VITAMIN A DEFICIENCY AND INTESTINAL MOTILITY DISORDERS

维生素 A 缺乏和肠蠕动障碍

• 批准号: 8045490
• 负责人: ROBERT O HEUCKEROTH
• 金额: $ 31.22万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8045490
• 关键词: Accounting; Affect; Age; Animals; Biological Models; Cells; Characteristics; Clinical; Complex; Congenital Megacolon; Data; Defect; Development; Disease; Distal; Dominant-Negative Mutation; Employee Strikes; Enteric Nervous System; Esthesia; Female; Fetus; Folic Acid Deficiency; Foundations; Goals; Hereditary Disease; Human; In Vitro; Individual; Infant; Intestinal Motility; Intestines; Investigation; Irritable Bowel Syndrome; Laboratories; Life; Mothers; Mus; Mutation; Nervous system structure; Neural Tube Defects; Neuroglia; Neurons; PTEN gene; Penetrance; Production; Proteins; Reporting; Research Design; Retinoic Acid Receptor; Retinoids; Retinol Binding Proteins; Risk; Risk Factors; Role; Severities; Signal Transduction; Staging; Testing; Tretinoin; Vitamin A; Vitamin A Deficiency; Work; base; cell motility; disease-causing mutation; expression vector; fetal; gene environment interaction; human disease; in vivo; migration; mother nutrition; motility disorder; mouse model; nervous system development; non-genetic; novel; precursor cell; prevent; public health relevance; recombinase; reproductive

DESCRIPTION (provided by applicant): The enteric nervous system (ENS) is a complex network of neurons and glia within the bowel wall that controls most aspects of bowel function. Defects in ENS development cause diverse intestinal motility problems including Hirschsprung disease, a problem where the ENS is missing from the end of the bowel. Problems with bowel motility and sensation are also primary characteristics of irritable bowel syndrome. Although Hirschsprung disease is a genetic disorder, new evidence from our laboratory demonstrate that vitamin A deficiency inhibits normal ENS development and predisposes to distal bowel aganglionosis in a mouse model system. We now hypothesize that even mild "subclinical" vitamin A deficiency will increase the risk of Hirschsprung disease in a genetically susceptible infant. If this is correct, then some cases of Hirschsprung disease, and perhaps other intestinal motility disorders, might be prevented by optimizing maternal nutrition. Studies in this proposal will validate this hypothesis in a murine model system, determine which cells depend on vitamin A metabolites for normal ENS development, and test the mechanistic hypothesis that retinoids facilitate ENS precursor migration by reducing Pten accumulation. PUBLIC HEALTH RELEVANCE: Intestinal motility disorders are common, debilitating and difficult to treat. Based on new data we now believe that mild "subclinical" vitamin A deficiency is a risk factor for these disorders including Hirschsprung disease, a problem where the nervous system within the bowel wall (i.e., the enteric nervous system) is completely missing from the end of the bowel. These studies are designed to find new ways to prevent Hirschsprung disease and other intestinal motility disorders.

描述（由申请人提供）：肠神经系统（ENS）是肠壁内神经元和神经胶质的复杂网络，控制肠功能的大部分方面。ENS发育的缺陷会导致各种肠动力问题，包括先天性巨结肠症，这是一种肠末端ENS缺失的问题。肠动力和感觉问题也是肠易激综合征的主要特征。虽然先天性巨结肠是一种遗传性疾病，但我们实验室的新证据表明，在小鼠模型系统中，维生素A缺乏会抑制正常ENS的发育，并易患远端肠无神经节细胞症。我们现在假设，即使是轻微的“亚临床”维生素A缺乏也会增加遗传易感婴儿患先天性巨结肠病的风险。如果这是正确的，那么一些先天性巨结肠症的病例，也许还有其他肠动力障碍，可能通过优化母体营养来预防。本提案中的研究将在小鼠模型系统中验证这一假设，确定哪些细胞依赖于维生素A代谢产物进行正常ENS发育，并测试类维生素A通过减少Pten积累促进ENS前体迁移的机制假设。 公共卫生关系：肠动力障碍是常见的，使人衰弱和难以治疗的。根据新的数据，我们现在认为，轻度“亚临床”维生素A缺乏是这些疾病的危险因素，包括先天性巨结肠病，一个问题，其中肠壁内的神经系统（即，肠神经系统）从肠的末端完全缺失。这些研究旨在寻找预防先天性巨结肠和其他肠道动力障碍的新方法。