scholarly journals Involvement of Mucosal Flora and Enterochromaffin Cell of Cecum and Descending Colon in Diarrhea-Predominant Irritable Bowel Syndrome

Author(s):  
Jingze Yang ◽  
Peng Wang ◽  
Tong Liu ◽  
Lin Lin ◽  
Lixiang Li ◽  
...  

Abstract BackgroundThe comparison between microbiota of cecal and colonic mucosa in irritable bowel syndrome (IBS) was rarely studied. In addition, enterochromaffin (EC) cell had interaction with IBS. The aim of this study was to investigate the relationship among gut microbiota, EC cell and diarrhea-predominant IBS (IBS-D) symptoms in cecum and descending colon. ResultsTotal of 22 IBS-D patients and 22 health controls (HCs) were enrolled. The relative abundance of Ruminococcus_torques_group (4.91% vs. 2.20%, P = 0.04763) of cecum increased in IBS-D, while Raoultella (1.58% vs. 1.76%, P = 0.03117) and Fusobacterium (0.12% vs. 1.66%, P = 0.01892) were less abundant. In descending colon, the relative abundances of Ruminococcus_torques_group (5.94% vs. 2.29%, P = 0.04183) and Dorea (2.68% vs. 1.14%, P = 0.04962) of IBS-D increased but Fusobacterium (1.52% vs. 1.89%, P = 0.0345) decreased. EC cells number in cecum of IBS-D was higher than that in HCs and TPH1 level of IBS-D was higher than that of HCs in cecum and descending colon. Correlation analysis showed that Ruminococcus_torques_group were positively associated with HAM-A (r= 0.66, P = 0.004), HAM-D (r= 0.61, P = 0.009), EC cell number (r= 0.49, P = 0.047), IBS-SSS (r= 0.65, P = 0.004), Degree of Abdominal Pain (r = 0.63, P = 0.007), Frequency of Abdominal Pain (r = 0.63, P = 0.007), Frequency of Defecation (r = 0.60, P = 0.011). The abundance of Dorea were positively associated with EC cell number (r = 0.57, P = 0.018), IBS-SSS (r = 0.52, P = 0.034), HAM-A (r = 0.72, P = 0.001), HAM-D (r = 0.59, P = 0.012), Frequency of Abdominal Pain (r = 0.67, P = 0.003).ConclusionsEC cells number increased in IBS-D patients and the expression of TPH1 was higher than HCs. In addition, our results suggested Ruminococcus_torques_group and Dorea may be targets for treatment of IBS-D but still need further studies.

2020 ◽  
Author(s):  
Jingze Yang ◽  
Peng Wang ◽  
Tong Liu ◽  
Lin Lin ◽  
Lixiang Li ◽  
...  

Abstract Background: The comparison between microbiota of cecal and colonic mucosa in irritable bowel syndrome (IBS) was rarely studied. In addition, enterochromaffin (EC) cell had interaction with IBS. The aim of this study was to investigate the relationship among gut microbiota, EC cell and diarrhea-predominant IBS (IBS-D) symptoms in cecum and descending colon. Methods: Biopsies from cecum and descending colon were taken during endoscopy withdrawal. We assessed EC cell numbers, expression of tryptophan hydroxylase 1 (TPH1) and microbial diversity.Results: Total of 22 IBS-D patients and 22 health controls (HCs) were enrolled. The relative abundance of Ruminococcus_torques_group (4.91% vs. 2.20%, P = 0.04763) of cecum increased in IBS-D, while Raoultella (1.58% vs. 1.76%, P = 0.03117) and Fusobacterium (0.12% vs. 1.66%, P = 0.01892) were less abundant. In descending colon, the relative abundances of Ruminococcus_torques_group (5.94% vs. 2.29%, P = 0.04183) and Dorea (2.68% vs. 1.14%, P = 0.04962) of IBS-D increased but Fusobacterium (1.52% vs. 1.89%, P = 0.0345) decreased. EC cells number in cecum of IBS-D was higher than that in HCs and TPH1 level of IBS-D was higher than that of HCs in cecum and descending colon. Correlation analysis showed that Ruminococcus_torques_group were positively associated with HAM-A (r= 0.66, P = 0.004), HAM-D (r= 0.61, P = 0.009), EC cell number (r= 0.49, P = 0.047), IBS-SSS (r= 0.65, P = 0.004), Degree of Abdominal Pain (r = 0.63, P = 0.007), Frequency of Abdominal Pain (r = 0.63, P = 0.007), Frequency of Defecation (r = 0.60, P = 0.011). The abundance of Dorea were positively associated with EC cell number (r = 0.57, P = 0.018), IBS-SSS (r = 0.52, P = 0.034), HAM-A (r = 0.72, P = 0.001), HAM-D (r = 0.59, P = 0.012), Frequency of Abdominal Pain (r = 0.67, P = 0.003).Conclusions: EC cells number increased in IBS-D patients and the expression of TPH1 was higher than HCs. In addition, our results suggested Ruminococcus_torques_group and Dorea may be targets for treatment of IBS-D but still need further studies.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jingze Yang ◽  
Peng Wang ◽  
Tong Liu ◽  
Lin Lin ◽  
Lixiang Li ◽  
...  

