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Published on: January 3, 2012
Actions of serotonin antagonists on cholera-toxin-induced intestinal fluid secretion
A Sjöqvist1, J Cassuto, M Jodal
1Department of Physiology, University of Göteborg, Sweden.
Abstract:
The effects of several 5-hydroxytryptamine (5-HT) receptor antagonists were tested in rats in vivo on the intestinal fluid secretion evoked by cholera toxin. Five receptor antagonists were used, namely 2-bromolysergic acid diethylamine (2-bromo-LSD), granisetron, ketanserin, methysergide and ondansetron. The drugs were used in doses that inhibited the arterial hypertension and/or bradycardia evoked by 5-HT given i.v. Granisetron and ondansetron markedly diminished cholera-toxin-evoked secretion, whereas ketanserin was without any effect. Methysergide also diminished cholera-toxin-induced fluid secretion particularly when the drug was given as an i.v. infusion. The results are considered in relation to the pathophysiology of cholera secretion and to the current views of receptor subtypes for 5-HT. It is proposed that the receptor involved is a 5-HT3 receptor, possibly also a receptor of the 5-HT1 type. Results from experiments in which 5-HT (20 mM) was placed in the intestinal lumen to evoke an intestinal secretion suggest that the 5-HT3 receptor is located in the villus tissue. It was also demonstrated that zimeldine, an inhibitor of presynaptic 5-HT reuptake, diminished choleraic secretion, an effect that may be ascribed to a 5-HT tachyphylaxis caused by an accumulation of 5-HT in a synaptic cleft.
Insights
Several serotonin (5-hydroxytryptamine or 5-HT) receptor antagonists were tested in rats. Granisetron and ondansetron significantly reduced cholera toxin-induced intestinal fluid secretion, suggesting a role for 5-HT3 receptors.
Area of Science:
- Pharmacology
- Gastroenterology
- Neuroscience
Background:
- Cholera toxin induces intestinal fluid secretion via complex mechanisms.
- Serotonin (5-hydroxytryptamine or 5-HT) is implicated in regulating intestinal function.
- The specific 5-HT receptors involved in cholera toxin-induced secretion are not fully elucidated.
Purpose of the Study:
- To investigate the effects of various 5-HT receptor antagonists on cholera toxin-induced intestinal fluid secretion in rats.
- To identify potential 5-HT receptor subtypes involved in this secretory process.
Main Methods:
- In vivo administration of five 5-HT receptor antagonists (2-bromo-LSD, granisetron, ketanserin, methysergide, ondansetron) in rats.
- Assessment of intestinal fluid secretion evoked by cholera toxin.
- Administration of 5-HT to evoke intestinal secretion and study receptor localization.
- Use of zimeldine, a 5-HT reuptake inhibitor, to explore the role of 5-HT accumulation.
Main Results:
- Granisetron and ondansetron significantly reduced cholera toxin-induced intestinal fluid secretion.
- Ketanserin showed no effect, while methysergide demonstrated a diminishing effect, particularly with intravenous infusion.
- Experiments suggested the involvement of 5-HT3 receptors, potentially 5-HT1 receptors, located in villus tissue.
- Zimeldine diminished choleraic secretion, possibly due to 5-HT tachyphylaxis from synaptic cleft accumulation.
Conclusions:
- The findings suggest that 5-HT3 receptors, and possibly 5-HT1 receptors, play a significant role in cholera toxin-induced intestinal fluid secretion.
- These receptors are likely located within the intestinal villus tissue.
- Modulation of 5-HT neurotransmission, including reuptake inhibition, can impact cholera toxin-induced secretion.
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Cholera

