Am J Physiol Gastrointest Liver Physiol. 2008 Jul 17. [Epub ahead of print]

Chronic peripheral administration of corticotropin-releasing factor causes colonic barrier dysfunction similar to psychological stress.

Teitelbaum AA, Gareau MG, Jury J, Yang PC, Perdue MH. McMaster University.

Chronic psychological stress causes intestinal barrier dysfunction and impairs host defense mechanisms mediated by corticotrophin-releasing factor (CRF) and mast cells; however, the exact pathways involved are unclear. Here we investigated the effect of chronic CRF administration on colonic permeability and ion transport functions in rats and the role of mast cells in maintaining the abnormalities. Methods: CRF was delivered over 12 days via osmotic mini-pumps implanted sc in wild type (+/+) and mast cell-deficient (Ws/Ws) rats. Colonic segments were excised for ex vivo functional studies in Ussing chambers (short-circuit current [Isc], conductance [G], macromolecular permeability [horseradish peroxidase [HRP] flux]) and analysis of morphological changes (mast cell numbers, bacterial host-interactions) determined by light and electron microscopy. Results: Chronic CRF treatment resulted in colonic mucosal dysfunction with increased Isc, G and HRP flux in +/+, but not in Ws/Ws rats. Furthermore, CRF administration caused mast cell hyperplasia and abnormal bacterial attachment and/or penetration into the mucosa only in +/+ rats. Finally, selective CRF agonist/antagonist studies revealed that stimulation of CRF-R1 and CRF-R2 receptors induced the elevated secretory state and permeability dysfunction, respectively. Conclusions: Chronic CRF causes colonic barrier dysfunction in rats, which is mediated, at least in part, via mast cells. This information may be useful in designing novel treatment strategies for stress-related gastrointestinal disorders. Key words: stress, colonic permeability, epithelium, CRF.

PMID: 18635602 [PubMed - as supplied by publisher]

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