肠内血清素能系统的生理、病理生理和治疗作用。

Arzneimittel-Forschung-Drug Research Pub Date : 2012-04-01 Epub Date: 2012-03-21 DOI:10.1055/s-0032-1306321
G J Molderings
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引用次数: 7

摘要

5-羟色胺(5-hydroxytryptamine, 5-HT)在中枢神经系统、心血管系统和胃肠道中具有多种作用。反应主要取决于所涉及的5-羟色胺受体的性质。根据目前关于5-羟色胺能系统的解剖学和生理学知识以及肠道中各种5-羟色胺受体的分布,本文讨论了5-羟色胺受体配体的现有和潜在治疗作用。特别是,影响肠道运动和疼痛感知的选择性5-羟色胺受体配体,如5-羟色胺受体激动剂普芦卡必利,似乎有望治疗肠易激综合征。
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Physiological, pathophysiological and therapeutic impact of the enteric serotonergic system.

Serotonin (5-hydroxytryptamine, 5-HT) induces various effects in the central nervous system, cardiovascular system and gastrointestinal tract. The response depends primarily on the nature of the 5-HT receptors involved. In the light of the current knowledge about the anatomy and physiology of the serotonergic system and the distribution of the various 5-HT receptors in the gut, the established and potential therapeutic impact of 5-HT receptor ligands are discussed. In particular, selective 5-HT receptor ligands influencing intestinal motility and pain perception such as the 5-HT4 receptor agonist prucalopride appear promising for the treatment of irritable bowel syndrome.

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