Objective：To explore the significance of colonic epithelial cell apoptosis and tumor necrosis factorα（TNF-α）changing in pathogenesis of melanosis coli（MC）in guinea pig and the molecular mechanism of rhubarb（Rh...Objective：To explore the significance of colonic epithelial cell apoptosis and tumor necrosis factorα（TNF-α）changing in pathogenesis of melanosis coli（MC）in guinea pig and the molecular mechanism of rhubarb（Rhu）in inducing the disease,by means of using different dosages of Rhu to induce the disease. Methods：One hundred and forty-four male guinea pigs,clean grade,were randomized according to their body weight into 5 groups,the untreated normal group and the 4 Rhu groups treated,respectively,with different doses of Rhu,3 g/kg·d for low dose（Rhu-I）group,6 g/kg·d for moderate dose（Rhu-m）group,12 g/kg·d for high dose（Rhu-h）group and 24 g/kg·d for super-high dose（Rhu-s）group via gastric infusion.All animals were sacrificed 60 days later,their viscera were taken for observing the pathologic and morphologic changes with HE, melanin and melatonin staining,and the apoptosis of colonic epithelial cells was detected with TUNEL stain and transmission electric microscopy.In addition,the levels of TNF-αin serum and colonic tissue were measured using ELISA and RT-PCR.Results：The pathological changes of MC could be found by naked eye in all Rhu groups,especially apparent at caecum and proximal end of colon,but did not found in gallbladder,jejunum and ileum.In normal guinea pigs,the colonic membrane was pink in color with no apparent pigment deposition. Membranous color deepened in the Rhu groups depending on the dosage of Rhu used.MC scoring showed the highest scores revealed in the Rhu-s group（6.00±0.00）,which was significantly different to those in the Rhu-I （3.86±0.69）,Rhu-m（4.43±0.79）and Rhu-h groups（4.88±0.35,all P0.05）.Levels of cell apoptosis in colon and TNF-αin serum in all Rhu groups were higher than those in the normal group（P0.01）,but showed no significant difference among the Rhu groups（P0.05）.Moreover,a positive correlation was found in the degree of induced MC with apoptosis rate and TNF-αlevel.Conclusions：Rhu（anthraquinone purgatives）had 展开更多
Background The relationship between melanosis coli （MC） and aquaporin 8 （AQP8） has not yet been elucidated. The aim of this research was to investigate the relationship between the expression of AQP8 and the patho...Background The relationship between melanosis coli （MC） and aquaporin 8 （AQP8） has not yet been elucidated. The aim of this research was to investigate the relationship between the expression of AQP8 and the pathological mechanism of MC.Methods Expression of AQP8 was detected by immunohistochemistry and reverse transcription-polymerase chain reaction （RT-PCR） in 37 MC colon tissues and 13 control colon tissues. Global gene expression analysis was also used to identify differently expressed genes. Its relationship with MC was analyzed by SPSS 11.5 statistical software.Results The positive rate of AQP8 expression detected by immunohistochemistry in the MC group was 24.3% （9/37）,significantly lower than the 69.2% （9/13） in the control group （P 〈0.05）. The relative expression level of AQP8 in MC group was 0.639±0.160, lower than 0.921±0.148 of controls （P 〈0.05）. Global gene expression analysis showed that AQP8 mRNA expression was downregulated in MC patients.Conclusions The decreased AQP8 expression in MC patients indicates that chronic use of laxatives containing anthraquinone may cause reduced water absorption. The expression of AQP8 may be related to MC.展开更多
AIM: To compare the follow-up outcomes of ileosigmoidal anastomosis(ISA) and caecorectal anastomosis(CRA) in patients with slow transit constipation(STC) with or without melanosis coli(MC).METHODS: We collected the cl...AIM: To compare the follow-up outcomes of ileosigmoidal anastomosis(ISA) and caecorectal anastomosis(CRA) in patients with slow transit constipation(STC) with or without melanosis coli(MC).METHODS: We collected the clinical data of 48 STC patients with or without MC from May 2002 to May 2007.Twenty-six patients underwent CRA(14 with MC) and 22 cases received ISA(14 with MC).A 3-year postoperative follow-up was conducted.RESULTS: CRA improved the quality of life [evaluated by the gastrointestinal quality of life index(GIQLI)] in patients without MC,but was inferior to ISA in stool frequency and Wexner and GIQLI scores for MC patients.In the CRA group,patients with MC suffered worse outcomes than those without MC.CONCLUSION: CRA is more suitable for STC patients without MC; however,for STC patients with MC,ISA is a better choice.展开更多
