Intestinal Secretion

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Helen J Cooke - One of the best experts on this subject based on the ideXlab platform.

  • neurotransmitters in neuronal reflexes regulating Intestinal Secretion
    Annals of the New York Academy of Sciences, 2006
    Co-Authors: Helen J Cooke
    Abstract:

    : The Intestinal crypt cell secretes chloride into the lumen, resulting in accumulation of fluid that normally thins out mucus or, at higher secretory rates, flushes out the contents. The regulation of chloride Secretion occurs by neural reflex pathways within the enteric nervous system. Mechanical stimulation releases 5-hydroxytryptamine (5-HT) from enterochromaffin cells with subsequent activation of intrinsic primary afferents that carry electrical signals to submucosal ganglia. After processing, interneurons activate cholinergic and vasoactive Intestinal peptide (VIP) secretomotor neurons. Acetylcholine and VIP bind to epithelial receptors and stimulate sodium chloride and fluid Secretion. Reflex-evoked secretory rates can be modulated by a variety of mediators at the level of the enterochromaffin cells, neurons within the reflex pathway, or epithelial cells. Understanding the complex regulatory mechanisms for chloride Secretion is likely to provide mechanistic insights into constipation and diarrhea.

Michael Camilleri - One of the best experts on this subject based on the ideXlab platform.

Jean Paul Galmiche - One of the best experts on this subject based on the ideXlab platform.

  • Inhibition of prostaglandin-induced Intestinal Secretion by igmesine in healthy volunteers ☆ ☆☆
    Gastroenterology, 1998
    Co-Authors: Claude Rozé, Stanislas Bruley Des Varannes, Jean Genève, Jean Paul Galmiche
    Abstract:

    Abstract Background & Aims: Igmesine, a σ ligand, has been shown to inhibit Intestinal Secretion and diarrhea in animal models. The purpose of this study was to measure the inhibitory effect of igmesine on basal and prostaglandin E 2 (PGE 2 )-induced jejunal Secretion in normal volunteers. Methods: Jejunal absorption of water and electrolytes was measured with a three-lumen open-segment perfusion method in 16 volunteers. A double-blind crossover study was performed involving intraluminal infusion of PGE 2 after oral administration of placebo or igmesine at two doses. Results: PGE 2 induced net Secretion of water and electrolytes ( P 2 on water and electrolytes was not changed by 25 mg of igmesine but was suppressed by 200 mg of igmesine. This effect lasted at least 3 hours after a single oral dose. Igmesine at a dose of 200 mg also produced a significant decrease in basal rates of water and electrolyte absorption. Conclusions: Igmesine, a σ ligand, inhibits PGE 2 -induced Intestinal Secretion in normal humans. Evaluating the drug in chronic diarrheas may be of interest. GASTROENTEROLOGY 1998;115:591-596

  • Peptide YY Inhibition of Prostaglandin-Induced Intestinal Secretion Is Haloperidol-Sensitive in Humans
    Gastroenterology, 1997
    Co-Authors: Claude Rozé, Jean Genève, C Molis, Fc Xiaomei, A. Ropert, Jean Paul Galmiche
    Abstract:

    BACKGROUND & AIMS: It is uncertain whether peptide YY (PYY) inhibits human Intestinal Secretion directly through enterocyte receptors or via indirect neural mechanisms. Thus, the effect of PYY on prostaglandin E2 (PGE2)-induced jejunal Secretion in normal volunteers was measured, and it was determined whether a dopamine and sigma antagonist affected PYY effect. METHODS: Jejunal absorption of water and electrolytes was measured by a perfusion method in 6 volunteers. A double-blind crossover study was performed, involving intraluminal infusion of PGE2, intravenous infusion of human PYY, and intramuscular injection of haloperidol or placebo. RESULTS: PGE2 induced net Secretion of water and electrolytes (P < 0.01 vs. basal). The effect of PGE2 was reduced by about half with 30 pmol x kg(-1) x h(-1) of PYY (plasma PYY, 96 +/- 12 pg/mL) and suppressed by 90 pmol x kg(-1) x h(-1) of PYY (P < 0.01; plasma PYY, 268 +/- 22 pg/mL). Plasma PYY was correlated negatively (P < 0.01) with net fluxes of water, Cl-, Na+, and K+. Haloperidol suppressed the effect of PYY on PGE2-induced Secretion (P < 0.05). CONCLUSIONS: PYY administered in doses producing slightly supraphysiological plasma levels inhibits PGE2-induced Secretion in normal humans. Sigma or dopamine receptors (probably neuronal ones) are involved in this effect. (Gastroenterology 1997 May;112(5):1520-8)

Alan R. Zinsmeister - One of the best experts on this subject based on the ideXlab platform.

Scott A Waldman - One of the best experts on this subject based on the ideXlab platform.

  • Intestinal enteroids model guanylate cyclase c dependent Secretion induced by heat stable enterotoxins
    Infection and Immunity, 2016
    Co-Authors: Amanda M Pattison, Erik S Blomain, Dante J Merlino, Fang Wang, Mary Ann S Crissey, Crystal L Kraft, Jeffrey A Rappaport, Adam E Snook, John P Lynch, Scott A Waldman
    Abstract:

    ABSTRACT Enterotoxigenic Escherichia coli (ETEC) causes ∼20% of the acute infectious diarrhea (AID) episodes worldwide, often by producing heat-stable enterotoxins (STs), which are peptides structurally homologous to paracrine hormones of the Intestinal guanylate cyclase C (GUCY2C) receptor. While molecular mechanisms mediating ST-induced Intestinal Secretion have been defined, advancements in therapeutics have been hampered for decades by the paucity of disease models that integrate molecular and functional endpoints amenable to high-throughput screening. Here, we reveal that mouse and human Intestinal enteroids in three-dimensional ex vivo cultures express the components of the GUCY2C secretory signaling axis. ST and its structural analog, linaclotide, an FDA-approved oral secretagog, induced fluid accumulation quantified simultaneously in scores of enteroid lumens, recapitulating ETEC-induced Intestinal Secretion. Enteroid Secretion depended on canonical molecular signaling events responsible for ETEC-induced diarrhea, including cyclic GMP (cGMP) produced by GUCY2C, activation of cGMP-dependent protein kinase (PKG), and opening of the cystic fibrosis transmembrane conductance regulator (CFTR). Importantly, pharmacological inhibition of CFTR abrogated enteroid fluid Secretion, providing proof of concept for the utility of this model to screen antidiarrheal agents. Intestinal enteroids offer a unique model, integrating the GUCY2C signaling axis and luminal fluid Secretion, to explore the pathophysiology of, and develop platforms for, high-throughput drug screening to identify novel compounds to prevent and treat ETEC diarrheal disease.