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The Journal of Neurophysiology Vol. 87 No. 4 April 2002, pp. 2095-2103
Copyright ©2002 by the American Physiological Society
Nerve-Gut Research Laboratory, Department of Gastroenterology, Hepatology and General Medicine, Royal Adelaide Hospital, Adelaide, SA 5000; and Departments of Medicine and Physiology, University of Adelaide, SA 5005, Australia
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ABSTRACT |
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Page, A. J.,
C. M. Martin, and
L. A. Blackshaw.
Vagal Mechanoreceptors and Chemoreceptors in Mouse Stomach
and Esophagus.
J. Neurophysiol. 87: 2095-2103, 2002.
We used a novel in vitro mouse
vagus-gastro-esophageal preparation to study the properties of
peripheral vagal afferent endings. We found two types of
mechanoreceptive fiber, mucosal receptors and tension receptors. These
were distinguished by their sensitivity to mucosal stroking with von
Frey hairs and circular tension applied via a claw-cantilever system. A
comparison was made with gastro-esophageal afferents found in a similar
preparation of ferret tissue. Responses of mouse tension receptors to
circular tension were significantly greater than ferret tension and
tension/mucosal receptors. Similarly the responses of mouse mucosal
receptors to mucosal stroking were significantly greater than ferret
mucosal and tension/mucosal receptors. Forty-seven percent of mouse
mucosal receptors and 50% of tension receptors responded to one or
more drugs or chemical stimuli applied to the receptive field. These
included
,
-methylene ATP (10
6 to
10
3 M), 5-hydroxytryptamine
(10
6 to 10
3 M), and
hydrochloric acid (10
2 to
10
1 M). Drug responses were concentration
dependent. One hundred percent of mucosal receptors and 61% of tension
receptors tested responded to bile (1:8 to 1:1 dilution). A third type
of fiber was recruited by bile. These fibers were mechanically
insensitive and silent prior to bile exposure. In conclusion, we have
shown three types of gastro-esophageal vagal afferent fibers in the mouse: mucosal mechanoreceptors, tension receptors, and specific chemoreceptors activated by bile.
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INTRODUCTION |
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Recent studies on the
pharmacology of gastro-esophageal vagal afferents have revealed
important roles for cholecystokinin (CCK), 5-hydroxytryptamine
(5-HT3), GABAB,
opioid, and purinergic (P2X) receptors
(Blackshaw and Grundy 1990
, 1993a
; Ozaki et al. 2000
; Page and Blackshaw 1999
; Page et
al. 2000
). In vitro preparations of tissue from small mammals
provide highly controllable conditions for pharmacological studies of
this kind. There are, however, many other targets, such as ion
channels, intracellular messengers, cytokines, and neurotrophins, some
of which are inaccessible using pharmacological tools. Understanding
more about how these factors influence visceral afferents depends on
the use of transgenic or knockout mice. An in vitro approach in
knockout mice for studying cutaneous afferents has provided valuable
information on a range of mechanisms influencing their function and
structure (Carroll et al. 1998
; Caterina et al.
2000
; Price et al. 2000
). However, for
meaningful comparisons to be made in evaluating the roles of these
mechanisms, it is first necessary to establish a normative inventory of
the properties of wild-type mouse afferents (Koltzenburg et al.
1997
). It is also important to compare the mouse model to
another more established model of visceral afferent function. Recent
studies of the anatomy of murine gastroduodenal afferents has verified
their similarity with those in other species (Fox et al.
2000b
) and provided preliminary evidence for the role of neurotrophin-4 in their development (Fox et al. 2000a
).
Electrophysiological studies in mice are completely lacking, which
prompted us to embark on the present study.
In vivo electrophysiological studies have demonstrated the existence of
two major functional classes of upper gastrointestinal vagal afferent
endings (see Cervero 1994
; Grundy and Scratcherd 1989
, for reviews): tension receptors are exclusively sensitive to muscular contraction and distension; mucosal receptors are insensitive to muscular stimuli but respond to mucosal stroking, various luminal chemical stimuli, and drugs. Three populations of
specific chemoreceptors have been postulated (Jeanningros
1982
; Mei 1978
; Melone 1986
), but
their mechanical sensitivity may have been overlooked. In vitro studies
of upper gastrointestinal vagal afferents have revealed an additional
class of mechanoreceptor in ferrets
the tension/mucosal receptor. This
has properties of both classes described in the preceding text
(Page and Blackshaw 1998
).
