Evidence map›Paper›PMID 36548082›Full record

ArticleThe Journal of clinical investigation2023

Intestinal neuropod cell GUCY2C regulates visceral pain.

Joshua R Barton, Annie K Londregan, Tyler D Alexander, Ariana A Entezari, Shely Bar-Ad, Lan Cheng, Angelo C Lepore, Adam E Snook, Manuel Covarrubias, Scott A Waldman

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Mechanisms and clinical implications of gut-brain interactions.The Journal of clinical investigation · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. The Coding Logic of Interoception.Annual review of physiology · 2024
    Review
  13. Review
  14. Article
  15. Intestinal Enteroendocrine Cells: Present and Future Druggable Targets.International journal of molecular sciences · 2023
    Review
  16. Guanylyl cyclase C ameliorates visceral pain: an unsuspected link.The Journal of clinical investigation · 2023
    Article
  17. Review
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

10 authors at 2 institutions in 1 country.

Joshua R BartonDepartment of Pharmacology, Physiology, & Cancer Biology.
Annie K LondreganDepartment of Pharmacology, Physiology, & Cancer Biology.
Tyler D AlexanderDepartment of Neurosciences.
Ariana A EntezariDepartment of Pharmacology, Physiology, & Cancer Biology.
Shely Bar-AdDepartment of Pharmacology, Physiology, & Cancer Biology.
Lan ChengDepartment of Neurosciences.
Angelo C LeporeDepartment of Neurosciences.
Adam E SnookDepartment of Pharmacology, Physiology, & Cancer Biology.
Manuel CovarrubiasDepartment of Neurosciences.
Scott A WaldmanDepartment of Pharmacology, Physiology, & Cancer Biology.
Cancer Clinic · USThomas Jefferson University · US

Funding

Respiratory Motor Neuron Protection Following Cervical Spinal Cord InjuryR01NS079702 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI Angelo C. Lepore · 2013 to 2026
$6.0M
Exploring the EphB2-NMDA receptor interaction in spinal cord injury-induced neuropathic painR01NS110385 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI MANUEL L COVARRUBIAS, Matthew B Dalva · 2018 to 2026
$4.4M
Training Grant in Cellular, Biochemical and Molecular SciencesT32GM144302 · NIGMS · THOMAS JEFFERSON UNIVERSITY · PI DIANE E MERRY, PHILIP B WEDEGAERTNER · 2022 to 2026
$2.0M
Guanylin GUCY2C axis in Colorectal Cancer InitiationR01CA204481 · NCI · THOMAS JEFFERSON UNIVERSITY · PI WALDMAN, SCOTT A · 2017 to 2021
$1.8M
(PQ1) GUCY2C hormone loss translates APC-Beta-catenin mutations into epithelial transformationR01CA206026 · NCI · THOMAS JEFFERSON UNIVERSITY · PI WALDMAN, SCOTT A · 2016 to 2020
$1.8M
Off-the-shelf CAR-T Therapy via Tumor-Selective Immuno-engagersR21CA267087 · NCI · LEHIGH UNIVERSITY · PI SNOOK, ADAM, THEVENIN, DAMIEN · 2022 to 2023
$402k
Silencing the uroguanylin-GUCY2C gut-brain axis mediates leptin resistance in obesityF30DK127639 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI BARTON, JOSHUA R · 2020 to 2024
$175k
NCI NIH HHS R01 CA204481NCI NIH HHS R01 CA206026NCI NIH HHS R21 CA267087NIDDK NIH HHS F30 DK127639NIGMS NIH HHS T32 GM144302NINDS NIH HHS R01 NS079702NINDS NIH HHS R01 NS110385
6 · The paper itself

Abstract

Visceral pain (VP) is a global problem with complex etiologies and limited therapeutic options. Guanylyl cyclase C (GUCY2C), an intestinal receptor producing cyclic GMP(cGMP), which regulates luminal fluid secretion, has emerged as a therapeutic target for VP. Indeed, FDA-approved GUCY2C agonists ameliorate VP in patients with chronic constipation syndromes, although analgesic mechanisms remain obscure. Here, we revealed that intestinal GUCY2C was selectively enriched in neuropod cells, a type of enteroendocrine cell that synapses with submucosal neurons in mice and humans. GUCY2Chi neuropod cells associated with cocultured dorsal root ganglia neurons and induced hyperexcitability, reducing the rheobase and increasing the resulting number of evoked action potentials. Conversely, the GUCY2C agonist linaclotide eliminated neuronal hyperexcitability produced by GUCY2C-sufficient - but not GUCY2C-deficient - neuropod cells, an effect independent of bulk epithelial cells or extracellular cGMP. Genetic elimination of intestinal GUCY2C amplified nociceptive signaling in VP that was comparable with chemically induced VP but refractory to linaclotide. Importantly, eliminating GUCY2C selectively in neuropod cells also increased nociceptive signaling and VP that was refractory to linaclotide. In the context of loss of GUCY2C hormones in patients with VP, these observations suggest a specific role for neuropod GUCY2C signaling in the pathophysiology and treatment of these pain syndromes.

Indexed as

Enteroendocrine CellsReceptors, EnterotoxinVisceral PainAnimalsCyclic GMPHumansIntestinesMiceReceptors, Guanylate Cyclase-CoupledSignal TransductionCyclic GMPGUCY2C protein, humanReceptors, EnterotoxinReceptors, Guanylate Cyclase-CoupledGastroenterologyGuanylate cyclaseNeuroendocrine regulationNeurosciencePain

Identifiers

PMID36548082
PMCPMC9927949
OpenAlexW4312088233

What OpenQuestion holds

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LicenceCC BY
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.