title: The internal anal sphincter: regulation of smooth muscle tone and relaxation.
abstract: Basal tone in the internal anal sphincter (IAS) is primarily myogenic. Neurohumoral substances like angiotensin II may partially provide external signal for the basal tone in the IAS. The sphincteric relaxation on the contrary is neurogenic by activation of non-adrenergic non-cholinergic (NANC) nerves that release nitric oxide (NO), vasoactive intestinal polypeptide (VIP) and perhaps carbon monoxide. Because of the presence of spontaneous tone, the IAS offers an excellent model to investigate the nature of the inhibitory neurotransmission for NANC relaxation. Work from different laboratories in different species concludes that NO is the major contributor in the NANC relaxation. This may invoke the role of other inhibitory neurotransmitters such as VIP, working partly via NO. An understanding of the basic regulation of basal tone in the IAS and nature of inhibitory neurotransmission are critical in the pathophysiology and therapeutic potentials in the anorectal motility disorders.
authors.affiliation: Division of Gastroenterology & Hepatology, Department of Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA. Satish.Rattan@jefferson.edu
authors.forename: S
authors.initials: S
authors.lastname: Rattan
mesh_terms: D001003:Anal Canal / Q000294:innervation* / Q000502:physiology*; D000804:Angiotensin II / Q000378:metabolism; D000818:Animals; D002248:Carbon Monoxide / Q000378:metabolism; D006801:Humans; D009126:Muscle Relaxation / Q000502:physiology*; D009129:Muscle Tonus / Q000502:physiology*; D009130:Muscle, Smooth / Q000294:innervation / Q000502:physiology*; D009569:Nitric Oxide / Q000378:metabolism; D011941:Receptors, Adrenergic / Q000378:metabolism; D014660:Vasoactive Intestinal Peptide / Q000378:metabolism
chemical_list: D011941:Receptors, Adrenergic; D000804:Angiotensin II; D009569:Nitric Oxide; D014660:Vasoactive Intestinal Peptide; D002248:Carbon Monoxide