The present study was undertaken to provide a comparison of the
mechanosensory properties of mouse gastro-esophageal vagal afferent
fibers with those in an established ferret model (Blackshaw et
al. 2000
; Page and Blackshaw 1998
, 1999
;
Page et al. 2000
) and to embark on investigation of
aspects of chemosensitivity to physiological, pathophysiological, and
pharmacological stimuli in mouse afferents.
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METHODS |
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All studies were performed in accordance with the guidelines of the Animal Ethics Committees of the Royal Adelaide Hospital and Institute for Medical and Veterinary Science, Adelaide, Australia.
General
IN VITRO MOUSE GASTRO-ESOPHAGEAL AFFERENT PREPARATION. Female mice [C57/BL6 (n = 55): 20-30 g body wt] were killed by CO2 inhalation and cervical dislocation. The stomach, esophagus with attached vagal nerves, heart, and lungs were removed and placed in modified Krebs' solution of the following composition (mM): 118.1 NaCl, 4.7 KCl, 25.1 NaHCO3, 1.3 NaH2PO4, 1.2 MgSO4.7H2O, 1.5 CaCl2, 1.0 citric acid, and 11.1 glucose, bubbled with 95% O2-5% CO2. The temperature was maintained at 4°C during dissection to prevent metabolic degradation. After further dissection the preparation was opened out longitudinally along the esophagus and greater curve of the stomach. The dorsal aspect of the stomach was removed completely to enable the tissue to be pinned flat in the organ bath with a straight edge. The tissue was then pinned mucosa side up in a perspex chamber (dimensions: 6.0 × 2.5 × 1.2 cm) and perfused at a rate of 11-12 ml/min with carbogenated Krebs' bicarbonate buffer solution maintained at 34°C. A sliding wall with a small "mouse hole" for the vagus nerves to pass through was moved into position so that the nerves extended into a second round chamber (dimensions: 3.7 cm diam, 1.2 cm deep) where they were laid on a mirror and bathed in paraffin oil. Under a dissecting microscope, the nerve sheath was gently peeled back to expose the nerve trunk. Using fine forceps, nerve fibers were teased apart into 8-12 bundles, then one by one, the small nerve bundles were placed onto a platinum recording electrode. A reference electrode rested on the mirror in a small pool of Krebs' solution.
FERRET GASTRO-ESOPHAGEAL AFFERENT PREPARATION.
Ferrets (0.5-1.0 kg body wt) were deeply anesthetized with
pentobarbitone sodium (50 mg/kg ip), and the thorax was opened by a
midline incision. The ferret was then killed and exsanguinated. The
preparation was then placed in an organ bath in a similar manner to the
mouse preparation. This preparation has been described in detail
previously (Page and Blackshaw 1998
).
Characterization of gastro-esophageal vagal afferent properties
Location of receptive fields along the esophagus and stomach was determined by mechanical stimulation with either a blunt glass rod or a brush. The mechanical stimulus-response functions were determined using calibrated von Frey hairs. Tension response curves were also obtained for each receptive field; the curves were used in combination with von Frey responses to classify afferents. Tension was applied via a claw made from bent dissection pins attached with thread to a pulley and cantilever system. To balance the cantilever, weights were placed on the opposite side. The claw was always hooked to the edge of the stomach or esophagus adjacent to the receptive field under investigation. All afferents tested that were tension sensitive responded to stretch in both the longitudinal and circular direction, and no afferents were observed that responded only to longitudinal stretch. For this reason and also to provide optimum control, stretch was applied in a circular direction.
Chemosensitivity of mouse gastro-esophageal vagal afferents was
determined after mechanical thresholds had been established in a total
of 39 fibers using similar methods to our prior in vitro study in the
ferret (Page and Blackshaw 1998
). It is important to
note that chemosensitivity of one fiber only per experiment was
evaluated to avoid bias due to sensitization or desensitization. In all
experiments, the mechanical sensitivity of receptive fields was checked
between each drug application to ensure continued viability of the unit
under investigation. Further application of other drugs did not occur
if a certain drug affected the sensitivity of the receptive field to
mechanical stimulation. After removal of the drug from around the
receptive field, the afferents were allowed to return to a normal
baseline level of activity. Five minutes of normal baseline activity
was maintained before the addition of another drug.
