Su2051 The Non-Diabetic BB-Rat: A Spontaneous Model for Impaired Gastric Accommodation

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AGA Abstracts Su2050 Involvement of Ghrelin Signaling Dysfunction in Acute Restraint Stress- Induced Delayed Gastric Emptying Shunsuke Ohnishi, Shuichi Muto, Koji Nakagawa, Chiharu Sadakane, Yayoi Saegusa, Miwa Nahata, Chihiro Yamada, Tomohisa Hattori, Masahiro Asaka, Naoya Sakamoto, Hiroshi Takeda Background/Aim: Stress affects gastrointestinal function such as gastric emptying and gastro- intestinal motility. Ghrelin, an appetite-stimulating hormone, has been shown to stimulate gastric emptying and gastrointestinal motility. The aim of this study was to elucidate the role of ghrelin on gastrointestinal function during acute stress and examine the effect of rikkunshito, a traditional Japanese medicine known as a ghrelin signal potentiator (Transl Psychiatry. 2011;1:e23), on delayed gastric emptying in the restraint-stressed mice. Methods: Fasted ICR mice were fed with standard feed for 20 min and were immediately placed in 50 mL tubes in order to subject them to restraint. Their blood, stomach, and hypothalamus were harvested 15-60 min after restraint stress was induced. Ghrelin levels were measured by ELISA, and the expression of the genes related to ghrelin signaling was measured by RT- PCR. In addition, fasted mice that received feed for 20 min were subsequently administered with acyl ghrelin (3 nmol/mouse, i.p.) or rikkunshito (250 mg/kg, p.o.), and were immediately subjected to restraint stress. The stomach was excised to measure solid gastric emptying 60 min after restraint stress was induced. In addition, a ghrelin receptor antagonist (D-[Lys3]- GHRP-6, 0.2 μmol/mouse, i.p.) was administered simultaneously with rikkunshito, and the effects on gastric emptying were examined 60 min after restraint stress was induced. Results: Gastric emptying was significantly decreased 60 min after restraint stress loading compared to control mice. Restraint stress did not alter the plasma acyl ghrelin levels, but it significantly increased the plasma desacyl ghrelin levels 15, 30 and 60 min after restraint stress was induced (Figs. 1 and 2). In the stomach, restraint stress did not alter the acyl and desacyl ghrelin contents, preproghrelin mRNA expression, ghrelin O-acyl transferase contents or mRNA expression. In the hypothalamus, the desacyl ghrelin contents was significantly increased 30 min after restraint stress loading compared to control mice. Moreover, adminis- tration of acyl ghrelin and rikkunshito improved the restraint stress-induced delayed gastric emptying. This effect of rikkunshito was abolished by the simultaneous administration of D-[Lys3]-GHRP-6. Conclusions: Our findings revealed that restraint stress in mice enhances acyl ghrelin metabolism or desacyl ghrelin secretion, and that supplementation of exogenous ghrelin or stimulation of endogenous ghrelin signaling causes an improvement in stress- induced delayed gastric emptying. These results suggest that under acute stress, the effects of acyl ghrelin may be masked by an increase in desacyl ghrelin. Fig. 1 Effects of restraint stress loading on plasma acyl ghrelin levels. # p , 0.05 vs. ‘−20 min' of control group. N = 8. Fig. 2 Effects of restraint stress loading on plasma desacyl ghrelin levels. *, **p , 0.05, 0.01 vs. control at each time point. N = 8. S-542 AGA Abstracts Su2051 The Non-Diabetic BB-Rat: A Spontaneous Model for Impaired Gastric Accommodation Christophe Vanormelingen, Ricard Farré, Tim Vanuytsel, Tatsuhiro Masaoka, Shadea Salim Rasoel, Joran G. Tóth, Theo Thijs, Hanne Vanheel, Lukas Van Oudenhove, Inge Depoortere, Pieter Vanden Berghe, Jan F. Tack Nitric oxide (NO) is an important mediator of gastric accommodation to a meal. Intestinal inflammation leads to loss of nitrergic myenteric neurons and disturbed motor function, but spontaneous animal models to study the relationship between these changes are missing. The Biobreeding (BB) rat consists of a diabetes-resistant (BBDR), control strain, and a diabetes- prone (BBDP) strain. In our facility 50% of the BBDP rats develop diabetes after the age of 90 days. BBDP rats develop ganglionic inflammation, loss of nNOS expression and nitrergic motor control in the small intestine, independently of hyperglycemia. Aim of this study was to evaluate the neuromuscular neurotransmission and the presence of inflammation in the gastric fundus of different BB rat