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Effects of Sakurajima-radish (Raphanus sativus cv. Sakurajima Daikon) and trigonelline on nitric oxide (NO) production from vascular endothelial cells and human vascular endothelial function. 樱岛萝卜(Raphanus sativus cv.)樱岛白萝卜(Sakurajima Daikon)和葫芦巴碱对血管内皮细胞产生一氧化氮(NO)和人体血管内皮功能的影响。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.93
Katsuko Kajiya, Rei Kuroda, Maho Sasaki, Yuri Nonoshita, Mariko Sakaguchi, Yuji Mimami

In Japan, there is an approximate 10 year gap between average life expectancy and healthy life expectancy, which represents a decade characterized by poor health. To shorten this period and promote healthy aging, we searched for food ingredients that promote vascular health. Focusing on nitric oxide (NO) released by vascular endothelial cells, we first established an evaluation method to measure the NO production capacity of the vascular endothelium in real-time. This helped identify Sakurajima-radish (Raphanus sativus cv. Sakurajima Daikon), which promotes NO production in vascular endothelial cells. The ability of Sakurajima-radish to induce NO production was observed in both the edible part of the enlarged root and the leaves to an equal extent. We identified the active component, trigonelline, and found that Sakurajima-radish contains much higher amounts of trigonelline than other natural products. There was no statistically significant difference in trigonelline content among the varieties of Sakurajima-radish distributed across Kagoshima Prefecture, nor was there any significant difference among the production areas within Kagoshima Prefecture, including outlying islands. The trigonelline content of Sakurajima-radish remained relatively stable across most cooking methods. A clinical study involving healthy individuals showed that Sakurajima-radish consumption (170 g/day for 10 days) caused a significant increase in flow-mediated dilation and blood trigonelline levels. This article elucidates the potential of Sakurajima-radish as a functional food that can be stored, cooked, and eaten in various forms with significant health benefits contributing to improved vascular function.

在日本,平均预期寿命与健康预期寿命之间大约有10年的差距,这是一个健康状况不佳的十年。为了缩短这段时间并促进健康衰老,我们寻找了促进血管健康的食品成分。针对血管内皮细胞释放一氧化氮(NO),我们首次建立了一种实时测量血管内皮一氧化氮生成能力的评价方法。这有助于鉴定樱岛萝卜(Raphanus sativus cv.)。Sakurajima Daikon),它促进血管内皮细胞NO的产生。在樱岛萝卜膨大根的可食部分和叶片中均观察到相同程度的NO诱导能力。我们鉴定了有效成分,葫芦巴碱,并发现樱岛萝卜含有比其他天然产品高得多的葫芦巴碱。鹿儿岛县内分布的樱岛萝卜品种间葫芦巴碱含量差异无统计学意义,鹿儿岛县内包括离岛在内的产区间葫芦巴碱含量差异无统计学意义。樱岛萝卜的葫芦巴碱含量在大多数烹饪方法中保持相对稳定。一项涉及健康个体的临床研究表明,食用樱岛萝卜(每天170克,持续10天)可显著增加血流介导的扩张和血液中的葫芦巴碱水平。这篇文章阐明了樱岛萝卜作为一种功能食品的潜力,它可以储存、烹饪和以各种形式食用,对健康有很大的好处,有助于改善血管功能。
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引用次数: 0
Effects of EMD57033, an activator of actomyosin ATPase activity, on the relaxation process of cell membrane-permeabilized carotid artery and taenia cecum from guinea pigs. 肌动球蛋白atp酶活性激活剂EMD57033对豚鼠颈动脉及盲带绦虫细胞膜渗透性松弛过程的影响
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.1
Yasuyuki Naraki, Masaru Watanabe

