Department of Gastroenterology, Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Xuzhou 221002, Jiangsu Province, China; Institute of Digestive Diseases, Xuzhou Medical University, 84 West Huaihai Road, Xuzhou 221002, Jiangsu Province, China.
Department of Pathology, Xinyi People's Hospital, 16 Renmin Road, Xinyi 221400, Jiangsu Province, China.
Brain Res. 2021 Sep 15;1767:147538. doi: 10.1016/j.brainres.2021.147538. Epub 2021 May 28.
Abnormal brain-gut interactions contribute to the development of chronic visceral hypersensitivity (CVH), which is the pivotal feature of irritable bowel syndrome (IBS). Despite the consensus with respect to the vital role of hyperpolarization-activated cyclic nucleotide-gated 2 (HCN2) channels in promoting painful symptoms in the peripheral nervous system, we identified that the upregulation of HCN2 in supraoptic nucleus (SON) was involved in the modulation of CVH in rat model of neonatal colorectal distention (n-CRD). Specifically, colorectal distention (CRD) upregulated the expression of c-Fos in SON in adult CVH rats, indicating the involvement of SON sensitazation in visceral sensation. Moreover, the administration of ZD7288 (the pan-HCN channel inhibitor) rather than 8-Br-cAMP (the non-specific HCN channel agonist) aggravated the CVH symptoms and reduced the phosphorylation level of CaMKII-CREB cascade. Together, the findings indicated that the upregulation of supraoptic HCN2 contributed to the sensitization of SON, which had protective effects on the modulation of CVH with the involvement of CaMKII-CREB cascade in n-CRD rat model.
异常的脑-肠相互作用导致慢性内脏高敏感(CVH)的发展,这是肠易激综合征(IBS)的关键特征。尽管人们普遍认为超极化激活环核苷酸门控 2(HCN2)通道在促进周围神经系统的疼痛症状方面具有重要作用,但我们发现,在新生儿结直肠扩张(n-CRD)大鼠模型中,SON 中 HCN2 的上调参与了 CVH 的调节。具体而言,结直肠扩张(CRD)使成年 CVH 大鼠 SON 中的 c-Fos 表达上调,表明 SON 敏化参与内脏感觉。此外,ZD7288(泛 HCN 通道抑制剂)的给药而非 8-Br-cAMP(非特异性 HCN 通道激动剂)加重了 CVH 症状并降低了 CaMKII-CREB 级联的磷酸化水平。总之,这些发现表明,SON 中 HCN2 的上调导致了 SON 的敏化,这对 n-CRD 大鼠模型中 CVH 的调节具有保护作用,涉及 CaMKII-CREB 级联。