结肠粘膜低度炎症诱发小鼠结肠PAR-2活化和内脏感觉过敏
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摘要
目的:
     测定结肠粘膜低度炎症时小鼠内脏感觉和结肠蛋白酶激活受体(PAR-2)、脊髓背角神经递质(P物质、降钙素基因相关肽)的变化,探讨PAR-2活化与内脏感觉过敏的关系。
     方法:
     36只C57B/6小鼠随机分为2组,即:(1)A组,对照组,18只,给予无菌蒸馏水自由饮用;(2)S组,慢性低度炎症组(LGI组),18只,1.5%葡聚糖硫酸钠(DSS)溶液自由饮用5天,续以无菌蒸馏水10天。第15天时观察病理学改变、测定腹壁肌电、免疫组化染色腰膨大部(L6-S1)脊髓背角SP、CGRP表达,及结肠组织PAR-2表达。
     结果:
     第15天时,S组(LGI组)结肠粘膜炎症评分为1.500±0.926。结肠内压力为15mmHg时S组的腹壁肌电幅值(27.958±1.660μV)与A组(26.947±0.854μV, P>0.05)比较无统计学意义。当结肠内压力为30mmHg、45 mmHg、60mmHg时S组的腹壁肌电幅值(33.455±3.786,46.848±4.038 , 47.207±18.151μV )均高于A组(31.253±3.842 ,37.267±2.542,33.798±8.415,P均﹤0.05)。S组结肠的PAR-2(40.769±8.422)和脊髓背角SP(30.288±13.530)、CGRP(46.829±26.261)IOD值均高于A组(PAR-2 21.718±4.131,SP 10.788±4.490,CGRP 13.997±3.340, P均<0.05);PAR-2的IOD值与SP、CGRP IOD值之间都有正相关关系(r=0.622,P <0.05;r=0.588,P<0.05);SP、CGRP、PAR-2 IOD值与腹壁肌电幅值也都呈正相关( r = 0.439-0.835, P <0.05)。
     结论:
     结肠黏膜低度炎症可增加小鼠结肠的内脏敏感性,与结肠蛋白酶活化受体-2的活化有关。
Objective:
     To investigate the expressions of protease-activated receptor-2(PAR-2) in colonic tissue, substance P(SP) and calcitonin gene-related peptide(CGRP) in cornu dorsale medullae spinalis, and then to explore the relationship between the activation of PAR-2 and visceral hypersensitivity in mice with DSS-induced low glade colonic mucosal imflammation.
     Methods:
     Thirty-six C57BL/6 mice were randomly divided into two groups: low grade inflammation group(group S, LGI) and control group (group A). The mice in group S were given 1.5%DSS solution for 7 days, and then distilled water for another 10 days, while the mice in group A were treated with distilled water only. The abdominal myoelectric activities(AMAs) at different levels of colorectal distension(CRD) were recorded in the 15th day.The expression of substance P(SP), calcitonin gene-related peptide(CGRP) in spine cord and the changes of PAR-2 in the colonic mucosa were detected by immunohistochemistry after CRD.
     Results:
     In the 15th, the HI in group S was 1.500±0.926. When colon distention by 15mmHg,the AMAs (27.958±1.660μV) in group S were similar to that in group A (26.947±0.854μV, P>0.05). The AMAs in group S with colonic distention by 30mmHg、45 mmHg、60mmHg were 33.455±3.786, 46.848±4.038,and 47.207±18.151 (μv) respectively, and which were significantly higher than those in group A (31.253±3.842,37.267±2.542,and 33.798±8.415(μv) (P<0.05, respectively). The integrated optical density(IOD) of PAR-2 in the distal colon(40.769±8.422) was highter than that in group A(21.718±4.131). And the IODs of SP (30.288±13.530) and CGRP (46.829±26.261) in spine cord in group were significantly higher than those in group A (SP 10.788±4.490,CGRP 13.997±3.340)(P﹤0.05 respectively). There was a positive relationship between the expression of PAR-2 and SP, or between the expression of PAR-2 and CGRP in group S (r=0.622、P<0.05, r=0.588、P<0.05). The expression of PAR-2、SP,or CGRP was a close correlation with AMAs in group S (r = 0.439-0.835, P <0.05).
     Conclusion:
     Low grade mucosal inflammation activated visceral hypersensitivity in mice, PAR-2 maybe involved its mechanisms.
