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Zhang Y, Song F, Yang M, Chen C, Cui J, Xing M, Dai Y, Li M, Cao Y, Lu L, Zhu H, Liu Y, Ma C, Wei Q, Qin H, Li J. Gastrointestinal Dysmotility Predisposes to Colitis through Regulation of Gut Microbial Composition and Linoleic Acid Metabolism. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2306297. [PMID: 38477534 PMCID: PMC11132037 DOI: 10.1002/advs.202306297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Indexed: 03/14/2024]
Abstract
Disrupted gastrointestinal (GI) motility is highly prevalent in patients with inflammatory bowel disease (IBD), but its potential causative role remains unknown. Herein, the role and the mechanism of impaired GI motility in colitis pathogenesis are investigated. Increased colonic mucosal inflammation is found in patients with chronic constipation (CC). Mice with GI dysmotility induced by genetic mutation or chemical insult exhibit increased susceptibility to colitis, dependent on the gut microbiota. GI dysmotility markedly decreases the abundance of Lactobacillus animlalis and increases the abundance of Akkermansia muciniphila. The reduction in L. animlalis, leads to the accumulation of linoleic acid due to compromised conversion to conjugated linoleic acid. The accumulation of linoleic acid inhibits Treg cell differentiation and increases colitis susceptibility via inducing macrophage infiltration and proinflammatory cytokine expression in macrophage. Lactobacillus and A. muciniphila abnormalities are also observed in CC and IBD patients, and mice receiving fecal microbiota from CC patients displayed an increased susceptibility to colitis. These findings suggest that GI dysmotility predisposes host to colitis development by modulating the composition of microbiota and facilitating linoleic acid accumulation. Targeted modulation of microbiota and linoleic acid metabolism may be promising to protect patients with motility disorder from intestinal inflammation.
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Affiliation(s)
- Youhua Zhang
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Feifei Song
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Muqing Yang
- Department of General SurgeryShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Chunqiu Chen
- Diagnostic and Treatment Center for Refractory Diseases of Abdomen SurgeryShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Jiaqu Cui
- Department of Colorectal DiseaseShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Mengyu Xing
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Yuna Dai
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Man Li
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Yuan Cao
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Ling Lu
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Huiyuan Zhu
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Ying Liu
- Department of General SurgeryShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Chunlian Ma
- Department of Colorectal DiseaseShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Qing Wei
- Department of PathologyShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Huanlong Qin
- Department of Gastrointestinal SurgeryShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
| | - Jiyu Li
- Department of General SurgeryShanghai Tenth People's Hospital, Tongji University School of MedicineShanghai200072China
- Geriatric Cancer CenterHuaDong Hospital Affiliated to Fudan
UniversityShanghai200040China
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Veličkov AI, Djordjević B, Lazarević M, Veličkov AV, Petrović V, Jović M, Denčić T, Radenković G. Distributions of Platelet-Derived Growth Factor Receptor-α Positive Cells and Interstitial Cells of Cajal in the Colon of Rats with Diabetes Mellitus Type 2. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:medicina59020308. [PMID: 36837509 PMCID: PMC9964132 DOI: 10.3390/medicina59020308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 01/23/2023] [Accepted: 02/02/2023] [Indexed: 02/10/2023]
Abstract
Background and Objectives: Diabetic gastroenteropathy (DG) is a common complication of diabetes mellitus type 2. Interstitial cells are non-neural cells of mesenchymal origin inserted between nerve elements and smooth muscle cells, necessary for normal function and peristaltic contractions in the gastrointestinal (GI) tract. There are at least two types of interstitial cells within the GI muscle layer-interstitial cells of Cajal (ICC) and interstitial platelet-derived growth factor receptor α-positive cells (IPC). The mechanism of diabetic gastroenteropathy is unclear, and interstitial cells disorders caused by metabolic changes in diabetes mellitus (DM) could explain the symptoms of DG (slow intestinal transit, constipation, fecal incontinence). The aim of this study was to identify PDGFRα and c-kit immunoreactive cells in the colon of rats with streptozotocin-nicotinamide-induced diabetes mellitus type 2, as well as to determine their distribution in relation to smooth muscle cells and enteric nerve structures. Materials and Methods: Male Wistar rats were used, and diabetes type 2 was induced by an intraperitoneal injection of streptozotocin, immediately after intraperitoneal application of nicotinamide. The colon specimens were exposed to PDGFRα and anti-c-kit antibodies to investigate interstitial cells; enteric neurons and smooth muscle cells were immunohistochemically labeled with NF-M and desmin antibodies. Results: Significant loss of the intramuscular ICC, myenteric ICC, and loss of their connection in intramuscular linear arrays and around the ganglion of the myenteric plexus were observed with no changes in nerve fiber distribution in the colon of rats with diabetes mellitus type 2. IPC were rarely present within the colon muscle layer with densely distributed PDGFRα+ cells in the colon mucosa and submucosa of both experimental groups. In summary, a decrease in intramuscular ICC, discontinuities and breakdown of contacts between myenteric ICC without changes in IPC and nerve fibers distribution were observed in the colon of streptozotocin/nicotinamide-induced diabetes type 2 rats.