Data recording and analysis
Afferent neural activity was amplified with a biological amplifier (BA 1, JRAK, Melbourne, Australia) and scaling amplifier (SA 1, JRAK,), filtered (F1 filter, JRAK), and monitored using an oscilloscope (Yokogawa Tokyo, DL 1200A). Single units were discriminated on the basis of action potential shape, duration, and amplitude using Spike 2 software (Cambridge Electronic Design, Cambridge UK). It was very rare with the size of the strands we used to have more than 3 units/nerve strand; however, when this occurred, the strand was split further to reduce the number of units. If there were only 2 or 3 units but the shape of the action potentials of each unit was similar (making them difficult to discriminate using spike 2 software), then the stand was split to try and separate the units. All data were recorded on magnetic tape and analyzed off-line using a personal computer (Compaq Armada M700). Peristimulus time histograms and discharge traces were displayed using Spike 2 software. Data are expressed as means ± SE with n = number of individual afferents in all instances. Differences between stimulus-response curves were evaluated using two-way ANOVA. Differences were considered significant if P < 0.05. A response to a chemical stimulus was scored when a 10% increase in discharge frequency occurred above a steady baseline after completing application of chemical.
Drugs
Stock solutions of all drugs were kept frozen and diluted to
their final concentration in Krebs' solution on the day of the experiment. 5-Hydroxytryptamine and
,
-methylene ATP were obtained from Sigma (Sydney, Australia). Ferret bile was collected from the gall
bladder of anesthetized ferrets used for other studies within our laboratory.
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RESULTS |
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Mechanical properties of mouse gastro-esophageal vagal afferent fibers
Two types of mechanosensitive fibers were observed using this in vitro preparation (Fig. 1): those responding to mucosal stroking but not circular tension (mucosal receptors; n = 27) and those responding to mucosal stroking and circular tension (tension receptors; n = 39). Mucosal receptors did not respond to tension, whereas tension receptors gave a graded increase in afferent discharge with increases in load (Fig. 1, A, B, and Ciii). Both mucosal and tension receptors responded to mucosal stroking with calibrated von Frey hairs with forces as small as 10 mg (Fig. 1, A, B, and C, i and ii). However, this stimulus caused observable distortion of the underlying layers in which we supposed the tension receptors were located. The responses of gastric mucosal receptors (n = 5) to mucosal stroking were significantly greater (P < 0.0001 for impulses evoked per stroke and P = 0.0073 for maximum instantaneous frequency per stroke; 2-way ANOVA) than responses of esophageal mucosal receptors (n = 11; data not illustrated). The responses of esophageal tension receptors (n = 15) to circular tension tended to be larger than responses of gastric tension receptors (n = 3; data not illustrated). Receptive fields of mucosal and tension receptors were randomly distributed over the esophagus and stomach but predominantly distal to the point at which the vagus was separated from the esophagus. These observations indicate that fibers course up or down the esophagus before exiting. The receptive fields were small (<0.5 mm diam) and distinct.
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In general, mucosal receptors did not show marked resting activity,
although spontaneous discharge was evident in nine fibers. Spontaneous
activities of mucosal (median: 0.3 imp/s, interquartile range: 3.1, n = 19) and tension receptors (median: 2.5 imp/s, interquartile range: 3, n = 25) were significantly
different (P = 0.01; using a Mann-Whitney U
test). Spontaneous activity of the mucosal receptors showed no apparent
rhythmicity, whereas the tension receptors often fired spontaneously
with a constant regular rhythm comparable to the spontaneous rhythm of
ferret tension-sensitive afferents (Page and Blackshaw
1998
).
Comparison of mechanical sensitivity of gastro-esophageal vagal afferents in the mouse and ferret
Of the 52 ferret gastro-esophageal afferents recorded, 16 were
mucosal, 18 were tension/mucosal, and 18 were tension receptors. Three
gastric afferents were recorded
two were mucosal receptors and one was
a tension receptor. The response of mouse tension receptors to circular
tension was significantly greater than ferret tension/mucosal receptors
(P < 0.0001: 2-way ANOVA; Fig.
2A). These were in turn more
responsive than ferret tension receptors (P = 0.0013:
2-way ANOVA; Fig. 2A). The response to mucosal stroking of
mouse mucosal receptors was significantly greater than that of ferret
mucosal (P < 0.0001: 2-way ANOVA; Fig. 2B)
and ferret tension/mucosal receptors (P < 0.0001:
2-way ANOVA; Fig. 2B). The responses of ferret mucosal and
tension/mucosal receptors to mucosal stroking were also significantly
different (P < 0.0001; 2-way ANOVA; Fig.