Smooth muscle relaxation after contraction is thought to reflect "latch-like" slow cycling bridge formation and deformation. However, how actin-myosin interaction contributes to the transfer from fast-cycling cross bridges to slow-cycling bridges is still unclear. The thiadiazinone compound EMD57033 is known to bind to an allosteric pocket in the myosin motor domain and to increase basal and actin-activated myosin ATPase activity and contractile force in striated muscles. Therefore, we investigated whether EMD57033 affected the relaxation process after Ca2+ removal by affecting slow cycling bridge formation and/or deformation in β-escin skinned (cell membrane-permeabilized) carotid artery and taenia cecum from guinea pigs. EMD57033 at ≥30 µM decreased the force decay during relaxation in both the skinned carotid artery and taenia cecum, irrespective of the presence of ATP. A kinetic analysis in the present study indicated that EMD57033 significantly prolonged τslow-detach, a time constant of detachment of the slow cycling bridge, in both the skinned carotid artery and taenia cecum, irrespective of the presence of nucleoside triphosphates (ATP or ITP). Further studies are necessary to elucidate how EMD57033 modulates the smooth muscle myosin (SMM) structure, SMM activity, and thick filament organization, affecting slow cycling bridge formation and deformation, although EMD57033 might change slow cycling bridge formation, resulting in both cycling rate modulation and an increase in the affinity of SMM to actin.

平滑肌收缩后的松弛被认为反映了“锁存式”缓慢循环桥的形成和变形。然而,肌动蛋白-肌球蛋白相互作用如何促进快速循环桥向慢循环桥的转移尚不清楚。已知噻二嗪酮化合物EMD57033与肌凝蛋白运动域的变构袋结合,并增加横纹肌的基础和肌动蛋白激活的肌凝蛋白atp酶活性和收缩力。因此,我们研究了EMD57033是否通过影响β-escin皮肤(细胞膜渗透)颈动脉和盲肠带绦虫的缓慢循环桥形成和/或变形来影响Ca2+去除后的松弛过程。EMD57033在≥30µM时,无论ATP是否存在,都能降低剥皮颈动脉和盲带弛豫过程中的力衰减。本研究的动力学分析表明,无论是否存在三磷酸核苷(ATP或ITP), EMD57033都能显著延长颈动脉和盲带的慢循环桥的分离时间常数τ - slow-detach。虽然EMD57033可能会改变慢循环桥的形成,导致循环速率调节和SMM对肌动蛋白的亲和力增加,但EMD57033如何调节平滑肌肌球蛋白(SMM)的结构、活性和粗丝组织,影响慢循环桥的形成和变形,还需要进一步的研究来阐明。
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引用次数: 0
Histamine-induced cytosolic calcium mobilization in human bronchial smooth muscle cells. 组胺诱导人支气管平滑肌细胞胞质钙动员。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.29
Kyung Jin Choi, Woo Young Jeon, Mee Young Lee, Se Hoon Kim, Hyung Seo Park

Histamine is a well-known mediator of bronchoconstriction. Despite the widespread use of histamine as a tool to study the bronchial smooth muscle function, the precise mechanism by which it causes calcium mobilization in bronchial smooth muscle cells remains unclear. Therefore, the current study aimed to investigate the mechanism of action of histamine in calcium mobilization in cultured human bronchial smooth muscle cells. A series of in vitro calcium imaging experiments have shown that histamine increases intracellular calcium levels in a concentration-dependent manner. The half maximum concentration of cytosolic Ca2+ peak was 3.00 ± 0.25 µM of histamine. Histamine was able to mobilize calcium from intracellular stores, even in the absence of extracellular calcium. These histamine-induced calcium elevations were completely blocked by the H1 receptor antagonist chlorpheniramine (1 µM). Histamine-induced calcium elevation was also completely inhibited by the phospholipase C (PLC) inhibitor U73122 (1 µM) and inositol 1,4,5-trisphosphate (InsP3) receptor inhibitor caffeine (20 mM). Cyanide p-(trifluoromethoxy)phenylhydrazone (1 µM) and oligomycin (1 µg/ml) effectively attenuated histamine-induced calcium release from intracellular stores. In the presence of histamine, cytosolic calcium elevation induced by reperfusion of 1.28 mM extracellular calcium after the depletion of stores was significantly inhibited by FCCP and oligomycin, unlike in the presence of thapsigargin. Based on the above results, we can conclude that histamine activates the intracellular PLC/InP3 pathway through the H1 receptor, which in turn activates the InP3 receptor present in intracellular stores to mobilize calcium in human bronchial smooth muscle cells. In addition, the mitochondria appear to be involved in the release of calcium from intracellular stores. These results provide insights into the mechanisms underlying histamine-induced calcium mobilization for bronchoconstriction under pathophysiological conditions.