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Affiliation(s)
- Aleksandra Ivana Veličkov
- Department of Histology and Embryology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
- Correspondence:
| | - Branka Djordjević
- Department of Biochemistry, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
| | - Milica Lazarević
- Department of Histology and Embryology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
| | - Asen Veselin Veličkov
- Clinic for Orthopedic Surgery and Traumatology, University Clinical Centre Niš, 18000 Niš, Serbia
| | - Vladimir Petrović
- Department of Histology and Embryology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
| | - Marko Jović
- Department of Histology and Embryology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
| | - Tijana Denčić
- Department of Pathology, Faculty of Medicine, Clinical Centre Niš, University of Niš, 18000 Niš, Serbia
| | - Goran Radenković
- Department of Histology and Embryology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia
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Kim M, Kruhlak M, Hoffmann V, Zerfas P, Bishop K, Doolittle WKL, Edmondson EF, Zhu YJ, Cheng SY. Morphological and Functional Colonic Defects Caused by a Mutated Thyroid Hormone Receptor α. Thyroid 2023; 33:239-250. [PMID: 36103385 PMCID: PMC10081711 DOI: 10.1089/thy.2022.0336] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Background: Mutations of thyroid hormone receptor α (TRα1) result in resistance to thyroid hormone (RTHα), exhibiting symptoms of retarded growth, delayed bone maturation, anemia, and severe constipation. Using a mouse model of RTHα (Thra1PV/+ mouse), we aimed at understanding the molecular basis underlying the severe constipation observed in patients. Methods: The Thra1PV/+ mouse expresses a strong dominant negative mutant, PV, which has lost T3 binding and transcription activity. Thra1PV/+ mouse faithfully reproduces growth abnormalities and anemia as shown in RTHα patients and therefore is a valid model to examine causes of severe constipation in patients. We used histopathological analysis, confocal fluorescence imaging, transmission electron microscopy (TEM), and gene expression profiles to comprehensively analyze the colonic abnormalities of Thra1PV/+ mouse. Results: We found a significant increase in colonic transit time and decrease stool water content in Thra1PV/+ mouse, mimicking constipation as found in patients. Histopathological analysis showed expanded lamina propria filled with interstitium fluid between crypt columns, enlarged muscularis mucosa, and increased content of collagen in expanded submucosa. The TEM analysis revealed shorter muscle fibers with wider gap junctions between muscle cells, fewer caveolae, and hypoplastic interstitial cells of Cajal (ICC) in the rectal smooth muscles of Thra1PV/+ mice. These abnormal histological manifestations suggested defective intercellular transfer of small molecules, electrolytes, and signals for communication among muscles cells, validated by Lucifer Yellow transferring assays. Expression of key smooth muscle contractility regulators, such as calmodulin, myosin light-chain kinase, and phosphorylated myosin light chain, was markedly lower, and c-KIT signaling in ICC was attenuated, resulting in decreased contractility of the rectal smooth muscles of Thra1PV/+ mice. Collectively, these abnormal histopathological alterations and diminished contractility regulators led to the constipation exhibited in patients. Conclusions: This is the first demonstration that TRα1 mutants could act to cause abnormal rectum smooth muscle organization, defects in intercellular exchange of small molecules, and decreased expression of contractility regulators to weaken the contractility of rectal smooth muscles. These findings provide new insights into the molecular basis underlying constipation found in RTHα patients.
