Evidence map›Paper›PMID 22923315›Full record

ArticleDigestive diseases and sciences2012

Lubiprostone targets prostanoid signaling and promotes ion transporter trafficking, mucus exocytosis, and contractility.

Robert L Jakab, Anne M Collaco, Nadia A Ameen

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 49 citations in OpenAlex.

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  15. Opioid-induced constipation: advances and clinical guidance.Therapeutic advances in chronic disease · 2016
    Review
  16. Review
  17. Article
  18. Lubiprostone in constipation: clinical evidence and place in therapy.Therapeutic advances in chronic disease · 2015
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Robert L JakabDepartment of Pediatrics/Gastroenterology and Hepatology, Yale University School of Medicine, 333 Cedar St, FMP 408, P.O. Box 208064, New Haven, CT 06520, USA. robert.jakab@yale.edu
Anne M Collaco
Nadia A Ameen
Yale University · US

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
Glucocorticoid and SGK1 regulation of CFTR in the intestine: role in diarrheaR01DK077065 · NIDDK · YALE UNIVERSITY · PI AMEEN, NADIA A. · 2008 to 2024
$5.8M
NIDDK NIH HHS P30 DK034989NIDDK NIH HHS P30 DK 34989NIDDK NIH HHS R01 DK 077065NIDDK NIH HHS R01 DK077065
6 · The paper itself

Abstract

BACKGROUND AND

aimLubiprostone is a chloride channel activator in clinical use for the treatment of chronic constipation, but the mechanisms of action of the drug are poorly understood. The aim of this study was to determine whether lubiprostone exerts secretory effects in the intestine by membrane trafficking of ion transporters and associated machinery.

methodsImmunolabeling and quantitative fluorescence intensity were used to examine lubiprostone-induced trafficking of the cystic fibrosis transmembrane conductance regulator (CFTR), sodium/potassium-coupled chloride co-transporter 1 (NKCC1), electrogenic sodium/bicarbonate co-transporter 1 (NBCe1), down-regulated in adenoma (DRA), putative anion transporter 1 (PAT1), sodium/proton exchanger 3 (NHE3), Ca(2+) activated chloride channel 2 (ClC-2) serotonin and its transporter SERT, E prostanoid receptors EP4 and EP1, sodium/potassium ATPase (Na-K-ATPase) and protein kinase A (PKA). The effects of lubiprostone on mucus exocytosis in rat intestine and human rectosigmoid explants were also examined.

resultsLubiprostone induced contraction of villi and proximal colonic plicae and membrane trafficking of transporters that was more pronounced in villus/surface cells compared to the crypt. Membrane trafficking was determined by: (1) increased membrane labeling for CFTR, PAT1, NKCC1, and NBCe1 and decreased membrane labeling for NHE3, DRA and ClC-2; (2) increased serotonin, SERT, EP4, EP1 and PKA labeling in enterochromaffin cells; (3) increased SERT, EP4, EP1, PKA and Na-K-ATPase in enterocytes; and (4) increased mucus exocytosis in goblet cells.

conclusionThese data suggest that lubiprostone can target serotonergic, EP4/PKA and EP1 signaling in surface/villus regions; stimulate membrane trafficking of CFTR/NBCe1/NKCC1 in villus epithelia and PAT1/NBCe1/NKCC1 in colonic surface epithelia; suppress NHE3/DRA trafficking and fluid absorption; and enhance mucus-mobilization and mucosal contractility.

Indexed as

AlprostadilAnalysis of VarianceAnimalsAntiportersBiopsyCLC-2 Chloride ChannelsCyclic AMP-Dependent Protein KinasesCystic Fibrosis Transmembrane Conductance RegulatorExocytosisFluorescent Antibody TechniqueHumansIntestinal MucosaIn Vitro TechniquesIon TransportLubiprostoneMembrane Transport ProteinsAlprostadilAntiporterscitrate-isocitrate carrier, ratCLC-2 Chloride ChannelsClcn2 protein, ratCyclic AMP-Dependent Protein KinasesCystic Fibrosis Transmembrane Conductance RegulatorLubiprostoneMembrane Transport ProteinsOrganic Anion TransportersReceptors, Prostaglandin E, EP1 SubtypeReceptors, Prostaglandin E, EP4 SubtypeRNA-Binding ProteinsSert1 protein, ratSlc26a3 protein, ratSLC26A6 protein, humanSlc4a4 protein, ratSLC9A3 protein, humanSlc9a3 protein, ratSodium-Bicarbonate SymportersSodium-Hydrogen Exchanger 3Sodium-Hydrogen ExchangersSodium-Potassium-Chloride SymportersSodium-Potassium-Exchanging ATPaseSulfate Transporters

Identifiers

PMID22923315
PMCPMC3482986
OpenAlexW2058891454

What OpenQuestion holds

Textmetadata
LicenceTDM
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.