引文
[1] Quigley EM. Irritable bowel syndrome and inflammatory bowel disease :interrelated diseases ? Chin J Dig Dis ,2005 ,6(3) :122-132. PMID 16045602
    [2] Neal KR,Barker L.Prognosis in post-infective irritable bowel syndrome: a six year follow up study. Gut, 2002,51(3):410-413 PMID 12171965
    [3] Barbara G, De Giorgio R,Stanghellini V,Cremon C,Salvioli B,Corinaldesi R . New pathophysiological mechanisms in irritable bowel syndrome. Aliment Pharmacol Ther 2004;20(Suppl. 2):1–9. PMID 15335408
    [4] Adam B, Liebregts T,Gschossmann JM,Krippner C,Scholl F,Ruwe M,Holtmann G. Severity of mucosal inflammation as a predictor for alterations of visceral sensory function in a rat model. Pain,2006,123(1-2):179-186 .PMID 16630696
    [5] Bueno L.Protease activated receptor 2: a new target for IBS treatment. Eur Rev Med Pharmacol Sci.2008,12 (Suppl 1):95-102. PMID18924448
    [6]史娟,庞志平.内脏痛的研究进展[J].神经解剖学杂志,1999,15(1):89-98.
    [7] Scherl EJ.Irritable-inflammatory bowel disease:recognizing a new overlap syndrome and an enigma wrapped inside a puzzle.Inflamm Bowel Dis,2002,8(5):373-374. PMID 12479657
    [8] Bueno L, Fioramonti J, Delvaux M, Frexinos J. Mediators and pharmacology of visceral sensitivity: from basic to clinical investigations[J]. Gastroenterology, 1997, 112(5): 1714-1743. PMID 9136853
    [9] Barbara G, De Giorgio R, Stanghellini V, Cremon C,Corinaldesi R. A role for inflammation in irritable bowel syndrome[J].Gut,2002,51(Suppl 1):141-144. PMID 1867730
    [10]谢华,何韵衡,郑坚.蛋白酶抑制剂对肥大细胞类胰蛋白酶分泌的影响[ J ].免疫学杂志, 2002,18(4): 284-287.
    [11] Lindner J R, KhannM L, Coughlin S R, Schauble E,Bernstein D ,Foy D,Hafezi-Moghadam A,Ley K. Delayed onset of inflammati on in p rotease- activated receptor-2-deficientmice[ J ]. Immunol, 2000, 165 (11): 6504-6510. PMID 11086091
    [12] Cenac N, Andrews CN, Holzhausen M, Chapman K, Cottrell G, Andrade-Gordon P, Steinhoff M, Barbara G, Beck P, Bunnett NW, Sharkey KA, Ferraz JG, Shaffer E, Vergnolle N. Role for protease activity in visceral pain in irritable bowel syndrome[J].J Clin Invest,2007,117(3): 636–647. PMID 17304351
    [13] Macfarlane SR,Seatter MJ,Kanke T,Hunter GD, Plevin R. Proteinase-activated receptors[J]. Pharmacol Rev,2001,53(2):245-282.
    [14] Kayssi A, Amadesi S,Bautista1 F,Bautista F,Bunnett NW,Vanner S. Mechanisms of protease-activated receptor-2-evoked hyperexcitability of nociceptive neurons innervating the mouse colon. J Physiol,2007,580(3) :977–991 .PMID 17289784
    [15] Gwee KA,Collins SM ,Read NW,Rajnakova A,Deng Y,Graham JC,Mckendrick MW,Moochhala SM. Increased rectal mucosal expression of interleukin-beta in recently acquired post-infectious irritable bowel syndrome. Gut,2003,52(4):523—526. PMID 1773606
    [16] Park CH,Joo YE,Choi SK, Rew JS,Kim SJ,Lee MC.Activated mast cells infiltrate in close proximity to enteric nerves in diarrhea-predominant irritable bowel syndrome. J Korean Med Sei.2003,18(2):204-210. PMID 12692417
    [17]张艳丽,王承党.葡聚糖硫酸钠结肠炎模型的制作方法、特点及影响因素[J].胃肠病学,2006,11(1):56-58.
