Institute of Basic Medical Sciences.
Institute of Clinical Medicine.
JCI Insight. 2023 Jun 22;8(12):e161874. doi: 10.1172/jci.insight.161874.
Inflammatory bowel disease (IBD) is a relapsing-remitting disorder characterized by chronic inflammation of the gastrointestinal (GI) tract. Anxiety symptoms are commonly observed in patients with IBD, but the mechanistic link between IBD and anxiety remains elusive. Here, we sought to characterize gut-to-brain signaling and brain circuitry responsible for the pathological expression of anxiety-like behaviors in male dextran sulfate sodium-induced (DSS-induced) experimental colitis mice. We found that DSS-treated mice displayed increased anxiety-like behaviors, which were prevented by bilateral GI vagal afferent ablation. The locus coeruleus (LC) is a relay center connecting the nucleus tractus solitarius to the basolateral amygdala (BLA) in controlling anxiety-like behaviors. Chemogenetic silencing of noradrenergic LC projections to the BLA reduced anxiety-like behaviors in DSS-treated mice. This work expands our understanding of the neural mechanisms by which IBD leads to comorbid anxiety and emphasizes a critical role of gastric vagal afferent signaling in gut-to-brain regulation of emotional states.
炎症性肠病(IBD)是一种反复发作的疾病,其特征是胃肠道(GI)的慢性炎症。焦虑症状在 IBD 患者中很常见,但 IBD 和焦虑之间的机制联系仍然难以捉摸。在这里,我们试图描述肠道到大脑的信号传递和大脑回路,这些信号传递和大脑回路负责男性葡聚糖硫酸钠诱导(DSS 诱导)实验性结肠炎小鼠焦虑样行为的病理性表达。我们发现,DSS 处理的小鼠表现出焦虑样行为增加,而双侧胃肠道迷走传入神经消融可预防这种行为。蓝斑(LC)是连接孤束核到杏仁基底外侧核(BLA)的中继中心,可控制焦虑样行为。对 LC 投射到 BLA 的去甲肾上腺素能的化学遗传沉默减少了 DSS 处理的小鼠的焦虑样行为。这项工作扩展了我们对 IBD 导致共病性焦虑的神经机制的理解,并强调了胃迷走传入信号在肠道到大脑调节情绪状态中的关键作用。
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