Evidence map›Paper›PMID 19800336›Full record

ArticleGastroenterology2010

Adrenergic stimulation mediates visceral hypersensitivity to colorectal distension following heterotypic chronic stress.

John H Winston, Guang-Yin Xu, Sushil K Sarna

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 98 citations in OpenAlex.

  1. 5-HTThe Journal of physiology · 2025
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  14. Mechanisms of Stress-induced Visceral Pain.Journal of neurogastroenterology and motility · 2018
    Review
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  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

John H WinstonDepartment of Internal Medicine, Division of Gastroenterology, Enteric Neuromuscular Disorders and Visceral Pain Center, The University of Texas, Medical Branch at Galveston, Texas 77555-1083, USA.
Guang-Yin Xu
Sushil K Sarna
The University of Texas Medical Branch at Galveston · US

Funding

CONTROL OF COLONIC MOTILITY IN HEALTH AND DISEASER01DK032346 · NIDDK · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SARNA, SUSHIL K · 1986 to 2012
$4.0M
VIP-induced gene expression in colonic smooth muscle cellsR01DK072414 · NIDDK · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SARNA, SUSHIL K · 2005 to 2010
$1.9M
Chronic stress-induced gene expression in colonic circular smooth muscle cells.R01DK079952 · NIDDK · UNIVERSITY OF TEXAS MED BR GALVESTON · PI SARNA, SUSHIL K · 2008 to 2012
$1.5M
NIDDK NIH HHS DK 032346NIDDK NIH HHS DK 072414NIDDK NIH HHS R01 DK032346NIDDK NIH HHS R01 DK072414NIDDK NIH HHS R01 DK079952
6 · The paper itself

Abstract

BACKGROUND &

aimsChronic stress exacerbates or causes relapse of symptoms such as abdominal pain and cramping in patients with irritable bowel syndrome. We investigated whether chronic stress increases plasma norepinephrine and sensitizes colon-specific dorsal root ganglion (DRG) neurons by increasing expression of nerve growth factor (NGF) in the colon wall.

methodsHeterotypic chronic stress (HeCS) was applied to male Wistar rats and neurologic and molecular responses were analyzed. Tissues were analyzed for NGF expression.

resultsHeCS significantly increased visceromoter response to colorectal distension; expression of NGF increased in colonic muscularis externa and mucosa/submucosa. Rheobase decreased, resting membrane potential was depolarized, and electrogenesis of action potentials increased in colon-specific thoracolumbar DRG neurons. Luminal administration of resiniferatoxin in distal colon, systemic administration of anti-NGF antibody, or inhibition of the NGF receptor trkA by k252a or antisense oligonucleotides in thoracolumbar DRG blocked the chronic stress-induced visceral hypersensitivity to colorectal distension. Blockade of alpha1/alpha2- and beta1/beta2-adrenergic receptors prevented the stress-induced visceral hypersensitivity and increased expression of NGF in the colon wall. HeCS did not induce any inflammatory response in the colon wall.

conclusionsThe peripheral stress mediator norepinephrine induces visceral hypersensitivity to colorectal distension in response to HeCS by increasing the expression of NGF in the colon wall, which sensitizes primary afferents in the absence of an inflammatory response.

Indexed as

Abdominal PainAdaptation, PhysiologicalAnimalsAntibodiesChronic DiseaseColonCRF Receptor, Type 1Ganglia, SpinalInflammatory Bowel DiseasesMaleMast CellsNerve Growth FactorNorepinephrineRatsRats, WistarReceptors, Corticotropin-Releasing HormoneAntibodiesCRF Receptor, Type 1CRF receptor type 2Nerve Growth FactorNorepinephrineReceptors, Corticotropin-Releasing HormoneReceptor, trkA

Identifiers

PMID19800336
PMCPMC2813397
OpenAlexW1986175422

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.