2B). Analysis of data only from esophageal afferents had no
effect on the significance of results when comparing mouse and ferret
afferents.
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Chemosensitivity of gastro-esophageal vagal afferents in the mouse
The chemosensitivity of gastro-esophageal vagal afferents in the mouse is illustrated in Table 1 and Fig. 3. There was no difference in latency of response between gastric and esophageal afferents.
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The response to
,
-methylene ATP (1 µM; Fig. 3Aiii)
was rapid and the duration of the response short with a cessation of response before washout. Two of the mucosal receptors that responded to
,
-methylene ATP (1 µM) were found in the stomach as was one of
the nine tension receptors. In all cases (13/13), the response was
repeated on second application of
,
-methylene ATP. Both tension
and mucosal receptors responded in a concentration-dependent manner to
application of
,
-methylene ATP to the receptive field (Fig.
3A, i and ii).
Only 1 fiber in a total of 11 fibers tested responded to hydrochloric
acid (100 mM). This exhibited a similar response profile to that evoked
by
,
-methylene ATP. This fiber had its receptive field in the stomach.
Responses to 5-hydroxytryptamine were generally prolonged, continuing
for a period after washout. There was no desensitization to subsequent
application of 5-hydroxytryptamine to the receptive field when tested.
All fibers that responded to 5-hydroxytryptamine had receptive fields
in the esophagus apart from one mucosal receptor that had its receptive
field in the stomach. In nine fibers, the concentration response
relationship of the response to 5-HT was evaluated. This showed a
threshold of <1 µM and a maximal response
10 µM (Fig. 3B,
i and ii). One of the tension receptors, after an
initial response to 5-hydroxytryptamine, showed rhythmical bursting
activity associated with visible contractions of the esophagus
(observed using stereomicroscope at ×40 magnification). This was the
only occasion that muscular activity in response to chemical
application was observed, and this was not counted as a direct effect.
Unlike the other chemicals tested, bile evoked prolonged responses in 100% of mucosal receptors. Seven of these afferents had receptive fields within the stomach and six were located in the esophagus. Eleven tension receptors that responded to bile had receptive fields in the esophagus, and 1 had its receptive field in the stomach. All responses were reproducible on a second application. Ferret bile had an osmolarity of 285 ± 5.92 mosmol (n = 5) and pH of 7.7 ± 0.2 (n = 5), indicating that the response was not due to a change in osmolarity or pH. Increases in discharge during washout of bile were observed, but these subsided before testing of other chemicals.
Specific chemoreceptors
Twelve afferent fibers were recruited during application of bile
to the receptive field and surrounding tissue of another fiber under
investigation in 11 experiments. They had no mechanosensitive receptive
fields and were not spontaneously active. These afferents remained
mechanically insensitive, even at noxious probing forces (>200
g), but responded to repeated exposure to bile in 6/6 cases. An example of a recruited afferent responding to bile is illustrated in
Fig. 4. These specific chemosensitive
afferents did not respond to
,
-methylene ATP (1 µM; 12/12
afferents), 5-hydroxytryptamine (100 µM; 9/9 afferents), or
hydrochloric acid (100 mM; 4/4 afferents).
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DISCUSSION |
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The present study provides the first documentation of functional properties of visceral primary afferent fibers in the mouse. Two types of gastro-esophageal afferent fiber were classified according to their sensitivity to mechanical stimuli: those responsive to low intensity mucosal stimuli (10 mg) but not circular tension (mucosal receptors) and those responsive to low intensity mucosal stimuli and circular tension (tension receptors). These are comparable with those found previously in other species. Another type of fiber is described for the first time that did not respond to mechanical stimulation in the form of either circular stretch or mucosal stroking. These fibers were exclusively chemosensitive responding only to bile.
Mechanical sensitivity
Both mouse and ferret tension receptors recorded in this study
exhibited slowly adapting responses to circular tension. This is
directly comparable with responses previously reported in various species including cats (Iggo 1957
), sheep (Iggo
1955
), ferrets (Andrews et al. 1980
; Page
and Blackshaw 1998
), and rats (Davison and Clarke
1988
). The anatomical correlate of the tension receptor has
recently been investigated using a combination of anterograde neuronal
tracing and close extracellular recording in the guinea pig
(Zagorodnyuk and Brookes 2000
). Tension-sensitive
receptive fields were found to correspond with intra-ganglionic laminar endings (IGLEs) in myenteric ganglia in the esophagus. We assume, therefore, that the IGLEs described in the mouse by Fox et al. (2000b)
would correspond to tension receptive sites in
our preparation and are responsible for signaling active contraction
and passive distension.
