Antegrade peristalsis, the forward-moving contraction of the gastrointestinal tract, is influenced by several neurotransmitters. Specifically, Vasoactive Intestinal Peptide (VIP) plays a critical role in this process.
The options include:
- Ach (Acetylcholine): A neurotransmitter that generally stimulates muscle contractions but is not primarily responsible for antegrade peristalsis.
- Serotonin: Known for its role in mood regulation but it also influences gut motility. However, it's more significant in regulating intestinal movements, not specifically linked to promoting antegrade peristalsis.
- Substance P: An important neurotransmitter associated with inflammation and pain perception. Its role in gut motility is less direct compared to VIP.
- VIP (Vasoactive Intestinal Peptide): VIP facilitates smooth muscle relaxation in the gastrointestinal tract, promoting antegrade peristalsis by initiating a wave-like motion that pushes contents forward.
Therefore, the correct answer is VIP.