    [18] Tae Woon Kim,Jae Nam Seo,Young Ho Suh,Hyo Jin Park,Ju Hyun Kim,Ji Young Kim,Kwon IK Oh. Involvement of lymphocytes in dextran sulfate sodium-induced experimental colitis. World J Gastroenterol 2006,12 (2):302-330
    [19] Martin Kruschewski, Thomas Foitzik, Alexandra Perez-Cantó, Annette H botter and Heinz Johannes Buhr. Changes of colonic mucosal microcirculation and histology in two colitis models: an experimental study using intravital microscopy and a new histological scoring system. Dig Dis Sci, 2001,46(11):2336-2343. PMID 11713932
    [20] M Murano, K Maemura, I Hirata, K Toshina, T Nishikawa, N Hamamoto, S Sasaki, O Saitoh, and K Katsu.Therapeutic effect of intracolonicaIly administered nuclear factor kappa B (p65)antisense ol igonucleotide on mouse dextran sulphate sodium (DSS)-induced colitis[J].Clin Exp lmmunol,2000,12O(1):51—58.PMID 10759763
    [21] Bradesi S, Eutamene H, Garcia-Villar R,Fioramonti J,Bueno L. Acute and chronic stressdifferently affect visceral sensitivity to rectal distension in female rats. [J] Neurogastroenterol Motil,2002, 14(1): 75-82. PMID 11874556
    [22] Al-Chaer ED, Kawasaki M, Pasricha PJ. A new model of chronic visceral hypersensitivity in adult rats induced by colon irritation during postnatal development[J].Gastroenterology, 2000,119(5):1276-1285. PMID 23
    [23] Coutinho SV, Plotsky PM, Sablad M, Miller JC, Zhou H, Bayati AI, McRoberts JA, Mayer EA. Neonatal maternal separation alters stress-induced responses to viscerosomatic nociceptive stimuli in rat[J]. Am J Physiol Gastrointest Liver Physiol.2002; 282(2): G307-G316. PMID11804852
    [24] Park H. The pathophysiology of irritable bowel syndrome: inflammation and motor disorder[J]. Korean J Gastroenterol. 2006 ,47(2):101-110. PMID 16498275
    [25] Collins SM,Mchugh K,Jacobson K, Khan I, Riddell R, Murase K, Weingarten HP.Previous inflammation alters the response of the rat colon to stress[J].Gastroenterology,1996,111(6):1509-1515. PMID 8942729
    [26] Jun JH,Kim TW,Sung TS,Kang JW,Kim HJ,Yang IS.Visceral hypersensitivity and altered colonic motility after subsidence of inflammation in a rat model of colitis[J].World J Gastroenterol,2003,9(12):2791-2795.PMID 14669335
    [27] Gay J, Fioramonti J, Garcia-Villar R,Bueno L. Alterations of intestinal motor responses to various stimuli after Nippostrongylus brasiliensis infection in rats: role of mast cells[J]. Neurogastroenterol Motil,2000,12(3): 207-214 PMID 10867617
    [28] Barbara G, Vallance BA, Collins SM.Persistent intestinal neuromuscular dysfunction after acute nematode infection in mice[J]. Gastroenterology 1997; 113(4): 1224-1232. PMID 9322517
    [29] Jones RC 3rd, Xu L, Gebhart GF. The mechanosensitivity of mouse colon afferent fibers and their sensitization by inflammatory mediators require transient receptor potential vanilloid and acid-sensing ion channel 3 [J]. J Neurosci, 2005, 25(47):10981-10989. PMID 9322517
    [30] Gebhart GF.Visceral pain-peripheral sensitisation[J]. Gut.2000,47(Suppl 4):iv54—iv55. PMID 1766818
    [31] Han JS, Neugebauer V. Synaptic plasticity in the amygdala in a visceral pain model inrats[J]. Neurosci Lett, 2004 ,361(1-3):254-257. PMID 15135941
    [32]王巍峰,杨云生,孙刚.肠易激综合征大鼠P物质能神经通路的改变[J].世界华人消化杂志,2005,13(2):214-218.
    [33]熊理守,陈旻湖,陈惠新,许岸高,胡品津.社区人群中肠易激综合征的症状学特征[J].胃肠病学,2004,9(5):277-279.
    [34] Spiller R. How inflammation changes neuromuscular function and its relevance to symptoms in diverticular disease[J]. J Clin Gastroenterol, 2006,40(7 Suppl 3):117-120. PMID 16885693
    [35]陈祺,陈旻湖,林金坤.肠易激综合征病人直肠运动和感觉功能的研究[J].中华消化杂志,2003,23(4):241-242.
    [36] Andresen V, Poellinger A, Tsrouya C,Bach D,Stroh A,Foerschler A,Georgiewa P,Schmidtmann M. Cerebral processing of auditory stimuli in patients with irritable bowel syndrome[J]. World J Gastroenterol, 2006, 12(11):1723-1729.
