Insulin and myoelectric activity of the small intestine of the pig

Motilin Comparative Study: Structure, Distribution, Receptors, and Gastrointestinal Motility

Motilin, produced in endocrine cells in the mucosa of the upper intestine, is an important regulator of gastrointestinal (GI) motility and mediates the phase III of interdigestive migrating motor complex (MMC) in the stomach of humans, dogs and house musk shrews through the specific motilin receptor (MLN-R). Motilin-induced MMC contributes to the maintenance of normal GI functions and transmits a hunger signal from the stomach to the brain. Motilin has been identified in various mammals, but the physiological roles of motilin in regulating GI motility in these mammals are well not understood due to inconsistencies between studies conducted on different species using a range of experimental conditions. Motilin orthologs have been identified in non-mammalian vertebrates, and the sequence of avian motilin is relatively close to that of mammals, but reptile, amphibian and fish motilins show distinctive different sequences. The MLN-R has also been identified in mammals and non-mammalian vertebrates, and can be divided into two main groups: mammal/bird/reptile/amphibian clade and fish clade. Almost 50 years have passed since discovery of motilin, here we reviewed the structure, distribution, receptor and the GI motility regulatory function of motilin in vertebrates from fish to mammals.

The migrating motor complex: control mechanisms and its role in health and disease

The migrating motor complex (MMC) is a cyclic, recurring motility pattern that occurs in the stomach and small bowel during fasting; it is interrupted by feeding. The MMC is present in the gastrointestinal tract of many species, including humans. The complex can be subdivided into four phases, of which phase III is the most active, with a burst of contractions originating from the antrum or duodenum and migrating distally. Control of the MMC is complex. Phase III of the MMC with an antral origin can be induced in humans through intravenous administration of motilin, erythromycin or ghrelin, whereas administration of serotonin or somatostatin induces phase III activity with duodenal origin. The role of the vagus nerve in control of the MMC seems to be restricted to the stomach, as vagotomy abolishes the motor activity in the stomach, but leaves the periodic activity in the small bowel intact. The physiological role of the MMC is incompletely understood, but its absence has been associated with gastroparesis, intestinal pseudo-obstruction and small intestinal bacterial overgrowth. Measuring the motility of the gastrointestinal tract can be important for the diagnosis of gastrointestinal disorders. In this Review we summarize current knowledge of the MMC, especially its role in health and disease.

The physiology of gastric emptying

The gastric emptying rate is a carefully regulated process consisting of different mathematically defined phases. The gastric metabolic load, as well as neural regulatory mechanisms and hormonal influences, cooperate in order to achieve a well-balanced emptying of contents from the stomach into the duodenum for absorption in the small intestine. This finely tuned regulation is primarily regulated by the release of gastrointestinal peptide hormones which serve to counteract the emptying process in the fed state and to stimulate sweeping contractions in the fasted state, most likely in order to prepare the stomach for another meal. We have found that the two peptide hormones ghrelin and glucagon-like peptide- I (GLP- I) have a great impact on the regulation of gastric emptying: ghrelin is a most potent stimulator of gastric contractions and emptying, and GLP- I profoundly inhibits this emptying process. These data suggest possibilities for governing the rate of gastric emptying as a natural step in achieving metabolic balance and control.

Regional structural differences in the neuronal composition of myenteric ganglia along the pig small intestine

BACKGROUND

Data on structural variations in the neuronal composition of myenteric ganglia along the small intestine of various species are scarcely available. The aim of this study was to compare morphologically the ganglia and neurons of different parts of this organ in the pig.

METHODS

Wholemounts from jejunum and ileum of two 14-week-old pigs were silver impregnated. The number of morphologically defined neuron types I-VI were counted per cm2. To relate these numbers to the putative whole neuron population, all impregnated neuronal nucleoli were counted in the same areas.

RESULTS

Morphologically classifiable, impregnated neurons ranged between 17.9 and 23.1% of the putative whole population as determined by neuronal nucleoli counting. The proportions of type I neurons (jejunum, 22-25%; ileum, 19%) and type II neurons (jejunum, 30%; ileum, 37%) were considerable in both segments. The proportion of type III neurons was about 30% in jejunum and 2% in ileum whereas the percentages of type IV (jejunum, 10%; ileum, 18%), type V (jejunum, 2%; ileum, 12%) and type VI neurons (jejunum, 3%; ileum, 11%) were higher in the ileum. All differences between jejunal and ileal percentages were significant as determined by chi square test.

CONCLUSIONS

Ganglia from the upper jejunum and the lower ileum reveal distinct differences in terms of neuron type composition. We suggest that these morphological differences reflect well known functional differences, e.g. in terms of motility, between different parts of the small intestine.

Motility of the ileocolonic junction

Images

Small intestinal motility and transit by electromyography and radiology in the fasted and fed pig

The pattern of small intestinal digesta transit was studied in six young pigs (20-30 kg) by simultaneous electromyography and radiology. Pigs showed migrating myoelectric complexes (m.m.c.s) in the small intestine both when fasted and after feeding. The m.m.c.s were modified by feeding; quiescence was much reduced in duration and irregular spiking activity (i.s.a.) was prolonged; m.m.c.s were not disrupted and phases of regular spiking activity (r.s.a.) were still seen after feeding. The r.s.a. phase could be recognized on the screen and in spot films from both fasting and fed pigs as a band of intense rhythmic contractions pinching off the intestine and propelling all intestinal contents ahead of it. The r.s.a. moved caudad clearing the small intestine of digesta and leaving an empty quiescent intestine behind it. It was particularly characteristic in the fasted pig where it was usually associated with the progression of a gas bubble. The pattern of m.m.c.s in both fasted and fed animals along with the intermittent nature of stomach emptying, divided digesta into batches which progressed through the small intestine. Each batch--propelled by a m.m.c.--normally took 180-190 min to pass through the small intestine. M.m.c.s had a cycle length of 70-115 min in different parts of the small intestine. Usually two or three m.m.c.s and batches of intestinal contents were present in the small intestine at any one time. 22-33% of the m.m.c.s faded out in the proximal ileum. Batches of digesta propelled by these m.m.c.s had transit times increased by one m.m.c. duration and fused with the subsequent batch. Sometimes new m.m.c.s were generated in the terminal ileum. Two patterns of transport into the large intestine were seen. Usually digesta was transported by peristaltic rushes starting 100-200 cm from the ileo-caecal junction. The rush then continued through 1-1 1/2 turns of the spiral colon; occasionally the terminal ileum emptied by slow peristalsis. In this case there was no colonic rush and digesta went into the caecum.

