Chang Diana S, Soni Krishnakant G, Preidis Geoffrey A
Division of Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, United States.
Front Neurol. 2024 Apr 24;15:1334319. doi: 10.3389/fneur.2024.1334319. eCollection 2024.
Many disorders of gut-brain interaction (DGBIs) are more prevalent in women than men and feature alterations in gastrointestinal motility and bile acid homeostasis. Mechanisms by which bile acids regulate gastrointestinal motility are poorly characterized. We recently validated an adapted tissue bath technique using everted mouse ileum, which revealed differential contractile responses to ursodeoxycholic acid (UDCA) and deoxycholic acid (DCA). Here, we aimed to determine whether these responses are dependent on host sex, the plasma membrane bile acid receptor TGR5, or the apical sodium-dependent bile acid transporter ASBT.
Ileal segments from male and female mice were everted and suspended in tissue baths. Contractile responses to physiologic concentrations of UDCA and DCA were quantified with or without TGR5 or ASBT inhibitors. Phosphorylation of extracellular signal-regulated kinase (ERK) and myosin light chain (MLC), markers of TGR5 activation and smooth muscle contraction, respectively, were assessed with western blot.
There were no sex differences in the dose-dependent contractile responses to bile acids. At 100 μmol/L, UDCA but not DCA increased MLC phosphorylation and increased contractility. TGR5 inhibition decreased ERK phosphorylation and led to decreases in contractility, phosphorylated MLC, and surprisingly, total MLC. ASBT inhibition did not affect contractile responses.
Differential effects of UDCA and DCA on ileal smooth muscle contractility are not dependent on host sex or ASBT-mediated transport. Bile acids signal through mucosal TGR5, which regulates smooth muscle contractility by complex mechanisms. Understanding how bile acids differentially regulate gastrointestinal motility could facilitate new therapeutic options for specific DGBIs.
许多肠-脑相互作用障碍(DGBIs)在女性中比男性更普遍,其特征是胃肠动力和胆汁酸稳态的改变。胆汁酸调节胃肠动力的机制尚不清楚。我们最近验证了一种使用外翻小鼠回肠的改良组织浴技术,该技术揭示了对熊去氧胆酸(UDCA)和脱氧胆酸(DCA)的不同收缩反应。在这里,我们旨在确定这些反应是否依赖于宿主性别、质膜胆汁酸受体TGR5或顶端钠依赖性胆汁酸转运蛋白ASBT。
将雄性和雌性小鼠的回肠段外翻并悬浮在组织浴中。在有或没有TGR5或ASBT抑制剂的情况下,对生理浓度的UDCA和DCA的收缩反应进行定量。分别用蛋白质免疫印迹法评估细胞外信号调节激酶(ERK)和肌球蛋白轻链(MLC)的磷酸化,它们分别是TGR5激活和平滑肌收缩的标志物。
对胆汁酸的剂量依赖性收缩反应没有性别差异。在100μmol/L时,UDCA而非DCA增加了MLC磷酸化并增强了收缩力。TGR5抑制降低了ERK磷酸化,并导致收缩力、磷酸化MLC以及令人惊讶的是总MLC降低。ASBT抑制不影响收缩反应。
UDCA和DCA对回肠平滑肌收缩力的不同作用不依赖于宿主性别或ASBT介导的转运。胆汁酸通过黏膜TGR5发出信号,TGR5通过复杂机制调节平滑肌收缩力。了解胆汁酸如何不同地调节胃肠动力可能有助于为特定的DGBIs提供新的治疗选择。