MOTOR RESPONSE OF THE HUMAN ISOLATED COLON TO CAPSAICIN AND ITS RELATIONSHIP TO RELEASE OF VASOACTIVE INTESTINAL POLYPEPTIDE

The aim of this study was to obtain indirect evidence for the presence of capsaicin-sensitive afferents in the human colon by studying the motor response to capsaicin of longitudinal strips from the human isolated taenia coli in parallel to the ability of capsaicin or KCl to induce peptide release from the human superfused colon. Capsaicin (1-mu-M) evoked a relaxation of the taenia, approaching 60-80% of the response to isoprenaline. Tachykinins evoked contractions of the taenia, while calcitonin gene-related peptide induced a relaxation. Neither tachyphylaxis to calcitonin gene-related peptide nor preincubation with an anti-calcitonin gene-related peptide serum did block the response to capsaicin which was also unaffected by tetrodotoxin, apamin, naloxone or an anti-galanin serum. Vasoactive intestinal polypeptide produced a concentration-dependent tetrodotoxin-resistant relaxation which was shifted rightward in the presence of anti-vasoactive intestinal polypeptide serum. The anti-vasoactive intestinal polypeptide serum reduced the response to capsaicin and application of capsaicin prevented the ability of anti-vasoactive intestinal polypeptide serum to block exogenous vasoactive intestinal polypeptide. Capsaicin (1-mu-M) evoked a significant release of vasoactive intestinal polypeptide-like immunoreactivity from the superfused muscle but not mucosa of the human colon. A significant vasoactive intestinal polypeptide-like immunoreactivity release was also observed in response to KCl (80 mM). KCl but not capsaicin evoked a significant release of neurokinin A-like immunoreactivity from colonic muscle and mucosa. No significant release of either substance P-, neuropeptide Y-, galanin- or calcitonin gene-related peptide-like immunoreactivity was detected in response to capsaicin or KCl although detectable levels of each peptide were evident in tissue extracts. Authentic vasoactive intestinal polypeptide was detected by high pressure liquid chromatography in tissue extracts of the human colon, both in the muscle and mucosa, as well as in superfusates of preparations exposed to capsaicin. It is concluded that capsaicin-sensitive afferents are likely to be present in the human colon and that endogenous vasoactive intestinal polypeptide is responsible for the relaxant local motor response produced by capsaicin. The possible mechanisms underlying this effect are discussed.