Jones R Carter W, Xu Linjing, Gebhart G F
Medical Scientist Training Program, Carver College of Medicine, The University of Iowa, Iowa City, Iowa 52242, USA.
J Neurosci. 2005 Nov 23;25(47):10981-9. doi: 10.1523/JNEUROSCI.0703-05.2005.
Mechanical hypersensitivity of the colon underlies in part the chronic abdominal pain experienced by patients with irritable bowel syndrome, yet the molecules that confer mechanosensitivity to colon sensory neurons and their contribution to visceral pain are unknown. We tested the hypothesis that transient receptor potential vanilloid 1 (TRPV1) and acid-sensing ion channel 3 (ASIC3) are peripheral mechanosensors in colon afferent neuronal fibers that mediate visceral nociceptive behavior in mice. Visceral nociception, modeled by the visceromotor response to colorectal distension, and colon afferent fiber mechanosensitivity were assessed in control (C57BL/6) mice and two congenic knock-out mouse strains with deletions of either TRPV1 or ASIC3. Phasic colon distension (15-60 mmHg) produced graded behavioral responses in all three mouse strains. However, both TRPV1 and ASIC3 knock-out mice were significantly less sensitive to distension, with an average response magnitude only 58 and 50% of controls, respectively. The behavioral deficits observed in both strains of knock-out mice were associated with a significant and selective reduction in afferent fiber sensitivity to circumferential stretch of the colon, an effect that was mimicked in control preparations by pretreatment with capsazepine, a TRPV1 antagonist, but not amiloride, a nonselective ASIC antagonist (both 500 microM). In addition, whereas stretch-evoked afferent fiber responses were enhanced by chemical inflammatory mediators in control mice, this effect was differentially impaired in both knock-out mouse strains. These results demonstrate a peripheral mechanosensory role for TRPV1 and ASIC3 in the mouse colon that contributes to nociceptive behavior and possibly peripheral sensitization during tissue insult.
结肠的机械性超敏反应是肠易激综合征患者慢性腹痛的部分原因,然而,赋予结肠感觉神经元机械敏感性的分子及其对内脏痛的作用尚不清楚。我们测试了以下假设:瞬时受体电位香草酸亚型1(TRPV1)和酸敏感离子通道3(ASIC3)是结肠传入神经纤维中的外周机械传感器,介导小鼠的内脏伤害性行为。通过对结直肠扩张的内脏运动反应建立内脏伤害感受模型,并在对照(C57BL/6)小鼠和两种分别缺失TRPV1或ASIC3的同源基因敲除小鼠品系中评估结肠传入纤维的机械敏感性。阶段性结肠扩张(15 - 60 mmHg)在所有三种小鼠品系中均产生分级行为反应。然而,TRPV1和ASIC3基因敲除小鼠对扩张的敏感性均显著降低,平均反应幅度分别仅为对照的58%和50%。在两种基因敲除小鼠品系中观察到的行为缺陷与传入纤维对结肠周向拉伸的敏感性显著且选择性降低有关,用TRPV1拮抗剂辣椒素预处理对照制剂可模拟这种效应,但非选择性ASIC拮抗剂阿米洛利(均为500 microM)则不能。此外,在对照小鼠中,化学炎症介质可增强拉伸诱发的传入纤维反应,而在两种基因敲除小鼠品系中这种效应均有不同程度的受损。这些结果表明,TRPV1和ASIC3在小鼠结肠中具有外周机械感觉作用,有助于伤害性行为以及组织损伤时可能的外周敏化。