Document Detail


Electroacupuncture improves impaired gastric motility and slow waves induced by rectal distension in dogs.
MedLine Citation:
PMID:  18653722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Rectal distension (RD) is known to induce upper gastrointestinal (GI) symptoms. The aim of this study was to investigate the effects and underlying mechanisms of RD on gastric slow waves (GSW) and motor activity and furthermore to investigate the effects and mechanisms of electroacupuncture (EA) on GSW and motor activity. Eight female hound dogs chronically implanted with gastric serosal electrodes and a gastric fistula were studied in six separate sessions. Antral motility, GSW, heart rate variability, and rectal pressure were evaluated for the above purposes. 1) RD at a volume of 120 ml suppressed antral motility significantly. Guanethidine blocked the inhibitory effect of RD. EA at ST36 was able to restore the suppressed antral contractions induced by RD (16.6+/-1.7 vs. 8.0+/-1.4, P<0.001). Naloxone partially blocked the effect of EA on antral contractions. 2) RD reduced the percentage of normal GSW from 98.8+/-0.8% at baseline to 76.1+/-8.6% (P<0.05) that was increased to 91.8+/-3.0% with EA. The effects of EA on the GSW were nullified by the presence of naloxone. 3) EA did not show any significant effect on rectal pressure, suggesting that the ameliorating effects of EA on RD-induced impaired gastric motility were not due to a decrease in rectal pressure. 4) EA increased the vagal activity suppressed by RD. In conclusion, RD inhibits postprandial gastric motility and impairs GSW in dogs, and the inhibitory effects are mediated via the adrenergic pathways. EA at ST36 is able to restore the RD-induced impaired GSW and motor activities, possibly by enhancing vagal activity, and is partially mediated via the opioid pathway. EA may have therapeutic potential for functional gastrointestinal disorders.
Authors:
Jie Chen; Geng-Qing Song; Jieyun Yin; Thillai Koothan; J D Z Chen
Publication Detail:
Type:  Journal Article     Date:  2008-07-24
Journal Detail:
Title:  American journal of physiology. Gastrointestinal and liver physiology     Volume:  295     ISSN:  0193-1857     ISO Abbreviation:  Am. J. Physiol. Gastrointest. Liver Physiol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-10     Completed Date:  2008-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901227     Medline TA:  Am J Physiol Gastrointest Liver Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  G614-20     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, University of Texas Medical Branch, Galveston, TX 77555-0632, USA. jianchen@utmb.edu
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MeSH Terms
Descriptor/Qualifier:
Adrenergic Agents / pharmacology
Animals
Balloon Dilatation
Disease Models, Animal
Dogs
Electroacupuncture*
Female
Gastrointestinal Diseases / etiology,  physiopathology,  therapy*
Gastrointestinal Motility* / drug effects
Guanethidine / pharmacology
Heart Rate
Naloxone / pharmacology
Narcotic Antagonists / pharmacology
Postprandial Period
Pressure
Rectum / drug effects,  innervation,  physiopathology*
Stomach / drug effects,  innervation,  physiopathology*
Sympathetic Nervous System / physiopathology
Vagus Nerve / physiopathology
Chemical
Reg. No./Substance:
0/Adrenergic Agents; 0/Narcotic Antagonists; 465-65-6/Naloxone; 55-65-2/Guanethidine

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