Pyloric Sphincter Dysfunction in nNOS−/− and W/Wv Mutant Mice: Animal Models of Gastroparesis and Duodenogastric Reflux  Digavalli V. Sivarao, Hiroshi.

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Pyloric Sphincter Dysfunction in nNOS−/− and W/Wv Mutant Mice: Animal Models of Gastroparesis and Duodenogastric Reflux  Digavalli V. Sivarao, Hiroshi Mashimo, Raj K. Goyal  Gastroenterology  Volume 135, Issue 4, Pages 1258-1266 (October 2008) DOI: 10.1053/j.gastro.2008.06.039 Copyright © 2008 AGA Institute Terms and Conditions

Figure 1 Myogenic and passive components of the pyloric sphincter. A is a representative pyloric pressure trace recorded using perfusion manometry. Note phasic contractions superimposed on tonic pressure. Intravenous sodium nitroprusside (1 mg/kg; arrow) injection abolished both pressure components. The residual passive pressure was due to luminal stretch by the manometric catheter assembly. The passive pressure was subtracted from the total pressure to obtain active myogenic pressure. B shows a summary of total and active myogenic tonic pressures in the 3 strains of mice. Note that the active pyloric sphincter pressure in nNOS−/− mice was similar to that in the controls. On the other hand, the active myogenic component of the pyloric sphincter pressure in W/Wv mice was significantly less than the WT (**P < .01) as well as the nNOS−/− mice (#P < .05). Gastroenterology 2008 135, 1258-1266DOI: (10.1053/j.gastro.2008.06.039) Copyright © 2008 AGA Institute Terms and Conditions

Figure 2 Examples of the effects of efferent vagal stimulation on pyloric pressures in the 3 strains of mice. The top panel shows the response in WT mice. Note that vagal stimulation produced inhibition of both tonic and phasic pyloric activity through the period of stimulation. The middle panel shows the effect of vagal stimulation on pyloric pressures in an nNOS−/− mouse. Note that vagal stimulation caused a paradoxical increase in the motility. The bottom panel shows the effect of vagal stimulation on pyloric activity in a W/Wv mouse. Note that vagal stimulation caused a normal inhibition in pyloric motility. The dotted line in each panel represents the sodium nitroprusside–resistant passive pressure in that experiment. Gastroenterology 2008 135, 1258-1266DOI: (10.1053/j.gastro.2008.06.039) Copyright © 2008 AGA Institute Terms and Conditions

Figure 3 Quantitative data on vagal stimulation–induced changes in pyloric motility indices in 3 strains of mice. Data on the MMI are shown in the top panel (A) and that on the TMA/min are summarized in the bottom panel (B). Note that in WT mice, vagal stimulation significantly reduced both motility indices and the effect of vagal stimulation was neutralized by l-NAME pretreatment. In the W/Wv mice, MMI and TMA were significantly suppressed by vagal stimulation and the inhibitory effect of vagal stimulation was antagonized by l-NAME. In contrast, vagal stimulation evoked a significant increase in motility indices in the nNOS−/− mice. *P < .05; **P < .01. Gastroenterology 2008 135, 1258-1266DOI: (10.1053/j.gastro.2008.06.039) Copyright © 2008 AGA Institute Terms and Conditions

Figure 4 Examples of the effect of l-NAME pretreatment on vagal inhibition of pyloric activity. The top panels show WT pyloric response to vagal stimulation before (left) and after (right) l-NAME. The bottom panels show W/Wv pyloric response to vagal stimulation before (left) and after (right) l-NAME. Note the abolition of inhibition with l-NAME in both strains of mice. The effect of l-NAME (100 mg/kg intravenously) was examined 20 minutes after administration. Stimulus parameters for vagal stimulation were as described in Materials and Methods. Gastroenterology 2008 135, 1258-1266DOI: (10.1053/j.gastro.2008.06.039) Copyright © 2008 AGA Institute Terms and Conditions