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APPETITE, OBESITY AND METABOLISM
1Laboratory of Autonomic Neuroscience, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70808; and 2Departments of Internal Medicine-Gastroenterology and Physiology, University of Michigan, Ann Arbor, Michigan 48109
Submitted 26 February 2003 ; accepted in final form 22 April 2003
Activation of esophageal mechanosensors excites neurons in and near the
central nucleus of the solitary tract (NSTc). In turn, NSTc neurons coordinate
the relaxation of the stomach [i.e., the receptive relaxation reflex (RRR)] by
modulating the output of vagal efferent neurons of the dorsal motor nucleus of
the vagus (DMN). The NSTc area contains neurons with diverse neurochemical
phenotypes, including a large population of catecholaminergic and nitrergic
neurons. The aim of the present study was to determine whether either one of
these prominent neuronal phenotypes was involved in the RRR.
Immunohistochemical techniques revealed that repetitive esophageal distension
caused 53% of tyrosine hydroxylase-immunoreactive (TH-ir) neurons to
colocalize c-Fos in the NSTc. No nitric oxide synthase (NOS)-ir neurons in the
NSTc colocalized c-Fos in either distension or control conditions. Local brain
stem application (2 ng) of
-adrenoreceptor antagonists (i.e.,
1-prazosin or
2-yohimbine) significantly
reduced the magnitude of the esophageal distension-induced gastric relaxation
to
55% of control conditions. The combination of yohimbine and prazosin
reduced the magnitude of the reflex to
27% of control. In contrast,
pretreatment with either the NOS-inhibitor
NG-nitro-L-arginine methyl ester or the
-adrenoceptor antagonist propranolol did not interfere with esophageal
distension-induced gastric relaxation. Unilateral microinjections of the
agonist norepinephrine (0.3 ng) directed at the DMN were sufficient to mimic
the transient esophageal-gastric reflex. Our data suggest that noradrenergic,
but not nitrergic, neurons of the NSTc play a prominent role in the modulation
of the RRR through action on
1- and
2-adrenoreceptors. The finding that esophageal afferent
stimulation alone is not sufficient to activate NOS-positive neurons in the
NSTc suggests that these neurons may be strongly gated by other central
nervous system inputs, perhaps related to the coordination of swallowing or
emesis with respiration.
vagus; brain stem; c-Fos
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