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. 1996 Jul;39(1):125–129. doi: 10.1136/gut.39.1.125

Autonomic control of colonic tone and the cold pressore test.

M J Ford 1, M Camilleri 1, M J Joyner 1, R B Hanson 1
PMCID: PMC1383245  PMID: 8881823

Abstract

BACKGROUND: Cardiovascular responses to cold stimulation are well characterised. It is unclear, however, whether cold pain stimulates responses in colonic tone in the transverse and sigmoid regions. AIMS: To assess the effects of cold stimulation on tone nd motility in the transverse and sigmoid colon and on cardiovascular autonomic activity. METHODS: Phasic and tonic motility of the transverse and sigmoid colon, pulse rate, and beat to beat pulse variability (which are measures of centrally mediated changes in autonomic function) were measured before, during, and after a standard cold pressor test in 22 healthy volunteers. RESULTS: Cold pain induced a significant increase in colonic tone but not phasic contractility in the transverse and sigmoid regions. Simultaneously, cold pain increased pulse interval variability. CONCLUSION: The findings are consistent with the hypotheses that cold pain produces coactivation of both the sympathetic and parasympathetic limbs of the autonomic nervous system and that cold induced changes in colonic tone are temporally associated with alterations in central autonomic nervous activity.

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Selected References

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  1. ALMY T. P. Experimental studies on the irritable colon. Am J Med. 1951 Jan;10(1):60–67. doi: 10.1016/0002-9343(51)90219-7. [DOI] [PubMed] [Google Scholar]
  2. Allen M. T., Shelley K. S., Boquet A. J., Jr A comparison of cardiovascular and autonomic adjustments to three types of cold stimulation tasks. Int J Psychophysiol. 1992 Jul;13(1):59–69. doi: 10.1016/0167-8760(92)90021-3. [DOI] [PubMed] [Google Scholar]
  3. Ayres R. C., Robertson D. A., Naylor K., Smith C. L. Stress and oesophageal motility in normal subjects and patients with irritable bowel syndrome. Gut. 1989 Nov;30(11):1540–1543. doi: 10.1136/gut.30.11.1540. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Barclay G. R., Turnberg L. A. Effect of cold-induced pain on salt and water transport in the human jejunum. Gastroenterology. 1988 Apr;94(4):994–998. doi: 10.1016/0016-5085(88)90558-6. [DOI] [PubMed] [Google Scholar]
  5. Bouloux P. M., Grossman A., Al-Damluji S., Bailey T., Besser M. Enhancement of the sympathoadrenal response to the cold-pressor test by naloxone in man. Clin Sci (Lond) 1985 Sep;69(3):365–368. doi: 10.1042/cs0690365. [DOI] [PubMed] [Google Scholar]
  6. Camilleri M., Ford M. J. Functional gastrointestinal disease and the autonomic nervous system: a way ahead? Gastroenterology. 1994 Apr;106(4):1114–1118. doi: 10.1016/0016-5085(94)90775-7. [DOI] [PubMed] [Google Scholar]
  7. Camilleri M., Neri M. Motility disorders and stress. Dig Dis Sci. 1989 Nov;34(11):1777–1786. doi: 10.1007/BF01540058. [DOI] [PubMed] [Google Scholar]
  8. Delius W., Hagbarth K. E., Hongell A., Wallin B. G. Manoeuvres affecting sympathetic outflow in human muscle nerves. Acta Physiol Scand. 1972 Jan;84(1):82–94. doi: 10.1111/j.1748-1716.1972.tb05157.x. [DOI] [PubMed] [Google Scholar]
  9. Delius W., Hagbarth K. E., Hongell A., Wallin B. G. Manoeuvres affecting sympathetic outflow in human skin nerves. Acta Physiol Scand. 1972 Feb;84(2):177–186. doi: 10.1111/j.1748-1716.1972.tb05168.x. [DOI] [PubMed] [Google Scholar]
