Ellis M, Chambers JD, Gwynne RM, Bornstein JC. Serotonin and cholecystokinin mediate nutrient-induced segmentation in guinea pig small intestine. Am J Physiol Gastrointest Liver Physiol 304: G749 -G761, 2013. First published February 7, 2013 doi:10.1152/ajpgi.00358.2012.-Segmentation is an important process in nutrient mixing and absorption; however, the mechanisms underlying this motility pattern are poorly understood. Segmentation can be induced by luminal perfusion of fatty acid in guinea pig small intestine in vitro and mimicked by the serotonin (5-HT) reuptake inhibitor fluoxetine (300 nM) and by cholecystokinin (CCK). Serotonergic and CCK-related mechanisms underlying nutrient-induced segmentation were investigated using selective 5-HT and CCK receptor antagonists on isolated segments of small intestine luminally perfused with 1 mM decanoic acid. Motility patterns were analyzed using video imaging and spatiotemporal maps. Segmenting activity mediated by decanoic acid was depressed following luminal application of the 5-HT receptor antagonists granisetron (5-HT3, 1 M) and SB-207266 (5-HT 4, 10 nM) and the CCK receptor antagonists devazepide (CCK-1, 300 nM) and L-365260 (CCK-2, 300 nM), but these antagonists did not further depress segmentation when combined. The P2 receptor antagonist pyridoxal phosphate-6-azophenyl-2=,4=-disulfonate (10 M) had no effect on activity. Serosal application of 5-HT antagonists had little effect on segmentation in the duodenum but reduced activity in the jejunum when granisetron and SB-207266 were applied together. These results reveal that 5-HT3 and 5-HT4 receptors, as well as CCK-1 and CCK-2 receptors, are critical in regulating decanoic acid-induced segmentation. Computational simulation indicated that these data are consistent with decanoic acid activating two pathways in the mucosa that converge within the enteric neural circuitry, while contraction-induced release of 5-HT from the mucosa provides feedback into the neural circuit to set the time course of the overall contractile activity. intestinal motility; decanoic acid; segmentation; serotonin; 5-HT3 receptors; 5-HT4 receptors; CCK-1 receptors; CCK-2 receptors DIGESTION AND MIXING of intestinal contents are accomplished through a complex, yet poorly understood, pattern of motility, called segmentation (11). Segmentation is a major feature of the small intestine in the "fed state" after a meal and comprises rhythmic local constrictions in the intestinal smooth muscle that are stationary or propagate only a short distance and occur as isolated bursts of motor activity. Despite its importance, the mechanisms controlling segmentation are yet to be determined.Fed-state motor activity consists of a mixture of propulsive and segmenting contractions, with the predominant type of contraction being determined, in part, by the nutrient composition of the meal. For example, nonnutritive meals produce predominantly propulsive contractile activity (propagating contractions, which propel content along the intestine) in the duodenum a...