Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
School of Life Sciences and Technology, Tongji University, Shanghai, China.
FASEB J. 2021 Jul;35(7):e21701. doi: 10.1096/fj.202000007RRR.
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disease. Although visceral hypersensitivity (VH) and disturbed gastrointestinal motility are typical pathophysiological features of IBS, the pathological mechanisms underlying this disease remain unclear. Serotonin system abnormalities are considered to play an important role in the pathomechanisms of IBS. Here, we hypothesize that similar alterations, including VH and colonic motility, induced by serotonin transporter (SERT) knockout result from altered serotonin signaling. We sought to determine the molecular mechanism underlying VH and colonic dysmotility induced by SERT knockout. We found that female SERT (slc6a4)-knockout (KO; ie, slc6a4 ) rats exhibited lower pain pressure thresholds (PPTs) than wild-type (WT; ie, slc6a4 ) rats in response to colorectal distension (CRD). Significantly increased fecal pellet output and reduced concentration of serum tryptophan were observed in the female SERT KO rats. The concentrations of 5-hydroxytryptamine (5-HT) in platelet-rich plasma (PRP) and serum in SERT KO rats were lower than those in WT rats, but the numbers of enterochromaffin cells (ECs) and the concentrations of 5-HT in colon of SERT KO rats were higher than those of WT rats. Finally, increased expression levels of 5-HT receptors, 5-HT receptors, 5-HT receptors, 5-HT receptors, 5-HT receptors, 5-HT receptors, and glycosylated dopamine transporters (DATs) were found in the female SERT KO rats. We concluded that alterations in the serotonin system induced by the knockout of slc6a4 might result in VH and accelerated gastrointestinal motility in female SERT KO rats, which can be used as an animal model of IBS.
肠易激综合征(IBS)是一种常见的功能性胃肠道疾病。尽管内脏高敏(VH)和胃肠道运动障碍是 IBS 的典型病理生理特征,但该疾病的病理机制仍不清楚。血清素系统异常被认为在 IBS 的发病机制中起重要作用。在这里,我们假设类似的改变,包括由 SERT 敲除引起的 VH 和结肠运动,是由血清素信号改变引起的。我们试图确定 SERT 敲除引起 VH 和结肠运动障碍的分子机制。我们发现,雌性 SERT(slc6a4)敲除(KO;即 slc6a4)大鼠对结直肠扩张(CRD)的反应性疼痛压力阈值(PPT)低于野生型(WT;即 slc6a4)大鼠。雌性 SERT KO 大鼠的粪便颗粒排出量增加,血清色氨酸浓度降低。SERT KO 大鼠血小板丰富血浆(PRP)和血清中的 5-羟色胺(5-HT)浓度低于 WT 大鼠,但 EC 细胞数量和 SERT KO 大鼠结肠中的 5-HT 浓度高于 WT 大鼠。最后,我们发现雌性 SERT KO 大鼠中 5-HT 受体、5-HT 受体、5-HT 受体、5-HT 受体、5-HT 受体、5-HT 受体和糖基化多巴胺转运体(DATs)的表达水平升高。我们得出结论,slc6a4 敲除引起的血清素系统改变可能导致雌性 SERT KO 大鼠出现 VH 和加速胃肠道运动,可作为 IBS 的动物模型。