Substance P and vasoactive intestinal peptide are reduced in right transverse colon in pediatric slow‐transit constipation

Background  Slow‐transit constipation (STC) is recognized in children but the etiology is unknown. Abnormalities in substance P (SP), vasoactive intestinal peptide (VIP) and nitric oxide (NO) have been implicated. The density of nerve fibers in circular muscle containing these transmitters was exami...

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Veröffentlicht in:Neurogastroenterology and motility 2010-08, Vol.22 (8), p.883-e234
Hauptverfasser: King, S. K., Sutcliffe, J. R., Ong, S.‐y., Lee, M., Koh, T. L., Wong, S. Q., Farmer, P. J., Peck, C. J., Stanton, M. P., Keck, J., Cook, D. J., Chow, C. W., Hutson, J. M., Southwell, B. R.
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container_end_page e234
container_issue 8
container_start_page 883
container_title Neurogastroenterology and motility
container_volume 22
creator King, S. K.
Sutcliffe, J. R.
Ong, S.‐y.
Lee, M.
Koh, T. L.
Wong, S. Q.
Farmer, P. J.
Peck, C. J.
Stanton, M. P.
Keck, J.
Cook, D. J.
Chow, C. W.
Hutson, J. M.
Southwell, B. R.
description Background  Slow‐transit constipation (STC) is recognized in children but the etiology is unknown. Abnormalities in substance P (SP), vasoactive intestinal peptide (VIP) and nitric oxide (NO) have been implicated. The density of nerve fibers in circular muscle containing these transmitters was examined in colon from children with STC and compared to other pediatric and adult samples. Methods  Fluorescence immunohistochemistry using antibodies to NO synthase (NOS), VIP and SP was performed on colonic biopsies (transverse and sigmoid colon) from 33 adults with colorectal cancer, 11 children with normal colonic transit and anorectal retention (NAR) and 51 with chronic constipation and slow motility in the proximal colon (STC). The percentage area of nerve fibers in circular muscle containing each transmitter was quantified in confocal images. Key Results  In colon circular muscle, the percentage area of nerve fibers containing NOS > VIP > SP (6 : 2 : 1). Pediatric groups had a higher density of nerve fibers than adults. In pediatric samples, there were no regional differences in NOS and VIP, while SP nerve fiber density was higher in sigmoid than proximal colon. STC children had lower SP and VIP nerve fiber density in the proximal colon than NAR children. Twenty‐three percent of STC children had low SP nerve fiber density. Conclusions & Inferences  There are age‐related reductions in nerve fiber density in human colon circular muscle. NOS and VIP do not show regional variations, while SP nerve fiber density is higher in distal colon. 1/3 of pediatric STC patients have low SP or VIP nerve fiber density in proximal colon.
doi_str_mv 10.1111/j.1365-2982.2010.01524.x
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K. ; Sutcliffe, J. R. ; Ong, S.‐y. ; Lee, M. ; Koh, T. L. ; Wong, S. Q. ; Farmer, P. J. ; Peck, C. J. ; Stanton, M. P. ; Keck, J. ; Cook, D. J. ; Chow, C. W. ; Hutson, J. M. ; Southwell, B. R.</creator><creatorcontrib>King, S. K. ; Sutcliffe, J. R. ; Ong, S.‐y. ; Lee, M. ; Koh, T. L. ; Wong, S. Q. ; Farmer, P. J. ; Peck, C. J. ; Stanton, M. P. ; Keck, J. ; Cook, D. J. ; Chow, C. W. ; Hutson, J. M. ; Southwell, B. R.</creatorcontrib><description>Background  Slow‐transit constipation (STC) is recognized in children but the etiology is unknown. Abnormalities in substance P (SP), vasoactive intestinal peptide (VIP) and nitric oxide (NO) have been implicated. The density of nerve fibers in circular muscle containing these transmitters was examined in colon from children with STC and compared to other pediatric and adult samples. Methods  Fluorescence immunohistochemistry using antibodies to NO synthase (NOS), VIP and SP was performed on colonic biopsies (transverse and sigmoid colon) from 33 adults with colorectal cancer, 11 children with normal colonic