The influence of intestinal infusion of fats on small intestinal motility and digesta transit in pigs

The influence of duodenal and ileal infusion of nutrients on small intestinal transit of digesta, measured by the passage of phenol red marker, was studied in twelve pigs fitted with duodenal and ileal catheters, and a terminal ileal cannula. Changes in gastrointestinal motility were observed by electromyography and by use of an X-ray image intensifier in four of the pigs fitted additionally with nichrome wire electrodes in the gut wall and in seven pigs fitted only with a gastric catheter. Small intestinal transit time was unaffected by intestinal catheterization per se, or by duodenal or ileal infusion of glucose or peptone. It was reduced by duodenal infusion of fat or of some of the products of fat digestion including oleic acid and a monoglyceride containing unsaturated fatty acids (monoglyceride LS) but was not affected by infusion of glycerol, stearic acid or a monoglyceride containing saturated fatty acids (monoglyceride P). Ileal transit time was greatly reduced by ileal infusion of soya bean oil mixed with bile salts and lipase and by monoglyceride LS but not by soya bean oil alone. Total small intestinal transit time was reduced to a lesser degree by ileal infusion of soya bean oil mixed with bile salts and lipase and by monoglyceride LS and was unaffected by soya bean oil alone. The level of irregular spiking activity of the small intestine was greatly reduced by both duodenal and ileal infusion of fat, but rapidly propagated spike bursts were initiated from the point of infusion (identified radiologically as peristaltic rushes) many of which travelled right through to the ileo-caecal junction. It is concluded that intestinal infusion of fat accelerates small intestinal transit in pigs by induction of peristaltic rushes; that since the ileal transit times were more severely reduced than total small intestinal transit times by ileal infusion of fat the response is probably only seen over those areas of intestine in direct contract with the fat; and that the effect depends upon the presence of fat digestion products, i.e. the fatty acid and the monoglyceride, although probably only those containing unsaturated fatty acids.

Human interdigestive motility: variations in patterns from esophagus to colon

In most fasting mammals, motility of the foregut and small intestine undergoes regular cycles of activity. Much of the expanding knowledge of this phenomenon comes from species other than humans; however, disorders of these patterns are proposed as being clinically important. We report studies in 16 healthy humans in whom motility was recorded from intraluminal pressure sensors, both when fasting and after a meal, for prolonged periods. The recording system spanned the area from stomach to proximal colon in all subjects and included the lower esophagus in 11 of the 16 studied. Half the interdigestive cycles involved the esophagus, approximately one-third began in the gastroduodenal region, and the remainder commenced more distally. Fewer than half the migrating motor complexes were recognizable beyond the midpoint of the small bowel, and less than 10% reached the distal ileum. The migrating motor complex was more prominent at night; and its progression through the jejunum was then slower. Small meals (345-395 kcal) interrupted fasting patterns for 90-240 min, but the amount of fat did not influence the duration of these disruptions. Motility varied widely between and within individuals, and differences between normal patterns in the jejunum and ileum were particularly striking. Thus, levels of recordings must be defined accurately if putative abnormalities, of possible clinical significance, are to be interpreted correctly. Relating local motor patterns to the maximal rate of rhythmic contractions, which reflects the frequency of slow waves and is a guide to the level of the small bowel, may be helpful in this regard.

Jejunal myoelectrical activity in the conscious neonatal pig

The purpose of this study was to define and quantify patterns of normal jejunal myoelectrical activity in the conscious neonatal pig. Twelve 3-day-old piglets were obtained from a local herd. At 7 days of age four bipolar Ag-AgCl electrodes were surgically implanted at 5 cm intervals on the jejunum. Piglets were divided into fed (n = 7) and fasted (n = 5) groups and a minimum of four daily recordings were made from each pig between 7 and 14 days of age. Slow wave and spike activity were seen in all animals. Slow waves occurred at a frequency of 17.0 +/- 0.3 cycles/min (c.p.m.) in fed and 16.8 +/- 0.2 c.p.m. in fasted piglets. Spike activity predominated, occurring in characteristic migrating myoelectrical complexes (m.m.c.s.) and occupying 79% of the recording time in fed and 73% in fasted piglets (P less than 0.05). The activity front (phase 3) of the m.m.c. recurred every 47.7 +/- 2.4 min in fed, and 50.9 +/- 2.3 min in fasted piglets. The m.m.c. periodicity in both groups was irregular, with a range of 4-145 min in fed, and 8-104 min in fasted piglets. Activity fronts lasted 4.8 +/- 0.1 min in fed and 4.4 +/- 0.1 min in fasted piglets. All piglets demonstrated intense, short (2.5-5.0 s), distinct bursts of intense spike activity (migrating action potential complexes, m.a.p.c.s.). These were rapidly conducted in an aboral direction at a velocity of 1.8 cm/s in fed, and 0.8 cm/s in fasted piglets (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)