Yu Yingcong, Wu Shujuan, Li Jianxin, Wang Renye, Xie Xupei, Yu Xuefeng, Pan Jianchun, Xu Ying, Zheng Liang
Department of Gastroenterology, Wenzhou No.3 Clinical Institute of Wenzhou Medical University, Wenzhou people's hospital, Wenzhou, Zhejiang Province, 325000, China.
Metab Brain Dis. 2015 Feb;30(1):47-55. doi: 10.1007/s11011-014-9554-z. Epub 2014 May 8.
Irritable bowel syndrome (IBS) is induced by dysfunction of central nervous and peripheral intestinal systems, which affects an estimated 10-15% population worldwide annually. Stress-related psychiatric disorders including depression and anxiety are often comorbid with gastrointestinal function disorder, such as IBS. However, the mechanism of IBS still remains unknown. Curcumin is a biologically active phytochemical presents in turmeric and has pharmacological actions that benefit patients with depression and anxiety. Our study found that IBS rats showed depression- and anxiety-like behaviors associated with decreased 5-HT (serotonin), BDNF (Brain-derived neurotrophic factor) and pCREB (phosphorylation of cAMP response element-binding protein) expression in the hippocampus after chronic acute combining stress (CAS). However, these decreased parameters were obviously increased in the colonic after CAS. Curcumin (40 mg/kg) reduced the immobility time of forced swimming and the number of buried marbles in behavioral tests of CAS rats. Curcumin also decreased the number of fecal output and abdominal withdrawal reflex (AWR) scores in response to graded distention. Moreover, curcumin increased serotonin, BDNF and pCREB levels in the hippocampus, but they were decreased in the colonic of CAS rats. 5-HT(1A) receptor antagonist NAN-190 reversed the effects of curcumin on behaviors and the changes of intestine, pCREB and BDNF expression, which are related to IBS. These results suggested that curcumin exerts the effects on IBS through regulating neurotransmitters, BDNF and CREB signaling both in the brain and peripheral intestinal system.
肠易激综合征(IBS)由中枢神经系统和外周肠道系统功能障碍诱发,全球每年约有10%-15%的人口受其影响。包括抑郁和焦虑在内的与压力相关的精神障碍常与胃肠道功能紊乱如IBS共存。然而,IBS的发病机制仍不清楚。姜黄素是姜黄中存在的一种生物活性植物化学物质,具有对抑郁和焦虑患者有益的药理作用。我们的研究发现,慢性急性联合应激(CAS)后,IBS大鼠表现出抑郁和焦虑样行为,同时海马中5-羟色胺(5-HT,血清素)、脑源性神经营养因子(BDNF)和磷酸化环磷酸腺苷反应元件结合蛋白(pCREB)表达降低。然而,这些降低的参数在CAS后结肠中明显升高。姜黄素(40mg/kg)在CAS大鼠行为测试中减少了强迫游泳的不动时间和埋珠数量。姜黄素还减少了分级扩张刺激下的粪便排出量和腹部退缩反射(AWR)评分。此外,姜黄素增加了海马中血清素、BDNF和pCREB水平,但在CAS大鼠结肠中它们降低了。5-HT(1A)受体拮抗剂NAN-190逆转了姜黄素对行为以及与IBS相关的肠道、pCREB和BDNF表达变化的影响。这些结果表明,姜黄素通过调节大脑和外周肠道系统中的神经递质、BDNF和CREB信号传导对IBS发挥作用。
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