Department of Physiology, University College Cork, Cork, Ireland.
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Neurogastroenterol Motil. 2019 Aug;31(8):e13631. doi: 10.1111/nmo.13631. Epub 2019 May 23.
BACKGROUND: Glucagon-like peptide (GLP-1) can modify colonic function, with beneficial effects reported in the functional bowel disorder, irritable bowel syndrome (IBS). IBS pathophysiology is characterized by hyper-activation of the hypothalamic-pituitary-adrenal stress axis and altered microbial profiles. This study aims to characterize the neuronal and functional effects of GLP-1 in healthy rat colons to aid understanding of its beneficial effects in moderating bowel dysfunction. METHODS: Immunofluorescent and calcium imaging of myenteric neurons prepared from Sprague Dawley rat colons was carried out to elucidate the neuromodulatory actions of the GLP-1 receptor agonist, exendin-4 (Ex-4). Colonic contractile activity was assessed using organ bath physiological recordings. KEY RESULTS: Ex-4 induced an elevation of intracellular calcium arising from store release and influx via voltage-gated calcium channels. Ex-4 activated both ERK-MAPK and PI 3-kinase signaling cascades. Neuronal activation was found to underlie suppression of contractile activity in colonic circular muscle. Although the stress hormone, corticotropin-releasing factor (CRF) potentiated the neuronal response to Ex-4, and the functional effects of Ex-4 on colonic circular muscle activity were not altered. CONCLUSIONS AND INFERENCES: Ex-4 evoked neurally regulated suppression of rat colonic circular muscle activity. In myenteric neurons, the neurostimulatory effects of Ex-4 were dependent upon activation of PI 3-kinase and ERK-MAPK signaling cascades. No further change in circular muscle function was noted in the presence of CRF suggesting that stress does not impact on colonic function in health. Further studies in a model of IBS are needed to determine whether mechanisms are modified in the context of bowel dysfunction.
背景:胰高血糖素样肽(GLP-1)可调节结肠功能,在功能性肠病、肠易激综合征(IBS)中已有有益作用的报道。IBS 的病理生理学特征为下丘脑-垂体-肾上腺应激轴的过度激活和微生物谱的改变。本研究旨在描述 GLP-1 对健康大鼠结肠的神经元和功能作用,以帮助理解其在调节肠功能障碍方面的有益作用。
方法:使用 Sprague Dawley 大鼠结肠制备的肌间神经丛免疫荧光和钙成像,阐明 GLP-1 受体激动剂 exendin-4(Ex-4)的神经调节作用。使用器官浴生理记录评估结肠收缩活性。
主要结果:Ex-4 诱导细胞内钙的升高,这是由储存释放和通过电压门控钙通道流入引起的。Ex-4 激活 ERK-MAPK 和 PI 3-kinase 信号级联。发现神经元激活是结肠环形肌收缩活性抑制的基础。尽管应激激素促肾上腺皮质释放因子(CRF)增强了 Ex-4 对神经元的反应,但 Ex-4 对结肠环形肌活性的功能作用并未改变。
结论和推断:Ex-4 诱发了大鼠结肠环形肌活动的神经调节抑制。在肌间神经元中,Ex-4 的神经刺激作用依赖于 PI 3-kinase 和 ERK-MAPK 信号级联的激活。在存在 CRF 的情况下,环形肌功能没有进一步变化,这表明应激在健康状态下不会影响结肠功能。需要在 IBS 模型中进一步研究,以确定在肠功能障碍的情况下机制是否发生改变。
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