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Isolated organ perfusion and tension recording techniques represent classic methods for studying smooth muscle physiology and pharmacology. Their findings hold significant importance for elucidating the pathophysiological mechanisms underlying gastrointestinal motility disorders, vascular diseases, and uterine dysfunction12,13,14,15. Using a standardized rabbit ex vivo duodenal model, this study demonstrated that HXZQ-OL induces concentration-dependent relaxation of intestinal smooth muscle. Because HXZQ-OL reduced both acetylcholine- and barium chloride-induced contractions, the findings are consistent with inhibition of cholinergic- and calcium-dependent contractile responses16,17,18. However, this organ-bath protocol does not directly identify molecular targets such as M3 receptors or L-type calcium channels; receptor- or channel-specific assays would be required to confirm these mechanisms.
The standardized operating procedures employed in this experiment—encompassing precise dissection, specimen preparation, standardized suspension, and real-time signal acquisition—support data reproducibility. This technical platform also has practical versatility. With minor adjustments to the core methodology, it can be directly applied to: (1) Functional studies of isolated vascular loops (e.g., aorta, mesenteric artery) in rats and mice to evaluate vasoactive drugs and endothelial function19; (2) Contractile mechanics analysis of uterine smooth muscle strips for uterine contraction regulation mechanisms and drug screening20; (3) Isolated studies of other hollow organs (e.g., trachea, bladder). This provides a shared technical foundation for cardiovascular, reproductive, and respiratory pharmacology.
The high success rate and high fidelity of the tension signals in this experiment hinge on the meticulous maintenance of specimen viability, the correct suspension of muscle strips, and the rigorous determination of baseline stability. First, when rapidly isolating intestinal segments, mechanical damage such as direct traction must be avoided, and the excised tissue must be immediately placed in continuously oxygenated Tyrode's solution at 4 °C to maximize the preservation of its physiological activity (Steps 2.4.2 and 2.4.3); Second, when suspending the muscle strips, it is essential to ensure that the hook precisely penetrates the smooth muscle layer, and that the tissue maintains a natural, untwisted, vertical cylindrical shape within the bath to prevent specimen tearing and distortion of the tension measurement vector (Steps 5.1–5.8); finally, troubleshooting is typically required during the equilibration phase (Step 5.9). The specimen must undergo at least 60 min of isothermal perfusion equilibration at 37 °C, and the baseline drift, amplitude, and frequency fluctuations of its spontaneous contractions must strictly meet the preset quantitative steady-state criteria. If the smooth muscle strip exhibits an unstable baseline or excessive noise in the tension recording, the researcher should first check whether the gas flow rate is too high, causing turbulence in the solution, and adjust it to a lower level (Step 3.7). If the tissue still does not exhibit a stable spontaneous contraction rhythm after 60 min, it is necessary to verify the pH and osmolarity of the Tyrode's solution, ensure that the temperature has accurately reached 37 °C, or gently rinse the tissue with fresh, preheated Tyrode's solution to remove potential endogenous inhibitory metabolites.
The Horizontal Constant-Temperature Smooth Muscle Experiment System used in this study offers significant advantages over traditional vertical smooth muscle baths, representing a methodological innovation. Traditional methods rely on surgical sutures to secure the tissue, which is cumbersome and prone to causing mechanical damage or localized ischemia at the specimen ends. In contrast, the protocol in this study employs adjustable tissue hooks to achieve direct suspension fixation (Steps 5.1–5.8). Furthermore, while traditional baths typically have large volumes (50–100 mL), this system utilizes a small-volume sample chamber (20 mL) equipped with automated, one-button perfusion and drainage interfaces (Steps 3.3–3.6). This not only reduces the consumption of perfusion solutions and test drugs but also shortens equilibration and elution times. Moreover, the equilibration and repeated perfusion steps are expected to minimize potential residual effects of the anesthetic before data acquisition, thereby enhancing experimental efficiency and reproducibility. This improvement may be suitable for pharmacodynamic screening and mechanism-oriented studies of multi-component samples, such as traditional Chinese medicine formulas. Of course, this study has limitations: in vitro conditions cannot fully simulate the complete neuro-humoral regulatory network; the specific active components and molecular targets of HXZQ-OL remain to be elucidated through subsequent chemical fractionation and cellular and molecular experiments21. In summary, this study demonstrates the relaxing effect of HXZQ-OL on isolated intestinal muscle and provides a standardized experimental methodology for pharmacological screening and studies of drug effects on gastrointestinal smooth muscle.