Hyperglycemia in the early stages of type 1 diabetes accelerates gastric emptying through increased networks of interstitial cells of Cajal

Gastric emptying (GE) can be either delayed or accelerated in diabetes mellitus (DM). However, most research has focused on delayed GE mediated by a chronic hyperglycemic condition in DM. As such, the function of GE in the early stages of DM is not well understood. Interstitial cells of Cajal (ICC)...

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Veröffentlicht in:PloS one 2019-10, Vol.14 (10), p.e0222961-e0222961
Hauptverfasser: Kishi, Kazuhisa, Kaji, Noriyuki, Kurosawa, Tamaki, Aikiyo, Satoshi, Hori, Masatoshi
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Kaji, Noriyuki
Kurosawa, Tamaki
Aikiyo, Satoshi
Hori, Masatoshi
description Gastric emptying (GE) can be either delayed or accelerated in diabetes mellitus (DM). However, most research has focused on delayed GE mediated by a chronic hyperglycemic condition in DM. As such, the function of GE in the early stages of DM is not well understood. Interstitial cells of Cajal (ICC) are pacemaker cells in the gastrointestinal tract. In the present study, we investigated changes in GE and ICC networks in the early stages of DM using a streptozotocin-induced type 1 diabetic mouse model. The changes in GE were measured by the 13C-octanoic acid breath test. ICC networks were immunohistochemically detected by an antibody for c-Kit, a specific marker for ICC. Our results showed that GE in type 1 DM was significantly accelerated in the early stages of DM (2-4 weeks after onset). In addition, acute normalization of blood glucose levels by a single administration of insulin did not recover normal GE. ICC networks of the gastric antrum were significantly increased in DM and were not affected by the acute normalization of blood glucose. In conclusion, our results suggest that GE is accelerated in the early stages of DM, and it is associated with increased ICC networks. This mechanism may help to clarify a link between the onset of DM and GE disorders.
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However, most research has focused on delayed GE mediated by a chronic hyperglycemic condition in DM. As such, the function of GE in the early stages of DM is not well understood. Interstitial cells of Cajal (ICC) are pacemaker cells in the gastrointestinal tract. In the present study, we investigated changes in GE and ICC networks in the early stages of DM using a streptozotocin-induced type 1 diabetic mouse model. The changes in GE were measured by the 13C-octanoic acid breath test. ICC networks were immunohistochemically detected by an antibody for c-Kit, a specific marker for ICC. Our results showed that GE in type 1 DM was significantly accelerated in the early stages of DM (2-4 weeks after onset). In addition, acute normalization of blood glucose levels by a single administration of insulin did not recover normal GE. ICC networks of the gastric antrum were significantly increased in DM and were not affected by the acute normalization of blood glucose. 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This mechanism may help to clarify a link between the onset of DM and GE disorders.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0222961</identifier><identifier>PMID: 31596858</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acids ; Animals ; Antibodies ; Biology and Life Sciences ; Blood ; Blood glucose ; Blood Glucose - metabolism ; Breath tests ; c-Kit protein ; Care and treatment ; Chronic illnesses ; Complications and side effects ; Control ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Experimental - complications ; Diabetes Mellitus, Experimental - physiopathology ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - physiopathology ; Disease Models, Animal ; Emptying ; Fatty acids ; Gastric Emptying ; Gastroenterology ; Gastrointestinal motility ; Gastrointestinal system ; Gastrointestinal tract ; Gene expression ; Glucose ; Health aspects ; Hyperglycemia ; Hyperglycemia - blood ; Hyperglycemia - complications ; Hyperglycemia - physiopathology ; Insulin ; Insulin - pharmacology ; Insulin - therapeutic use ; Insulin glargine ; Interstitial cells ; Interstitial cells of Cajal ; Interstitial Cells of Cajal - pathology ; Life sciences ; Male ; Medicine and Health Sciences ; Mice, Inbred C57BL ; Motility ; Networks ; Octanoic acid ; Oxidative stress ; Oxidative Stress - drug effects ; Pharmacology ; Prevention ; Proto-Oncogene Proteins c-kit - metabolism ; Research and Analysis Methods ; Risk factors ; Saturated fatty acids ; Streptozocin ; Tumors ; Type 1 diabetes</subject><ispartof>PloS one, 2019-10, Vol.14 (10), p.e0222961-e0222961</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Kishi et al. 