Evidence map›Paper›PMID 29912860›Full record

ArticlePain2018

Chronic stress-associated visceral hyperalgesia correlates with severity of intestinal barrier dysfunction.

Amy L Creekmore, Shuangsong Hong, Shengtao Zhu, Jing Xue, John W Wiley

Abstract read
In one paragraph

Article in Pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Amy L CreekmoreDepartment Internal Medicine, Division Gastroenterology, University of Michigan Medical Center, Ann Arbor, MI, United States.
Shuangsong Hong
Shengtao Zhu
Jing Xue
John W Wiley
University of Michigan–Ann Arbor · US

Funding

University of Michigan Center for Gastrointestinal ResearchP30DK034933 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI OMARY, BISHR · 1986 to 2021
$22.5M
Chronic Stress and Abdominal Pain: Novel MechanismsR01DK098205 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILEY, JOHN W · 2013 to 2017
$1.7M
Chronic Stress and Visceral Pain: Role of Intestinal Barrier DysfunctionR21AT009253 · NCCIH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HONG, SHUANGSONG, WILEY, JOHN W · 2016 to 2017
$527k
NCCIH NIH HHS R21 AT009253NIDDK NIH HHS P30 DK034933NIDDK NIH HHS R01 DK098205
6 · The paper itself

Abstract

In humans, chronic psychological stress is associated with increased intestinal paracellular permeability and visceral hyperalgesia, which is recapitulated in the chronic intermittent water avoidance stress (WAS) rat model. However, it is unknown whether enhanced visceral pain and permeability are intrinsically linked and correlate. Treatment of rats with lubiprostone during WAS significantly reduced WAS-induced changes in intestinal epithelial paracellular permeability and visceral hyperalgesia in a subpopulation of rats. Lubiprostone also prevented WAS-induced decreases in the epithelial tight junction protein, occludin (Ocln). To address the question of whether the magnitude of visceral pain correlates with the extent of altered intestinal permeability, we measured both end points in the same animal because of well-described individual differences in pain response. Our studies demonstrate that visceral pain and increased colon permeability positively correlate (0.6008, P = 0.0084). Finally, exposure of the distal colon in control animals to Ocln siRNA in vivo revealed that knockdown of Ocln protein inversely correlated with increased paracellular permeability and enhanced visceral pain similar to the levels observed in WAS-responsive rats. These data support that Ocln plays a potentially significant role in the development of stress-induced increased colon permeability. We believe this is the first demonstration that the level of chronic stress-associated visceral hyperalgesia directly correlates with the magnitude of altered colon epithelial paracellular permeability.

Indexed as

AnimalsGastrointestinal DiseasesHyperalgesiaIntestinal MucosaLubiprostoneMalePermeabilityRatsRats, Sprague-DawleySeverity of Illness IndexStress, PsychologicalVisceral PainLubiprostone

Identifiers

PMID29912860
PMCPMC6097612
OpenAlexW2808189313

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.