《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (2): 181-188.doi: 10.3969/j.issn.1006-9771.2020.02.008
徐珮珮1,2,3,4,杨明亮1,2,3,4(),刘长彬5,李雅静1,2,3,4,刘梓桐1,2,3,4,李建军1,2,3,4
收稿日期:
2019-12-02
修回日期:
2020-01-03
出版日期:
2020-02-25
发布日期:
2020-03-19
通讯作者:
杨明亮
E-mail:chinayml3@163.com
作者简介:
徐珮珮(1995-),女,汉族,安徽芜湖市人,硕士研究生,主要研究方向:脊柱脊髓损伤后并发症治疗。
基金资助:
XU Pei-pei1,2,3,4,YANG Ming-liang1,2,3,4(),LIU Chang-bin5,LI Ya-jing1,2,3,4,LIU Zi-tong1,2,3,4,LI Jian-jun1,2,3,4
Received:
2019-12-02
Revised:
2020-01-03
Published:
2020-02-25
Online:
2020-03-19
Contact:
YANG Ming-liang
E-mail:chinayml3@163.com
Supported by:
摘要:
目的 探讨脊髓损伤大鼠结肠水通道蛋白(AQPs)的表达及其与粪便含水率的关系。方法 将48只雌性Sprague-Dawley大鼠分为对照组(n = 24)和脊髓损伤组(n = 24)。脊髓损伤组行T8横断脊髓损伤,对照组仅行椎板切除术。于造模前,造模后第1、3、7、14、28天,采用Basso-Beattie-Bresnahan (BBB)评分评价后肢运动功能;于术前,术后第3、14、28天检测粪便含水率;于术后第3、14、28天取结肠标本,免疫组化检测AQP1、AQP3和AQP4的表达。结果 脊髓损伤组术后BBB评分(t > 69.230, P< 0.001)和粪便含水率(t > 5.814, P< 0.001)均显著低于对照组。术后第3、14、28天,脊髓损伤组结肠AQP1、AQP3和AQP4表达均明显高于对照组(|t|> 5.165,P < 0.01)。脊髓损伤后AQPs表达与粪便含水率呈显著负相关( r = -0791~-0.730, P< 0.001)。结论 脊髓损伤后大鼠结肠AQPs表达上调,可能与脊髓损伤后结肠过度吸收水分有关。
中图分类号:
徐珮珮,杨明亮,刘长彬,李雅静,刘梓桐,李建军. 水通道蛋白过表达对脊髓损伤大鼠便秘的影响[J]. 《中国康复理论与实践》, 2020, 26(2): 181-188.
XU Pei-pei,YANG Ming-liang,LIU Chang-bin,LI Ya-jing,LIU Zi-tong,LI Jian-jun. Aquaporin Over-expression for Constipation in Rats with Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 181-188.
表1
各组不同时间点BBB评分比较"
组别 | n | 术前 | 第1天 | 第3天 | 第7天 | 第14天 | 第28天 | F值 | P值 |
---|---|---|---|---|---|---|---|---|---|
对照组 | 8 | 21.000±0.000 | 20.850±0.338 | 20.950±0.158 | 20.900±0.211 | 20.950±0.158 | 20.900±0.316 | 0.535 | 0.749 |
脊髓损伤组 | 8 | 21.000±0.000 | 0.000±0.000 | 0.100±0.211 | 4.100±0.738 | 7.100±0.460 | 9.700±0.350 | 4011.875 | < 0.001 |
t值 | 195.373 | 250.200 | 69.230 | 90.135 | 75.132 | ||||
P值 | < 0.001 | < 0.001 | < 0.001 | < 0.001 | < 0.001 |
[1] | Gamblin A, Garry J G, Wilde H W, et al. Cost analysis of inpatient rehabilitation after spinal injury: a retrospective cohort analysis[J]. Cureus, 2019, 11(9):e5747. |
[2] |
Kim J E, Go J, Sung J E, et al. Uridine stimulate laxative effect in the loperamide-induced constipation of SD rats through regulation of the mAChRs signaling pathway and mucin secretion[J]. BMC Gastroenterol, 2017, 17(1):21.
