The First Department of Pediatric Medicinel, Cangzhou Central Hospital, Cangzhou, Hebei 061000, P.R. China.
The Fifth Department of Pediatric Medicine, Cangzhou Central Hospital, Cangzhou, Hebei 061000, P.R. China.
Mol Med Rep. 2018 Jan;17(1):1839-1846. doi: 10.3892/mmr.2017.8061. Epub 2017 Nov 14.
The aim of the present study was to identify whether the sodium voltage-gated channel alpha subunit 9 (SCN9A) gene modification is a potential treatment for diarrhea‑predominant irritable bowel syndrome (D‑IBS), via regulating the Na+ channel and the expression of nerve growth factor (NGF). The recombinant adenovirus vector of the SCN9A gene was established, and rat colon cells were isolated for SCN9A gene modification. All subjects were divided into four groups: i) The SCN9A‑modified (D‑IBS rat model implanted with SCN9A‑modified colon cells), ii) negative control (NC; D‑IBS rat model implanted with colon cells without SCN9A gene modification), iii) blank (D‑IBS rat model without any treatment) and iv) normal (normal rats without any treatment). Western blotting and reverse transcription‑quantitative polymerase chain reaction were used to detect the protein and mRNA expression levels of SCN9A, NGF and voltage gated sodium channels (Nav)1.8 and Nav1.9 in rat colon tissues. Compared with the normal group, the rats in the SCN9A, NC and blank groups had significantly elevated mRNA and protein expression levels of NGF, SCN9A, Nav1.8 and Nav1.9. The rats in the SCN9A group demonstrated significantly increased mRNA and protein expression levels of NGF, SCN9A, Nav1.8 and Nav1.9 compared with the NC group and the blank group (all P<0.05). SCN9A gene modification can promote the expression of Nav1.8 and Nav1.9 channels, in addition to NGF which may provide a novel therapeutic basis for treating of D‑IBS.
本研究旨在通过调节钠离子通道和神经生长因子(NGF)的表达,鉴定钠电压门控通道α亚单位 9(SCN9A)基因修饰是否是治疗腹泻型肠易激综合征(D-IBS)的潜在方法。构建了 SCN9A 基因的重组腺病毒载体,并分离大鼠结肠细胞进行 SCN9A 基因修饰。所有受试者分为四组:i)SCN9A 修饰组(植入 SCN9A 修饰结肠细胞的 D-IBS 大鼠模型),ii)阴性对照组(植入无 SCN9A 基因修饰结肠细胞的 D-IBS 大鼠模型),iii)空白组(未进行任何治疗的 D-IBS 大鼠模型)和 iv)正常组(未进行任何治疗的正常大鼠)。Western blot 和逆转录-定量聚合酶链反应用于检测大鼠结肠组织中 SCN9A、NGF 和电压门控钠离子通道(Nav)1.8 和 Nav1.9 的蛋白和 mRNA 表达水平。与正常组相比,SCN9A、NC 和空白组大鼠的 NGF、SCN9A、Nav1.8 和 Nav1.9 mRNA 和蛋白表达水平显著升高。与 NC 组和空白组相比,SCN9A 组大鼠的 NGF、SCN9A、Nav1.8 和 Nav1.9 mRNA 和蛋白表达水平显著升高(均 P<0.05)。SCN9A 基因修饰可促进 Nav1.8 和 Nav1.9 通道以及 NGF 的表达,为治疗 D-IBS 提供了新的治疗依据。