Prostaglandin I2 suppresses the development of gut-brain axis disorder
in irritable bowel syndrome in rats
Abstract
Background and Purpose We attempted to clarify a role of prostaglandin
(PG) I2 and its specific receptor, IP in the pathogenesis of irritable
bowel syndrome (IBS). Experimetal Approach Using a maternal separation
(MS)-induced rat IBS model, the effect of IP agonist on the development
of IBS phenotype such as visceral hypersentivity and depressive state.
To further investigate the mechanisms of IP signaling on IBS phenotypes,
serum hormone, metabolites and fecal microbiota were examined. Key
Results Administration of beraprost (BPS), a specific IP agonist,
improved visceral hypersensitivity and depressive state with decreased
serum corticotropin-releasing factor (CRF) level in the IBS rats. In
serum metabolome analysis, 1-methylnicotinamide (1-MNA) was identified
as a possible candidate for a clue metabolite of pathogenesis of. The
serum 1-MNA levels revealed inverse correlation to the level of visceral
sensitivity, and positive correlation to a depression marker,
immobilizing time. Administration of 1-MNA induced visceral
hypersensitivity and depression with increased levels of serum CRF.
Fecal microbiota by T-RFLP analysis revealed the proportion of
clostridium cluster XI, XⅣa and XVⅢ was significantly changed in
MS-induced IBS rats treated with BPS. Fecal microbiota transplant of
BPS-treated rats improved visceral hypersensitivity and depression in
MS-induced IBS rats. Conclusion and Implication PGI2-IP signaling plays
an important role in IBS phenotypes such as visceral hypersensitivity
and depressive state. BPS modified microbiota, thereby inhibition of
1-MNA-CRF pathway, followed by improvement of MS-induced IBS phenotype.
These results suggest that the PGI2-IP signaling could be considered to
be a therapeutic option for IBS.