Chen Qi-Cheng, Jiang Zhi, Zhang Jun-Hong, Cao Li-Xing, Chen Zhi-Qiang
The Research Team of TCM Applications of Perioperative, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China.
Department of Research Public Service Center, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China.
World J Gastroenterol. 2021 Feb 21;27(7):576-591. doi: 10.3748/wjg.v27.i7.576.
Interdigestive migrating motor complexes (MMC) produce periodic contractions in the gastrointestinal tract, but the exact mechanism of action still remains unclear. Intramuscular interstitial cells of Cajal (ICC-IM) participate in gastrointestinal hormone and neuromodulation, but the correlation between ICC-IM and MMC is also unclear. We found that xiangbinfang granules (XBF) mediated the phase III contraction of MMC. Here, the effects of XBF on gastric antrum motility in mice and the effects of ICC-IM on gastric antrum MMC are reported.
To observe the effects of ICC-IM on gastric antrum motility and to establish the mechanism of XBF in promoting gastric antrum motility.
The density of c-kit-positive ICC myenteric plexus (ICC-MP) and ICC-IM in the antral muscularis of and wild-type (WT) mice was examined by confocal microscopy. The effects of XBF on gastric antrum slow waves in and WT mice were recorded by intracellular amplification recording. Micro-strain-gauge force transducers were implanted into the gastric antrum to monitor the MMC and the effect of XBF on gastric antrum motility in conscious and WT mice.
In the gastric antrum of mice, c-kit immunoreactivity was significantly reduced, and no ICC-IM network was observed. Spontaneous rhythmic slow waves also appeared in the antrum of mice, but the amplitude of the antrum slow wave decreased significantly in mice (22.62 ± 2.23 mV 2.92 ± 0.52 mV, < 0.0001). MMCs were found in 7 of the 8 WT mice but no complete MMC cycle was found in mice. The contractile frequency and amplitude index of the gastric antrum were significantly increased in conscious WT compared to mice (frequency, 3.53 ± 0.18 cpm 1.28 ± 0.12 cpm; amplitude index, 23014.26 ± 1798.65 mV·20 min 3782.16 ± 407.13 mV·20 min; < 0.0001). XBF depolarized smooth muscle cells of the gastric antrum in WT and mice in a dose-dependent manner. Similarly, the gastric antrum motility in WT mice was significantly increased after treatment with XBF 5 mg ( < 0.05). Atropine (0.1 mg/kg) blocked the enhancement of XBF in WT and mice completely, while tetrodotoxin (0.05 mg/kg) partially inhibited the enhancement by XBF.
ICC-IM participates in the regulation of gastric antrum MMC in mice. XBF induces MMC III-like contractions that enhance gastric antrum motility ICC-IM in mice.
消化间期移行性复合运动(MMC)在胃肠道产生周期性收缩,但其确切作用机制仍不清楚。肌间 Cajal 间质细胞(ICC-IM)参与胃肠激素和神经调节,但 ICC-IM 与 MMC 之间的相关性也不明确。我们发现香砂方颗粒(XBF)介导 MMC 的Ⅲ期收缩。在此,报道 XBF 对小鼠胃窦运动的影响以及 ICC-IM 对胃窦 MMC 的影响。
观察 ICC-IM 对胃窦运动的影响,并阐明 XBF 促进胃窦运动的机制。
通过共聚焦显微镜检查 c-kit 阳性肠肌丛 ICC(ICC-MP)和胃窦肌层 ICC-IM 在基因敲除小鼠和野生型(WT)小鼠中的密度。通过细胞内放大记录法记录 XBF 对基因敲除小鼠和 WT 小鼠胃窦慢波的影响。将微应变压力传感器植入胃窦,以监测清醒的基因敲除小鼠和 WT 小鼠的 MMC 以及 XBF 对胃窦运动的影响。
在基因敲除小鼠的胃窦中,c-kit 免疫反应性显著降低,未观察到 ICC-IM 网络。基因敲除小鼠的胃窦也出现自发性节律性慢波,但基因敲除小鼠胃窦慢波的幅度显著降低(22.62±2.23 mV 对 2.92±0.52 mV,P<0.0001)。8 只 WT 小鼠中有 7 只出现 MMC,但基因敲除小鼠未发现完整的 MMC 周期。与基因敲除小鼠相比,清醒 WT 小鼠胃窦的收缩频率和幅度指数显著增加(频率,3.53±0.18 次/分钟对 1.28±0.12 次/分钟;幅度指数,23014.26±1798.65 mV·20 分钟对 3782.16±407.13 mV·20 分钟;P<0.0001)。XBF 以剂量依赖性方式使 WT 小鼠和基因敲除小鼠胃窦的平滑肌细胞去极化。同样,用 5 mg XBF 处理后,WT 小鼠的胃窦运动显著增加(P<0.05)。阿托品(0.1 mg/kg)完全阻断了 XBF 对 WT 小鼠和基因敲除小鼠的增强作用,而河豚毒素(0.05 mg/kg)部分抑制了 XBF 的增强作用。
ICC-IM 参与小鼠胃窦 MMC 的调节。XBF 诱导类似 MMCⅢ期的收缩,增强小鼠胃窦运动 ICC-IM。