The gastric sling (oblique) muscle (GSM), located close to the lower esopha
geal sphincter (LES), is involved in gastric motor function and may coopera
te with the LES in controlling propulsion between the esophagus and stomach
. Neuronal pathways and transmission to the GSM were investigated in isolat
ed esophagus-stomach preparations by using intracellular recording with the
focal electrical stimulation and neuroanatomical tracing method. Focal sti
mulation on the GSM evoked inhibitory junction potentials (IJPs) that were
reduced to 45% by 100 mu M N-nitro-L-arginine and subsequently blocked by 0
.5 mu M apamin, thereby unmasking excitatory junction potentials (EJPs), wh
ich were abolished by 1 mu M hyoscine. Vagal and esophageal stimulation evo
ked IJPs that were blocked by 100 mu M hexamethonium. Vagal stimulation als
o evoked EJPs after blockade of IJPs. Application of 1,1'-didodecyl-3,3,3',
3'-tetramethyl indocarbocyanine perchlorate to the GSM labeled muscle motor
neurons located in the stomach mainly close to the GSM, with a few neurons
(2%) in the esophagus. The majority (79%) of labeled neurons were immunore
active for choline acetyltransferase and, hence, excitatory motor neurons.
Inhibitory motor neurons (nitric oxide synthase immunoreactive; 15%) were c
lustered in the midline near the gastroesophageal region. These results dem
onstrate that the GSM is innervated primarily by gastric excitatory and inh
ibitory motor neurons and some esophageal neurons. Both excitatory (acetylc
holine) and inhibitory (nitric oxide and apamin-sensitive component) transm
ission can be activated via vagal-enteric pathways. J. Comp. Neurol. 412:66
9-680, 1999. (C) 1999 Wiley-Liss, Inc.