Lee Tzu-Yi, Lin Yu-Hsuan, Chang Wen-Ying, Lin Li-Yu, Chang Che-Feng, Kuo Wei-Ting, Tu Chia-Hung, Wu Ming-Shiang, Hsin Ling-Wei, Yu Linda Chia-Hui
Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Department of Oral Biology, National Taiwan University College of Medicine, Taipei, Taiwan.
J Physiol. 2025 Sep;603(17):4723-4745. doi: 10.1113/JP286444. Epub 2025 Aug 4.
Dysregulated serotonin/5-hydroxytryptamine (5-HT) metabolism and dense mucosal neurite distribution are associated with visceral hypersensitivity (VH), which plays a key role in irritable bowel syndrome (IBS) pain symptoms. The 5-HT receptor subtype 7 (5-HT) is involved in neuroplasticity. We aim to investigate the analgesic effects of 5-HT antagonists in mouse models and explore downstream changes of nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) in the enteric neurons. Selective 5-HT antagonists [CYY1005 (CYY), JNJ-18038683 (JNJ) or SB269970 (SB7)] were orogavaged to an IBS-like mouse model of postinflammatory VH after resolution from trinitrobenzene sulfonic acid-induced colitis. Visceromotor response, mucosal neurite outgrowth, and neurotrophin levels were assessed. Orogavage of CYY had stronger analgesic effects than JNJ or SB7 in the IBS-like mice. Higher density of 5-HT-expressing mucosal nerve fibres was associated with increased NGF and BDNF immunostaining in the submucosal plexus of IBS-like mice compared to those of sham mice. No difference in the serotonergic neurons of spinal ganglia and brain regions was observed between IBS-like and sham mice. Moreover, CYY treatment for 10 days decreased the colonic neurotrophin levels and reduced pain sensation in IBS-like mice. Serotonin-induced neurite elongation was inhibited by 5-HT antagonists in mouse primary submucosal neuron cultures and human SH-SY5Y cell lines. Neutralizing antibodies to neurotrophins also diminished the serotonin-induced neurite outgrowth. Lastly, 5-HT activation upregulated neurotrophin expression in neurons via Cdk5/mTOR/Cdc42 signalling. In conclusion, 5-HT antagonists attenuated neurotrophin overproduction in the submucosal nerve plexus, leading to lesser mucosal innervation and reduced intestinal nociception in IBS-like mouse models. KEY POINTS: Aberrant serotonin/5-hydroxytryptamine (5-HT) metabolism and dense mucosal neurites are linked with irritable bowel syndrome (IBS) pain symptoms. Current treatments are ineffective for IBS pain management. Previous studies showed 5-HT receptor subtype 7 (5-HT)-expressing nerve fibres in the colonoscopic biopsy of IBS patients and colonic mucosa of IBS-like mouse models. Moreover, 5-HT activation is involved in neuroplasticity in neural cell lines in vitro. Although visceral pain has been studied extensively in spinal afferents, the involvement of enteric neurons in intestinal nociception remains to be determined. Orogavage of 5-HT antagonist reduced mucosal neurite outgrowth and decreased neurotrophin overproduction in submucosal nerves, resulting in lower intestinal pain. Activation of 5-HT promotes neurite elongation in primary submucosal nerve cultures. The findings implicate a potential role of submucosal plexus in 5-HT-dependent visceral hypersensitivity.
血清素/5-羟色胺(5-HT)代谢失调和密集的黏膜神经突分布与内脏超敏反应(VH)相关,而内脏超敏反应在肠易激综合征(IBS)疼痛症状中起关键作用。5-HT受体亚型7(5-HT)参与神经可塑性。我们旨在研究5-HT拮抗剂在小鼠模型中的镇痛作用,并探索肠神经元中神经生长因子(NGF)和脑源性神经营养因子(BDNF)的下游变化。在三硝基苯磺酸诱导的结肠炎消退后,将选择性5-HT拮抗剂[CYY1005(CYY)、JNJ-18038683(JNJ)或SB269970(SB7)]经口灌胃给予炎症后VH的IBS样小鼠模型。评估内脏运动反应、黏膜神经突生长和神经营养因子水平。在IBS样小鼠中,经口灌胃CYY比JNJ或SB7具有更强的镇痛作用。与假手术小鼠相比,IBS样小鼠黏膜下丛中表达5-HT的黏膜神经纤维密度更高,与NGF和BDNF免疫染色增加相关。IBS样小鼠和假手术小鼠之间在脊髓神经节和脑区的5-羟色胺能神经元方面未观察到差异。此外,CYY治疗10天可降低IBS样小鼠的结肠神经营养因子水平并减轻疼痛感觉。在小鼠原代黏膜下神经元培养物和人SH-SY5Y细胞系中,5-HT拮抗剂可抑制血清素诱导的神经突伸长。神经营养因子的中和抗体也可减少血清素诱导的神经突生长。最后,5-HT激活通过Cdk5/mTOR/Cdc42信号通路上调神经元中的神经营养因子表达。总之,5-HT拮抗剂可减轻黏膜下神经丛中神经营养因子的过度产生,导致IBS样小鼠模型中黏膜神经支配减少和肠道伤害感受降低。关键点:血清素/5-羟色胺(5-HT)代谢异常和密集的黏膜神经突与肠易激综合征(IBS)疼痛症状相关。目前的治疗方法对IBS疼痛管理无效。先前的研究显示,在IBS患者的结肠镜活检和IBS样小鼠模型的结肠黏膜中有表达5-HT受体亚型7(5-HT)的神经纤维。此外,5-HT激活在体外神经细胞系的神经可塑性中起作用。尽管内脏痛在脊髓传入神经中已得到广泛研究,但肠神经元在肠道伤害感受中的作用仍有待确定。经口灌胃给予5-HT拮抗剂可减少黏膜神经突生长并降低黏膜下神经中神经营养因子的过度产生,从而减轻肠道疼痛。5-HT激活可促进原代黏膜下神经培养物中的神经突伸长。这些发现表明黏膜下丛在5-HT依赖性内脏超敏反应中可能起作用。
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