组胺是一种众所周知的支气管收缩介质。尽管组胺被广泛用作研究支气管平滑肌功能的工具,但其引起支气管平滑肌细胞钙动员的确切机制尚不清楚。因此,本研究旨在探讨组胺在体外培养支气管平滑肌细胞钙动员中的作用机制。一系列体外钙成像实验表明,组胺以浓度依赖的方式增加细胞内钙水平。胞质Ca2+峰的一半最大浓度为3.00±0.25µM组胺。即使在缺乏细胞外钙的情况下,组胺也能从细胞内储存中动员钙。H1受体拮抗剂氯苯那敏(1µM)可完全阻断组胺诱导的钙升高。组胺诱导的钙升高也被磷脂酶C (PLC)抑制剂U73122(1µM)和肌醇1,4,5-三磷酸(InsP3)受体抑制剂咖啡因(20 mM)完全抑制。氰化物对(三氟甲氧基)苯腙(1µM)和寡霉素(1µg/ml)可有效减弱组胺诱导的细胞内钙释放。在组胺存在的情况下,FCCP和寡霉素显著抑制了储存耗尽后1.28 mM细胞外钙再灌注引起的胞质钙升高,而在有thapsigargin存在的情况下则不同。基于以上结果,我们可以得出结论,组胺通过H1受体激活细胞内PLC/InP3通路,进而激活细胞内储存的InP3受体来调动人支气管平滑肌细胞中的钙。此外,线粒体似乎参与钙从细胞内储存的释放。这些结果为病理生理条件下组胺诱导的支气管收缩钙动员的机制提供了见解。
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引用次数: 0
Human breast milk and its impact on inflammatory bowel disease. 母乳及其对炎症性肠病的影响。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.75
Lin-Hai Kurahara, Gaopeng Li, Ryou Ishikawa, Kiyomi Ohmichi, Katsuya Hirano

Inflammatory bowel disease (IBD) is a term that describes disorders involving long-standing inflammation of tissues in the digestive tract. The onset and exacerbation of IBD is linked to multiple factors, including genetic and immunological influences, diet, and gut bacteria. Additionally, it is associated with a high risk of cancer. Research shows that the longer a person is breastfed, the lower their risk of developing IBD, highlighting the impact of human breast milk components on intestinal bacteria. Human breast milk contains many bioactive components, such as lactoferrin and milk oligosaccharides, are known to be effective in preventing and treating IBD. Probiotics are defined as live microorganisms that provide beneficial effects on the host by altering the balance of indigenous intestinal bacteria. While probiotics, such as lactic acid bacteria and bifidobacteria, have been clinically applied in IBD treatment, there are currently no reports on the application of human breast milk-derived probiotics for this purpose. We clarified the preventive and therapeutic effects of human breast milk-derived probiotics on IBD, as well as the underlying mechanisms. This review highlights the importance of breastfeeding to prevent IBD, and focuses on the therapeutic effects of human breast milk-derived probiotics in IBD. These bioactive compounds in human breast milk are instrumental in establishing a beneficial gut microbiota and promoting proper immune system maturation during early life.

炎症性肠病(IBD)是一个描述消化道组织长期炎症的疾病的术语。IBD的发病和恶化与多种因素有关,包括遗传和免疫影响、饮食和肠道细菌。此外,它还与癌症的高风险有关。研究表明,母乳喂养的时间越长,患IBD的风险就越低,这凸显了人类母乳成分对肠道细菌的影响。人类母乳中含有许多生物活性成分,如乳铁蛋白和乳低聚糖,已知对预防和治疗IBD有效。益生菌被定义为一种活的微生物,它通过改变肠道细菌的平衡来对宿主产生有益的影响。虽然乳酸菌、双歧杆菌等益生菌已在临床上应用于IBD治疗,但目前尚无人乳益生菌应用于IBD治疗的报道。我们明确了母乳益生菌对IBD的预防和治疗作用,以及潜在的机制。这篇综述强调了母乳喂养对预防IBD的重要性,并重点讨论了人类母乳来源的益生菌对IBD的治疗作用。母乳中的这些生物活性化合物有助于在生命早期建立有益的肠道微生物群并促进适当的免疫系统成熟。
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引用次数: 0
Cellular and molecular mechanisms underlying aging-related gastric neuromuscular dysfunction. 衰老相关胃神经肌肉功能障碍的细胞和分子机制。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.43
Yuebo Zhang, Egan L Choi, Yujiro Hayashi