doi: 10.1186/s12876-017-0576-y |
[3] | Ikarashi N, Nagoya C, Kon R, et al. Changes in the expression of aquaporin-3 in the gastrointestinal tract affect drug absorption[J]. Int J Mol Sci, 2019, 20(7):E1559. |
[4] | Zhu S, Ran J, Yang B, et al. Aquaporins in digestive system[J]. Adv Exp Med Biol, 2017, 969:123-130. |
[5] |
Peplowski M A, Dicay M, Baggio C H, et al. Interferon gamma decreases intestinal epithelial aquaporin 3 expression through downregulation of constitutive transcription[J]. J Mol Med (Berl), 2018, 96(10):1081-1093.
doi: 10.1007/s00109-018-1681-2 pmid: 30090948 |
[6] |
Zhu X, Shen W, Wang Y, et al. Nicotinamide adenine dinucleotide replenishment rescues colon degeneration in aged mice[J]. Signal Transduct Target Ther, 2017, 2:17017.
doi: 10.1038/sigtrans.2017.17 |
[7] |
Ikarashi N, Baba K, Ushiki T, et al. The laxative effect of bisacodyl is attributable to decreased aquaporin-3 expression in the colon induced by increased PGE2 secretion from macrophages[J]. Am J Physiol Gastrointest Liver Physiol, 2011, 301(5):G887-G895.
doi: 10.1152/ajpgi.00286.2011 |
[8] |
Ikarashi N, Kon R, Iizasa T, et al. Inhibition of aquaporin-3 water channel in the colon induces diarrhea[J]. Biol Pharm Bull, 2012, 35(6):957-962.
doi: 10.1248/bpb.35.957 |
[9] |
Vitores A A, Sloley S S, Martinez C, et al. Some autonomic deficits of acute or chronic cervical spinal contusion reversed by interim brainstem stimulation[J]. J Neurotrauma, 2018, 35(3):560-572.
doi: 10.1089/neu.2017.5123 |
[10] |
Ambalayam S, Jain S, Mathur R. Abnormal feeding behaviour in spinalised rats is mediated by hypothalamus: Restorative effect of exposure to extremely low frequency magnetic field[J]. Spinal Cord, 2016, 54(12):1076-1087.
doi: 10.1038/sc.2016.32 pmid: 27163452 |
[11] |
Yoshiyama M, de Groat W C. Effect of bilateral hypogastric nerve transection on voiding dysfunction in rats with spinal cord injury[J]. Exp Neurol, 2002, 175(1):191-197.
doi: 10.1006/exnr.2002.7887 |
[12] |
Diogo C C, da Costa L M, Pereira J E, et al. Kinematic and kinetic gait analysis to evaluate functional recovery in thoracic spinal cord injured rats[J]. Neurosci Biobehav Rev, 2019, 98:18-28.
doi: 10.1016/j.neubiorev.2018.12.027 |
[13] | Cavalcante M T, Cavalcante L S, Bezerra C K, et al. Mangiferin, a natural xanthone, accelerates gastrointestinal transit in mice involving cholinergic mechanism[J]. World J Gastroenterol, 2012, 18(25):3207-3214. |
[14] |
Fei G, Raehal K, Liu S, et al. Lubiprostone reverses the inhibitory action of morphine on intestinal secretion in guinea pig and mouse[J]. J Pharmacol Exp Ther, 2010, 334(1):333-340.
doi: 10.1124/jpet.110.166116 |
[15] |
Patel S P, Smith T D, VanRooyen J L, et al. Serial diffusion tensor imaging in vivo predicts long-term functional recovery and histopathology in rats following different severities of spinal cord injury[J]. J Neurotrauma, 2016, 33(10):917-928.
doi: 10.1089/neu.2015.4185 |
[16] |
Liu C B, Yang D G, Zhang X, et al. Degeneration of white matter and gray matter revealed by diffusion tensor imaging and pathological mechanism after spinal cord injury in canine[J]. CNS Neurosci Ther, 2019, 25(2):261-272.
