Relationship between substance P, intestinal wall compliance and vascular resistance in the canine ileum

Substance P (SP) is one of many vasoactive peptides found within the gastrointestinal tract with actions on intestinal smooth muscle. Thus, its vasodilatory action could be attenuated through its stimulatory effect on intestinal smooth muscle producing subsequent elevations in extravascular pressure and thus, passively opposing the vasodilation. The aim of this study was to examine for such a possibility for SP by simultaneously assessing ileal perfusion pressure and intestinal wall compliance in the canine ileum during intra-arterial infusion of SP. Infusion of SP at either 0.74 or 7.4 pmol/min significantly decreased ileal perfusion pressure by 8 and 30%, respectively, without affecting wall compliance. During SP infusion at 74 pmol/min, perfusion pressure fell by 49% while wall compliance decreased by 43%, reflecting a significant increase in ileal wall tension. During SP infusion at 7.4 and 74 pmol/min, a 'two-phase' reduction in perfusion pressure was observed. These data suggest that although SP markedly increases ileal wall tension, the elevation in extravascular pressure produced is not strong enough to overcome its potent vasodilatory action in the canine ileum. The potential of a physiologic role for blood-borne SP is discussed.