Aging is linked to a gradual decline in the gastric motor function, contributing to reduced food intake, and its association with frailty and sarcopenia. A key cellular change in the gastric neuromuscular apparatus is the loss of interstitial cells of Cajal (ICC), pacemaker cells of the gut. The ICC function as pacemakers that generate electrical slow waves and mediate enteric neurotransmission, playing a critical role in gastric motility. Aging-related ICC depletion leads to impaired gastric compliance and reduced slow wave activity, which contributes to early satiety and reduced food intake. Recent studies have elucidated the molecular and epigenetic mechanisms underlying aging-related ICC decline, highlighting the roles of ICC stem/precursor cells (ICC-SCs), transformation-related protein 53 (TRP53), extracellular signal-regulated kinase (ERK), and insulin-like growth factor 1 (IGF1) pathways, and epigenetic regulation mediated by the histone methyltransferase enhancer of zeste 2 (EZH2). By synthesizing the current findings, this review aims to provide a comprehensive understanding of the mechanisms driving ICC decline and to explore potential therapeutic strategies for preserving gastric motility in aging populations. Future research should aim to translate these discoveries into clinical applications to improve the gastric motor function and overall health in the aging population. Identifying effective interventions targeting ICC maintenance may ultimately help to alleviate age-related gastric motor dysfunction and its associated health burdens, including frailty, malnutrition, and impaired quality of life.

衰老与胃运动功能的逐渐下降有关,导致食物摄入量减少,并与虚弱和肌肉减少症有关。胃神经肌肉器官的一个关键细胞变化是肠起搏器细胞Cajal (ICC)间质细胞的丧失。ICC作为起搏器产生电慢波并介导肠内神经传递,在胃运动中起关键作用。与衰老相关的ICC耗竭会导致胃顺应性受损和慢波活动减少,从而导致早期饱腹感和食物摄入量减少。最近的研究已经阐明了与衰老相关的ICC下降的分子和表观遗传机制,强调了ICC干/前体细胞(ICC- scs)、转化相关蛋白53 (TRP53)、细胞外信号调节激酶(ERK)和胰岛素样生长因子1 (IGF1)途径以及zeste 2组蛋白甲基转移酶增强子(EZH2)介导的表观遗传调控的作用。通过综合目前的研究结果,本综述旨在全面了解推动ICC下降的机制,并探索在老年人群中保持胃动力的潜在治疗策略。未来的研究应致力于将这些发现转化为临床应用,以改善老年人的胃运动功能和整体健康。确定针对ICC维持的有效干预措施可能最终有助于减轻与年龄相关的胃运动功能障碍及其相关的健康负担,包括虚弱、营养不良和生活质量受损。
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引用次数: 0
Advances in malignant hyperthermia: novel insights into heat-induced Ca2+ release as a thermal signaling. 恶性热疗的进展:热诱导Ca2+释放作为热信号的新见解。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.65
Toshiko Yamazawa, Kotaro Oyama, Madoka Suzuki

Thermoregulation is essential for maintaining homeostasis in mammals under various environmental conditions. Impairment of this function can result in severe conditions, such as fever, heat stroke, and malignant hyperthermia (MH). In this review, we will focus on the role of the type 1 ryanodine receptor (RYR1), a Ca2+ release channel that is crucial for excitation-contraction coupling in skeletal muscles. Mutations in RYR1 are associated with muscle disorders, including MH, which is characterized by dysregulated Ca2+-induced Ca2+ release (CICR). Recent advances from genetically engineered mouse models of MH have provided new insights into the pathophysiological mechanisms underlying anesthetic- and heat-induced episodes, and revealed a heat-induced Ca2+ release (HICR) mechanism mediated by RYR1. Experimental evidences demonstrate that anesthetics induce simultaneous increases in cellular temperature and cytosolic Ca2+ concentration. Therefore, this review proposes that an increase in cellular temperature triggers further Ca2+ release via HICR, establishing a positive feedback loop that sustains excessive heat production during MH crises.

