PMID- 25164090 OWN - NLM STAT- MEDLINE DCOM- 20150616 LR - 20141006 IS - 1748-1716 (Electronic) IS - 1748-1708 (Linking) VI - 212 IP - 3 DP - 2014 Nov TI - Brain-derived neurotrophic factor accelerates gut motility in slow-transit constipation. PG - 226-38 LID - 10.1111/apha.12374 [doi] AB - BACKGROUND & AIMS: Brain-derived neurotrophic factor (BDNF) may play a critical role in gut motility. We aimed to investigate BDNF's physiologic effects on gut motility in slow-transit constipation (STC) and to explore the underlying molecular mechanisms. METHODS: BDNF expression and alterations of colonic nerve fibre density in STC patients were first investigated. BDNF's effects on gastrointestinal motility of both BDNF(+/-) mice and loperamide-induced constipation mice were then examined in vivo and in vitro. Smooth muscle alpha-actin (alpha-SMA) expression, and nerve fibre, neuromuscular junction (NMJ) and smooth muscle cell (SMC) alterations were investigated. Finally, the effects of BDNF-induced TrkB-phospholipase C/inositol trisphosphate (TrkB-PLC/IP3) pathway activation on gut motility were investigated. RESULTS: In STC patients, BDNF expression and nerve fibre density were decreased, and mucosal nerve fibre ultrastructural degenerations were demonstrated. Gut motility was decreased in vivo and in vitro in BDNF(+/-) and constipation mice, with BDNF dose-dependently increasing gut motility. In BDNF(+/-) mice, alpha-SMA expression and nerve fibre density were decreased, and nerve fibre, NMJ and SMC ultrastructural degenerations were observed. Finally, TrkB-PLC/IP3 pathway antagonists dramatically attenuated BDNF's excitatory effect on gut motility, and exogenous BDNF induced an obvious increase in IP3 expression. CONCLUSIONS: BDNF plays an important regulatory role in gut motility in STC. It was mediated by altering the intestinal innervation structure, as well as smooth muscle secondary degeneration through a mechanism involving TrkB-PLC/IP3 pathway activation. CI - (c) 2014 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd. FAU - Chen, F AU - Chen F AD - Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China; Laboratory of Translational Gastroenterology, Qilu Hospital, Shandong University, Jinan, China. FAU - Yu, Y AU - Yu Y FAU - Wang, P AU - Wang P FAU - Dong, Y AU - Dong Y FAU - Wang, T AU - Wang T FAU - Zuo, X AU - Zuo X FAU - Li, Y AU - Li Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140918 PL - England TA - Acta Physiol (Oxf) JT - Acta physiologica (Oxford, England) JID - 101262545 RN - 0 (Brain-Derived Neurotrophic Factor) RN - EC 2.7.10.1 (Receptor, trkB) RN - EC 3.1.4.- (Type C Phospholipases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Animals MH - Brain-Derived Neurotrophic Factor/deficiency/genetics/*metabolism MH - Colon/metabolism MH - Constipation/*metabolism MH - Female MH - Gastrointestinal Motility/genetics/*physiology MH - Humans MH - Male MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Middle Aged MH - Neurons/metabolism MH - Receptor, trkB/*metabolism MH - Signal Transduction/physiology MH - Type C Phospholipases/metabolism OTO - NOTNLM OT - BDNF OT - STC OT - TrkB-PLC/IP3 pathway OT - gut motility OT - nerve fibre EDAT- 2014/08/29 06:00 MHDA- 2015/06/17 06:00 CRDT- 2014/08/29 06:00 PHST- 2013/12/06 00:00 [received] PHST- 2014/03/18 00:00 [revised] PHST- 2014/07/29 00:00 [revised] PHST- 2014/08/23 00:00 [accepted] PHST- 2014/08/29 06:00 [entrez] PHST- 2014/08/29 06:00 [pubmed] PHST- 2015/06/17 06:00 [medline] AID - 10.1111/apha.12374 [doi] PST - ppublish SO - Acta Physiol (Oxf). 2014 Nov;212(3):226-38. doi: 10.1111/apha.12374. Epub 2014 Sep 18.