doi: 10.1111/cns.2019.25.issue-2 |
[17] |
Loo D D, Wright E M, Zeuthen T. Water pumps[J]. J Physiol, 2002, 542(Pt 1):53-60.
doi: 10.1113/jphysiol.2002.018713 |
[18] |
Das S, Jayaratne R, Barrett K E. The role of ion transporters in the pathophysiology of infectious diarrhea[J]. Cell Mol Gastroenterol Hepatol, 2018, 6(1):33-45.
doi: 10.1016/j.jcmgh.2018.02.009 |
[19] |
Magalhaes D, Cabral J M, Soares-da-Silva P, et al. Role of epithelial ion transports in inflammatory bowel disease[J]. Am J Physiol Gastrointest Liver Physiol, 2016, 310(7):G460-G476.
doi: 10.1152/ajpgi.00369.2015 |
[20] |
Zhu C, Ye J L, Yang J, et al. Differential expression of intestinal ion transporters and water channel aquaporins in young piglets challenged with enterotoxigenic Escherichia coli K88[J]. J Anim Sci, 2017, 95(12):5240-5252.
doi: 10.2527/jas2017.1806 pmid: 29293799 |
[21] | Zhi H, Yuan W T. Expression of aquaporin 3, 4, and 8 in colonic mucosa of rat models with slow transit constipation[J]. Zhonghua Wei Chang Wai Ke Za Zhi, 2011, 14(6):459-461. |
[22] |
Ishihara E, Nagahama M, Naruse S, et al. Neuropathological alteration of aquaporin 1 immunoreactive enteric neurons in the streptozotocin-induced diabetic rats[J]. Auton Neurosci, 2008, 138(1-2):31-40.
doi: 10.1016/j.autneu.2007.09.002 |
[23] |
Cao M, Yang M, Ou Z, et al. Involvement of aquaporins in a mouse model of rotavirus diarrhea[J]. Virol Sin, 2014, 29(4):211-217.
doi: 10.1007/s12250-014-3469-z |
[24] | Ikarashi N, Kon R, Sugiyama K. Aquaporins in the colon as a new therapeutic target in diarrhea and constipation[J]. Int J Mol Sci, 2016, 17(7):E1172. |
[25] |
Ikarashi N, Kon R, Iizasa T, et al. Inhibition of aquaporin-3 water channel in the colon induces diarrhea[J]. Biol Pharm Bull, 2012, 35(6):957-962.
doi: 10.1248/bpb.35.957 |
[26] |
Kon R, Yamamura M, Matsunaga Y, et al. Laxative effect of repeated Daiokanzoto is attributable to decrease in aquaporin-3 expression in the colon[J]. J Nat Med, 2018, 72(2):493-502.
doi: 10.1007/s11418-018-1174-1 |
[27] | Cao Y, He Y, Wei C, et al. Aquaporins alteration profiles revealed different actions of senna, sennosides, and sennoside a in diarrhea-rats[J]. Int J Mol Sci, 2018, 19(10):E3210. |
[28] |
Guttman J A, Samji F N, Li Y, et al. Aquaporins contribute to diarrhoea caused by attaching and effacing bacterial pathogens[J]. Cell Microbiol, 2007, 9(1):131-141.
pmid: 16889624 |
[29] |
Hamabata T, Liu C, Takeda Y. Positive and negative regulation of water channel aquaporins in human small intestine by cholera toxin[J]. Microb Pathog, 2002, 32(6):273-277.
doi: 10.1006/mpat.2002.0502 |
[30] |
Yamamoto T, Kuramoto H, Kadowaki M. Downregulation in aquaporin 4 and aquaporin 8 expression of the colon associated with the induction of allergic diarrhea in a mouse model of food allergy[J]. Life Sci, 2007, 81(2):115-120.
pmid: 17574630 |
[31] |
Hardin J A, Wallace L E, Wong J F, et al. Aquaporin expression is downregulated in a murine model of colitis and in patients with ulcerative colitis, Crohn's disease and infectious colitis[J]. Cell Tissue Res, 2004, 318(2):313-323.