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Affiliation(s)
- Minjun Kim
- Laboratory of Molecular Biology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Michael Kruhlak
- Laboratory of Cancer Biology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Victoria Hoffmann
- Office of Research Services, Diagnostic and Research Services Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Patricia Zerfas
- Office of Research Services, Diagnostic and Research Services Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Kevin Bishop
- Translational and Functional Genomics Branch, National Human Genome Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Woo Kyung Lee Doolittle
- Laboratory of Molecular Biology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Elijah F. Edmondson
- Molecular Histopathology Laboratory, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA
| | - Yuelin Jack Zhu
- Laboratory of Cancer Biology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Sheue-yann Cheng
- Laboratory of Molecular Biology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
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Wang L, Yuan PQ, Challis C, Ravindra Kumar S, Taché Y. Transduction of Systemically Administered Adeno-Associated Virus in the Colonic Enteric Nervous System and c-Kit Cells of Adult Mice. Front Neuroanat 2022; 16:884280. [PMID: 35734536 PMCID: PMC9207206 DOI: 10.3389/fnana.2022.884280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Abstract
Systemic delivery of adeno-associated virus (AAV) vectors transduces the enteric nervous system. However, less is known on the mapping and morphological and neurochemical characterization in the adult mouse colon. We used AAV9-CAG-GFP (AAV9) and AAV-PHP.S-hSyn1-tdTomato farnesylated (PHP.S-tdTf) to investigate the segmental distribution, morphologies and neurochemical coding of the transduction. The vectors were retro-orbitally injected in male and female adult mice, and 3 weeks later, the colon was prepared for microcopy with or without immunohistochemistry for neuronal and non-neuronal markers. In contrast to the distributions in neonatal and juvenile rodents, the AAV transduction in neurons and/or nerve fibers was the highest in the proximal colon, decreased gradually in the transverse, and was sparse in the distal colon without difference between sexes. In the proximal colon, the AAV9-transduced myenteric neurons were unevenly distributed. The majority of enteric neurons did not have AAV9 expression in their processes, except those with big soma with or without variously shaped dendrites, and a long axon. Immunolabeling demonstrated that about 31% neurons were transduced by AAV9, and the transduction was in 50, 28, and 31% of cholinergic, nitrergic, and calbindin-positive myenteric neurons, respectively. The nerve fiber markers, calcitonin gene-related peptide alpha, tyrosine hydroxylase or vasoactive intestinal polypeptide co-localized with AAV9 or PHP.S-tdTf in the mucosa, and rarely in the myenteric plexus. Unexpectedly, AAV9 expression appeared also in a few c-Kit immunoreactive cells among the heavily populated interstitial cells of Cajal (ICC). In the distal colon, the AAV transduction appeared in a few nerve fibers mostly the interganglionic strands. Other types of AAV9 and AAV-PHP vectors induced a similar colonic segmental difference which is not colon specific since neurons were transduced in the small intestine and gastric antrum, while little in the gastric corpus and none in the lower esophagus. Conclusion These findings demonstrate that in adult mice colon that there is a rostro-caudal decrease in the transduction of systemic delivery of AAV9 and its variants independent of sex. The characterization of AAV transduction in the proximal colon in cholinergic and nitrergic myenteric neurons along with a few ICC suggests implications in circuitries regulating motility.
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Affiliation(s)
- Lixin Wang
- Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, CURE/Digestive Diseases Research Center, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
- Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States
| | - Pu-Qing Yuan
- Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, CURE/Digestive Diseases Research Center, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
- Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States
| | - Collin Challis
- Division of Biology and Biological Engineering, California Institute of Technology, Pasadena, CA, United States
| | - Sripriya Ravindra Kumar
- Division of Biology and Biological Engineering, California Institute of Technology, Pasadena, CA, United States
| | - Yvette Taché
- Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, CURE/Digestive Diseases Research Center, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
- Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States
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