Evidence map›Paper›PMID 22961801›Full record

ArticleAmerican journal of physiology. Gastrointestinal and liver physiology2012

Insights from a novel model of slow-transit constipation generated by partial outlet obstruction in the murine large intestine.

Dante J Heredia, Nathan Grainger, Conor J McCann, Terence K Smith

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Gastrointestinal and liver physiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. The Shaggy Dog Story of Enteric Signaling: Serotonin, a Molecular Megillah.Advances in experimental medicine and biology · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Changes in murine anorectum signaling across the life course.Neurogastroenterology and motility · 2018
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

4 authors at 1 institution in 1 country.

Dante J HerediaDepartment of Physiology and Cell Biology, University of Nevada School of Medicine, Reno, NV 89557, USA.
Nathan Grainger
Conor J McCann
Terence K Smith
University of Nevada, Reno · US

Funding

Smooth Muscle Plasticity: A COBREP20GM103513 · NIGMS · UNIVERSITY OF NEVADA RENO · PI SANDERS, KENTON M · 2012 to 2013
$4.1M
Relex Pathways Controlling Intestinal MotilityR01DK045713 · NIDDK · UNIVERSITY OF NEVADA RENO · PI SMITH, TERENCE KEITH · 1999 to 2012
$3.1M
NIDDK NIH HHS R01 DK-45713NIGMS NIH HHS 8P20GM103513-09
6 · The paper itself

Abstract

The mechanisms underlying slow-transit constipation (STC) are unclear. In 50% of patients with STC, some form of outlet obstruction has been reported; also an elongated colon has been linked to patients with STC. Our aims were 1) to develop a murine model of STC induced by partial outlet obstruction and 2) to determine whether this leads to colonic elongation and, consequently, activation of the inhibitory "occult reflex," which may contribute to STC in humans. Using a purse-string suture, we physically reduced the maximal anal sphincter opening in C57BL/6 mice. After 4 days, the mice were euthanized (acutely obstructed), the suture was removed (relieved), or the suture was removed and replaced repeatedly (chronically obstructed, over 24-31 days). In partially obstructed mice, we observed increased cyclooxygenase (COX)-2 levels in muscularis and mucosa, an elongated impacted large bowel, slowed transit, nonpropagating colonic migrating motor complexes (CMMCs), a lack of mucosal reflexes, a depolarized circular muscle with slow-wave activity due to a lack of spontaneous inhibitory junction potentials, muscle hypertrophy, and CMMCs in mucosa-free preparations. Elongation of the empty obstructed colon produced a pronounced occult reflex. Removal of the obstruction or addition of a COX-2 antagonist (in vitro and in vivo) restored membrane potential, spontaneous inhibitory junction potentials, CMMC propagation, and mucosal reflexes. We conclude that partial outlet obstruction increases COX-2 leading to a hyperexcitable colon. This hyperexcitability is largely due to suppression of only descending inhibitory nerve pathways by prostaglandins. The upregulation of motility is suppressed by the occult reflex activated by colonic elongation.

Indexed as

ConstipationGastrointestinal MotilityIntestine, LargeAnimalsCyclooxygenase 2Cyclooxygenase 2 InhibitorsDisease Models, AnimalHumansIntestinal MucosaIntestinal ObstructionMembrane PotentialsMiceMice, Inbred C57BLMuscle, SmoothMyenteric PlexusMyoelectric Complex, MigratingCyclooxygenase 2Cyclooxygenase 2 Inhibitors

Identifiers

PMID22961801
PMCPMC3517665
OpenAlexW2020809073

What OpenQuestion holds

Textmetadata
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.