The Osher Center for Integrative Medicine, University of California, San Francisco, San Francisco, CA, United States of America.
Division of Gastroenterology & Hepatology, Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
PLoS One. 2018 Sep 7;13(9):e0203704. doi: 10.1371/journal.pone.0203704. eCollection 2018.
Functional gastrointestinal disorders (FGIDs) are characterized by dysregulated gut-brain interactions. Emerging evidence shows that low-grade mucosal inflammation and immune activation contribute to FGIDs, including functional dyspepsia (FD). Stress plays an important role in the onset of FD symptoms. In human subjects with FD, presence of gastric mast cells has been reported, but factors that influence mast cell infiltration remain uncharacterized. Corticotropin-releasing factor (CRF) initiates the body's stress response and is known to degranulate mast cells. In this study, we delineated the role of the CRF system in the pathogenesis of FD in a rat model. Gastric irritation in neonate rat pups with iodoacetamide (IA) was used to induce FD-like symptoms. RNA interference (RNAi) was used to silence gastric CRF expression. Mast cell infiltrate in the stomach increased by 54% in IA-treated rats compared to controls and CRF-RNAi tended to decrease gastric mast cell infiltrate. Sucrose intake decreased in IA-treated rats and mast cell numbers showed a negative association with sucrose intake. IA treatment and transient silencing of gastric CRF increased hypothalamic CRF levels. In IA-treated rats, gastric levels of CRF receptor 2 (CRF2) decreased by ~76%, whereas hypothalamic CRF receptor 1 (CRF1) levels increased. Plasma levels of TNF-α showed a positive correlation with plasma CRF levels. Levels of phosphorylated p38 and ERK1/2 in the stomach showed a positive correlation with gastric CRF levels. Thus, CRF may contribute to low grade inflammation via modulating mast cell infiltration, cytokine levels, MAPK signaling, and the gut-brain axis.
功能性胃肠病(FGIDs)的特征是肠道-大脑相互作用失调。新出现的证据表明,低水平的黏膜炎症和免疫激活有助于 FGIDs,包括功能性消化不良(FD)。压力在 FD 症状的发生中起着重要作用。在 FD 患者中,已经报道了胃肥大细胞的存在,但影响肥大细胞浸润的因素仍未确定。促肾上腺皮质释放因子(CRF)启动了身体的应激反应,已知其可脱颗粒肥大细胞。在这项研究中,我们在大鼠模型中描绘了 CRF 系统在 FD 发病机制中的作用。用碘乙酰胺(IA)刺激新生大鼠幼仔的胃来诱导 FD 样症状。使用 RNA 干扰(RNAi)沉默胃 CRF 表达。与对照组相比,IA 处理的大鼠胃中肥大细胞浸润增加了 54%,而 CRF-RNAi 倾向于减少胃肥大细胞浸润。IA 处理的大鼠蔗糖摄入量减少,并且肥大细胞数量与蔗糖摄入量呈负相关。IA 处理和胃 CRF 的瞬时沉默增加了下丘脑 CRF 水平。在 IA 处理的大鼠中,胃 CRF 受体 2(CRF2)水平下降了约 76%,而下丘脑 CRF 受体 1(CRF1)水平升高。血浆 TNF-α 水平与血浆 CRF 水平呈正相关。胃中磷酸化 p38 和 ERK1/2 的水平与胃 CRF 水平呈正相关。因此,CRF 可能通过调节肥大细胞浸润、细胞因子水平、MAPK 信号转导和肠-脑轴来促进低度炎症。
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