strains. Methods Gastric fundus muscle strips of rats 70 and 220 days old (control, non-diabetic (BBDP) and diabetic (BBDP-H) (N=6)), were suspended along their circular axis. Responses to electrical field stimulation (EFS; 8V, 35ms and 1-16Hz) under NANC conditions were evaluated, as well as the impact of NO synthase inhibitor L-NAME (3x10 -4 ) and the P2Y1 receptor antagonist MRS2179 (10 -5 ), separately or combined. Total relaxation during stimulation was evaluated as area under the curve (AUC), and corrected for cross-sectional area and weight. Nitrergic and P2Y1 mediated components were evaluated by the relaxation under L-NAME and MRS2179. Statistics for strip experiments were done using mixed model analysis. Expression of nNOS was quantified by Western blot relative to PGP9.5. Myeloperoxidase (MPO)-activity was determined for segments of mucosa and muscularis propria and inflammation was also evaluated histologi- cally. Results Relaxation under NANC conditions was reduced at all frequencies in BBDP and BBDP-H rats of 220 days when compared to control rats (eg. at 1Hz, 29±2.5 and 30±3 vs. 55±1 g/mm2/s; p ,0.01). In all animals, muscle relaxation was inhibited by L-NAME and MRS2179. The nitrergic component was significantly smaller in BBDP (70 and 220 days) and BBDP-H (220 days) rats compared to controls. Significant loss of nNOS proteins was seen in BBDP rats of 220 days but not at 70 days. The P2Y1 component was significantly impaired in BBDP-H rats of 220 days. Table 1 summarizes data on inflammation. MPO activity was increased in the fundic mucosa and muscularis propria of BBDP (70 and 220 days) and BBDP-H (220 days) rats compared to controls, and this was confirmed by a significant increase in polymorphonuclear cells (PMN) on histology. Conclusion BBDP rats showed altered fundic muscle function, which is at least partially explained by loss of nitrergic function in the myenteric plexus, and may be related to local inflammation. These fundic changes develop independently from diabetes. The non-diabetic BBDP rat may provide a spontaneous model for post-inflammatory impaired gastric accommodation. Table1: Data of inflammation in the BB-rat fundus *p,0,05 vs control ** p ,0,01 vs control *** p ,0,001 vs control Su2052 Duodenal Aeromonas SPP Are Increased in Number in a Rat Model of Post- Infectious IBS: Translation of Data From Deep Sequencing of the Microbiome in Humans With IBS Gene Kim, Walter Morales, Vincent Funari, Jordan Brown, Stacy Weitsman, Gillian M. Barlow, Christopher Chang, Mark Pimentel Recent human small bowel culture and qPCR data suggest that subjects with irritable bowel syndrome (IBS) have small intestinal bacterial overgrowth (SIBO). In a validated animal model of post-infectious IBS generated using the most common cause of acute gastroenteritis (Campylobacter jejuni), rats develop IBS-like phenotypes and SIBO, as determined by qPCR. Recently using novel deep sequencing and genus-specific quantitative PCR (qPCR), our group has identified Aeromonas spp as elevated in human IBS subjects. Since Aeromonas is a mild pathogen, in this translational study, we conduct duodenal qPCR for Aeromonas in our rat model, and test whether cytokines and other defense mediators (elevated in our model), correlated with Aeromonas. Methods: Male Sprague-Dawley rats were gavaged with C. jejuni as previously described. Control rats were gavaged with vehicle. Rats were followed for 3 months after clearance of infection, euthanized and dissected to resect segments of bowel. After DNA extraction of luminal contents from duodenum, qPCR for Aeromonas spp was performed using genus-specific primers in three groups of rats: C. jejuni rats that developed duodenal SIBO (C+/SIBO+); C. jejuni rats that did not develop SIBO (C+/SIBO- ); and uninfected controls. SIBO was determined using a universal bacterial 16S primer as previously described. cDNA was generated from homogenates of full thickness small bowel and qPCR was performed to evaluate mRNA expression of the mucosal defense mediators beta-defensin 2, beta-defensin 6, Toll-like receptor-4 (TLR-4), interleukin-6 (IL-6), IL-8 and TNF-alpha. These results and the presence or absence of SIBO were compared to Aeromonas spp levels. Results: Interestingly, all rat groups had detectable Aeromonas spp in the duodenum. However, Aeromonas spp were significantly elevated in rats that developed duodenal SIBO (C+/SIBO+) (median=1.42x10 7 ) compared to rats that did not develop SIBO (C+/SIBO-)

