Muscarinic cholinergic receptors in the piebald mouse model for Hirschsprung's disease

Gastroenterology
|August 1, 1983
PubMed

Insights

This study investigated Hirschsprung's disease and congenital megacolon in mice. The findings do not support denervation supersensitivity but suggest absent inhibitory neurons cause aganglionic segment hyperexcitability and constriction.

Area of Science:

  • Gastroenterology
  • Neuroscience
  • Developmental Biology

Background:

  • Hirschsprung's disease and congenital megacolon involve a contracted terminal large intestine.
  • A hypothesis suggested muscarinic cholinergic receptor denervation supersensitivity as a cause.

Purpose of the Study:

  • To test the hypothesis of denervation supersensitivity in the aganglionic colon.
  • To investigate the role of enteric nervous system neurons in congenital megacolon.

Main Methods:

  • Direct binding studies using tritiated quinuclidinyl benzilate, a muscarinic receptor ligand.
  • Comparison of receptor density, dissociation constant, and Hill coefficients in normal and congenital megacolon mice.

Main Results:

  • No significant differences were found in muscarinic receptor parameters between normal and affected mice.
  • The data do not support the denervation supersensitivity theory.

Conclusions:

  • Absence of inhibitory neurons in the enteric nervous system likely causes aganglionic segment hyperexcitability.
  • This neuronal absence leads to the obstructive constriction observed in congenital megacolon.