基金Supported by Zhejiang Provincial Funds of Natural Sciences (No.X206959)the Key Project Item of Hangzhou Municipal Administration of Science and Technology(No.2006533Q15)
文摘Objective：To explore the significance of colonic epithelial cell apoptosis and tumor necrosis factorα（TNF-α）changing in pathogenesis of melanosis coli（MC）in guinea pig and the molecular mechanism of rhubarb（Rhu）in inducing the disease,by means of using different dosages of Rhu to induce the disease. Methods：One hundred and forty-four male guinea pigs,clean grade,were randomized according to their body weight into 5 groups,the untreated normal group and the 4 Rhu groups treated,respectively,with different doses of Rhu,3 g/kg·d for low dose（Rhu-I）group,6 g/kg·d for moderate dose（Rhu-m）group,12 g/kg·d for high dose（Rhu-h）group and 24 g/kg·d for super-high dose（Rhu-s）group via gastric infusion.All animals were sacrificed 60 days later,their viscera were taken for observing the pathologic and morphologic changes with HE, melanin and melatonin staining,and the apoptosis of colonic epithelial cells was detected with TUNEL stain and transmission electric microscopy.In addition,the levels of TNF-αin serum and colonic tissue were measured using ELISA and RT-PCR.Results：The pathological changes of MC could be found by naked eye in all Rhu groups,especially apparent at caecum and proximal end of colon,but did not found in gallbladder,jejunum and ileum.In normal guinea pigs,the colonic membrane was pink in color with no apparent pigment deposition. Membranous color deepened in the Rhu groups depending on the dosage of Rhu used.MC scoring showed the highest scores revealed in the Rhu-s group（6.00±0.00）,which was significantly different to those in the Rhu-I （3.86±0.69）,Rhu-m（4.43±0.79）and Rhu-h groups（4.88±0.35,all P0.05）.Levels of cell apoptosis in colon and TNF-αin serum in all Rhu groups were higher than those in the normal group（P0.01）,but showed no significant difference among the Rhu groups（P0.05）.Moreover,a positive correlation was found in the degree of induced MC with apoptosis rate and TNF-αlevel.Conclusions：Rhu（anthraquinone purgatives）had
文摘Background The relationship between melanosis coli （MC） and aquaporin 8 （AQP8） has not yet been elucidated. The aim of this research was to investigate the relationship between the expression of AQP8 and the pathological mechanism of MC.Methods Expression of AQP8 was detected by immunohistochemistry and reverse transcription-polymerase chain reaction （RT-PCR） in 37 MC colon tissues and 13 control colon tissues. Global gene expression analysis was also used to identify differently expressed genes. Its relationship with MC was analyzed by SPSS 11.5 statistical software.Results The positive rate of AQP8 expression detected by immunohistochemistry in the MC group was 24.3% （9/37）,significantly lower than the 69.2% （9/13） in the control group （P 〈0.05）. The relative expression level of AQP8 in MC group was 0.639±0.160, lower than 0.921±0.148 of controls （P 〈0.05）. Global gene expression analysis showed that AQP8 mRNA expression was downregulated in MC patients.Conclusions The decreased AQP8 expression in MC patients indicates that chronic use of laxatives containing anthraquinone may cause reduced water absorption. The expression of AQP8 may be related to MC.
文摘AIM: To compare the follow-up outcomes of ileosigmoidal anastomosis(ISA) and caecorectal anastomosis(CRA) in patients with slow transit constipation(STC) with or without melanosis coli(MC).METHODS: We collected the clinical data of 48 STC patients with or without MC from May 2002 to May 2007.Twenty-six patients underwent CRA(14 with MC) and 22 cases received ISA(14 with MC).A 3-year postoperative follow-up was conducted.RESULTS: CRA improved the quality of life [evaluated by the gastrointestinal quality of life index(GIQLI)] in patients without MC,but was inferior to ISA in stool frequency and Wexner and GIQLI scores for MC patients.In the CRA group,patients with MC suffered worse outcomes than those without MC.CONCLUSION: CRA is more suitable for STC patients without MC; however,for STC patients with MC,ISA is a better choice.
