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Published on: November 27, 2016
[Expression and activity of fatty acid amide hydrolase in the colon in children with slow transit constipation]
Lei Qiao1, Chun-Sheng Chen, Shu-Cheng Zhang
1Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China.
Insights
Fatty acid amide hydrolase (FAAH) expression and activity are reduced in the colons of children with slow transit constipation (STC). This suggests FAAH may contribute to the development of STC in pediatric patients.
Area of Science:
- Gastroenterology
- Neuroscience
- Biochemistry
Context:
- Slow transit constipation (STC) is a functional gastrointestinal disorder characterized by infrequent bowel movements and prolonged colonic transit time.
- The endocannabinoid system, including fatty acid amide hydrolase (FAAH), plays a role in regulating gastrointestinal motility.
- Understanding the molecular mechanisms underlying STC is crucial for developing effective therapeutic strategies.
Purpose:
- To investigate the expression and activity of fatty acid amide hydrolase (FAAH) in the colon of children diagnosed with slow transit constipation (STC).
- To determine the potential role of FAAH in the pathogenesis of STC in pediatric patients.
Summary:
- FAAH protein expression and hydrolysis activity were significantly decreased in the ascending, descending, and sigmoid colon of children with STC compared to controls.
- Immunohistochemistry and real-time PCR confirmed reduced FAAH expression in myenteric neurons and absorptive cells.
- Immunofluorescence staining showed altered distribution of FAAH and cannabinoid receptor type 1 (CB1) in the colons of children with STC.
Impact:
- The findings indicate that reduced FAAH expression and activity in the colon are associated with STC in children.
- This study highlights a potential therapeutic target for managing pediatric STC by modulating FAAH levels or activity.
- Further research into the endocannabinoid system's role in pediatric functional bowel disorders is warranted.
Objective:
To investigate the expression and activity of fatty acid amide hydrolase (FAAH) in the colon and its role in children with slow transit constipation (STC).
Methods:
Patients were divided into constipation group (n=21) and control group (n=15). The constipation group was consistent with the diagnostic criteria for STC. Western blotting, immunohistochemistry and real-time PCR were used to examine the FAAH expression in surgical specimen of colon. The location and distribution of FAAH and cannabinoid receptor type 1 (CB1) were detected by immunofluorescence double staining. The biological activity of colon FAAH was detected by high-performance liquid chromatography.
Results:
Western blotting revealed that FAAH protein expression in the ascending colon, descending colon and sigmoid colon were significantly decreased in the myenteric neurons and absorption cells in the constipation group as compared with the control group (8.68+/-3.4 vs 10.47+/-3.7, 8.21+/-1.2 vs 9.95+/-6.4, 8.01+/-7.2 vs 9.79+/-3.4, all P<0.05). The same results were found by immunohistochemistry and real-time PCR. The FAAH hydrolysis activity in the ascending colon, descending colon or sigmoid colon decreased significantly in the constipation group, as compared with the control group [(0.51+/-0.23) nmol x min(-1) x mg(-1) vs (0.84+/-0.24) nmol x min(-1) x mg(-1), (0.39+/-0.25) nmol x min(-1) x mg(-1) vs (0.55+/-0.44) nmol x min(-1) x mg(-1), (0.35+/-0.37) nmol x min(-1) x mg(-1) vs (0.58+/-0.48) nmol x min(-1) x mg(-1), all P<0.05].
Conclusion:
FAAH expression and hydrolysis activity in the colon decrease in children with STC. FAAH may play a role in the pathogenesis of slow transit constipation in Children.
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