Transcript of Su2051 The Non-Diabetic BB-Rat: A Spontaneous Model for Impaired Gastric Accommodation

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sSu2050

Involvement of Ghrelin Signaling Dysfunction in Acute Restraint Stress-Induced Delayed Gastric EmptyingShunsuke Ohnishi, Shuichi Muto, Koji Nakagawa, Chiharu Sadakane, Yayoi Saegusa,Miwa Nahata, Chihiro Yamada, Tomohisa Hattori, Masahiro Asaka, Naoya Sakamoto,Hiroshi Takeda

Background/Aim: Stress affects gastrointestinal function such as gastric emptying and gastro-intestinal motility. Ghrelin, an appetite-stimulating hormone, has been shown to stimulategastric emptying and gastrointestinal motility. The aim of this study was to elucidate therole of ghrelin on gastrointestinal function during acute stress and examine the effect ofrikkunshito, a traditional Japanese medicine known as a ghrelin signal potentiator (TranslPsychiatry. 2011;1:e23), on delayed gastric emptying in the restraint-stressed mice. Methods:Fasted ICR mice were fed with standard feed for 20 min and were immediately placed in50 mL tubes in order to subject them to restraint. Their blood, stomach, and hypothalamuswere harvested 15-60 min after restraint stress was induced. Ghrelin levels were measuredby ELISA, and the expression of the genes related to ghrelin signaling was measured by RT-PCR. In addition, fasted mice that received feed for 20 min were subsequently administeredwith acyl ghrelin (3 nmol/mouse, i.p.) or rikkunshito (250mg/kg, p.o.), and were immediatelysubjected to restraint stress. The stomach was excised to measure solid gastric emptying 60min after restraint stress was induced. In addition, a ghrelin receptor antagonist (D-[Lys3]-GHRP-6, 0.2 μmol/mouse, i.p.) was administered simultaneously with rikkunshito, and theeffects on gastric emptying were examined 60 min after restraint stress was induced. Results:Gastric emptying was significantly decreased 60 min after restraint stress loading comparedto control mice. Restraint stress did not alter the plasma acyl ghrelin levels, but it significantlyincreased the plasma desacyl ghrelin levels 15, 30 and 60 min after restraint stress wasinduced (Figs. 1 and 2). In the stomach, restraint stress did not alter the acyl and desacylghrelin contents, preproghrelin mRNA expression, ghrelin O-acyl transferase contents ormRNA expression. In the hypothalamus, the desacyl ghrelin contents was significantlyincreased 30 min after restraint stress loading compared to control mice. Moreover, adminis-tration of acyl ghrelin and rikkunshito improved the restraint stress-induced delayed gastricemptying. This effect of rikkunshito was abolished by the simultaneous administration ofD-[Lys3]-GHRP-6. Conclusions: Our findings revealed that restraint stress in mice enhancesacyl ghrelin metabolism or desacyl ghrelin secretion, and that supplementation of exogenousghrelin or stimulation of endogenous ghrelin signaling causes an improvement in stress-induced delayed gastric emptying. These results suggest that under acute stress, the effectsof acyl ghrelin may be masked by an increase in desacyl ghrelin.

Fig. 1 Effects of restraint stress loading on plasma acyl ghrelin levels. # p , 0.05 vs. ‘−20min' of control group. N = 8.

Fig. 2 Effects of restraint stress loading on plasma desacyl ghrelin levels. *, **p , 0.05,0.01 vs. control at each time point. N = 8.

S-542AGA Abstracts

Su2051

The Non-Diabetic BB-Rat: A Spontaneous Model for Impaired GastricAccommodationChristophe Vanormelingen, Ricard Farré, Tim Vanuytsel, Tatsuhiro Masaoka, ShadeaSalim Rasoel, Joran G. Tóth, Theo Thijs, Hanne Vanheel, Lukas Van Oudenhove, IngeDepoortere, Pieter Vanden Berghe, Jan F. Tack

