The motor, modulatory, and sensory neurotransmitters that mediate the peristaltic reflex in the mouse colon were identified by direct measurement, and their involvement in various pathways was determined by selective receptor antagonists. Mucosal stimulation in the central compartment of a three-compartment flat sheet preparation of mouse colon elicited ascending contraction and descending relaxation in the orad and caudad compartments, respectively. Ascending contraction was accompanied by substance P release, a marker for excitatory neurotransmitter release, into the orad compartment and was partly inhibited by atropine and spantide, and abolished by a combination of the two antagonists. Descending relaxation was accompanied by vasoactive intestinal peptide (VIP) release, a marker for inhibitory neurotransmitter release, into the caudad compartment, and was partly inhibited by VIP [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] and N G -nitro-L-arginine, and abolished by a combination of the two agents. Somatostatin release increased during descending relaxation: immunoneutralization of somatostatin or blockade of its effect with a selective somatostatin type 2 receptor antagonist inhibited descending relaxation. The ␦-opioid receptor antagonist naltrindole augmented descending relaxation and ascending contraction. Calcitonin gene-related peptide (CGRP) release increased in the central compartment and was mediated by concurrent release of 5-hydroxytryptamine (5-HT) because its release was blocked by a 5-HT 4 receptor antagonist. Both the latter and the CGRP antagonist CGRP 8-37 , inhibited ascending contraction and descending relaxation. Thus, the reflex in mouse like that in rat and human intestine is initiated by mucosal release of 5-HT and activation of 5-HT 4 receptors on CGRP sensory neurons and is relayed via somatostatin and opioid interneurons to VIP/nitric-oxide synthase inhibitory motor neurons and via cholinergic interneurons to acetylcholine/tachykinin excitatory motor neurons.The intestinal peristaltic reflex is one of very few functions where the role of enteric peptide neurotransmitters has been elucidated. Several advances, including precise immunocytochemical mapping of enteric neurons, sensitive radioimmunoassay, and the availability of peptide antibodies and receptor antagonists have facilitated the identification of these neurotransmitters and their roles in the regulation of the peristaltic reflex. However, molecular tools, e.g., nonlethal knockout animals, have yet to be used extensively in identifying the neurotransmitters and receptors that mediate the peristaltic reflex, making it essential to develop techniques to characterize the reflex in mice similar to those used successfully in rats and guinea pigs.The topography of enteric neurons is generally well conserved. In the mouse, as in other mammalian species, a third of the myenteric neurons in the small intestine and colon contain vasoactive intestinal peptide (VIP) and its homolog, peptide histid...