transit and anorectal retention (NAR) and 51 with chronic constipation and slow motility in the proximal colon (STC). The percentage area of nerve fibers in circular muscle containing each transmitter was quantified in confocal images. Key Results  In colon circular muscle, the percentage area of nerve fibers containing NOS &gt; VIP &gt; SP (6 : 2 : 1). Pediatric groups had a higher density of nerve fibers than adults. In pediatric samples, there were no regional differences in NOS and VIP, while SP nerve fiber density was higher in sigmoid than proximal colon. STC children had lower SP and VIP nerve fiber density in the proximal colon than NAR children. Twenty‐three percent of STC children had low SP nerve fiber density. Conclusions &amp; Inferences  There are age‐related reductions in nerve fiber density in human colon circular muscle. NOS and VIP do not show regional variations, while SP nerve fiber density is higher in distal colon. 1/3 of pediatric STC patients have low SP or VIP nerve fiber density in proximal colon.</description><identifier>ISSN: 1350-1925</identifier><identifier>EISSN: 1365-2982</identifier><identifier>DOI: 10.1111/j.1365-2982.2010.01524.x</identifier><identifier>PMID: 20529207</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Animals ; Biopsy ; Child ; Child, Preschool ; Colon, Sigmoid - innervation ; Colon, Sigmoid - metabolism ; Colon, Sigmoid - physiopathology ; Colon, Transverse - innervation ; Colon, Transverse - metabolism ; Colon, Transverse - physiopathology ; Constipation - physiopathology ; enteric neurons ; Female ; Gastrointestinal Motility - physiology ; Humans ; Immunohistochemistry ; Male ; Nitric Oxide - metabolism ; nitric oxide synthase ; Nitric Oxide Synthase - metabolism ; substance P ; Substance P - metabolism ; vasoactive intestinal peptide ; Vasoactive Intestinal Peptide - metabolism</subject><ispartof>Neurogastroenterology and motility, 2010-08, Vol.22 (8), p.883-e234</ispartof><rights>2010 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4664-8f3cdd5abbcc202851ad438da2411120048e7adebcea78a204048ad426a9c1983</citedby><cites>FETCH-LOGICAL-c4664-8f3cdd5abbcc202851ad438da2411120048e7adebcea78a204048ad426a9c1983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2982.2010.01524.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2982.2010.01524.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20529207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>King, S. K.</creatorcontrib><creatorcontrib>Sutcliffe, J. R.</creatorcontrib><creatorcontrib>Ong, S.‐y.</creatorcontrib><creatorcontrib>Lee, M.</creatorcontrib><creatorcontrib>Koh, T. L.</creatorcontrib><creatorcontrib>Wong, S. Q.</creatorcontrib><creatorcontrib>Farmer, P. J.</creatorcontrib><creatorcontrib>Peck, C. J.</creatorcontrib><creatorcontrib>Stanton, M. P.</creatorcontrib><creatorcontrib>Keck, J.</creatorcontrib><creatorcontrib>Cook, D. J.</creatorcontrib><creatorcontrib>Chow, C. W.</creatorcontrib><creatorcontrib>Hutson, J. M.</creatorcontrib><creatorcontrib>Southwell, B. R.</creatorcontrib><title>Substance P and vasoactive intestinal peptide are reduced in right transverse colon in pediatric slow‐transit constipation</title><title>Neurogastroenterology and motility</title><addtitle>Neurogastroenterol Motil</addtitle><description>Background  Slow‐transit constipation (STC) is recognized in children but the etiology is unknown. Abnormalities in substance P (SP), vasoactive intestinal peptide (VIP) and nitric oxide (NO) have been implicated. The density of nerve fibers in circular muscle containing these transmitters was examined in colon from children with STC and compared to other pediatric and adult samples. Methods  Fluorescence immunohistochemistry using antibodies to NO synthase (NOS), VIP and SP was performed on colonic biopsies (transverse and sigmoid colon) from 33 adults with colorectal cancer, 11 children with normal colonic transit and anorectal retention (NAR) and 51 with chronic constipation and slow motility in the proximal colon (STC). The percentage area of nerve fibers in circular muscle containing each transmitter was quantified in confocal images. Key Results  In colon circular muscle, the percentage area of nerve fibers containing NOS &gt; VIP &gt; SP (6 : 2 : 1). Pediatric groups had a higher density of nerve fibers than adults. In pediatric samples, there were no regional differences in NOS and VIP, while SP nerve fiber density was higher in sigmoid than proximal colon. STC children had lower SP and VIP nerve fiber density in the proximal colon than NAR children. Twenty‐three percent of STC children had low SP nerve fiber density. Conclusions &amp; Inferences  There are age‐related reductions in nerve fiber density in human colon circular muscle. 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R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Substance P and vasoactive intestinal peptide are reduced in right transverse colon in pediatric slow‐transit constipation</atitle><jtitle>Neurogastroenterology and motility</jtitle><addtitle>Neurogastroenterol Motil</addtitle><date>2010-08</date><risdate>2010</risdate><volume>22</volume><issue>8</issue><spage>883</spage><epage>e234</epage><pages>883-e234</pages><issn>1350-1925</issn><eissn>1365-2982</eissn><abstract>Background  Slow‐transit constipation (STC) is recognized in children but the etiology is unknown. Abnormalities in substance P (SP), vasoactive intestinal peptide (VIP) and nitric oxide (NO) have been implicated. The density of nerve fibers in circular muscle containing these transmitters was examined in colon from children with STC and compared to other pediatric and adult samples. Methods  Fluorescence immunohistochemistry using antibodies to NO synthase (NOS), VIP and SP was performed on colonic biopsies (transverse and sigmoid colon) from 33 adults with colorectal cancer, 11 children with normal colonic transit and anorectal retention (NAR) and 51 with chronic constipation and slow motility in the proximal colon (STC). The percentage area of nerve fibers in circular muscle containing each transmitter was quantified in confocal images. Key Results  In colon circular muscle, the percentage area of nerve fibers containing NOS &gt; VIP &gt; SP (6 : 2 : 1). Pediatric groups had a higher density of nerve fibers than adults. In pediatric samples, there were no regional differences in NOS and VIP, while SP nerve fiber density was higher in sigmoid than proximal colon. STC children had lower SP and VIP nerve fiber density in the proximal colon than NAR children. Twenty‐three percent of STC children had low SP nerve fiber density. Conclusions &amp; Inferences  There are age‐related reductions in nerve fiber density in human colon circular muscle. NOS and VIP do not show regional variations, while SP nerve fiber density is higher in distal colon. 1/3 of pediatric STC patients have low SP or VIP nerve fiber density in proximal colon.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20529207</pmid><doi>10.1111/j.1365-2982.2010.01524.x</doi><tpages>11</tpages></addata></record>
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subjects Adolescent
Adult
Age Factors
Animals
Biopsy
Child
Child, Preschool
Colon, Sigmoid - innervation
Colon, Sigmoid - metabolism
Colon, Sigmoid - physiopathology
Colon, Transverse - innervation
Colon, Transverse - metabolism
Colon, Transverse - physiopathology
Constipation - physiopathology
enteric neurons
Female
Gastrointestinal Motility - physiology
Humans
Immunohistochemistry
Male
Nitric Oxide - metabolism
nitric oxide synthase
Nitric Oxide Synthase - metabolism
substance P
Substance P - metabolism
vasoactive intestinal peptide
Vasoactive Intestinal Peptide - metabolism
title Substance P and vasoactive intestinal peptide are reduced in right transverse colon in pediatric slow‐transit constipation
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