphenylcarbamate (inhibitors of the cell membrane phospholipase C), as well as by intracellularly applied heparin (selective inhibitor of inositol-1,4,5-trisphosphate (IP 3 )-induced Ca ²⁺ release channels). In cells incubated in the absence of Ca ²⁺ entry throughout the study, oxytocin (10 ⁻⁹ mol/l) caused a slight and transient increase of I K(s1) amplitudes. Neither ryanodine (10 ⁻⁶ mol/l nor cyclopiazonic acid (10 ⁻⁶ mol/l) were able to restore the I K -activating effect of oxytocin in these cells. The data obtained suggest (i) that selective oxytocin receptors are present on the membranes of guinea-pig antral smooth muscle cells, (ii) that the oxytocin-related relaxation may result from the activation of Ca ²⁺ -sensitive K ⁺ conductivity via activation of IP 3 -induced release of C a from the submembrane located cisternae of the sarcoplasmic reticulum Ca ²⁺ stores and (iii) in turn, this evokes a non-inactivating component of I K , hyperpolarizing the cell membrane. European Journal of Endocrinology 136 531–538
Article
The effects of oxytocin (OT) on gastric emptying and plasma levels of cholecystokinin (CCK) were studied in male rats. Gastrointestinal motility was assessed in rats 15 min after intragastric instillation of a test meal containing charcoal and Na2(51)CrO4. Gastric emptying was determined by measuring the amount of radiolabeled chromium contained in the small intestine as a percentage of the initial amount received. Blood samples were collected for OT and CCK radioimmunoassay. After administration of OT (0.2-0.8 mg x kg(-1)), gastric emptying was inhibited, whereas plasma concentrations of OT and CCK were increased in a dose-dependent manner. Atosiban, an oxytocin receptor antagonist, effectively attenuated the OT-induced inhibition of gastric emptying. However, administration of atosiban alone had no effect on gastric emptying. Devazepide (3 mg x kg(-1)), a selective CCKA receptor antagonist, effectively attenuated the OT-induced inhibition of gastric emptying. L-365, 260, a selective CCKB receptor antagonist, did not alter the OT-induced inhibition of gastric emptying. These results suggest that OT inhibits gastric emptying in male rats via a mechanism involving CCK stimulation and CCKA receptor activation.
Article
The effects of oxytocin (OT) on gastric emptying, gastrointestinal transit, and plasma levels of cholecystokinin (CCK) were studied in female rats. Gastrointestinal motility was assessed in rats 15 min after intragastric instillation of a test meal containing charcoal and Na(2)(51)CrO(4). Gastric emptying was determined by measuring the amount of radiolabeled chromium contained in the small intestine as a percentage of the initial amount received. Gastrointestinal transit was evaluated by calculating the geometric center of distribution of the radiolabeled marker. Blood samples were collected for CCK radioimmunoassay. After administration of OT (0.2-0.8 mg/kg), gastric emptying and gastrointestinal transit were inhibited, whereas the plasma concentration of CCK was increased in a dose-dependent manner. Atosiban, an oxytocin receptor antagonist, effectively attenuated the OT- induced inhibition of gastric emptying and gastrointestinal transit. However, administration of atosiban alone had no effect on gastric emptying and gastrointestinal transit. The selective CCK(1) receptor antagonists, devazepide and lorglumide, effectively attenuated the OT-induced inhibition of gastric emptying and gastrointestinal transit. L-365, 260, a selective CCK(2) receptor antagonist, did not alter the OT-induced inhibition of gastric emptying and gastrointestinal transit. These results suggest that OT inhibits gastric emptying and gastrointestinal transit in female rats via a mechanism involving CCK stimulation and CCK(1) receptor activation.
