PMID- 25993870 OWN - NLM STAT- MEDLINE DCOM- 20150612 LR - 20150521 IS - 1682-8658 (Print) IS - 1682-8658 (Linking) IP - 2 DP - 2015 TI - [Irritable bowel syndrome with extraintestinal manifestations from a position of neuroendocrine pathology]. PG - 29-34 AB - The aim of this study was to investigate the mechanism (s) of action of gastrointestinal hormones in the pathogenesis of irritable bowel syndrome (IBS), and the correlation between gastrointestinal hormones and psychological factors. Patients with IBS were divided into IBS with normal emotional state ratings and IBS in anxiety-depressive states groups. The two groups were then subdivided into IBS-constipation predominant (IBS-C) and IBS-diarrhea predominant (IBS-D) groups. Non-IBS patients with normal depression and anxiety ratings were recruited as controls. The expression of somatostatin (SS) and vasointestinalpeptid (VIP), motilin in the colonic mucosa was detected by immunohistochemistry and radioimmunoassay. The anxiety-depression scores of patients with IBS were significantly different from those of the control group. The expression levels of SS and VIP, motilin colonic mucosa of the patients with IBS were higher compared with those of the control.group. Furthermore, the expression level of SS in the IBS-C group demonstrated a significantly larger increase than that in the IBS-D group; however, there was no significant difference in the expression of VIP between the IBS-C and IBS-D groups. In addition, the expression levels of SS and VIP, motilin in the IBS groups with normal emotional state ratings were notably different from those in the IBS groups in anxiety-depressive states. Anxiety-depressive states may lead to changes in the secretion of SS and VIP, motilin, and subsequently to changes in gastrointestinal motility and function. FAU - Osadchuk, M A AU - Osadchuk MA FAU - Burdina, V O AU - Burdina VO LA - rus PT - English Abstract PT - Journal Article PL - Russia (Federation) TA - Eksp Klin Gastroenterol JT - Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology JID - 101144944 RN - 37221-79-7 (Vasoactive Intestinal Peptide) RN - 51110-01-1 (Somatostatin) RN - 52906-92-0 (Motilin) SB - IM MH - Adolescent MH - Adult MH - Anxiety Disorders/*blood/complications/physiopathology MH - Colon/metabolism/pathology/physiopathology MH - Depression/*blood/complications/physiopathology MH - Female MH - Gastrointestinal Motility MH - Gene Expression Regulation MH - Humans MH - Intestinal Mucosa/metabolism/pathology/physiopathology MH - Irritable Bowel Syndrome/*blood/complications/physiopathology MH - Male MH - Middle Aged MH - Motilin/*blood MH - Neurosecretory Systems/*metabolism/physiopathology MH - Somatostatin/*blood MH - Vasoactive Intestinal Peptide/*blood EDAT- 2015/05/23 06:00 MHDA- 2015/06/13 06:00 CRDT- 2015/05/22 06:00 PHST- 2015/05/22 06:00 [entrez] PHST- 2015/05/23 06:00 [pubmed] PHST- 2015/06/13 06:00 [medline] PST - ppublish SO - Eksp Klin Gastroenterol. 2015;(2):29-34.