It is well known that 5-hydroxytryptamine (5-HT) causes alimentary smooth muscle to contract. Most regions of the gut show this response although the sensitivity varies. The rat stomach (Vane, 1957), duodenum (Erspamer, 1940) and colon (Gaddum, 1953) all contract in the presence of small concentrations of this amine, and the guinea-pig duodenum, jejunum and ileum also show the same response (Gaddum & Hameed, 1954).The human lower bowel, however, appears to be different. The taenia coli preparation (Bucknell & Whitney, 1964) and the circular muscle of the sigmoid colon (Fishlock & Parks, 1963;Fishlock, 1964) relax in the presence of 5-HT although other regions of the human alimentary tract have been shown to contract under identical experimental conditions (Fishlock, Parks, & Dewell, 1965). This paper describes the effect of 5-HT on both the longitudinal and circular muscle layers of the human terminal ileum and colon and includes evidence as to the site of action of this amine.
METHODLongitudinal and circular muscle strips from 12-30 mm long and 1-2 mm wide have been taken at operation from the ileum and colon and immersed in Krebs solution in an isolated organ bath and placed under a tension of usually 1.5 g. The solution has been gassed with 95% 02 and 5% CO2 and maintained at 370 C. Two methods of obtaining muscle strips have been described previously (Fishlock & Parks, 1966). Both were used in this investigation but differences in response and sensitivity of the strips could not be related to the method. All strips consisted of full thickness bowel wall with the mucosa removed. It should be noted that the longitudinal strips of colon were taken through the taenia coli and that the circular muscle strips were taken from between the taeniae where there is a thin investing layer of longitudinal muscle.The preoperative medication and anaesthesia of the patients from whom the strips were taken varied as described previously (Fishlock & Parks, 1966).The following drugs were used: acetylcholine chloride, atropine sulphate, hexamethonium bromide, 5-hydroxytryptamine creatinine sulphate, lysergic acid diethylamide (LSD), mepyramine maleate, procaine hydrochloride and pronethalol hydrochloride. Concentrations refer to the salts. All solutions were made with physiological saline.
RESULTS
IleumForty-eight circular muscle strips and 15 longitudinal ones were taken from 42 patients. All came from the terminal part of the ileum (last 0.6 m).