Previous studies indicated that the peptide substance P (SP) causes Cl--dep
endent secretion in animal colonic mucosa. We investigated the effects of S
P in human colonic mucosa mounted in Ussing chamber. Drugs for pharmacologi
cal characterization of SP-induced responses were applied 30 min before SP.
Serosal, but not luminal, administration of SP (10(-8) to 10(-6) M) induce
d a rapid, monophasic concentration and Cl--dependent, bumetanide-sensitive
short-circuit current (I-sc) increase, which was inhibited by the SP neuro
kinin 1 (NK1)-receptor antagonist CP-96345, the neuronal blocker TTX, the m
ast cell stabilizer lodoxamide, the histamine 1-receptor antagonist pyrilam
ine, and the PG synthesis inhibitor indomethacin. SP caused TTX- and lodoxa
mide-sensitive histamine release from colonic mucosa. Two-photon microscopy
revealed NK1 (SP)-receptor immunoreactivity on nerve cells. The tyrosine k
inase inhibitor genistein concentration dependently blocked SP-induced I-sc
increase without impairing forskolin- and carbachol-mediated I-sc increase
. We conclude that SP stimulates Cl--dependent secretion in human colon by
a pathway(s) involving mucosal nerves, mast cells, and the mast cell produc
t histamine. Our results also indicate that tyrosine kinases may be involve
d in this SP-induced response.