Article
Our recent study indicated that, in the dorsal motor nucleus of the vagus (DMV), the N-methyl-D-aspartic acid (NMDA) receptor-nitric oxide (NO)-cGMP pathway participated in the regulation of gallbladder motility in rabbits. Oxytocin (OT) is involved as a neurotransmitter in autonomic regulation. The aim of the present experiments is to investigate the effect of OT microinjected into DMV on the gallbladder motility and the involvement of NMDA receptor-NO-cGMP pathway. A frog bladder connected with transducer was inserted into the gallbladder to record the gallbladder pressure. Microinjection of OT (10-50 nmol/L, 100 nl) dose dependently increased the strength of gallbladder phasic contraction. The excitatory effect of OT (10 nmol/L, 100 nl) was completely abolished by atosiban (10 mmol/L, 100 nl), the specific OT receptor antagonist, but was not influenced by [deamino-Pen(1), O-Me-Tyr(2),Arg(8)]-vasopressin (10 mmol/L, 100 nl), the V(1) receptor antagonist. Pretreatment of ketamine (10 mmol/L, 100 nl), the NMDA receptor antagonist, suppressed the gallbladder motor response to OT; but pretreatment of 6-Cyaon-7-Nitroquinoxaline-2,3-(1H,4H)-Dione (CNQX; 10 mmol/L, 100 nl), the non-NMDA receptor antagonist, did not affect it. Pretreatment of L-NAME (10 mmol/L, 100 nl), the nitric oxide synthase (NOS) inhibitor, or methyl blue (10 mmol/L, 100 nl), the guanylyl cyclase inhibitor, inhibited the excitatory effect of OT on gallbladder motility. Hence, we deduced that the microinjection of OT into the DMV enhanced the gallbladder motility through binding specific OT receptors and activating the NMDA receptor-NO-cGMP pathway.
Article
Vasopressin and oxytocin are closely related peptides, and both exert effects on the gastrointestinal function. In the present study, we wanted to map the expression of vasopressin receptor mRNAs (V1a, V1b/V3, and V2) in nontumorous tissue biopsy specimens of human gastrointestinal tract and surrounding tissues. Total and polyA+ RNAs were isolated from human tissue biopsy specimens using an automated nucleic acid extractor and, subsequently, converted into single-stranded cDNA. Semi-nested PCR amplifications were carried out, using gene-specific V1a, V1b/V3, and V2 receptor primers. The PCR amplicons were partially sequenced to confirm their identity. The present study demonstrated the expression of vasopressin receptor mRNAs in human gastrointestinal tract, pancreas, kidney, lung, brain, and ovary. The expression pattern varied between different parts of the gastrointestinal tract. In the colon ascendens, V1a receptor mRNA expression could not be detected in 3 out of 4 analyzed tissue biopsy specimens. On the other hand, all the vasopressin receptor mRNAs were expressed in all colon transversum biopsy samples. V1a, V1b/V3, and V2 receptor mRNAs are widely expressed throughout human gastrointestinal tract and surrounding tissues. The data obtained provide information for further mapping and determination of the physiological role of the vasopressin receptor mRNA expression in normal and tumorous tissues.
Article
These experiments were performed to study the effect of oxytocin (OT) and it's specific receptor on gallbladder motility in rabbits. The fasted New Zealand white rabbits (2.0-2.5 kg) were anaesthetized by urethane (1 g/kg). The gallbladder pressure was recorded continuously to monitor the gallbladder motility. Systemic OT (0.01, 0.02, 0.04 mg/kg, iv) did not affect the gallbladder pressure, but dose-dependently increased the frequency of phasic contraction. Five min after OT administration (0.04 mg/kg, iv), the strength of phasic contraction increased to 0.23 +/- 0.08 mmHg/min (P < 0.01, n = 6). The gallbladder motility returned to normal 15 min later after OT treatment. Intravenous injection of atosiban (0.04 mg/kg, iv), an OT receptor antagonist, decreased the strength of gallbladder phasic contraction but did not affect gallbladder pressure. Pretreatment of atosiban (0.04 mg/kg, iv) completely abolished the systemic OT effect on gallbladder. Vasopressin (VP) (0.1 - 0.5 IU/kg, iv) dose-dependently decrease the gallbladder pressure but did not affect the phasic contraction. MK-329 (0.4 mg/kg, iv), the CCK-A receptor antagonist, L-365, 260 (0.4 mg/kg, iv), the CCK-B receptor antagonist and atropine (0.2 mg/kg, iv), the M receptor antagonist, did not affect the OT effect on gallbladder motility. We suggest that endogenous OT regulates gallbladder phasic contraction through specific OT receptor. This effect is independent of the peripheral CCK and M receptors.