Abnormal development of intrinsic innervation in murine embryos with anorectal malformations

Yoshihiro Kubota1, Hirotomi Cho, Tomoko Umeda

  • 1Department of Surgery, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga, Japan. kubyos@belle.shiga-med.ac.jp

Insights

Reduced expression of substance P (SP), vasoactive intestinal peptide (VIP), and c-kit in the rectal muscle layer of mouse embryos with anorectal malformations (ARMs) may lead to severe constipation after surgery.

Area of Science:

  • Developmental biology
  • Gastroenterology
  • Pediatric surgery

Background:

  • Anorectal malformations (ARMs) often lead to constipation, soiling, and incontinence post-surgical repair.
  • Investigating the molecular mechanisms underlying these functional deficits is crucial for improving patient outcomes.

Purpose of the Study:

  • To examine the expression of substance P (SP), vasoactive intestinal peptide (VIP), and c-kit in the developing rectum of mouse embryos with induced ARMs.

Main Methods:

  • Anorectal malformations were induced in mouse embryos using etretinate on embryonic day 9.
  • Immunohistochemical staining was used to assess the expression of SP, VIP, and c-kit in rectal tissues between embryonic days 14 and 18.

Main Results:

  • Decreased SP and VIP immunoreactivity were observed in the rectal circular muscle layer from embryonic day 16 in etretinate-treated embryos compared to controls.
  • C-kit immunoreactivity was significantly lower in the rectal circular muscle layer of etretinate-treated embryos by embryonic day 18.

Conclusions:

  • Reduced expression of SP, VIP, and c-kit in the rectal circular muscle layer of embryos with ARMs may contribute to severe constipation after surgical correction.
  • These findings suggest potential therapeutic targets for managing functional bowel problems in children with ARMs.
Abstract