  10. Esler M., Jennings G., Lambert G., Meredith I., Horne M., Eisenhofer G. Overflow of catecholamine neurotransmitters to the circulation: source, fate, and functions. Physiol Rev. 1990 Oct;70(4):963–985. doi: 10.1152/physrev.1990.70.4.963. [DOI] [PubMed] [Google Scholar]
  11. Fone D. R., Horowitz M., Maddox A., Akkermans L. M., Read N. W., Dent J. Gastroduodenal motility during the delayed gastric emptying induced by cold stress. Gastroenterology. 1990 May;98(5 Pt 1):1155–1161. doi: 10.1016/0016-5085(90)90328-x. [DOI] [PubMed] [Google Scholar]
  12. Gillis R. A., Dias Souza J., Hicks K. A., Mangel A. W., Pagani F. D., Hamilton B. L., Garvey T. Q., 3rd, Pace D. G., Browne R. K., Norman W. P. Inhibitory control of proximal colonic motility by the sympathetic nervous system. Am J Physiol. 1987 Oct;253(4 Pt 1):G531–G539. doi: 10.1152/ajpgi.1987.253.4.G531. [DOI] [PubMed] [Google Scholar]
  13. Goldstein D. S., McCarty R., Polinsky R. J., Kopin I. J. Relationship between plasma norepinephrine and sympathetic neural activity. Hypertension. 1983 Jul-Aug;5(4):552–559. doi: 10.1161/01.hyp.5.4.552. [DOI] [PubMed] [Google Scholar]
  14. Herd J. A. Cardiovascular response to stress. Physiol Rev. 1991 Jan;71(1):305–330. doi: 10.1152/physrev.1991.71.1.305. [DOI] [PubMed] [Google Scholar]
  15. Jørgensen L. S., Christiansen P., Raundahl U., Ostgaard S., Christensen N. J., Fenger M., Flachs H. Autonomic response to an experimental psychological stressor in healthy subjects: measurement of sympathetic, parasympathetic, and pituitary-adrenal parameters: test-retest reliability. Scand J Clin Lab Invest. 1990 Dec;50(8):823–829. doi: 10.3109/00365519009104948. [DOI] [PubMed] [Google Scholar]
  16. Lovallo W. The cold pressor test and autonomic function: a review and integration. Psychophysiology. 1975 May;12(3):268–282. doi: 10.1111/j.1469-8986.1975.tb01289.x. [DOI] [PubMed] [Google Scholar]
  17. McIntyre A. S., Thompson D. G. Review article: adrenergic control of motor and secretory function in the gastrointestinal tract. Aliment Pharmacol Ther. 1992 Apr;6(2):125–142. doi: 10.1111/j.1365-2036.1992.tb00257.x. [DOI] [PubMed] [Google Scholar]
  18. Mearin F., Cucala M., Azpiroz F., Malagelada J. R. The origin of symptoms on the brain-gut axis in functional dyspepsia. Gastroenterology. 1991 Oct;101(4):999–1006. doi: 10.1016/0016-5085(91)90726-2. [DOI] [PubMed] [Google Scholar]
  19. Narducci F., Snape W. J., Jr, Battle W. M., London R. L., Cohen S. Increased colonic motility during exposure to a stressful situation. Dig Dis Sci. 1985 Jan;30(1):40–44. doi: 10.1007/BF01318369. [DOI] [PubMed] [Google Scholar]
  20. O'Brien J. D., Thompson D. G., Burnham W. R., Holly J., Walker E. Action of centrally mediated autonomic stimulation on human upper gastrointestinal transit: a comparative study of two stimuli. Gut. 1987 Aug;28(8):960–969. doi: 10.1136/gut.28.8.960. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. O'Brien J. D., Thompson D. G., Day S. J., Burnham W. R., Walker E. Perturbation of upper gastrointestinal transit and antroduodenal motility by experimentally applied stress: the role of beta-adrenoreceptor mediated pathways. Gut. 1989 Nov;30(11):1530–1539. doi: 10.1136/gut.30.11.1530. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Pagani M., Lombardi F., Guzzetti S., Rimoldi O., Furlan R., Pizzinelli P., Sandrone G., Malfatto G., Dell'Orto S., Piccaluga E. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res. 1986 Aug;59(2):178–193. doi: 10.1161/01.res.59.2.178. [DOI] [PubMed] [Google Scholar]