Vagal mucosal afferent sensitivity to light stroking and chemical
stimuli is well documented (e.g., Blackshaw and Grundy 1990
, 1993a
; Clarke and Davison 1978
; Cottrell
and Iggo 1984b
; Davison 1972
; Page and
Blackshaw 1998
). It is likely that the tension-insensitive, mucosal-stroking-sensitive receptors we have recorded in mice are of
this type, so we have labeled them mucosal receptors. Mouse mucosal
receptors responded in a force-dependent manner to mucosal stroking
with calibrated von Frey hairs as did ferret mucosal and
tension/mucosal receptors in our previous study (Page and Blackshaw 1998
). Responses of mouse afferents were, however,
significantly greater than those in ferret. Free endings of vagal nerve
fibers have been observed in the esophageal epithelium of several
species, including dogs, cats, and monkeys (Clerc and Condamin
1987
; Hudson and Cummings 1985
;
Robles-Chillida et al. 1981
) where they are presumed to
act as chemoreceptors and tactile mechanoreceptors. We conclude that
the two types of vagal afferent fibers that we have encountered
(mucosal and tension receptors) correspond to those that have
previously been described anatomically in the esophagus and stomach and
electrophysiologically in the abdominal viscera.
In the ferret in vitro preparation, we found three types of
gastro-esophageal vagal afferent fibers: first, those responsive to
low-intensity mucosal stimuli (10 mg) but not circular tension; second,
those responsive to circular tension and to high-intensity mucosal
stimuli (
200 mg); third, those responsive to low-intensity mucosal
stimuli (10 mg) and to circular tension (Page and Blackshaw 1998
). Therefore the main difference between the mouse in vitro preparation and the ferret is that we were unable to differentiate two
subtypes of tension-sensitive afferent. This difference could simply be
due to the thinness of the mouse tissue compared with the ferret. All
afferents observed in the mouse in vitro preparation responded to
stroking with the 10 mg von Frey hair, which visibly distended the
muscular layer of the tissue. In fact, tension receptors were
significantly more responsive to stroking with calibrated von Frey
hairs than mucosal receptors. We did obtain von Frey hairs that when
placed on the receptive field at 90° gave a constant force. These von
Frey hairs were calibrated as low as 8 mg. Unfortunately, the 8 mg von
Frey hair would not penetrate the Krebs meniscus and was extremely
difficult to place on the receptive field due to the flow of the Krebs
solution, so data were unavailable using this method. Therefore it can
be concluded that using the present methods of identification only two
populations of mechanosensitive mouse gastro-esophageal vagal afferent
fibers are discernable. In addition to the number of action potentials
per stroke of the von Frey hair, the maximum instantaneous frequency
per stroke was also determined for mouse afferents. This measurement
may be sensitive for revealing specific changes in sensitivity of gastro-esophageal vagal afferents in future studies. Frequency analysis
revealed that tension receptors fired at a significantly greater rate
than mucosal receptors when stroked with calibrated von Frey hairs. The
topographical distribution of these two types of afferent was random
throughout the esophagus and stomach but predominantly distal to the
point of separation of the vagal trunks from the esophagus. This is in
agreement with our previous study comparing distribution of tension and
mucosal receptors (Page and Blackshaw 1998
).
Most of our knowledge about the electrophysiology of visceral afferents
has been gained from whole animal experiments using "single-fiber"
recording techniques first introduced by Paintal (1953)
and Iggo (1955)
. It is difficult to compare directly
data from these experiments to those obtained in the mouse in vitro. Therefore we have compared mouse in vitro data with those from an
already established in vitro preparation, the ferret isolated gastro-esophageal vagal afferent preparation. Methodologically, these
preparations have only minor differences. The main difference is that
when tension is applied across the ferret tissue a single hook is used
whereas a claw is used on the mouse preparation. The claw technique was
adopted for the mouse preparation because the hook tended to damage the
tissue. The load applied to the tissue by the claw was spread over a
0.5 cm width, and this was enough to prevent damage. Despite this
spreading of the load, the tension response curve for mouse tension
receptors was still steeper than those for ferret tension and
tension/mucosal receptors. Thus mouse tension receptors are more
sensitive than ferret tension receptors to circular loads. This is
likely to be attributable to the viscoelastic properties of tissues
from the different species. In addition, the responses of mouse
esophageal tension receptors to circular tension was greater than that
of mouse gastric tension receptors. Again, a difference in
mechano-elastic properties of different muscle types may be responsible
for the observed difference in responsiveness of nerves innervating the
striated muscle of the esophagus and the smooth muscle of the stomach.