体温调节是哺乳动物在各种环境条件下维持体内平衡所必需的。这种功能的损害可导致严重的情况,如发烧、中暑和恶性高热(MH)。在这篇综述中,我们将重点关注1型ryanodine受体(RYR1)的作用,RYR1是骨骼肌中兴奋-收缩耦合至关重要的Ca2+释放通道。RYR1突变与肌肉疾病相关,包括MH,其特征是Ca2+诱导的Ca2+释放(CICR)失调。来自MH基因工程小鼠模型的最新进展为麻醉和热诱导发作的病理生理机制提供了新的见解,并揭示了RYR1介导的热诱导Ca2+释放(HICR)机制。实验证据表明,麻醉剂诱导细胞温度和细胞质Ca2+浓度同时升高。因此,这篇综述提出,细胞温度的升高通过HICR触发Ca2+释放,建立一个正反馈回路,在MH危机期间维持过量的热量产生。
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引用次数: 0
Growth factors involved in vascular remodeling in pulmonary arterial hypertension. 生长因子参与肺动脉高压血管重构。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.82
Aya Yamamura

Pulmonary arterial hypertension (PAH) is a rare and fatal cardiovascular disease characterized by pulmonary vascular remodeling, leading to a progressive increase in pulmonary vascular resistance and pulmonary arterial pressure (PAP). Elevated PAP induces right ventricular hypertrophy and eventually progresses to right heart failure. Pulmonary vascular remodeling is primarily caused by the excessive proliferation and migration of pulmonary arterial smooth muscle cells (PASMCs) in the medial layer. This is mediated by the binding of growth factors to their specific receptor tyrosine kinases. To date, several growth factors, including epidermal growth factor, fibroblast growth factor, insulin-like growth factor, platelet-derived growth factor (PDGF), transforming growth factor-β, and vascular endothelial growth factor, have been implicated in the development of PAH. Our previous studies have demonstrated that the upregulated expression of Ca2+-sensing receptors in PASMCs contributes to the development of PAH. This upregulation was induced by increased PDGF levels in PASMCs from PAH patients. Therefore, imatinib (a tyrosine kinase inhibitor including PDGF receptors) and corosolic acid (with inhibitory effects of PDGF signaling) suppressed the excessive proliferation and migration of PASMCs from PAH patients. These treatments also ameliorated pulmonary vascular remodeling in pulmonary hypertensive rats. This review focuses on the pathological roles of growth factors, especially PDGF, in the pathogenesis and progression of PAH.

肺动脉高压(Pulmonary arterial hypertension, PAH)是一种罕见的致死性心血管疾病,以肺血管重构为特征,导致肺血管阻力和肺动脉压(Pulmonary arterial pressure, PAP)进行性升高。PAP升高引起右心室肥厚,最终发展为右心衰。肺血管重构的主要原因是肺动脉平滑肌细胞(PASMCs)在肺内层的过度增殖和迁移。这是由生长因子与其特定受体酪氨酸激酶结合介导的。迄今为止,几种生长因子,包括表皮生长因子、成纤维细胞生长因子、胰岛素样生长因子、血小板衍生生长因子(PDGF)、转化生长因子-β和血管内皮生长因子,都与PAH的发展有关。我们之前的研究表明,Ca2+敏感受体在pasmc中的表达上调有助于PAH的发展。这种上调是由PAH患者pasmc中PDGF水平升高引起的。因此,伊马替尼(一种酪氨酸激酶抑制剂,包括PDGF受体)和柯罗果酸(具有PDGF信号抑制作用)抑制PAH患者PASMCs的过度增殖和迁移。这些治疗还能改善肺动脉高压大鼠的肺血管重构。本文就生长因子特别是PDGF在PAH发病和进展中的病理作用作一综述。
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引用次数: 0
Gastric emptying after distal gastrectomy from physiologic viewpoint: accelerated or delayed? 从生理学角度看远端胃切除术后胃排空:加速还是延迟?
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.20
Chikashi Shibata, Kentaro Sawada, Atsushi Mitamura, Toru Nakano

