Department of Biomedical Engineering, University of Connecticut , Storrs, Connecticut.
Department of Mechanical Engineering, University of Connecticut , Storrs, Connecticut.
Am J Physiol Gastrointest Liver Physiol. 2019 Apr 1;316(4):G473-G481. doi: 10.1152/ajpgi.00324.2018. Epub 2019 Jan 31.
Visceral pain is one of the principal complaints of patients with irritable bowel syndrome, and this pain is reliably evoked by mechanical distension and stretch of distal colon and rectum (colorectum). This study focuses on the biomechanics of the colorectum that could play critical roles in mechanical neural encoding. We harvested the distal 30 mm of the colorectum from mice, divided evenly into three 10-mm-long segments (colonic, intermediate and rectal), and conducted biaxial mechanical stretch tests and opening-angle measurements for each tissue segment. In addition, we determined the collagen fiber orientations and contents across the thickness of the colorectal wall by nonlinear imaging via second harmonic generation (SHG). Our results reveal a progressive increase in tissue compliance and prestress from colonic to rectal segments, which supports prior electrophysiological findings of distinct mechanical neural encodings by afferents in the lumbar splanchnic nerves (LSN) and pelvic nerves (PN) that dominate colonic and rectal innervations, respectively. The colorectum is significantly more viscoelastic in the circumferential direction than in the axial direction. In addition, our SHG results reveal a rich collagen network in the submucosa and orients approximately ±30° to the axial direction, consistent with the biaxial test results presenting almost twice the stiffness in axial direction versus the circumferential direction. Results from current biomechanical study strongly indicate the prominent roles of local tissue biomechanics in determining the differential mechanical neural encoding functions in different regions of the colorectum. NEW & NOTEWORTHY Mechanical distension and stretch-not heat, cutting, or pinching-reliably evoke pain from distal colon and rectum. We report different local mechanics along the longitudinal length of the colorectum, which is consistent with the existing literature on distinct mechanotransduction of afferents innervating proximal and distal regions of the colorectum. This study draws attention to local mechanics as a potential determinant factor for mechanical neural encoding of the colorectum, which is crucial in visceral nociception.
内脏痛是肠易激综合征患者的主要主诉之一,这种疼痛可被机械性扩张和拉伸远端结肠和直肠(结肠直肠)可靠地诱发。本研究关注于在机械神经编码中可能发挥关键作用的结肠直肠生物力学。我们从小鼠中采集远端 30mm 的结肠直肠,平均分为三个 10mm 长的节段(结肠、中间和直肠),并对每个组织节段进行双轴机械拉伸测试和开口角度测量。此外,我们通过二次谐波产生(SHG)的非线性成像来确定整个结肠直肠壁的胶原纤维取向和含量。我们的结果表明,从结肠到直肠段,组织顺应性和预应力逐渐增加,这支持了先前的电生理研究结果,即支配结肠和直肠支配的腰内脏神经(LSN)和骨盆神经(PN)中的传入神经对不同的机械神经编码。结肠直肠在圆周方向上的粘弹性明显大于轴向。此外,我们的 SHG 结果显示,黏膜下层有丰富的胶原网络,其取向约为±30°,与双轴测试结果一致,即在轴向方向上的刚度几乎是圆周方向的两倍。当前生物力学研究的结果强烈表明,局部组织生物力学在确定结肠直肠不同区域的差异机械神经编码功能方面起着重要作用。 新的和值得注意的是,机械性扩张和拉伸而不是热、切割或捏压能可靠地诱发远端结肠和直肠的疼痛。我们报告了结肠直肠纵向长度上的不同局部力学特性,这与支配结肠直肠近端和远端区域的传入神经的独特机械转导的现有文献一致。这项研究提醒人们注意局部力学作为结肠直肠机械神经编码的潜在决定因素,这在内脏痛觉中至关重要。