Gastroenterology Research Unit, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Gut. 2013 Oct;62(10):1466-74. doi: 10.1136/gutjnl-2012-302260. Epub 2012 Jul 24.
Increased faecal butyrate levels have been reported in irritable bowel syndrome. Rectal instillation of sodium butyrate (NaB) increases visceral sensitivity in rats by an unknown mechanism. We seek to examine the signal transduction pathways responsible for the enhanced neuronal excitability in the dorsal root ganglion (DRG) following NaB enemas and demonstrate that this is responsible for the colonic hypersensitivity reported in this animal model.
Colorectal distention (CRD) studies were performed in rats treated with NaB rectal instillation with/without intrathecal or intravenous administration of mitogen-activated protein (MAP) kinase kinase inhibitor U0126. Western blot analysis and immunocytochemistry studies elucidated intracellular signalling pathways that modulate IA. Patch-clamp recordings were performed on isolated DRG neurons treated with NaB, with/without U0126.
Visceromotor responses (VMR) were markedly enhanced in NaB-treated rats. Western blot analysis of DRG neurons from NaB-treated rats showed a 2.2-fold increase in phosphorylated ERK1/2 (pEKR1/2) and 1.9-fold increase in phosphorylated voltage-gated potassium channel subunit 4.2 (pKv4.2). Intrathecal or intravenous administration of U0126 reduced VMR to CRD in NaB-treated rats and prevented increases in pERK1/2 and pKv4.2. Patch-clamp recordings of isolated DRG neurons showed that NaB caused a reduction in IA to 48.9%±1.4% of control and an increase in neuronal excitability, accompanied by a twofold increase in pERK1/2 and pKv4.2. Concurrent U0126 administration prevented these changes.
Visceral hypersensitivity induced by colonic NaB treatment is mediated by activation of the MAP kinase-ERK1/2 pathway, which phosphorylates Kv4.2. This results in a reduction in IA and an enhancement of DRG neuronal excitability.
据报道,肠易激综合征患者粪便中丁酸盐水平升高。通过未知机制,直肠内给予丁酸钠(NaB)可增加大鼠内脏敏感性。我们旨在研究 NaB 灌肠后导致背根神经节(DRG)神经元兴奋性增加的信号转导通路,并证明这是该动物模型中结肠高敏性的原因。
对接受 NaB 直肠内给药的大鼠进行结肠扩张(CRD)研究,同时给予鞘内或静脉注射丝裂原活化蛋白激酶激酶抑制剂 U0126。Western blot 分析和免疫细胞化学研究阐明了调节 IA 的细胞内信号通路。用 NaB 处理分离的 DRG 神经元,并进行 U0126 处理,进行膜片钳记录。
NaB 处理大鼠的内脏运动反应(VMR)明显增强。NaB 处理大鼠 DRG 神经元的 Western blot 分析显示磷酸化 ERK1/2(pEKR1/2)增加 2.2 倍,磷酸化电压门控钾通道亚基 4.2(pKv4.2)增加 1.9 倍。鞘内或静脉内给予 U0126 可降低 NaB 处理大鼠的 VMR 对 CRD 的反应,并防止 pERK1/2 和 pKv4.2 的增加。分离的 DRG 神经元的膜片钳记录显示,NaB 导致 IA 减少至对照的 48.9%±1.4%,并增加神经元兴奋性,同时 pERK1/2 和 pKv4.2 增加两倍。同时给予 U0126 可防止这些变化。
结肠 NaB 处理引起的内脏高敏性是通过激活丝裂原活化蛋白激酶-ERK1/2 通路介导的,该通路磷酸化 Kv4.2。这导致 IA 减少和 DRG 神经元兴奋性增加。