[Effect of intestinal resection on hydrogen sulfide biosynthesis and the damage of Cajal interstitial cells]

Ying Huang1, Yu Shao, Daoxiong Ye

  • 1Department of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China. hy9033sy@sina.com.

Abstract

Insights

Intestinal resection increases hydrogen sulfide (H2S) production, damaging interstitial cells of Cajal (ICC) and causing motor dysfunction. Preoperative inhibition of H2S may protect ICC function after surgery.

Area of Science:

  • Gastroenterology
  • Surgical Research
  • Biochemistry

Background:

  • Intestinal resection can lead to postoperative complications affecting gut motility.
  • Hydrogen sulfide (H2S) is a gasotransmitter with complex roles in the gastrointestinal tract.
  • Interstitial cells of Cajal (ICC) are crucial for regulating intestinal motility.

Purpose of the Study:

  • To investigate the impact of intestinal resection on H2S biosynthesis and ICC in a mouse model.
  • To explore the relationship between inflammation, H2S production, and ICC integrity post-resection.

Main Methods:

  • Established a mouse model of intestinal resection.
  • Measured myeloperoxidase (MPO) activity as an indicator of inflammation.
  • Quantified H2S levels using a sensitive sulphur electrode assay.
  • Assessed mRNA expression of H2S-producing enzymes (CBS and CSE) via RT-PCR.
  • Detected ICC using immunofluorescence staining for c-kit.

Main Results:

  • CSE mRNA was detected and upregulated in proximal anastomotic tissue post-resection, peaking at 6 hours.
  • A specific intervention (PPG group) significantly reduced CSE mRNA, MPO activity, and H2S levels compared to the model group.
  • The PPG group also showed a significant increase in the percentage of positive ICC area.

Conclusions:

  • Surgical manipulation and inflammation following intestinal resection upregulate CSE, leading to excess H2S production.
  • Excess H2S damages ICC, contributing to intestinal motor dysfunction.
  • Preoperative strategies to inhibit endogenous H2S generation may offer a protective effect on ICC.