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内脏感觉与应激相关的改变:肠易激综合征的动物模型研究。

Stress-related alterations of visceral sensation: animal models for irritable bowel syndrome study.

机构信息

CURE/Digestive Diseases Research Center and Center for Neurobiology of Stress, Digestive Diseases Division, Department of Medicine, David Geffen School of Medicine, UCLA and VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.

出版信息

J Neurogastroenterol Motil. 2011 Jul;17(3):213-34. doi: 10.5056/jnm.2011.17.3.213. Epub 2011 Jul 13.

Abstract

Stressors of different psychological, physical or immune origin play a critical role in the pathophysiology of irritable bowel syndrome participating in symptoms onset, clinical presentation as well as treatment outcome. Experimental stress models applying a variety of acute and chronic exteroceptive or interoceptive stressors have been developed to target different periods throughout the lifespan of animals to assess the vulnerability, the trigger and perpetuating factors determining stress influence on visceral sensitivity and interactions within the brain-gut axis. Recent evidence points towards adequate construct and face validity of experimental models developed with respect to animals' age, sex, strain differences and specific methodological aspects such as non-invasive monitoring of visceromotor response to colorectal distension as being essential in successful identification and evaluation of novel therapeutic targets aimed at reducing stress-related alterations in visceral sensitivity. Underlying mechanisms of stress-induced modulation of visceral pain involve a combination of peripheral, spinal and supraspinal sensitization based on the nature of the stressors and dysregulation of descending pathways that modulate nociceptive transmission or stress-related analgesic response.

摘要

不同心理、生理或免疫来源的应激源在肠易激综合征的病理生理学中起着关键作用,参与症状的发生、临床表现以及治疗结果。已经开发了各种急性和慢性外感受性或内感受性应激源的实验应激模型,以针对动物生命周期的不同时期,评估易感性、触发因素和决定应激对内脏敏感性的影响以及大脑-肠道轴内相互作用的持续因素。最近的证据表明,针对动物的年龄、性别、品系差异以及特定方法学方面(例如对结直肠扩张的内脏运动反应进行非侵入性监测)开发的实验模型在构建和表面效度方面是充分的,这对于成功识别和评估旨在减少与内脏敏感性相关的应激改变的新型治疗靶点至关重要。应激引起的内脏疼痛调制的潜在机制涉及基于应激源性质的外周、脊髓和脊髓上敏化的组合,以及调节伤害性传递或应激相关镇痛反应的下行途径的失调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc2d/3155058/47febb63ec1d/jnm-17-213-g001.jpg

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