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Gastroesophageal reflux disease (GERD) is a disorder that is related to an incompetent lower esophageal sphincter (LES). Previous studies showed that bombesin could increase LES pressure in humans and opossums. The aim of the present study was to characterize the effects of bombesin on porcine LES contraction. We used the selective agonists, neuromedin B (NMB), gastrin-releasing peptide (GRP), and [D-Tyr 6 ,Apa-4Cl 11 ,Phe 13 ,Nle 14 ]bombesin-(6-14) (DTACPN-BN), as well as receptor antagonists of bombesin receptor subtype 2 (BB 2 ), and 3 (BB 3 ) for  ex vivo  contraction studies. Atropine, nifedipine, tetrodotoxin, and ω-conotoxin GVIA were used to explore the agonist-induced LES contraction mechanism. Reverse transcription polymerase chain reaction and immunohistochemistry were applied to detect bombesin receptor expression. Our results indicate that GRP and DTACPN-BN, but not NMB, induced tonic contractions of the porcine LES in a dose-dependent manner, and the contractions were inhibited with selective BB 2  and BB 3  antagonists. The GRP-induced contraction is mainly caused by L-type Ca 2+  channel-mediated Ca 2+  influx. However, DTACPN-BN-induced contractions are associated with neuronal conduction. RT-PCR and immunohistochemistry revealed that BB 2  and BB 3  were expressed in the porcine LES. Bombesin-induced tonic contraction of the LES is mediated through BB 2  and BB 3 . Bombesin, BB 2,  and BB 3  agonists might have the potential to treat GERD.

Mechanism of bombesin-induced tonic contraction of the porcine lower esophageal sphincter