title: Direct inhibitory effect of erythromycin on human alimentary tract smooth muscle.
abstract: BACKGROUND
  Erythromycin was found to stimulate motor activity in the upper gastrointestinal tract. However, in several smooth muscle preparations, it also elicited an inhibitory effect. Our aim was to study the effect of erythromycin in various human alimentary tract smooth muscles.
  
  
  METHODS
  Using force measurements, we assessed the effect of erythromycin on electrically and chemically evoked contractions of isolated muscle strips of human gallbladder, small intestine, and colon.
  
  
  RESULTS
  The muscarinic receptor agonist carbachol evoked contraction in gallbladder, ileum, and colonic smooth muscle that were reduced by erythromycin at 10(-4) M to 72% +/- 24%, 77% +/- 22%, and 76% +/- 22% of control values, respectively. Erythromycin did not affect contractions evoked by noncholinergic agents. Erythromycin's inhibitory effects were not altered by nerve blockade, indicating a direct muscle effect. Eryrthromycin also reduced contractions evoked by electrical stimulation at frequencies of 5, 10, and 20 Hz in the human gallbladder, ileum, and colon preparations. These contractions were reduced by erythromycin in a reversible and dose-dependent manner.
  
  
  CONCLUSIONS
  Erythromycin antagonized direct cholinergic effects on various smooth muscles from the human alimentary tract in a concentration-dependent manner.
authors.affiliation: Department of Surgery and Laboratory of Experimental Surgery, Hadassah University Hospital Mount Scopus and Hebrew University-Hadassah Medical School, Jerusalem, Israel.
authors.forename: Aviram
authors.initials: A
authors.lastname: Nissan
authors.forename: Herbert R
authors.initials: HR
authors.lastname: Freund
authors.forename: Menachem
authors.initials: M
authors.lastname: Hanani
mesh_terms: D002217:Carbachol / Q000037:antagonists & inhibitors; D003106:Colon / Q000187:drug effects; D004558:Electric Stimulation; D004917:Erythromycin / Q000494:pharmacology*; D005704:Gallbladder / Q000187:drug effects; D005765:Gastrointestinal Agents / Q000494:pharmacology*; D005769:Gastrointestinal Motility / Q000187:drug effects; D006801:Humans; D007082:Ileum / Q000187:drug effects; D066298:In Vitro Techniques; D009119:Muscle Contraction / Q000187:drug effects*; D009130:Muscle, Smooth / Q000187:drug effects*
chemical_list: D005765:Gastrointestinal Agents; D004917:Erythromycin; D002217:Carbachol