Nitric oxide (NO) is an important mediator of gastric accommodation to a meal. Intestinalinflammation leads to loss of nitrergic myenteric neurons and disturbed motor function,but spontaneous animal models to study the relationship between these changes are missing.The Biobreeding (BB) rat consists of a diabetes-resistant (BBDR), control strain, and a diabetes-prone (BBDP) strain. In our facility 50% of the BBDP rats develop diabetes after the age of90 days. BBDP rats develop ganglionic inflammation, loss of nNOS expression and nitrergicmotor control in the small intestine, independently of hyperglycemia. Aim of this studywas to evaluate the neuromuscular neurotransmission and the presence of inflammation inthe gastric fundus of different BB rat strains. Methods Gastric fundus muscle strips of rats70 and 220 days old (control, non-diabetic (BBDP) and diabetic (BBDP-H) (N=6)), weresuspended along their circular axis. Responses to electrical field stimulation (EFS; 8V, 35msand 1-16Hz) under NANC conditions were evaluated, as well as the impact of NO synthaseinhibitor L-NAME (3x10-4) and the P2Y1 receptor antagonist MRS2179 (10-5), separatelyor combined. Total relaxation during stimulation was evaluated as area under the curve(AUC), and corrected for cross-sectional area and weight. Nitrergic and P2Y1 mediatedcomponents were evaluated by the relaxation under L-NAME and MRS2179. Statistics forstrip experiments were done using mixed model analysis. Expression of nNOS was quantifiedby Western blot relative to PGP9.5. Myeloperoxidase (MPO)-activity was determined forsegments of mucosa and muscularis propria and inflammation was also evaluated histologi-cally. Results Relaxation under NANC conditions was reduced at all frequencies in BBDPand BBDP-H rats of 220 days when compared to control rats (eg. at 1Hz, 29±2.5 and 30±3vs. 55±1 g/mm2/s; p,0.01). In all animals, muscle relaxation was inhibited by L-NAMEand MRS2179. The nitrergic component was significantly smaller in BBDP (70 and 220days) and BBDP-H (220 days) rats compared to controls. Significant loss of nNOS proteinswas seen in BBDP rats of 220 days but not at 70 days. The P2Y1 component was significantlyimpaired in BBDP-H rats of 220 days. Table 1 summarizes data on inflammation. MPOactivity was increased in the fundic mucosa and muscularis propria of BBDP (70 and 220days) and BBDP-H (220 days) rats compared to controls, and this was confirmed by asignificant increase in polymorphonuclear cells (PMN) on histology. Conclusion BBDP ratsshowed altered fundic muscle function, which is at least partially explained by loss ofnitrergic function in the myenteric plexus, and may be related to local inflammation. Thesefundic changes develop independently from diabetes. The non-diabetic BBDP rat may providea spontaneous model for post-inflammatory impaired gastric accommodation.Table1: Data of inflammation in the BB-rat fundus

* p,0,05 vs control ** p,0,01 vs control *** p,0,001 vs control

Su2052

Duodenal Aeromonas SPP Are Increased in Number in a Rat Model of Post-Infectious IBS: Translation of Data From Deep Sequencing of the Microbiomein Humans With IBSGene Kim, Walter Morales, Vincent Funari, Jordan Brown, Stacy Weitsman, Gillian M.Barlow, Christopher Chang, Mark Pimentel

Recent human small bowel culture and qPCR data suggest that subjects with irritable bowelsyndrome (IBS) have small intestinal bacterial overgrowth (SIBO). In a validated animalmodel of post-infectious IBS generated using the most common cause of acute gastroenteritis(Campylobacter jejuni), rats develop IBS-like phenotypes and SIBO, as determined by qPCR.Recently using novel deep sequencing and genus-specific quantitative PCR (qPCR), ourgroup has identified Aeromonas spp as elevated in human IBS subjects. Since Aeromonas isa mild pathogen, in this translational study, we conduct duodenal qPCR for Aeromonas inour rat model, and test whether cytokines and other defense mediators (elevated in ourmodel), correlated with Aeromonas. Methods: Male Sprague-Dawley rats were gavaged withC. jejuni as previously described. Control rats were gavaged with vehicle. Rats were followedfor 3 months after clearance of infection, euthanized and dissected to resect segments ofbowel. After DNA extraction of luminal contents from duodenum, qPCR for Aeromonas sppwas performed using genus-specific primers in three groups of rats: C. jejuni rats thatdeveloped duodenal SIBO (C+/SIBO+); C. jejuni rats that did not develop SIBO (C+/SIBO-); and uninfected controls. SIBO was determined using a universal bacterial 16S primer aspreviously described. cDNA was generated from homogenates of full thickness small boweland qPCR was performed to evaluate mRNA expression of the mucosal defense mediatorsbeta-defensin 2, beta-defensin 6, Toll-like receptor-4 (TLR-4), interleukin-6 (IL-6), IL-8 andTNF-alpha. These results and the presence or absence of SIBO were compared to Aeromonasspp levels. Results: Interestingly, all rat groups had detectable Aeromonas spp in the duodenum.However, Aeromonas spp were significantly elevated in rats that developed duodenal SIBO(C+/SIBO+) (median=1.42x107) compared to rats that did not develop SIBO (C+/SIBO-)