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metabolism</topic><topic>Breath tests</topic><topic>c-Kit protein</topic><topic>Care and treatment</topic><topic>Chronic illnesses</topic><topic>Complications and side effects</topic><topic>Control</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Experimental - complications</topic><topic>Diabetes Mellitus, Experimental - physiopathology</topic><topic>Diabetes Mellitus, Type 1 - blood</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Disease Models, Animal</topic><topic>Emptying</topic><topic>Fatty acids</topic><topic>Gastric Emptying</topic><topic>Gastroenterology</topic><topic>Gastrointestinal motility</topic><topic>Gastrointestinal system</topic><topic>Gastrointestinal tract</topic><topic>Gene expression</topic><topic>Glucose</topic><topic>Health aspects</topic><topic>Hyperglycemia</topic><topic>Hyperglycemia - 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However, most research has focused on delayed GE mediated by a chronic hyperglycemic condition in DM. As such, the function of GE in the early stages of DM is not well understood. Interstitial cells of Cajal (ICC) are pacemaker cells in the gastrointestinal tract. In the present study, we investigated changes in GE and ICC networks in the early stages of DM using a streptozotocin-induced type 1 diabetic mouse model. The changes in GE were measured by the 13C-octanoic acid breath test. ICC networks were immunohistochemically detected by an antibody for c-Kit, a specific marker for ICC. Our results showed that GE in type 1 DM was significantly accelerated in the early stages of DM (2-4 weeks after onset). In addition, acute normalization of blood glucose levels by a single administration of insulin did not recover normal GE. ICC networks of the gastric antrum were significantly increased in DM and were not affected by the acute normalization of blood glucose. In conclusion, our results suggest that GE is accelerated in the early stages of DM, and it is associated with increased ICC networks. This mechanism may help to clarify a link between the onset of DM and GE disorders.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31596858</pmid><doi>10.1371/journal.pone.0222961</doi><tpages>e0222961</tpages><orcidid>https://orcid.org/0000-0003-2732-0648</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Acids
Animals
Antibodies
Biology and Life Sciences
Blood
Blood glucose
Blood Glucose - metabolism
Breath tests
c-Kit protein
Care and treatment
Chronic illnesses
Complications and side effects
Control
Diabetes
Diabetes mellitus
Diabetes mellitus (insulin dependent)
Diabetes Mellitus, Experimental - complications
Diabetes Mellitus, Experimental - physiopathology
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - physiopathology
Disease Models, Animal
Emptying
Fatty acids
Gastric Emptying
Gastroenterology
Gastrointestinal motility
Gastrointestinal system
Gastrointestinal tract
Gene expression
Glucose
Health aspects
Hyperglycemia
Hyperglycemia - blood
Hyperglycemia - complications
Hyperglycemia - physiopathology
Insulin
Insulin - pharmacology
Insulin - therapeutic use
Insulin glargine
Interstitial cells
Interstitial cells of Cajal
Interstitial Cells of Cajal - pathology
Life sciences
Male
Medicine and Health Sciences
Mice, Inbred C57BL
Motility
Networks
Octanoic acid
Oxidative stress
Oxidative Stress - drug effects
Pharmacology
Prevention
Proto-Oncogene Proteins c-kit - metabolism
Research and Analysis Methods
Risk factors
Saturated fatty acids
Streptozocin
Tumors
Type 1 diabetes
title Hyperglycemia in the early stages of type 1 diabetes accelerates gastric emptying through increased networks of interstitial cells of Cajal
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