Sato Masamichi, Kudo Takahiro, Arai Nobuyasu, Kyodo Reiko, Hosoi Kenji, Sakaguchi Keita, Ikuse Tamaki, Jimbo Keisuke, Ohtsuka Yoshikazu, Shimizu Toshiaki
Juntendo Iji Zasshi. 2022 Jun 9;68(3):271-281. doi: 10.14789/jmj.JMJ21-0050-OA. eCollection 2022.
The correlation between altered small intestinal motility and irritable bowel syndrome is not well evaluated. This study aimed to assess the small intestinal and colonic transits in an adolescent irritable bowel syndrome rat model with restraint stress and determine the role of small intestinal motility in the irritable bowel syndrome pathophysiology.
Restraint stress was utilized to prepare adolescent irritable bowel syndrome rat models that were evaluated for clinical signs, including stool frequency and diarrhea. The small intestinal motility and transit rate were also evaluated.
The amounts of mRNA encoding corticotropin-releasing hormone, mast cell, and serotonin (5-Hydroxytryptamine) receptor 3a were quantified using real-time polymerase chain reaction; the 5-Hydroxytryptamine expression was evaluated using immunostaining.
Restraint stress significantly increased the number of fecal pellet outputs, stool water content, and small intestinal motility in the adolescent irritable bowel syndrome rat models. There was no difference in real-time polymerase chain reaction results; however, immunostaining analysis revealed that 5-Hydroxytryptamine expression in the small intestine was significantly increased in the adolescent irritable bowel syndrome rat models.
In the rat model of adolescent irritable bowel syndrome with restraint stress, we observed an increase in small intestinal and colonic motility. In the small intestine, enhanced 5-Hydroxytryptamine secretion in the distal portion may be involved in increasing the small intestinal motility. Although the present study focused on 5-Hydroxytryptamine, further investigation of other factors that regulate intestinal peristalsis may lead to the establishment of more effective treatment methods for adolescent irritable bowel syndrome.
小肠动力改变与肠易激综合征之间的相关性尚未得到充分评估。本研究旨在评估伴有束缚应激的青少年肠易激综合征大鼠模型中的小肠和结肠转运情况,并确定小肠动力在肠易激综合征病理生理学中的作用。
利用束缚应激制备青少年肠易激综合征大鼠模型,并对其临床症状进行评估,包括粪便频率和腹泻情况。同时还评估了小肠动力和转运速率。
使用实时聚合酶链反应对编码促肾上腺皮质激素释放激素、肥大细胞和5-羟色胺受体3a的mRNA量进行定量;使用免疫染色评估5-羟色胺的表达。
束缚应激显著增加了青少年肠易激综合征大鼠模型的粪便排出量、粪便含水量和小肠动力。实时聚合酶链反应结果无差异;然而,免疫染色分析显示,青少年肠易激综合征大鼠模型中小肠中5-羟色胺的表达显著增加。
在伴有束缚应激的青少年肠易激综合征大鼠模型中,我们观察到小肠和结肠动力增加。在小肠中,远端部分5-羟色胺分泌增强可能参与了小肠动力的增加。尽管本研究聚焦于5-羟色胺,但对其他调节肠道蠕动的因素进行进一步研究可能会导致建立更有效的青少年肠易激综合征治疗方法。