Non-adrenergic non-cholinergic (NANCh) inhibitory synaptic potentials in smooth muscle cells (SMC) of the gastrointestinal tract are of a complex transmitler and ion nature. A blocker of ATP receptors, suramin, blocks the fast component, while a blocker of NO synthase, L-NOARG, blocks the slow component of NANCh inhibitory synaptic potentials. In the presence of both suramin and L-NOARG, SMC respond to stimulation of the intramural plexus by generating a low-amplitude hyperpolarization, and VIP is likely to be the transmitter for this effect. Low-conductance Ca2*-dependent potassium channels are involved in generation of the fast component of NANCh inhibitory synaptic potentials, and these channels are effectively blocked by apamin. The slow component of this potential is generated by high-conductance Ca2+-depondent pota~ium channels. In the presence of both apamin and L-NOARG (or charibdotoxin), SMC respond to intramural stimulations with non-cholinergic excitatory synaptic potentials, and ATP application evokes depolarization. Both effects are blocked by suramin. In the presence of apamin, noradrenaline also evokes depolarization in SMC, and this effect, similarly to hyperpolarization under normal conditions, is blocked by phentolamine. Our studies allow us to suggest that in smooth muscles of the gastrointestinal tract there are two types of synaptic transmission: the excitatory cholinergic, adrenergic, and ATP-ergic transmission and the inhibitory adrenergic, ATP-ergic, NO-ergic, and VIP-ergic transmission.
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