  23. Soffer E. E., Scalabrini P., Pope C. E., 2nd, Wingate D. L. Effect of stress on oesophageal motor function in normal subjects and in patients with the irritable bowel syndrome. Gut. 1988 Nov;29(11):1591–1594. doi: 10.1136/gut.29.11.1591. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Stanghellini V., Malagelada J. R., Zinsmeister A. R., Go V. L., Kao P. C. Effect of opiate and adrenergic blockers on the gut motor response to centrally acting stimuli. Gastroenterology. 1984 Nov;87(5):1104–1113. [PubMed] [Google Scholar]
  25. Stanghellini V., Malagelada J. R., Zinsmeister A. R., Go V. L., Kao P. C. Stress-induced gastroduodenal motor disturbances in humans: possible humoral mechanisms. Gastroenterology. 1983 Jul;85(1):83–91. [PubMed] [Google Scholar]
  26. Steadman C. J., Phillips S. F., Camilleri M., Haddad A. C., Hanson R. B. Variation of muscle tone in the human colon. Gastroenterology. 1991 Aug;101(2):373–381. doi: 10.1016/0016-5085(91)90014-c. [DOI] [PubMed] [Google Scholar]
  27. Talley N. J., Phillips S. F., Wiltgen C. M., Zinsmeister A. R., Melton L. J., 3rd Assessment of functional gastrointestinal disease: the bowel disease questionnaire. Mayo Clin Proc. 1990 Nov;65(11):1456–1479. doi: 10.1016/s0025-6196(12)62169-7. [DOI] [PubMed] [Google Scholar]
  28. Thompson D. G., Richelson E., Malagelada J. R. Perturbation of upper gastrointestinal function by cold stress. Gut. 1983 Apr;24(4):277–283. doi: 10.1136/gut.24.4.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Victor R. G., Leimbach W. N., Jr, Seals D. R., Wallin B. G., Mark A. L. Effects of the cold pressor test on muscle sympathetic nerve activity in humans. Hypertension. 1987 May;9(5):429–436. doi: 10.1161/01.hyp.9.5.429. [DOI] [PubMed] [Google Scholar]
  30. Victor R., Mainardi J. A., Shapiro D. Effects of biofeedback and voluntary control procedures on heart rate and perception of pain during the cold pressor test. Psychosom Med. 1978 May;40(3):216–226. doi: 10.1097/00006842-197805000-00004. [DOI] [PubMed] [Google Scholar]
  31. Weise F., Laude D., Girard A., Zitoun P., Siché J. P., Elghozi J. L. Effects of the cold pressor test on short-term fluctuations of finger arterial blood pressure and heart rate in normal subjects. Clin Auton Res. 1993 Oct;3(5):303–310. doi: 10.1007/BF01827331. [DOI] [PubMed] [Google Scholar]
  32. Welgan P., Meshkinpour H., Hoehler F. The effect of stress on colon motor and electrical activity in irritable bowel syndrome. Psychosom Med. 1985 Mar-Apr;47(2):139–149. doi: 10.1097/00006842-198503000-00005. [DOI] [PubMed] [Google Scholar]
  33. Williams C. L., Peterson J. M., Villar R. G., Burks T. F. Corticotropin-releasing factor directly mediates colonic responses to stress. Am J Physiol. 1987 Oct;253(4 Pt 1):G582–G586. doi: 10.1152/ajpgi.1987.253.4.G582. [DOI] [PubMed] [Google Scholar]
  34. Zacchi P., Mearin F., Malagelada J. R. Effect of experimental cold pain stress on gastroesophageal junction. Dig Dis Sci. 1994 Mar;39(3):641–647. doi: 10.1007/BF02088354. [DOI] [PubMed] [Google Scholar]
  35. Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. [DOI] [PubMed] [Google Scholar]

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