Chemical sensitivity
Examination of the chemosensitivity of mouse mucosal and tension
receptors showed that a proportion of both types of fiber responded to
one or more of the chemical stimuli applied to the receptive field. The
latency and duration of the responses to these chemicals tended to be
shorter in mouse afferents compared with ferret afferents previously
reported (Page and Blackshaw 1998
). However, this may
simply be due to the higher permeability of the mouse tissue or lower
mucous secretion and not a property of the afferent endings. We chose a
range of chemical stimuli to investigate mouse gastro-esophageal vagal
afferents to deliver stimuli that may be encountered in the lumen
during physiological or mildly pathophysiological conditions. Acid and
bile can reflux into the esophagus and stomach causing damage to the
mucosal surface (Black et al. 1971
; Gillen et al.
1988
; Nehra et al. 1999
). 5-Hydroxytryptamine may be released from enterochromaffin cells or play a role as an
inflammatory mediator after injury (see Blackshaw and Grundy 1993a
). A proportion of afferents were chemosensitive to
5-hydroxytryptamine and hydrochloric acid, as previously reported by
our group in the ferret esophagus in vitro (Page and Blackshaw
1998
; Page et al. 2000
). Approximately, half of
esophageal tension-sensitive afferents responded to 5-HT. One afferent
was discounted from this count on the basis that the bursting activity
in response to 5-HT correlated to visible muscular contractions of the
esophageal wall. This response to visible muscular contraction was
smaller and had a longer latency than the responses of the other
tension receptors to 5-HT. Therefore there is a reasonable degree of
confidence that the responses are due to direct activation of the
receptive field as opposed to a secondary effect due to muscular contraction.
Within the gastrointestinal tract there is an abundance of evidence
that ATP acts as a neurotransmitter, being released from either
extrinsic sympathetic efferent nerves or from intrinsic enteric neurons
(Burnstock 1990
; Galligan and Bertrand
1994
). In addition, ATP can be released from cells at the site
of tissue injury (Burnstock and Wood 1996
). ATP and
,
-methylene ATP have been shown to excite small intestinal
mesenteric afferent nerves (Kirkup et al. 1999
), the
early phase of the response being due to direct activation of the
afferents. A small proportion of mouse gastro-esophageal afferents were
excited by the addition of
,
-methylene ATP to the mucosal surface
surrounding the receptive field. In contrast none of the ferret mucosal
gastro-esophageal vagal afferents we recorded were responsive to
,
-methylene ATP (Page et al. 2000
). They were,
however, sensitized by
,
-methylene ATP following inflammation.
The data, taken together, suggest more direct coupling of purinergic
receptors to excitatory mechanisms in mouse afferents than in ferret.
The concentration at which responses to
,
-methylene ATP were
evoked is consisitent with a role for purinergic receptors in signaling
tissue injury in the gastro-esophageal region to the CNS.
Bile elicited an increase in discharge in all mouse mucosal receptors
tested and >50% of tension receptors tested. This is in excess of the
proportion responsive in an in vitro colon preparation where ~50% of
mucosal and serosal receptors were excited by bile (Lynn and
Blackshaw 1999
). The response to bile was not due to a change
in osmolarity or pH, therefore one of the bile components must have
induced the excitatory response. Bile reflux into the stomach and
esophagus is not uncommon and may underlie development of disease
(Gillen et al. 1988
; Nehra et al. 1999
).
Our data indicate that bile may trigger reflex events or symptoms via a
vagal afferent pathway. A direct action of bile on nerve endings cannot
be totally discounted because the response was repeatable and not
attenuated as would be expected if supplies of released mediators were
being exhausted. However, exposure of the esophagus and stomach to bile may have caused damage to the mucosal surface resulting in release of
local inflammatory mediators. These local mediators could be responsible for the excitatory effect of bile. ATP and 5-HT release from damaged cells can be discounted from the possible list of mediators because afferent responses to bile were far more vigorous than responses to
,
-methylene ATP or 5-HT. In addition, some of
the bile-sensitive afferents did not respond to
,
-methylene ATP
or 5-HT. Our frequent observation of specific sensitivity to bile may
constitute a highly tuned sensory transduction pathway and is under
further investigation within our laboratory.