    [37] Cenac N,Andrews CN,Holzhausen M, Chapman K, Cottrell G, Andrade-Gordon P, Steinhoff M, Barbara G, Beck P, Bunnett NW, Sharkey KA, Ferraz G,Shaffer E, Vergnolle N.Role for protease activity in visceral pain in irritable bowel syndrome. Clin Invest,2007(3):636-647. PMID 17304351
    [38] Mertz H. Review article: visceral hypersensitivity.Aliment Pharmacol Ther,2003,17:623~633.PMID 12641510
    [39] Ohtori S, Takahashi K,Hidetoshi INO, Tanemichi CHIBA ; YAMAGATA Masatsune ; SAMEDA Hiroaki ; MORIYA Hideshige. Up-regulation of substance P and NMDA receptor mRNA in dorsal horn and preganglionic sympathetic neurons during adjuvant-induced noxious stimulation in rats[J].Ann Anat,2002, 184(1):70-71 PMID 11876485
    [40] Khasabov SG, Rogers SD,Ghilardi JR,Peters CM, Mantyh PW, Simone DA.pinal neurons that possess the substance P receptor are required for the development of central sensitization[J]. Neurosci, 2002, 22(20):9086-9087. PMID 12388616
    [41] Bueno L, Fioramonti J. Effects of inflammatory mediators on gut sensitivity[J]. Can J Gastroenterol, 1999,13(SupplA):42-46.PMID 10202208
    [42] Robinson DR,M cNaughton PA,Evans M L,Hicks GA.Characterization of the primary spinal afferent innervation of the mouse colon using retrogradelabelling[J].Neurogastroenterol Moti,2004,16(1):113—124.PMID 14764211
    [43] Zhang L,Hoff AO, Wimalawansa SJ,Cote GJ,Gagel RF,Westlund KN. Arthritic calcitonin/alpha calcitonin gene-related peptide knockout mice have reduced nociceptive hypersensitivity[J]. Pain, 2001,89(2-3):265-273. PMID 11166483
    [44] Sun RQ, Tu YJ, Lawand NB, Yan JY, Lin Q , Willis WD. Calcitoningene—related peptide receptor activation produces PKA-and PKC-dependent mechanical hyperalgesia and central sensitization[J].J Neurophysiol,2004,92(5): 2859-2866.PMID 1482680
    [45] Davison JS,Clarke GD.Mechanical properties and sensitivity to CCK of vagal gastric slowly adapting mechanoreceptors[J].Am J Physio1.1988,255(1 Pt 1):G55-G61.PMID 3389415
    [46] Welch SP,Singha AK,Dewey WL.The antinociception produced by intrathecal morphine, calcium, A23 1 87,U50,488H,【D—Ala2.N—Me—Phe4,Gly—ol】enkephalin and【D—Pen2,D—Pen5】enkephalin after intrathecal adminisration of calcitonin gene—related peptide in mice[J]. Pharmacol Exp Ther,1989,25(l):1-8.
    [47] Menard DP,van Rossum D,Kar S,St Pierre S, Sutak M, Jhamandas K , Quirion R.A calcitonin gene—related peptide receptor antagonist prevents the development of tolerance to spinal morphine analgesia[J]. Neurosci,1996,l6:2342—2351。PMID 2375088
    [48] Cenac N, Chin AC, Garcia-Villar R, Salvador-Cartler,C, Ferrier L, Vergnolle N, Buret AG, Fioramonti J, Buen L.PAR-2 activation alters colonic paracellular permeability in mice via IFN-gamma-dependent and -independent pathways[J].Physiol 2004, 558: 913-925. PMID 15194744
    [49] Miampamba, M, Tan DT, Oliver MR, Sharkey KA, Scott RB.. Intestinal anaphylaxis induces Fos immunoreactivity in myenteric plexus of rat small intestine[J]. Am. J. Physiol. 272 Gastrointest. Liver Physiol. 1997,(35): G181–G189. PMID 9038892
    [1] Richard R,Afifa AB,Christel SC,et al. Dexamethasone prevents visceral hyperalgesia but not colonic permeability increase induced by luminal protease-activated receptor-2 agonist in rats[J].Gut,2007,56(8):1072-1078.
    [2] Neal KR,Barker L,Spiller RC. Prognosis in post-infective irritable bowel syndrome: a six year follow up study[J]. Gut,2002,51(3):410-413.
    [3] Spiller RC. Role of infection in irritable bowel syndrome[J].J Gastroenterol,2007,42(Supl17):41-47.
    [4] Papadakis KA,Targan SR. Tumor necrosis factor: biology and therapeutic inhibitors[J]. Gastroenterology,2000,119 (4):1148-1157.
    [5] Elsenbruch S,Holtmann G,Oezcan D,et al . Are there alterations of neuroendocrine and cellular immune responses to nutrients in women wit h irritable bowel syndrome ? [J]. Am J Gastroenterol,2004,99 (4): 703-710.
