Background
Vagally dependent gastric reflexes are mediated through vagal afferent fibers synapsing upon neurons of the nucleus tractus solitarius (NTS) which, in turn modulate the preganglionic parasympathetic dorsal motor nucleus of the vagus (DMV) neurons within the medullary dorsal vagal complex (DVC). The expression and transport of ghrelin receptors has been documented for the afferent vagus nerve, and functional studies have confirmed that vagal pathways are integral to ghrelin-induced stimulation of gastric motility. However, the central actions of ghrelin within the DVC have not been explored fully.
Methods
We assessed the responses to ghrelin in fasted rats using: 1) in vivo measurements of gastric tone and motility following IVth ventricle application or unilateral microinjection of ghrelin into the dorsal vagal complex (DVC); and, 2) whole cell recordings from gastric-projecting neurons of the dorsal motor nucleus of the vagus (DMV)
Results
1) IVth ventricle application or unilateral microinjection of ghrelin into the DVC elicited contractions of the gastric corpus via excitation of a vagal cholinergic efferent pathway; 2) Ghrelin facilitates excitatory, but not inhibitory, presynaptic transmission to DMV neurons.
Conclusions
Our data indicate that ghrelin acts centrally by activating excitatory synaptic inputs onto DMV neurons, resulting in increased cholinergic drive by way of vagal motor innervation to the stomach.