Department of Medicine, Division of Gastroenterology and Hepatology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA
Galanin was present and exerted potent effects in all the gastrointestinal
sphincters examined. Galanin-immunoreactive nerve fibers and
neurons are present in both the myenteric and submucosal plexuses
of sphincters. The neuropeptide exerts diverse effects in different
sphincteric smooth muscles that may be species specific. For
example, in the lower esophageal sphincter, it may cause an
increase in basal tone and suppression of nonadrenergic noncholinergic
(NANC) nerve-mediated relaxation. On the contrary, in the internal
anal sphincter (IAS), the predominant effect of galanin is to
cause smooth muscle relaxation and augmentation of NANC nerve-mediated
relaxation. In other sphincters, galanin may either have no
effect or cause either an increase or a decrease in basal tone.
Most of the actions of galanin on basal smooth muscle sphincteric
tone are due to its actions directly on smooth muscle cells.
However, some of the relaxant actions of the peptide may also
be due to activation of NANC inhibitory neurons. The basic mechanism/s
responsible for sphincteric smooth muscle contraction or relaxation
in response to galanin have not been investigated. The suppressive
as well as the augmentatory effects of galanin on NANC nerve-mediated
sphincteric smooth muscle relaxation may be due to inhibition
or facilitation, respectively, of the release of NANC inhibitory
neurotransmitters such as nitric oxide and vasoactive intestinal
polypeptide. Diverse effects in different gastrointestinal sphincters
suggest a neuromodulatory rather than a neurotransmitter role
of galanin and a significant role of the neuropeptide and putative
antagonists in the pathophysiology and potential therapy of
gastrointestinal motility disorders especially those affecting
sphincteric function.