ALTHOUGH considered as an intestinal motor stimulant, substance P can
inhibit intestinal peristalsis via stimulation of tachykinin NK1 recep
tors. Since NK1 receptors are present on enteric nitrergic neurones, t
he contribution of nitric oxide (NO) to the peristaltic motor inhibiti
on caused by tachykinins was examined in luminally perfused segments o
f isolated guinea-pig ileum. Substance P (100 nM) and the NK1 receptor
agonist substance P methyl ester (100 nM) increased the intraluminal
pressure threshold at which peristaltic contractions were elicited. Th
is inhibitory influence on peristalsis was prevented by the NO synthas
e inhibitor N-G-nitro-L-arginine methyl ester (300 mu M) in an enantio
mer-selective manner. It is concluded that the substance P/NK1 recepto
r-mediated depression of intestinal peristalsis involves inhibitory mo
tor pathways utilizing NO as a transmitter.