Distal gastrectomy is the most frequently performed procedure for gastric cancer. Gastric emptying after distal gastrectomy is generally considered to be accelerated due to resection of the antrum, pylorus, and duodenal bulb. Food residue, however, is frequently observed in the gastric remnant in patients after distal gastrectomy at the time of endoscopy after routine overnight fasting. This observation suggests delayed gastric emptying and conflicts with the general understanding of accelerated gastric emptying after distal gastrectomy. We searched for reports that evaluated the separate gastric emptying of liquids and solids with scintigraphy after distal gastrectomy in humans and also addressed the physiologic changes in gastric emptying after distal gastrectomy. Most all reports showed that gastric emptying of liquids after distal gastrectomy was accelerated compared to healthy controls, especially immediately after feeding. In contrast, some gastric emptying of solids was accelerated early after the meal ingestion, but thereafter emptying of solids remaining in the stomach was delayed beginning about 60 min after the meal in patients after distal gastrectomy. This delayed solid gastric emptying after distal gastrectomy was considered associated with food residue in the remnant stomach. We conclude that gastric emptying after distal gastrectomy was accelerated for liquids and solids soon after the meal ingestion but delayed for solids later than 60 min after the meal ingestion.

远端胃切除术是胃癌最常用的手术方法。由于切除了胃窦、幽门和十二指肠球部,一般认为远端胃切除术后胃排空加快。然而,在远端胃切除术患者在常规禁食过夜后进行内镜检查时,胃残留物中经常观察到食物残留。这一观察结果提示胃排空延迟,与远端胃切除术后胃排空加速的一般理解相冲突。我们检索了一些报告,这些报告评估了人类远端胃切除术后胃液体和固体的单独排空,并讨论了远端胃切除术后胃排空的生理变化。大多数报告显示,与健康对照组相比,远端胃切除术后胃排空液体加快,尤其是在进食后立即排空。相比之下,一些固体的胃排空在进食后早期加速,但在远端胃切除术后,胃中剩余固体的排空在进食后约60分钟开始延迟。远端胃切除术后胃固体排空的延迟被认为与残胃中的食物残渣有关。我们得出结论,远端胃切除术后的胃排空加速液体和固体在进食后不久,但延迟固体在进食后60分钟。
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引用次数: 0
The interplay of gut microbiota and intestinal motility in gastrointestinal function. 肠道菌群与肠道运动在胃肠功能中的相互作用。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.51
Xiaopeng Bai, Eikichi Ihara, Yoshimasa Tanaka, Yosuke Minoda, Masafumi Wada, Yoshitaka Hata, Mitsuru Esaki, Haruei Ogino, Takatoshi Chinen, Yoshihiro Ogawa

The relationship between gut microbiota and intestinal motility is crucial for maintaining gastrointestinal health. Intestinal motility refers to the coordinated movements of the digestive tract, essential for effective digestion, nutrient absorption, and timely waste elimination. Recent studies have demonstrated that microbiota play a crucial role not only in the maturation of intestinal motility but also in the ongoing maintenance of established motility patterns. Disruptions in motility can lead to various disorders, such as chronic constipation, irritable bowel syndrome, and chronic idiopathic pseudo-obstruction. Gut microbiota significantly influence intestinal motility through mechanisms like bile acid metabolism and the production of short-chain fatty acids. In patients with diarrhea-predominant irritable bowel syndrome, elevated primary-to-secondary bile acid ratios suggest a complex interaction between gut bacteria and bile acids that can enhance motility via receptors like TGR5. Additionally, the role of interstitial cells of Cajal in facilitating non-neuronal contractions has revolutionized our understanding of motility regulation, highlighting both neural and non-neural factors. Various therapeutic approaches, including prebiotics, probiotics, and fecal microbiota transplantation, have been explored to improve intestinal motility, although their effectiveness has been limited. Advancements in gene-related research and innovative diagnostic methods are vital for a deeper understanding of how the gut microbiome regulates motility. This review synthesizes current knowledge on the interplay between gut microbiota and intestinal motility, emphasizing the need for interdisciplinary research to develop effective treatments targeting gut microbiota for gastrointestinal disorders. By unraveling these complex interactions, we can pave the way for novel therapeutic strategies that enhance intestinal health and improve the quality of life for those affected by motility-related disorders.

