ABSTRACT-We examined the effects of chronic treatment with 10 mM sodium taurocholate (TC) on gastric functions, capsaicin-sensitive afferent neurons and the gastric mucosa in male rats. Stomachs were mounted in Lucite chambers, and then the transmucosal potential difference (PD), luminal pH and gastric mucosal blood flow (GMBF) in response to TC or capsaicin was determined. In normal animals, 10 mM TC caused a reduction in PD, and increases in luminal pH and GMBF. Capsaicin (1 mg/ml) produced an apparent increase in GMBF without any change in PD or luminal pH. After 4-or 12-week treatment with TC, the basal PD was significantly reduced, and the luminal pH tended to increase. The increase in GMBF in response to TC or capsaicin was profoundly suppressed in TC-pretreated animals. The calcitonin generelated peptide release in response to capsaicin was significantly reduced after 4 weeks treatment with TC. There were no microscopical changes in the oxyntic mucosa until 4 weeks after TC treatment except for exfoliation of surface cells. However, an increase in inflammatory cell infiltration was observed 12 weeks later. We conclude that chronic treatment with TC causes desensitization of capsaicin-sensitive afferent neurons and reduces GMBF, which may result in the production of gastritis.Keywords: Gastritis, Sodium taurocholate, Capsaicin-sensitive afferent neuron, Calcitonin gene-related peptide, Gastric mucosal blood flow Chronic treatment with 5 mM sodium taurocholate (TC) for >3 months induces gastritis in rats (1, 2). We also observed that treatment of rats having undergone unilateral vagotomy with 5 mM TC for 6 months induced gastritis that involved decreases in the number and density of parietal cells and an increase in inflammatory cell infiltration (3). The mechanism by which chronic treatment with TC results in such gastritis remains unclear. There is increasing evidence that capsaicin-sensitive afferent neurons (capsaicin-sensitive neurons) participate in the protective mechanism against acute gastritis or gastric ulceration (4-7), probably through the release of the calcitonin gene-related peptide (CGRP) (8 -10). Therefore, it is possible that acute or chronic depletion of CGRP from the gastric or duodenal mucosa may weaken the mucosal integrity, leading to the production of gastritis and ulcers. Indeed, ulcerogens such as acetic acid, concentrated ethanol and cysteamine significantly depleted CGRP from the peripheral endings of capsaicin-sensitive neurons, suggesting a causal relationship (11-13). It was of interest to examine whether or not chronic treatment with TC has any damaging effect on capsaicin-sensitive neurons which leads to disturbance of gastric functions, thereby eventually resulting in the production of gastritis. In this study, we determined the changes in gastric functions, the amount of CGRP released from the gastric mucosa and gastric mucosal histology in TC-treated animals. An abstract of part of this study has already been published (14).
MATERIALS AND METHODS
AnimalsMale Donryu rats ...