Center for Pain Research, Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J Neurophysiol. 2010 Dec;104(6):3113-23. doi: 10.1152/jn.00560.2010. Epub 2010 Sep 22.
Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by pain and hypersensitivity in the relative absence of colon inflammation or structural changes. To assess the role of P2X receptors expressed in colorectal dorsal root ganglion (c-DRG) neurons and colon hypersensitivity, we studied excitability and purinergic signaling of retrogradely labeled mouse thoracolumbar (TL) and lumbosacral (LS) c-DRG neurons after intracolonic treatment with saline or zymosan (which reproduces 2 major features of IBS-persistent colorectal hypersensitivity without inflammation) using patch-clamp, immunohistochemical, and RT-PCR techniques. Although whole cell capacitances did not differ between LS and TL c-DRG neurons and were not changed after zymosan treatment, membrane excitability was increased in LS and TL c-DRG neurons from zymosan-treated mice. Purinergic agonist adenosine-5'-triphosphate (ATP) and α,β-methylene ATP [α,β-meATP] produced inward currents in TL c-DRG neurons were predominantly P2X(3)-like fast (∼70% of responsive neurons); P2X(2/3)-like slow currents were more common in LS c-DRG neurons (∼35% of responsive neurons). Transient currents were not produced by either agonist in c-DRG neurons from P2X(3)(-/-) mice. Neither total whole cell Kv current density nor the sustained or transient Kv components was changed in c-DRG neurons after zymosan treatment. The number of cells expressing P2X(3) protein and its mRNA and the kinetic properties of ATP- and α,β-meATP-evoked currents in c-DRG neurons were not changed by zymosan treatment. However, the EC(50) of α,β-meATP for the fast current decreased significantly in TL c-DRG neurons. These findings suggest that colorectal hypersensitivity produced by intracolonic zymosan increases excitability and enhances purinergic signaling in c-DRG neurons.
肠易激综合征(IBS)是一种功能性胃肠道疾病,其特征为疼痛和对结肠的高敏感性,而相对缺乏结肠炎症或结构改变。为了评估在大肠背根神经节(c-DRG)神经元中表达的 P2X 受体和结肠高敏感性的作用,我们使用膜片钳、免疫组织化学和 RT-PCR 技术,研究了在给予盐水或酵母聚糖(复制 IBS 的 2 个主要特征-持续的大肠高敏感性而无炎症)后,经结肠内处理的小鼠胸腰(TL)和腰骶(LS)c-DRG 神经元的兴奋性和嘌呤能信号。尽管 LS 和 TL c-DRG 神经元的全细胞电容没有差异,并且在酵母聚糖处理后没有改变,但酵母聚糖处理的小鼠 LS 和 TL c-DRG 神经元的膜兴奋性增加。嘌呤能激动剂三磷酸腺苷(ATP)和 α,β-亚甲基三磷酸(α,β-meATP)[α,β-meATP]在 TL c-DRG 神经元中产生内向电流,主要是 P2X(3)样快速(响应神经元的约 70%);LS c-DRG 神经元中更常见的是 P2X(2/3)样缓慢电流(响应神经元的约 35%)。在 P2X(3)(-/-)小鼠的 c-DRG 神经元中,两种激动剂均未产生瞬态电流。酵母聚糖处理后,c-DRG 神经元的总全细胞 Kv 电流密度或持续和瞬态 Kv 成分均未改变。c-DRG 神经元中 P2X(3)蛋白及其 mRNA 的表达细胞数量以及 ATP 和 α,β-meATP 诱发电流的动力学特性均未因酵母聚糖处理而改变。然而,α,β-meATP 对快速电流的 EC(50)在 TL c-DRG 神经元中显著降低。这些发现表明,经结肠内酵母聚糖处理产生的大肠高敏感性会增加 c-DRG 神经元的兴奋性并增强嘌呤能信号。