Purpose: The present investigation was designed to study the role played by
neurokinin A (NKA) in the non adrenergic non cholinergic (NANC) neurotrans
mission of the pig intravesical ureter.
Materials and Methods: We used immunohistochemical techniques to evidence t
he distribution of NKA-immunoreactive (NKA-IR) fibers in the pig intravesic
al ureter. We have also performed isolated organ bath experiments to releas
e endogenous tachykinins from ureteral nerves and to characterize the funct
ionally active receptor through which endogenous ligands evoke contraction,
and to show the effect of exogenous tachykinins on intravesical ureteral s
mooth muscle.
Results: NKA-IR fibers were found penetrating through ureteral adventitia a
nd distributed in the subepithelial and muscular layers. NKA-IR fibers were
not found around small arteries supplying the ureter or in the associated
intramural ganglia. Electrical field stimulation (EFS, 1 ms duration, 2 to
16 Hz, 20 s trains) performed in NANC conditions evoked frequency-dependent
contractions which were reduced by capsaicin (10(-5) M) and CR 94800 (3 x
10(-8) M), sensory neurotoxin and NK2 receptor antagonist, respectively. Co
ntractions to EFS were abolished by tetrodotoxin (10(-6) M). Exogenous NKA
and substance P (SP) induced dose-dependent contractions, characterized by
an increase of the ureteral basal tone, NKA being more potent than SP.
Conclusions: These results suggest that tachykinins, especially NKA, releas
ed from capsaicin-sensitive primary afferents, are involved in the NANC exc
itatory neurotransmission, contracting the smooth muscle via NK2 receptors
activation, in the pig intravesical ureter. NKA at this level does not seem
to participate in the regulation of local blood flow, plasmatic extravasat
ion or ganglionar transmission.