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促肾上腺皮质激素释放因子1受体信号通路参与结肠功能和内脏敏感性的应激相关改变:对肠易激综合征的影响。

CRF1 receptor signaling pathways are involved in stress-related alterations of colonic function and viscerosensitivity: implications for irritable bowel syndrome.

作者信息

Taché Y, Martinez V, Wang L, Million M

机构信息

CURE/Digestive Diseases Research Center, and Center for Neurovisceral Sciences and Woman's Health, West Los Angeles VA Medical Center, University of California-Los Angeles, 1130 Wilshire Boulevard, Los Angeles, CA 90073, U.S.A.

出版信息

Br J Pharmacol. 2004 Apr;141(8):1321-30. doi: 10.1038/sj.bjp.0705760.

Abstract
  1. The characterization of corticotropin releasing factor (CRF) and, more recently, the discovery of additional CRF-related ligands, urocortin 1, urocortin 2 and urocortin 3, the cloning of two distinct CRF receptor subtypes, 1 (CRF(1)) and 2 (CRF(2)), and the development of selective CRF receptor antagonists provided new insight to unravel the mechanisms of stress. Activation of brain CRF(1) receptor signaling pathways is implicated in stress-related endocrine response and the development of anxiety-like behaviors. 2. Compelling evidence in rodents showed also that both central and peripheral injection of CRF and urocortin 1 mimic acute stress-induced colonic response (stimulation of motility, transit, defecation, mucus and watery secretion, increased ionic permeability and occurrence of diarrhea) in rodents. Central CRF enhances colorectal distention-induced visceral pain in rats. Peripheral CRF reduced pain threshold to colonic distention and increased colonic motility in humans. 3. Nonselective CRF(1)/CRF(2) antagonists and selective CRF(1) antagonists inhibit exogenous (central or peripheral) CRF- and acute stress-induced activation of colonic myenteric neurons, stimulation of colonic motor function and visceral hyperalgesia while selective CRF(2) antagonists have no effect. None of the CRF antagonists influence basal or postprandial colonic function in nonstressed animals. 4. These findings implicate CRF(1) receptors in stress-related stimulation of colonic function and hypersensitivity to colorectal distention. Targeting CRF(1)-dependent pathways may have potential benefit against stress or anxiety-/depression-related functional bowel disorders.
摘要
  1. 促肾上腺皮质激素释放因子(CRF)的特性,以及最近发现的其他与CRF相关的配体,即尿皮质素1、尿皮质素2和尿皮质素3,两种不同的CRF受体亚型1(CRF(1))和2(CRF(2))的克隆,以及选择性CRF受体拮抗剂的研发,为揭示应激机制提供了新的见解。脑CRF(1)受体信号通路的激活与应激相关的内分泌反应及焦虑样行为的发展有关。2. 啮齿动物的有力证据还表明,向中枢和外周注射CRF和尿皮质素1均可模拟啮齿动物急性应激诱导的结肠反应(刺激蠕动、转运、排便、黏液和水样分泌、增加离子通透性及腹泻的发生)。中枢CRF可增强大鼠结肠扩张诱导的内脏疼痛。外周CRF可降低人类对结肠扩张的痛阈并增加结肠蠕动。3. 非选择性CRF(1)/CRF(2)拮抗剂和选择性CRF(1)拮抗剂可抑制外源性(中枢或外周)CRF及急性应激诱导的结肠肌间神经元激活、结肠运动功能刺激和内脏痛觉过敏,而选择性CRF(2)拮抗剂则无此作用。在未受应激的动物中,没有一种CRF拮抗剂会影响基础或餐后结肠功能。4. 这些发现表明CRF(1)受体参与应激相关的结肠功能刺激及对结肠扩张的超敏反应。针对CRF(1)依赖性途径可能对与应激或焦虑/抑郁相关的功能性肠病具有潜在益处。

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