Protective role of M 3 muscarinic acetylcholine receptor in indomethacin-induced small intestinal injury

EP prostanoid receptor (EP R) contributes to the intestinal epithelial Cl secretion, and inhibition of prostaglandin E (PGE) production by non-steroidal anti-inflammatory drugs (NSAIDs) plays a central role in NSAID-induced enteropathy. Although M muscarinic acetylcholine receptor (M R) also contrib...

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Veröffentlicht in:Journal of molecular medicine (Berlin, Germany) Germany), 2024-09, Vol.102 (9), p.1175
Hauptverfasser: Igarashi-Hisayoshi, Yoko, Ihara, Eikichi, Bai, Xiaopeng, Tanaka, Yoshimasa, Ogino, Haruei, Chinen, Takatoshi, Taguchi, Yasushi, Ogawa, Yoshihiro
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container_issue 9
container_start_page 1175
container_title Journal of molecular medicine (Berlin, Germany)
container_volume 102
creator Igarashi-Hisayoshi, Yoko
Ihara, Eikichi
Bai, Xiaopeng
Tanaka, Yoshimasa
Ogino, Haruei
Chinen, Takatoshi
Taguchi, Yasushi
Ogawa, Yoshihiro
description EP prostanoid receptor (EP R) contributes to the intestinal epithelial Cl secretion, and inhibition of prostaglandin E (PGE) production by non-steroidal anti-inflammatory drugs (NSAIDs) plays a central role in NSAID-induced enteropathy. Although M muscarinic acetylcholine receptor (M R) also contributes to the intestinal epithelial Cl secretion, it remains unclear whether M R is involved in NSAID-induced enteropathy due to a lack of selective agents. The present study explored how M R is involved in the regulation of the intestinal epithelial Cl secretion and its pathophysiological role in NSAID-induced enteropathy. Using the novel highly-selective M positive allosteric modulator PAM-369 that we recently developed, we evaluated the role of M R in the intestinal epithelial secretion ex vivo by measuring the short circuit current (Isc) of intestinal epithelium with a Ussing chamber system and examined whether or not M R protects against small intestinal injury in indomethacin-treated mice. Both the PGE derivative misoprostol and carbachol similarly increased the Isc in a concentration-dependent manner. The Isc increases were abolished either by receptor antagonists (an EP R antagonist and a M R antagonist, respectively) or by removal of extracellular Cl . PAM-369 enhanced the carbachol-induced Isc by potentiating M R, which could contribute to enhanced intestinal epithelial secretion. Treatment with PAM-369 ameliorated small intestinal injury in indomethacin-treated mice. Importantly, the M R expression was significantly up-regulated, and PAM-369 potentiation of M R was augmented in indomethacin-treated mice compared to untreated mice. These findings show that M R plays a role in maintaining the intestinal epithelial secretion, which could contribute to protection against indomethacin-induced small intestinal injury. M R is a promising target for treating or preventing NSAID-induced enteropathy. KEY MESSAGES: PAM-369, the M positive allosteric modulator, was used to potentiate M R. PAM-369 enhanced carbachol-induced Isc in mouse ileum. PAM-369 ameliorated small intestinal injury in indomethacin-treated mice. M R is a promising target for treating or preventing NSAID-induced enteropathy.
doi_str_mv 10.1007/s00109-024-02474-0
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Although M muscarinic acetylcholine receptor (M R) also contributes to the intestinal epithelial Cl secretion, it remains unclear whether M R is involved in NSAID-induced enteropathy due to a lack of selective agents. The present study explored how M R is involved in the regulation of the intestinal epithelial Cl secretion and its pathophysiological role in NSAID-induced enteropathy. Using the novel highly-selective M positive allosteric modulator PAM-369 that we recently developed, we evaluated the role of M R in the intestinal epithelial secretion ex vivo by measuring the short circuit current (Isc) of intestinal epithelium with a Ussing chamber system and examined whether or not M R protects against small intestinal injury in indomethacin-treated mice. Both the PGE derivative misoprostol and carbachol similarly increased the Isc in a concentration-dependent manner. The Isc increases were abolished either by receptor antagonists (an EP R antagonist and a M R antagonist, respectively) or by removal of extracellular Cl . PAM-369 enhanced the carbachol-induced Isc by potentiating M R, which could contribute to enhanced intestinal epithelial secretion. Treatment with PAM-369 ameliorated small intestinal injury in indomethacin-treated mice. Importantly, the M R expression was significantly up-regulated, and PAM-369 potentiation of M R was augmented in indomethacin-treated mice compared to untreated mice. These findings show that M R plays a role in maintaining the intestinal epithelial secretion, which could contribute to protection against indomethacin-induced small intestinal injury. M R is a promising target for treating or preventing NSAID-induced enteropathy. KEY MESSAGES: PAM-369, the M positive allosteric modulator, was used to potentiate M R. PAM-369 enhanced carbachol-induced Isc in mouse ileum. 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subjects Animals
Anti-Inflammatory Agents, Non-Steroidal - adverse effects
Anti-Inflammatory Agents, Non-Steroidal - pharmacology
Carbachol - pharmacology
Indomethacin - adverse effects
Intestinal Mucosa - drug effects
Intestinal Mucosa - metabolism
Intestinal Mucosa - pathology
Intestine, Small - drug effects
Intestine, Small - injuries
Intestine, Small - metabolism
Intestine, Small - pathology
Male
Mice
Mice, Inbred C57BL
Misoprostol - pharmacology
Receptor, Muscarinic M3 - metabolism
title Protective role of M 3 muscarinic acetylcholine receptor in indomethacin-induced small intestinal injury
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