Wan Saudi WS, Halim MA, Rudholm-Feldreich T, Gillberg L, Rosenqvist E, Tengholm A, Sundbom M, Karlbom U, Näslund E, Webb DL, Sjöblom M, Hellström PM. Neuropeptide S inhibits gastrointestinal motility and increases mucosal permeability through nitric oxide. Am J Physiol Gastrointest Liver Physiol 309: G625-G634, 2015. First published July 23, 2015; doi:10.1152/ajpgi.00104.2015.-Neuropeptide S (NPS) receptor (NPSR1) polymorphisms are associated with enteral dysmotility and inflammatory bowel disease (IBD). This study investigated the role of NPS in conjunction with nitrergic mechanisms in the regulation of intestinal motility and mucosal permeability. In rats, small intestinal myoelectric activity and luminal pressure changes in small intestine and colon, along with duodenal permeability, were studied. In human intestine, NPS and NPSR1 were localized by immunostaining. Pre-and postprandial plasma NPS was measured by ELISA in healthy and active IBD humans. Effects and mechanisms of NPS were studied in human intestinal muscle strips. In rats, NPS 100-4,000 pmol·kg Ϫ1 ·min Ϫ1 had effects on the small intestine and colon. Low doses of NPS increased myoelectric spiking (P Ͻ 0.05). Higher doses reduced spiking and prolonged the cycle length of the migrating myoelectric complex, reduced intraluminal pressures (P Ͻ 0.05-0.01), and increased permeability (P Ͻ 0.01) through NO-dependent mechanisms. In human intestine, NPS localized at myenteric nerve cell bodies and fibers. NPSR1 was confined to nerve cell bodies. Circulating NPS in humans was tenfold below the ϳ0.3 nmol/l dissociation constant (K d) of NPSR1, with no difference between healthy and IBD subjects. In human intestinal muscle strips precontracted by bethanechol, NPS 1-1,000 nmol/l induced NO-dependent muscle relaxation (P Ͻ 0.05) that was sensitive also to tetrodotoxin (P Ͻ 0.01). In conclusion, NPS inhibits motility and increases permeability in neurocrine fashion acting through NO in the myenteric plexus in rats and humans. Aberrant signaling and upregulation of NPSR1 could potentially exacerbate dysmotility and hyperpermeability by local mechanisms in gastrointestinal functional and inflammatory reactions.inflammation; inflammatory bowel disease; migrating motor complex; NO; peristalsis NEUROPEPTIDE S (NPS) is localized to the brain stem and gastrointestinal tract. NPS activates the G protein-coupled receptor NPSR1 (also named GPR154) and activates adenylate cyclase to increase cAMP (17). NPS is regarded as an excitatory neurotransmitter and is involved in stress responses with regulation of arousal, wakefulness, and anxiety in mammals (4,5,22). The presence of an Asn-Gly (NG) sequence is a defining feature of a phylogenetically ancient family of neuropeptides called "NG peptides" (4). Rodent and human NPS possesses this NG sequence (18).NPS and NPSR1 exist in gastrointestinal mucosal epithelial cells (3,9,21). An NPSR1 polymorphism was reported along with higher mucosal epithelial immunoreactivity of NPSR1 in inflammatory bowel disease (IBD) with expression...