Abstract Introduction: Intestinal epithelial cells reseal mucosal wounds through migration. This process of mucosal restitution is vital for many intestinal functions. Recent evidence implicates a role for Substance P (SP), a common neurotransmitter in the neurons of the intestinal mucosa, in the maintenance of gastrointestinal mucosal integrity. We have previously demonstrated that SP increases migration. We hypothesized that this enhanced migration was dependent on specific SP receptor-mediated actions that involved increased calcium flux and cytoskeletal arrangements. Methods: Studies were performed upon cultured IEC-6 cells. Calcium levels were measured by fura-2 imaging. Stress-fiber staining was measured using specific antibodies staining. Migration was directly measured as cells per millimeter over a 6 hour period. Results: Exposure of cells to SP (10-9 M) after wounding increased migration (from 50 + 6 to 73 + 6 cells/mm). Co-incubation with the SP receptor (NK1 receptor subtype) antagonist completely blocked this response. Exposure of cells to SP demonstrated dose-dependent elevation of cytosolic Ca+2 levels at physiologic levels (10-9 to 10–12M). This Ca+2 response was blocked completely NK1 receptor antagonism at a dose of 100mcM. SP increased actomyosin stress fiber staining by 12% versus control cells. Conclusions: These results indicate that for intestinal epithelial cells, Substance P stimulates Ca+2 release, stress fiber formation, and cell migration.
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