Baumgartner Christine, Hubacher Thomas, Krayer Magali, Gschossmann Juergen
Department of Visceral Surgery and Medicine, University Hospital of Berne, Bern, Switzerland.
Department of Clinical Research, University Hospital of Berne, Bern, Switzerland.
J Dig Dis. 2017 Jan;18(1):13-22. doi: 10.1111/1751-2980.12438.
Functional gastrointestinal disorders affect females more often. Changes in colonic motility may be etiological co-factors for the clinical symptoms. The aim of the present study was to analyze the influence of gonadal hormones on colonic contractile activity.
In vitro measurements of colonic contractile activity in longitudinal smooth muscle strips of female and male Lewis rats were performed in an organ chamber experiment. After the administration of a gonadal hormone estradiol [EST], progesterone [PROG] and testosterone [TEST]) or ethanol solution as control, stimulation with acetylcholine (ACh) or inhibition with norepinephrine (NE) was performed.
Compared to the smooth muscle strips of male rats, significantly higher spontaneous colonic contractile activity (SCCA) was observed in female animals. Increasing doses of ACh showed the progressive stimulation of SCCA whereas rising doses of NE resulted in a stepwise inhibition of SCCA, respectively. EST superfusion displayed an inhibitory effect on SCCA in both sexes and inhibited the ACh effect in female rats. Similarly, acute superfusion with high-dose PROG inhibited SCCA in females. Acute TEST superfusion inhibited SCCA in males and led to significant higher colonic contractile activity in males following subsequent stimulation with ACh. In female rats, the inhibitory effect of NE was reduced by prior exposure to TEST.
In our in vitro study the acute exposure of colonic smooth muscle tissue to gonadal hormones led to sex-dependent changes in SCCA and translated in a modified response of smooth muscle strips to both pro-contractile and anti-contractile neurotransmitters.
功能性胃肠疾病在女性中更为常见。结肠动力变化可能是临床症状的病因辅助因素。本研究的目的是分析性腺激素对结肠收缩活动的影响。
在器官腔室实验中对雌性和雄性Lewis大鼠的结肠纵行平滑肌条的收缩活动进行体外测量。在给予性腺激素雌二醇[EST]、孕酮[PROG]和睾酮[TEST])或乙醇溶液作为对照后,用乙酰胆碱(ACh)刺激或用去甲肾上腺素(NE)抑制。
与雄性大鼠的平滑肌条相比,在雌性动物中观察到明显更高的结肠自发收缩活动(SCCA)。递增剂量的ACh显示出对SCCA的逐渐刺激,而递增剂量的NE分别导致对SCCA的逐步抑制。EST灌注对两性的SCCA均有抑制作用,并抑制了雌性大鼠的ACh效应。同样,高剂量PROG的急性灌注抑制了雌性的SCCA。急性TEST灌注抑制了雄性的SCCA,并导致雄性在随后用ACh刺激后结肠收缩活动显著升高。在雌性大鼠中,预先暴露于TEST可降低NE的抑制作用。
在我们的体外研究中,结肠平滑肌组织急性暴露于性腺激素导致SCCA出现性别依赖性变化,并转化为平滑肌条对促收缩和抗收缩神经递质的反应改变。