Tachykinins in the gut. Part II. Roles in neural excitation, secretion and inflammation

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Abstract

The preprotachykinin-A gene-derived peptides substance (substance P; SP) and neurokinin (NK) A are expressed in intrinsic enteric neurons, which supply all layers of the gut, and extrinsic primary afferent nerve fibers, which innervate primarily the arterial vascular system. The actions of tachykinins on the digestive effector systems are mediated by three different types of tachykinin receptor, termed NK1, NK2 and NK3 receptors. Within the enteric nervous system, SP and NKA are likely to mediate, or comediate, slow synaptic transmission and to modulate neuronal excitability via stimulation of NK3 and NK1 receptors. In the intestinal mucosa, tachykinins cause net secretion of fluid and electrolytes, and it appears as if SP and NKA play a messenger role in intramural secretory reflex pathways. Secretory processes in the salivary glands and pancreas are likewise influenced by tachykinins. The gastrointestinal arterial system may be dilated or constricted by tachykinins, whereas constriction and an increase in the vascular permeability are the only effects seen in the venous system. Various gastrointestinal disorders are associated with distinct changes in the tachykinin system, and there is increasing evidence that tachykinins participate in the hypersecretory, vascular and immunological disturbances associated with infection and inflammatory bowel disease. In a therapeutic perspective, it would seem conceivable that tachykinin antagonists could be exploited as antidiarrheal, anti-inflammatory and antinociceptive drugs.

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      SP is one of the most widely studied inflammatory mediators and its involvement in inflammation events is well known. SP induces the release of inflammatory mediators such as cytokines, oxygen radicals, arachidonic acid derivatives, and histamine to potentiate the tissue damage and stimulate leukocyte recruitment, amplifying the inflammatory response.28 Campos and Calixto15 demonstrated that substance P, together with neurokinin A, is involved in the inflammatory process events such as the formation of edema, the leakage of proteins, and vasodilation.

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