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Medicine (Baltimore). 2016;95(19):e3410.

Upregulation of Vanilloid Receptor-1 in Functional Dyspepsia With or Without Helicobacter pylori Infection.

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제1저자 최윤진 · 교신저자 김나영

소속 (1)
  1. From the Department of Internal Medicine and Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do (YJC, NK, DHL); and Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul (NK, JK, DHL, JHP, HCJ), South Korea.

Abstract

The etiological basis of functional dyspepsia (FD) is incompletely understood. The aim of this study was to evaluate the involvement of nociceptor-related genes and Helicobacter pylori (HP) in the pathogenesis of FD. The expression of nociceptor-related genes was measured in gastric cell lines that were co-cultured with HP. FD patients (n = 117) and controls (n = 55) were enrolled from a tertiary hospital gastroenterology clinic. Expression of the genes nerve growth factor (NGF), glial cell line-derived neurotrophic factor (GDNF), and transient receptor potential cation channel subfamily V member 1 (TRPV1) in the gastric mucosa were detected by reverse transcription polymerase chain reaction (RT-PCR), and immunohistochemical staining of TRPV1 was analyzed. These measurements were repeated after 1 year. TRPV1, GDNF, and NGF expression was elevated in gastric cell lines co-cultured with HP. TRPV1 immunostaining was stronger in HP-positive than HP-negative subjects. The FD group showed higher expression levels of TRPV1, GDNF, and NGF and increased TRPV1 immunostaining compared with those of the control group (all P < 0.05). Among 61 subjects who were followed up at 1 year, controls with successful HP eradication and patients whose symptoms had improved both showed significant reductions in the expression of TRPV1 and NGF (all P < 0.05) compared with controls without HP eradication and patients whose symptoms had not improved, respectively. The expression of NGF, GDNF, and TRPV1 may be associated with the pathogenesis of FD. Since HP infection may induce the increased expression of these genes, anti-HP therapy could be beneficial for HP-positive patients with FD.

Figures

FIGURE 1
FIGURE 1 Expression of NGF, GDNF, and TRPV1 in AGS cell lines co-cultured with H pylori 43504 and G27 strains. (A–C) mRNA expression of (A) NGF, (B) GNF, and (C) TRPV1. (D) Western blot data of TRPV1 protein abundance after 24 hours of co-culture. Results are expressed as the mean ± standard error of 3 experiments. ∗P < 0.05, significantly different from the control non-HP-infected group at 1 hour after the infection. GDNF = glial cell-line derived neurotrophic factor, NGF = nerve growth factor, TRPV1 = transient receptor potential vanilloid receptor 1.
FIGURE 2
FIGURE 2 Comparison of gastric NGF, GDNF, and TRPV1 expression in control and FD subgroups. (A) NGF expression in the EPS and mixed groups was higher than that in control (P = 0.017, P = 0.025). (B) GDNF expression in the PDS, EPS, and mixed groups was higher than in control (P = 0.009, P = 0.001, and P = 0.009, respectively). (C) TRPV1 expression was higher in the PDS, EPS, and mixed groups than in the control group (P = 0.037, P = 0.017, and P = 0.014, respectively). Comparisons were made by analysis of variance followed by Scheffe test. EPS = epigastric pain syndrome, FD = functional dyspepsia, GDNF = glial cell-line derived neurotrophic factor, NGF = nerve gsrowth factor, PDS = postprandial distress syndrome, TRPV1 = transient receptor potential vanilloid receptor 1.
FIGURE 3
FIGURE 3 Representative images of TRPV1 immunostaining of human gastric mucosa. TRPV1 staining of (A) H pylori-negative healthy control, (B) H pylori-positive healthy control, (C) H pylori-positive epigastric pain syndrome patient, and (D) H pylori-positive postprandial distress syndrome patient. (E) The same patient shown in (D), 1-year after H pylori eradication. Cytoplasms and cell junctions were stained (arrow) (×20 magnification). TRPV1 = transient receptor potential vanilloid receptor 1.
FIGURE 4
FIGURE 4 Summary of the responses to different treatments by 117 patients with functional dyspepsia based on the global patient assessment score. FD = functional dyspepsia, F/U = follow-up, HP = H pylori, PPI = proton-pump inhibitor.

그림 출처: PubMed Central 공개 논문 (PMC4902483)

Conflict of interest statement

The authors declare that they have no conflict of interest.

그 밖의 정보
출판 형태
Journal Article
저널
Medicine · eISSN 1536-5964
MeSH
Adult · Case-Control Studies · Dyspepsia / genetics / microbiology · Female · Gastric Mucosa / metabolism / microbiology · Glial Cell Line-Derived Neurotrophic Factor / metabolism · Helicobacter Infections / genetics / microbiology · Helicobacter pylori · Humans · Male · Middle Aged · Nerve Growth Factor / metabolism · Reverse Transcriptase Polymerase Chain Reaction · TRPV Cation Channels / metabolism · Up-Regulation*
Substances
GDNF protein, human · Glial Cell Line-Derived Neurotrophic Factor · NGF protein, human · TRPV Cation Channels · TRPV1 protein, human · Nerve Growth Factor
참고문헌
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