肠道菌群与肠道运动之间的关系对维持胃肠道健康至关重要。肠道蠕动是指消化道的协调运动,对有效消化、营养吸收和及时排除废物至关重要。最近的研究表明,微生物群不仅在肠道运动的成熟中起着至关重要的作用,而且在持续维持既定的运动模式中也起着至关重要的作用。运动障碍可导致各种疾病,如慢性便秘、肠易激综合征和慢性特发性假性梗阻。肠道菌群通过胆汁酸代谢和短链脂肪酸的产生等机制显著影响肠道运动。在腹泻为主的肠易激综合征患者中,原发性与继发性胆汁酸比率升高表明肠道细菌和胆汁酸之间存在复杂的相互作用,可通过TGR5等受体增强运动能力。此外,Cajal间质细胞在促进非神经元收缩中的作用已经彻底改变了我们对运动调节的理解,突出了神经和非神经因素。各种治疗方法,包括益生元、益生菌和粪便微生物群移植,已经被探索用于改善肠道蠕动,尽管它们的有效性有限。基因相关研究的进展和创新的诊断方法对于深入了解肠道微生物群如何调节运动至关重要。本文综述了目前关于肠道微生物群与肠道运动之间相互作用的知识,强调需要跨学科研究来开发针对肠道微生物群的有效治疗胃肠道疾病的方法。通过解开这些复杂的相互作用,我们可以为改善肠道健康和改善运动相关疾病患者的生活质量的新治疗策略铺平道路。
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引用次数: 0
Effects of anastomotic techniques in laparoscopic distal gastrectomy with Billroth I method on remnant stomach motor functions and postoperative quality of life. 腹腔镜远端胃切除术中吻合技术对残胃运动功能及术后生活质量的影响。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.1540/jsmr.61.104
Taizo Iwasaki, Koji Nakada, Masahiko Kawamura, Hideo Konishi, Keishiro Murakami, Norio Mitsumori, Nobuyoshi Hanyu, Fumiaki Yano

Laparoscopic distal gastrectomy with Billroth I reconstruction (LDGBI) is a standard procedure for early-stage gastric cancer. Although both Delta-shaped (Delta) and circular stapler (CS) techniques are commonly used for anastomosis, their long-term effects on remnant gastric motility and postoperative quality of life (QOL) remain insufficiently defined. This retrospective study analyzed 43 patients who underwent LDGBI at least one year prior, divided into CS (n=22) and Delta (n=21) groups. Gastric emptying was evaluated using the 13C-acetate breath test, focusing on residual reservoir capacity (RR5) and half-emptying time (T1/2). Postgastrectomy symptoms and living status were assessed via structured questionnaires. The Delta group demonstrated significantly lower RR5 (40.5% vs. 56.1%, P=0.033) and shorter T1/2 (4.8 vs. 8.5 min, P=0.033), indicating diminished reservoir function and accelerated gastric emptying. These alterations correlated with a higher incidence of early dumping abdominal symptoms (66.7% vs. 27.3%, P=0.015), as well as trends toward increased early dumping general symptoms and greater body weight loss. The Delta method is associated with enhanced gastric emptying and more frequent postgastrectomy symptoms, likely due to a wider anastomotic stoma. Tailoring the stoma size or selecting alternative reconstruction methods based on remnant gastric volume may help mitigate adverse outcomes and improve patients' quality of life following LDGBI.

腹腔镜下远端胃切除术与Billroth I重建(LDGBI)是早期胃癌的标准手术。虽然三角形吻合器(Delta)和圆形吻合器(CS)技术通常用于吻合,但它们对残胃运动和术后生活质量(QOL)的长期影响尚不明确。本回顾性研究分析了43例至少一年前接受LDGBI的患者,分为CS组(n=22)和Delta组(n=21)。采用13c -乙酸盐呼气试验评估胃排空,重点关注剩余储物容量(RR5)和半排空时间(T1/2)。通过结构化问卷评估胃切除术后的症状和生活状况。Delta组RR5显著降低(40.5% vs. 56.1%, P=0.033), T1/2缩短(4.8 vs. 8.5 min, P=0.033),表明储层功能减弱,胃排空加速。这些改变与较高的早期倾倒腹部症状发生率相关(66.7% vs. 27.3%, P=0.015),以及早期倾倒一般症状增加的趋势和更大的体重减轻。Delta法与胃排空增强和更频繁的胃切除术后症状相关,可能是由于更宽的吻合口。根据残胃体积调整造口大小或选择其他重建方法可能有助于减轻不良后果并改善LDGBI后患者的生活质量。
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Journal of Smooth Muscle Research
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