Abstract Background Accumulating evidence supports the pivotal role of intestinal flora in irritable bowel syndrome (IBS). Serotonin synthesis by enterochromaffin (EC) cells is influenced by the gut microbiota and has been reported to have an interaction with IBS. The comparison between the microbiota of the caecal and colonic mucosa in IBS has rarely been studied. The aim of this study was to investigate the relationship between the gut microbiota, EC cells in caecum and descending colon, and diarrhoea-predominant IBS (IBS-D) symptoms. Results A total of 22 IBS-D patients and 22 healthy controls (HCs) were enrolled in our study. Hamilton anxiety (HAM-A) and Hamilton depression (HAM-D) grades increased significantly in IBS-D patients. In addition, the frequency of defecation in IBS-D patients was higher than that in HCs. Among the preponderant bacterial genera, the relative abundance of the Ruminococcus_torques_ group increased in IBS-D patients in caecum samples while Raoultella and Fusobacterium were less abundant. In the descending colon, the abundance of the Ruminococcus_torques_group and Dorea increased in IBS-D patients and Fusobacterium decreased. No difference was observed between the descending colon and caecum in regards to the mucosal-associated microbiota. The number of EC cells in the caecum of IBS-D patients was higher than in HCs and the expression of TPH1 was higher in IBS-D patients both in the caecum and in the descending colon both at the mRNA and protein level. Correlation analysis showed that the Ruminococcus_torques_group was positively associated with HAM-A, HAM-D, EC cell number, IBS-SSS, degree of abdominal pain, frequency of abdominal pain and frequency of defecation. The abundance of Dorea was positively associated with EC cell number, IBS-SSS, HAM-A, HAM-D and frequency of abdominal pain. Conclusions EC cell numbers increased in IBS-D patients and the expression of TPH1 was higher than in HCs. The Ruminococcus torques group and Dorea furthermore seem like promising targets for future research into the treatment of IBS-D patients.


2021 ◽  
Vol 160 (6) ◽  
pp. S-280
Author(s):  
Abigail Schubach ◽  
Brian M. Quigley ◽  
Gregory D. Gudleski ◽  
Jeffrey M. Lackner

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Mora V. Puertolas ◽  
Dianne N. Pagan ◽  
Roberto R. Andino ◽  
Amanda C. Fifi

2020 ◽  
Vol 0 (4) ◽  
pp. 22-28
Author(s):  
S. M. Tkach ◽  
A. E. Dorofeev ◽  
N. M. Mirzabaeva

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhongyuan Lin ◽  
Yimin Wang ◽  
Shiqing Lin ◽  
Decheng Liu ◽  
Guohui Mo ◽  
...  

Abstract Background Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disease characterized by chronic abdominal discomfort and pain. The mechanisms of abdominal pain, as a relevant symptom, in IBS are still unclear. We aimed to explore the key genes and neurobiological changes specially involved in abdominal pain in IBS. Methods Gene expression data (GSE36701) was downloaded from Gene Expression Omnibus database. Fifty-three rectal mucosa samples from 27 irritable bowel syndrome with diarrhea (IBS-D) patients and 40 samples from 21 healthy volunteers as controls were included. Differentially expressed genes (DEGs) between two groups were identified using the GEO2R online tool. Functional enrichment analysis of DEGs was performed on the DAVID database. Then a protein–protein interaction network was constructed and visualized using STRING database and Cytoscape. Results The microarray analysis demonstrated a subset of genes (CCKBR, CCL13, ACPP, BDKRB2, GRPR, SLC1A2, NPFF, P2RX4, TRPA1, CCKBR, TLX2, MRGPRX3, PAX2, CXCR1) specially involved in pain transmission. Among these genes, we identified GRPR, NPFF and TRPA1 genes as potential biomarkers for irritating abdominal pain of IBS patients. Conclusions Overexpression of certain pain-related genes (GRPR, NPFF and TRPA1) may contribute to chronic visceral hypersensitivity, therefore be partly responsible for recurrent abdominal pain or discomfort in IBS patients. Several synapses modification and biological process of psychological distress may be risk factors of IBS.


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