pmid: 15338270 |
[32] |
Ikarashi N. [The elucidation of the function and the expression control mechanism of aquaporin-3 in the colon][J]. [in Japanese]. Yakugaku Zasshi, 2013, 133(9):955-961.
doi: 10.1248/yakushi.13-00173 |
[33] |
Itoh A, Tsujikawa T, Fujiyama Y, et al. Enhancement of aquaporin-3 by vasoactive intestinal polypeptide in a human colonic epithelial cell line[J]. J Gastroenterol Hepatol, 2003, 18(2):203-210.
doi: 10.1046/j.1440-1746.2003.02949.x |
[34] |
Cremon C, Carini G, Wang B, et al. Intestinal serotonin release, sensory neuron activation, and abdominal pain in irritable bowel syndrome[J]. Am J Gastroenterol, 2011, 106(7):1290-1298.
doi: 10.1038/ajg.2011.86 |
[35] |
Kon R, Ikarashi N, Hayakawa A, et al. Morphine-induced constipation develops with increased aquaporin-3 expression in the colon via increased serotonin secretion[J]. Toxicol Sci, 2015, 145(2):337-347.
doi: 10.1093/toxsci/kfv055 |
[36] |
Alcaino C, Knutson K R, Treichel A J, et al. A population of gut epithelial enterochromaffin cells is mechanosensitive and requires Piezo2 to convert force into serotonin release[J]. Proc Natl Acad Sci U S A, 2018, 115(32):E7632-E7641.
doi: 10.1073/pnas.1804938115 |
[37] |
Dimidi E, Christodoulides S, Scott S M, et al. Mechanisms of action of probiotics and the gastrointestinal microbiota on gut motility and constipation[J]. Adv Nutr, 2017, 8(3):484-494.
doi: 10.3945/an.116.014407 |
[38] |
Besecker E M, Deiter G M, Pironi N, et al. Mesenteric vascular dysregulation and intestinal inflammation accompanies experimental spinal cord injury[J]. Am J Physiol Regul Integr Comp Physiol, 2017, 312(1):R146-R156.
doi: 10.1152/ajpregu.00347.2016 |
[39] |
Bai C, An H, Wang S, et al. Treatment and prevention of bacterial translocation and endotoxemia with stimulation of the sacral nerve root in a rabbit model of spinal cord injury[J]. Spine (Phila Pa 1976), 2011, 36(5):363-371.
doi: 10.1097/BRS.0b013e3181d25495 |
[40] |
Frias B, Phillips A A, Squair J W, et al. Reduced colonic smooth muscle cholinergic responsiveness is associated with impaired bowel motility after chronic experimental high-level spinal cord injury[J]. Auton Neurosci, 2019, 216:33-38.
doi: 10.1016/j.autneu.2018.08.005 |
[41] |
Penning C, Delemarre J B, Bemelman W A, et al. Proximal and distal gut hormone secretion in slow transit constipation[J]. Eur J Clin Invest, 2000, 30(8):709-714.
pmid: 10964163 |
[42] |
Furness J B. The enteric nervous system and neurogastroenterology[J]. Nat Rev Gastroenterol Hepatol, 2012, 9(5):286-294.
doi: 10.1038/nrgastro.2012.32 pmid: 22392290 |
[43] | Qualls-Creekmore E, Tong M, Holmes G M. Time-course of recovery of gastric emptying and motility in rats with experimental spinal cord injury [J]. Neurogastroenterol Motil, 2010, 22(1): 62-69, e27-e28. |
[44] |
Guo J, Zhu Y, Yang Y, et al. Electroacupuncture at Zusanli (ST36) ameliorates colonic neuronal nitric oxide synthase upregulation in rats with neurogenic bowel dysfunction following spinal cord injury[J]. Spinal Cord, 2016, 54(12):1139-1144.
doi: 10.1038/sc.2016.76 pmid: 27377302 |
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