Department of Gastroenterology and Hepatology, Academic Medical Center, Tytgat Institute for Liver and Intestinal Research, Amsterdam, The Netherlands.
Department of Experimental Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Neurogastroenterol Motil. 2018 Jun;30(6):e13299. doi: 10.1111/nmo.13299. Epub 2018 Jan 31.
BACKGROUND: Irritable bowel syndrome (IBS) is a common gastrointestinal disorder associated with altered gastrointestinal microflora and increased nociception to colonic distension. This visceral hypersensitivity can be reversed in our rat maternal separation model by fungicides. Menthacarin is a proprietary combination of essential oils from Mentha x piperita L. and Carum carvi. Because these oils exhibit antifungal and antibacterial properties, we investigated whether Menthacarin can reverse existing visceral hypersensitivity in maternally separated rats. METHODS: In non-handled and maternally separated rats, we used the visceromotor responses to colorectal distension as measure for visceral sensitivity. We evaluated this response before and 24 hours after water-avoidance stress and after 7 days treatment with Menthacarin or control. The pre- and post-treatment mycobiome and microbiome were characterized by sequencing of fungal internal transcribed spacer 1 (ITS-1) and bacterial 16s rDNA regions. In vitro antifungal and antimicrobial properties of Menthacarin were studied with radial diffusion assay. KEY RESULTS: Menthacarin inhibited in vitro growth of yeast and bacteria. Water-avoidance caused visceral hypersensitivity in maternally separated rats, and this was reversed by treatment. Multivariate analyses of ITS-1 and 16S high throughput data showed that maternal separation, induced changes in the myco- and microbiome. Menthacarin treatment of non-handled and maternally separated rats shifted the mycobiomes to more similar compositions. CONCLUSIONS & INFERENCES: The development of visceral hypersensitivity in maternally separated rats and the Menthacarin -mediated reversal of hypersensitivity is associated with changes in the mycobiome. Therefore, Menthacarin may be a safe and effective treatment option that should be tested for IBS.
背景:肠易激综合征(IBS)是一种常见的胃肠道疾病,与胃肠道微生物群改变和对结肠扩张的伤害感受增加有关。我们的大鼠母婴分离模型中的这种内脏高敏感性可以被杀真菌剂逆转。薄荷脑是薄荷(Mentha x piperita L.)和莳萝(Carum carvi)精油的专有混合物。由于这些油具有抗真菌和抗菌特性,我们研究了薄荷脑是否可以逆转母婴分离大鼠中现有的内脏高敏感性。
方法:在非处理和母婴分离的大鼠中,我们使用结肠扩张的内脏运动反应作为内脏敏感性的测量指标。我们在水回避应激前和 24 小时后以及用薄荷脑或对照治疗 7 天后评估了这种反应。通过真菌内转录间隔区 1(ITS-1)和细菌 16s rDNA 区域的测序来描述治疗前和治疗后的真菌和微生物组。使用放射扩散测定法研究了薄荷脑的体外抗真菌和抗菌特性。
主要结果:薄荷脑抑制了酵母和细菌的体外生长。水回避引起母婴分离大鼠的内脏高敏感性,并用治疗逆转。ITS-1 和 16S 高通量数据的多变量分析表明,母婴分离引起了真菌和微生物组的变化。薄荷脑处理非处理和母婴分离的大鼠将真菌组转移到更相似的组成。
结论和推论:母婴分离大鼠内脏高敏感性的发展和薄荷脑介导的高敏感性逆转与真菌组的变化有关。因此,薄荷脑可能是一种安全有效的治疗选择,应该对 IBS 进行测试。
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