The interaction of choline esters, vagal stimulation and H2-receptor blockade on acid secretion in vitro

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Abstract

Choline esters, bethanechol and carbachol, and electrical field stimulation increased acid secretion in the mouse, isolated, lumen-perfused, stomach. Electrical field stimulation was apparently mediated by vagal nerve endings because treatment with either tetrodotoxin or atropine abolished the response. Using a 2 + 2 assay design, experiments with bethanechol showed that the H2-receptor antagonists metiamide and cimetidine (1 mM) were devoid of antimuscarinic activity. However, the effects of carbachol, which unlike bethanechol stimulates both muscarinic and nicotinic receptors, were significantly antagonised by metiamide (1 mM) at a concentration which was not anticholinergic. We conclude that there are cholinergic receptors separate from histamine H2-receptors on parietal cells. The effects of vagal stimulation in this preparation however, are apparently mediated by histamine release. These results support the ‘two-cell hypothesis’ where vagal nerve endings synapse with the parietal cell.

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      We are grateful for the opportunity to pay tribute to James Black's outstanding contributions to pharmacology, physiology and medicine. One of us (J.A.) was privileged to experience at first hand Black's passion for developing biological assays and subjecting them to deep analysis, as illustrated in their work on vagally mediated gastric acid secretion [1]. Crucial for these studies was the discovery of the histamine H2-receptor antagonist drugs, which became the sheet anchor for the treatment of peptic ulcer for over 20 years [2].

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    Present address: Baker Medical Research Institute, Commercial Road, Prahran, 3181 Victoria, Australia.

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