AIM:To investigate whether the arcuate nucleus (ARC) could modulate gastric motility, and if so, what are the mechanisms or pathways.METHODS:Wistar rats, anaesthetized with urethan, parameters of stimulation and electrolytic lesion sites were determined according to the Paxinos and Watson ATLAS of rat brain in steriotaxic coordinate. Intragastric pressure (IGP) and gastric motility were measured by Reybould's method.RESULTS:Electrical stimulation of ARC could obviously decrease the IGP by 42.2% plus minus 5.4%, n =15,P < 0.01, and the phasic gastric contractions disappeared.The analysis showed that the locus coeruleus (LC) and dorsal raphe (DR) nuclei may be involved in central,but without the invovement of alpha-endorphinergic neurons rich in the ARC, while in periphery, the peripheral neural pathways are both vagus and sympathetic nerves.The fibers in vagus may be non-cholinergic. Humoral factors may also be involved.At the receptor level, Tonic action of adrenergic nerve in the stomach is mainly inhibitory;alpha-receptors, which may be present on the stomach wall and mediate inhibition; and -alpha-receptors, which come into play through vagus, mediate inhibition, but those present on the smooth muscle mediate sympathetic excitation.Microinjection of TRH into ARC could significantly increase the IGP by 183.02% (0.53kPa plus minus 0.08kPa vs 1.5k Pa plus minus 0.6kPa, n =10,P < 0.001), the rate and amplitude of phasic gastric contraction were also increased (3cpm vs 6cpm-8cpm). The peripheral pathway of such excitatory effects were transmitted with cholinergic vagus nerve mediated by M-receptor.CONCLUSION:ARC could modulate gastric motility biphasically, inhibitory and excitatory, depending on the nature of stimuli.
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http://dx.doi.org/10.3748/wjg.v4.i5.426 | DOI Listing |
J Cell Mol Med
January 2025
Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Due to considerable tumour heterogeneity, stomach adenocarcinoma (STAD) has a poor prognosis and varies in response to treatment, making it one of the main causes of cancer-related mortality globally. Recent data point to a significant role for metabolic reprogramming, namely dysregulated lactic acid metabolism, in the evolution of STAD and treatment resistance. This study used a series of artificial intelligence-related approaches to identify IGFBP7, a Schlafen family member, as a critical factor in determining the response to immunotherapy and lactic acid metabolism in STAD patients.
View Article and Find Full Text PDFJ Clin Endocrinol Metab
January 2025
Adelaide Medical School, University of Adelaide, Adelaide, Australia.
Context: In males of normal weight, intraduodenal administration of calcium enhances the effects of the amino acid, L-tryptophan (Trp), to suppress energy intake, associated with greater stimulation of cholecystokinin (CCK), glucagon-like peptide-1 (GLP-1) and peptide tyrosine-tyrosine (PYY) secretion (key mechanisms underlying the regulation of pyloric motility and gastric emptying), but not gastrin or glucose-dependent insulinotropic polypeptide (GIP).
Objective: Given the implications for the management of obesity, the current study evaluated the effects of calcium, when administered alone and in combination with Trp, on gut hormone secretion, antropyloroduodenal motility and energy intake in males with obesity.
Methods: Fifteen males with obesity and without type 2 diabetes (mean±SD; age: 27±8 years; body mass index: 30±2 kg/m2; HbA1c: 5.
Turk J Gastroenterol
December 2024
Digestive Endoscopy Center, Gansu Wuwei Tumour Hospital, Wuwei, China.
Gastric cancer (GC) is a highly prone malignant tumor, which has attracted wide attention. This study investigated the expression and clinical value of miR-499a-5p in GC. A total of 105 patients with GC were included in this study.
View Article and Find Full Text PDFJ Neurogastroenterol Motil
January 2025
Divisions of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA.
Background/aims: Pediatric patients with suspected gastroparesis often undergo antroduodenal manometry (ADM) and gastric emptying scintigraphy (GES) for diagnostic purposes. However, it is unknown if delayed gastric emptying (DGE) correlates with manometric findings. This study evaluates whether ADM parameters differ between normal and abnormal GES in pediatric patients.
View Article and Find Full Text PDFWorld J Gastroenterol
January 2025
Department of Gastroenterology, The Air Force Medical Center, Beijing 100142, China.
Background: Simulated microgravity environment can lead to gastrointestinal motility disturbance. The pathogenesis of gastrointestinal motility disorders is closely related to the stem cell factor (SCF)/c-kit signaling pathway associated with intestinal flora and Cajal stromal cells. Moreover, intestinal flora can also affect the regulation of SCF/c-kit signaling pathway, thus affecting the expression of Cajal stromal cells.
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