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Song HJ, Kim JE, Jin YJ, Roh YJ, Seol A, Kim TR, Park KH, Park ES, An BS, Yang SY, Seo S, Jo SM, Jung YS, Hwang DY. Complement C3-Deficiency-Induced Constipation in FVB/N-C3 em1Hlee/Korl Knockout Mice Was Significantly Relieved by Uridine and Liriope platyphylla L. Extracts. Int J Mol Sci 2023; 24:15757. [PMID: 37958740 PMCID: PMC10649790 DOI: 10.3390/ijms242115757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 10/22/2023] [Accepted: 10/27/2023] [Indexed: 11/15/2023] Open
Abstract
Complement component 3 (C3) deficiency has recently been known as a cause of constipation, without studies on the therapeutic efficacy. To evaluate the therapeutic agents against C3-deficiency-induced constipation, improvements in the constipation-related parameters and the associated molecular mechanisms were examined in FVB/N-C3em1Hlee/Korl knockout (C3 KO) mice treated with uridine (Urd) and the aqueous extract of Liriope platyphylla L. (AEtLP) with laxative activity. The stool parameters and gastrointestinal (GI) transit were increased in Urd- and AEtLP-treated C3 KO mice compared with the vehicle (Veh)-treated C3 KO mice. Urd and AEtLP treatment improved the histological structure, junctional complexes of the intestinal epithelial barrier (IEB), mucin secretion ability, and water retention capacity. Also, an improvement in the composition of neuronal cells, the regulation of excitatory function mediated via the 5-hydroxytryptamine (5-HT) receptors and muscarinic acetylcholine receptors (mAChRs), and the regulation of the inhibitory function mediated via the neuronal nitric oxide synthase (nNOS) and inducible NOS (iNOS) were detected in the enteric nervous system (ENS) of Urd- and AEtLP-treated C3 KO mice. Therefore, the results of the present study suggest that C3-deficiency-induced constipation can improve with treatment with Urd and AEtLP via the regulation of the mucin secretion ability, water retention capacity, and ENS function.
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Affiliation(s)
- Hee-Jin Song
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Ji-Eun Kim
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - You-Jeong Jin
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Yu-Jeong Roh
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Ayun Seol
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Tae-Ryeol Kim
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Ki-Ho Park
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Eun-Seo Park
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Beum-Soo An
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Seung-Yun Yang
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Sungbaek Seo
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Seong-Min Jo
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
| | - Young-Suk Jung
- College of Pharmacy, Pusan National University, Busan 46241, Republic of Korea;
| | - Dae-Youn Hwang
- Department of Biomaterials Science (BK21 FOUR Program)/Life and Industry Convergence Research Institute/Laboratory Animals Resources Center, College of Natural Resources and Life Science, Pusan National University, Miryang 50463, Republic of Korea; (H.-J.S.); (J.-E.K.); (Y.-J.J.); (Y.-J.R.); (A.S.); (T.-R.K.); (K.-H.P.); (E.-S.P.); (B.-S.A.); (S.-Y.Y.); (S.S.); (S.-M.J.)
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Comparative Efficacy of Drugs for the Treatment of Chronic Constipation: Quantitative Information for Medication Guidelines. J Clin Gastroenterol 2020; 54:e93-e102. [PMID: 31904680 DOI: 10.1097/mcg.0000000000001303] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
BACKGROUND Quantitative information is scarce with regard to guidelines for currently prescribed medications for constipation. Furthermore, these guidelines do not reflect the differences in the number of bowel movements caused by each drug. GOALS In this study, we used a model-based meta-analysis to quantitatively estimate the deviations from the baseline number of spontaneous bowel movements (SBMs) and complete spontaneous bowel movements (CSBMs) associated with pharmacotherapy for chronic constipation to bridge the knowledge gap in the guidelines for current medications. STUDY A comprehensive survey was conducted using literature databases. In this study, we also included randomized placebo-controlled trials on chronic constipation. Pharmacodynamic models were established to describe the time course of the numbers of SBMs and CSBMs produced by each drug. RESULTS Data from 20 studies (comprising 9998 participants and 8 drugs) were used to build this model. The results showed that bisacodyl had the greatest effect on increasing the frequency of bowel movements, whereas plecanatide yielded the lowest increase in the number of SBMs and CSBMs. After eliminating the placebo effect, the maximal increase in bowel movement frequency associated with bisacodyl was 6.8 for SBMs (95% confidence interval: 6.1-7.6) and 4.7 for CSBMs (95% confidence interval: 4.3-5.1) per week. These numbers are ∼4 times higher than the number of bowel movements produced by plecanatide. The change in the frequency of SBMs and CSBMs for other drugs, such as sodium picosulfate, velusetrag, linaclotide, elobixibat, lubiprostone, and prucalopride, was similar. The highest increases in the frequency of SBM and CSBM were 2.5 to 4 and 1 to 2.1 per week, respectively. Bisacodyl had the most noticeable loss of efficacy between week 1 and week 4; it reduced the frequencies of SBMs and CSBMs by 2.3 and 2.2, respectively. By contrast, the changes in the frequencies of SBMs and CSBMs were not as great with other drugs. CONCLUSIONS The data provided in this study may be a valuable supplement to the medication guidelines for the treatment of chronic constipation.
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