Another group of afferents was discovered when bile was added to the
ring around a mechanoreceptive field. This group of afferents did not
respond to mechanical stimulation in the form of either mucosal
stroking or circular tension but responded in a repeatable manner to
bile. These are distinct from the previously described "silent
nociceptors" (reviewed by Cervero 1994
) in that they
remain insensitive to mechanical stimuli after they have been recruited by chemical stimuli. The specific chemoreceptors observed in the present study did not respond to any chemicals other than bile. Afferents that were initially nonmechanosensitive were also observed in
the rat colon (Lynn and Blackshaw 1999
); however, these
afferents responded to more than one chemical stimulus and subsequently became mechanically sensitive. In the present study, the bile-sensitive afferents did not become mechanosensitive even after repeated exposure
to bile. Receptors sensitive to luminal perfusion of nutrients such as
glucose (Mei 1978
) and amino acids (Jeanningros 1982
) have been described in the gastrointestinal tract. These were suggested to be specific chemoreceptors, but their possible responsiveness to mucosal stroking was not routinely evaluated. This is
probably because experiments used closed-loop perfusion of different
regions of the gastrointestinal tract that prevented access for testing
of mucosal receptor mechanical sensitivity. In the present study, the
tissue was opened out flat, and therefore rigorous testing of
mechanical sensitivity was easily achieved. Our findings therefore
represent the first description of bile-specific chemoreceptors in any
species and possibly the first rigorous description of specific luminal chemoreceptors.
Biophysical properties
Spontaneous activity was present in a subgroup of both types of
mouse afferent observed in this study. Analysis of group data on the
two types of afferent we encountered in the mouse preparation showed
that mucosal receptors had significantly lower rates of resting
discharge. This is similar to differences previously reported between
mucosal and other classes of fiber in the vagal innervation (Blackshaw and Grundy 1990
, 1993a
,b
; Cottrell and
Iggo 1984a
,b
; Page and Blackshaw 1998
). For
methodological reasons, we did not determine the conduction velocity of
afferents in the present study. Reports have indicated the existence of
a mixed population of A
and C fibers in sheep (Cottrell and
Iggo 1984a
), opossum (Sengupta et al. 1989
,
1992
), and ferret (Andrews and Lang 1982
; Page and Blackshaw 1998
). There have also been reports
in rat (Cervero and Sharkey 1988
; Clarke and
Davison 1978
) and cat (Clerc and Mei 1983
) that
have shown that gastro-intestinal tension receptors are all C fibers or
that only A
fibers are present in sheep (Falempin et al.
1978
). In our ferret, in vitro preparation mechanical
sensitivity of the C and A
fibers was not significantly different
within the three types of afferent observed (Page and Blackshaw
1998
). Therefore although the conduction velocity data would
have provided an additional classification criterion for future
studies, it is unlikely to be of functional significance to the type of
sensory information encoded in the present study.
Conclusions
The present study shows that properties of gastro-esophageal vagal afferents may be studied directly in vitro in the mouse. The mouse isolated gastro-esophageal preparation is ideal for investigating both mechanical and chemical sensitivity of mucosal and tension receptors. Chemosensitivity of mouse tension and mucosal receptors is restricted to a small subpopulation, but these show robust responses consistent with expression of receptors to 5-HT, ATP, low pH, and bile constituents. In addition to two classes of mechanoreceptor, we have also encountered a population of afferents not observed elsewhere that are mechanically insensitive that are recruited by exposure to bile. An advantage of this model for future studies is that mice can be genetically modified for investigation of the roles of specific receptors, transmitters, channels, and trophic factors in mechano- and chemosensitivity.
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ACKNOWLEDGMENTS |
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We acknowledge the financial support of the National Health and Medical Research Council of Australia.
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FOOTNOTES |
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Address for reprint requests: A. J. Page, Nerve-Gut Research Laboratory, Dept. of Gastroenterology, Hepatology and General Medicine, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia (E-mail: apage{at}mail.rah.sa.gov.au).
Received 20 September 2001; accepted in final form 10 December 2001.
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REFERENCES |
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