1 The effect of papaverine, a well known smooth muscle relaxant, was i
nvestigated on neural transmission within the enteric nervous system.
Segments of guinea-pig ileum were placed in a partitioned bath to enab
le drugs, including papaverine, to be applied to enteric nerve pathway
s without interfering with the recording of the smooth muscle contract
ion. Ascending excitatory enteric nerve pathways were activated by ele
ctrical field stimulation in the anal compartment (10 Hz for 2 s, 45 m
A, 0.5 ms pulse duration) and the resulting contraction of the intesti
nal circular muscle in the oral compartment was recorded isotonically.
2 Tetrodotoxin (0.6 mu M) and hexamethonium (100 mu M) both abolished
, or greatly reduced, the contractions when applied to either compartm
ent indicating that nicotinic synapses are involved in this pathway. 3
Papaverine (0.3-30 mu M) applied independently to each compartment de
pressed in a concentration-dependent manner, the nerve-mediated contra
ctions. The IC50 of this inhibitory effect was 3.53 mu M for the oral
and 4.76 mu M for the anal compartments, respectively. Two other phosp
hodiesterase (PDE) inhibitors, 3-isobutyl-1-methylxanthine (IBMX 10-30
0 mu M) and theophylline (30-1000 mu M) added to the anal compartment
also inhibited the nerve mediated contractions. Papaverine applied to
the anal bath, after IBMX 100 mu M (or theophylline 300 mu M) further
inhibited the nerve-mediated contractions, but was less effective than
when applied alone. 4 Phentolamine (1 mu M), an alpha-adrenoceptor an
tagonist, reduced the inhibitory effect of papaverine, but not that of
IBMX (100 mu M) or theophylline (300 mu M). A combination of phentola
mine and IBMX (or theophylline) prevented the inhibitory effect of pap
averine. 5 Tetrodotoxin, but not papaverine or hexamethonium, inhibite
d the contraction elicited by electrical stimulation just anal to the
partition indicating that papaverine did not affect the generation or
conduction of nerve action potentials. 6 Verapamil (1 mu M) and nifedi
pine (1 mu M), two smooth muscle relaxants which act by blocking L-typ
e calcium channels. only inhibited the contractions when applied direc
tly to the recording (oral) compartment. This indicates that L-type Ca
2+ channels are probably not involved in synaptic transmission in thes
e ascending pathways and thus that the PDE inhibitors do not inhibit s
ynaptic transmission by acting on these channels, co-Conotoxin GVIA (1
0 nM), a potent inhibitor of the N-type Ca2+ channels. blocked the ner
ve-mediated contractions applied to either compartment. Whether the PD
E inhibitors exert their inhibitory actions via those channels remains
to be established. 7 The results indicate that the PDE inhibitors, pa
paverine, IBMX and theophylline inhibit excitatory enteric neural path
ways by depressing synaptic transmission. The inhibitory effect of pap
averine (but not IMBX or theophylline) involves, at least in part, the
release of noradrenaline from sympathetic nerves acting on alpha-adre
noceptors on enteric neurones.