T. O'Kelly is the first author of a 1993 study testing the role of nitric oxide in relaxation of the human internal anal sphincter. Isolated muscle strips were mounted in organ baths for measurement of tension at fixed length. Electrical stimulation evoked nerve-dependent relaxation, allowing the investigators to test which chemical pathway connected stimulation to the mechanical response.[ref]
Several interventions converged on the same explanation. A compound releasing nitric oxide relaxed the strips; inhibitors of nitric oxide synthase suppressed electrically evoked relaxation; adding the appropriate form of arginine reversed that inhibition. The opposite enantiomer did not have the same effect. A substance that scavenges nitric oxide also abolished the response. This combination of mimicry, inhibition, rescue and specificity controls supported a role for nitric oxide in neural relaxation of smooth muscle. It provided stronger causal evidence than observing a correlation between chemical abundance and relaxation alone.[ref]
Nerve mediated relaxation of the human internal anal sphincter: the role of nitric oxide by T. O'Kelly and others. abstract, donor, inhibitor, enantiomer and scavenger controls
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