    [6] Gonsalkorale WM,Perrey C,Pravica V,et al . Interleukin 10 genotypes in irritable bowel syndrome: evidence for an inflammatory component ? [J]. Gut,2003,52 (1): 91-93.
    [7] Park CH,Joo YE,Choi SK,et al . Activated mast cells infiltrate in close proximity to enteric nerves in diarrhea - predominant irritable bowel syndrome[J] .J Korean Med Sci,2003,18(2):204–210.
    [8] Spiller RC,Jenkins D,Thornley JP,et al . Increased rectal mucosal enteroendocrine cells,T lymphocytes and increased gut permeability following acute campylobacter enteritis and in post-dysenteric irritable bowel syndrome[J]. Gut,2000,47 (6):804–811.
    [9] Wheatcroft J,Wakelin D,Smith A,et al. Enterochromaffin cell hyperplasia and decreased serotonin transporter in a mouse model of postinfectious bowel dysfunction[J].Neurogastroenterol Motil,2005,17 (6):863–870.
    [10] Grundy D,Schemann M,Wood J.A tale of two brains ,one little and one big[J]. Neurogastroenterol Mot ,2000 ,12(1):105-111.
    [11] Niels E,Annemieke K,Sigrid E,et al. Increased visceral sensitivity to capsaicin after DSS-induced colitis in mice: spinal cord c-Fos expression and behavior[J].Am J Physiol Gastrointest Liver Physiol,2007,293(4): G749-G757.
    [12] Spiller R, Campbell E. Post-infectious irritable bowel syndrome[J]. Curr Opin Gastroenterol 2006,22(1):13–17.
    [13] Pan H,Gershon MD. Activation of intrinsic afferent pathways in submucosal ganglia of the guinea pig small intestine[J]. J Neurosci,2000,20(9): 3295-3309.
    [14] Bertrand PP,Kunze WA,Furness JB,et al. The terminals of myenteric intrinsic primary afferent neurons of the guinea-pig ileum are excited by 5-hydroxytryptamine acting at 5-hydroxytryptamine-3 receptors[J]. Neuroscience,2000,101(2): 459-469.
    [15] Kozlowski CM,Green A,Grundy D,et al. The 5-HT3 receptor antagonist alosetron inhibits the colorectal distention induced depressor response and spinal c-fos expression in the anaesthetised rat[J]. Gut,2000,46(4): 474-480.
    [16] Macfarlane SR,Seatter MJ,Kanke T,et al. Proteinase-activated receptors[J]. Pharmacol Rev,2001,53(2):245-282.
    [17] Nicolas C,Christopher NA,Marinella H,et al. Role for protease activity in visceral pain in irritable bowel syndrome[J].J Clin Invest,2007,117(3): 636–647.
    [18] Fiorucci S, Mencarelli A, Palazzetti B,et al. Proteinase-activated receptor 2 is an anti-inflammatory signal for colonic lamina propria lymphocytes in a mouse model of colitis[J].PNAS,2001,98(24):13936-13941.
    [19] Cenac N,Garcia VR,Ferrier L,et al. Proteinase-activated receptor-2-induced colonic inflammation in mice: Possible involvement of afferent neurons,nitric oxide,and paracellular permeability[J]. J Immunol,2003,170 (8) : 4296-4300.
    [20] Ahmed K,Silvia A,Francisco B,et al. Mechanisms of protease-activated receptor 2-evoked hyperexcitability of nociceptive neurons innervating the mouse colon[J].J Physiol,2007,580(Pt 3):977-991.
    [21] Pang X,Boucher W,Triadafilopoulos G,et al. Mast cell and substance P-positive nerve involvement in a patient with both irritable syndrome and interstitial cystitis [J]. Urology,1996,47 (3) : 436-438.
    [22] Chang HP,Young EJ,Sung K Ch,et al. Activated Mast Cells Infiltrate in Close Proximity to Enteric Nerves in Diarrhea-predominant Irritable Bowel Syndrome[J].J Korean Med Sci,2003,18(2):204-210.
    [23]王利华,方秀才,潘国宗.肠易激综合征病人肠黏膜肥大细胞与神经纤维的关联[J].中华消化杂志,2003,23(6):332-335.
    [24] La JH,Kim TW,Sung TS,et al.Increase in neurokinin-1 receptor-mediated colonic motor response in a rat model of irritable bowel syndrome[J]. World J Gastroenterol, 2005,11(2):237-241.
    [25] Barbara G,Stanghellini V, Corinaldesi R, et al. Functional gastrointestinal disorders and mast cells: implications for therapy[J]. Neurogastroenterol Motil,2006 ,18(1):6-17.

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