Yang Yu, Yu Haijie, Babygirija Reji, Shi Bei, Sun Weinan, Zheng Xiaojiao, Zheng Jun
Department of Physiology, School of Life Science, China Medical University, Shenyang, Liaoning Province, China.
Department of Cardiology, First Affiliated Hospital, China Medical University, Shenyang, Liaoning Province, China.
J Neurogastroenterol Motil. 2019 Oct 30;25(4):611-622. doi: 10.5056/jnm19065.
BACKGROUND/AIMS: Gastrointestinal (GI) symptoms may develop when we fail to adapt to various stressors of our daily life. Central oxytocin (OXT) can counteract the biological actions of corticotropin-releasing factor (CRF), and in turn attenuates stress responses. Administration (intracerebroventricular) of OXT significantly antagonized the inhibitory effects of chronic complicated stress (CCS) on GI dysmotility in rats. However, intracerebroventricular administration is an invasive pathway. Intranasal administration can rapidly deliver peptides to the brain avoiding stress response. The effects of intranasal OXT on hypothalamus-pituitary-adrenal axis and GI motility in CCS conditions have not been investigated.
A CCS rat model was set up, OXT 5, 10, or 20 μg were intranasal administered, 30 minutes prior to stress loading. Central CRF and OXT expression levels were analyzed, serum corticosterone and OXT concentrations were measured, and gastric and colonic motor functions were evaluated by gastric emptying, fecal pellet output, and motility recording system.
Rats in CCS condition showed significantly increased CRF expression and corticosterone concentration, which resulted in delayed gastric emptying and increased fecal pellet output, attenuated gastric motility and enhanced colonic motility were also recorded. OXT 10 μg or 20 μg significantly reduced CRF mRNA expression and the corticosterone concentration, OXT 20 μg also helped to restore GI motor dysfunction induced by CCS.
Intranasal administration of OXT has an anxiolytic effect and attenuates the hypothalamus-pituitary-adrenal axis in response to CCS, and gave effects which helped to restore GI dysmotility, and might be a new approach for the treatment of stress-induced GI motility disorders.
背景/目的:当我们无法适应日常生活中的各种压力源时,可能会出现胃肠道(GI)症状。中枢催产素(OXT)可以抵消促肾上腺皮质激素释放因子(CRF)的生物学作用,进而减弱应激反应。脑室注射OXT可显著拮抗慢性复合应激(CCS)对大鼠胃肠动力的抑制作用。然而,脑室注射是一种侵入性途径。鼻内给药可以快速将肽类输送到大脑,避免应激反应。尚未研究鼻内给予OXT对CCS条件下下丘脑-垂体-肾上腺轴和胃肠动力的影响。
建立CCS大鼠模型,在应激负荷前30分钟鼻内给予5、10或20μg OXT。分析中枢CRF和OXT表达水平,测量血清皮质酮和OXT浓度,并通过胃排空、粪便颗粒输出和动力记录系统评估胃和结肠运动功能。
CCS条件下的大鼠CRF表达和皮质酮浓度显著增加,导致胃排空延迟和粪便颗粒输出增加,还记录到胃动力减弱和结肠动力增强。10μg或20μg OXT显著降低CRF mRNA表达和皮质酮浓度,20μg OXT还有助于恢复CCS诱导的胃肠运动功能障碍。
鼻内给予OXT具有抗焦虑作用,并减弱了对CCS的下丘脑-垂体-肾上腺轴反应,产生了有助于恢复胃肠动力障碍的效果,可能是治疗应激诱导的胃肠动力障碍的一种新方法。