BACKGROUND: NMDA receptors (NMDA-R) are expressed on the peripheral terminals of extrinsic afferent nerves innervating the rat colon, and NMDA-R antagonists, acting peripherally, inhihit hehavioral pain responses to colorectal distension (CRD). AIM: To determine whether peripheral NMDA-R are directly involved in CRD-mediated afferent nerve activity using an isolated colon-inferior splanchnic nerve preparation. METHODS: About 4 cm of distal colon and 1 cm proximal rectum with attached inferior mesenteric artery, ganglion and inferior splanchnic nerve branches were isolated and transferred into the main chamber of an organ bath. Unit action potentials were recorded from thin nerve filaments teased from inferior splanchnic branches or the mesentery nerve. CRD was provided hy a mini-latex balloon made from a piece of fatigued latex membrane that had a diameter of ~gmm when inflated with O.4ml air. The response of units to quick inflation and withdrawal of 0.3-0.5ml of air with raising and failing phases 0.5 sec and a 2g sec plateau was tested. Distensions were repeated at intervals not less than 4 min apart. Drugs were directly administered via the inferior mesenteric artery in a volume of 0.1 ml. RESULTS: Neither vehicle, nor the non-compstitive NMDA-R open channel blocker memantine (2g/~g) administered via intra-arterial injection had any effect on ongoing basal activity. However, memantine suppressed the responses of all units to subsequent CRD more than 65%. After intra-arterial washing, the responsiveness to CRO partially recovered (-50%) indicating that the effect of memantine was reveraihle. Intra-arterial injection of 10 p.g NMDA together with 5 p.g D-serine (a required co-agonist) in low Mg 2+ Ringers (to remove voltage-dependent inhibition) transiently increased spontaneous activity more than 3-fold over basal levels. Furthermore, prior treatment with a subthreshold dose of NMDA (5 ~g) in combination with D-serine enhanced CRD mediated responses >30%. Injection of D-serine alone in low Mg 2. Ringers had no effect of basal or evoked activity. CONCLUSIONS: These results strongly suggest that NMDA-R expressed on peripheral terminals of extrinsic primary afferents of the rat colon modulate, and may be directly involved, in mechanically induced nociception in this tissue. [Supported by NIH grants DK58173 and DK48476, and funds from AstraZeneca R&D, MOIndal]