Objective: To investigate the differen t expression of three isozymes of nitric oxide synthase (NOS) in diabetic rat colo ns and the contribution to the colonic dysfunction. Methods: Sprague-Dawley (SD) rats were us...Objective: To investigate the differen t expression of three isozymes of nitric oxide synthase (NOS) in diabetic rat colo ns and the contribution to the colonic dysfunction. Methods: Sprague-Dawley (SD) rats were used in this experiment and diabetes were induc ed by streptozotocin (65 mg/kg, i.v.). Three isozymes of NOS (nNOS, iNOS and eNO S) expression in proximal and distal colon were measured in two weeks after diab etes induction using the methods of immunocytochemistry and semi-quantitative r everse transcription-polymerase chain reaction (RT-PCR). Results: Positive immunoreactivity for nNOS was found in intermuscular and submucous plexus neuronal cells, neither eNOS nor iNOS had been found in any layers of col on in the two groups. The expression of nNOS mRNA was significantly increased in diabetic colon than that in control rats as determined by RT-PCR. The eNOS mRN A level of diabetic colon was lower compared to thecontrol rats, while no expres sion of iNOS mRNA was found in the normal or diabetic rats. Conclusion: This report has demonstrated that nNOS increased and eNOS decreased in rat colon in the early stages of diabetes. NO production by the nNOS might play a key role in colonic dysfunction, as supported by raised nNOS mRNA and enzyme e xpression in the diabetic colon. Reduced eNOS activity might also contribute to colonic dysfunction in experimental diabetes.展开更多
The exact aetiology of sigmoid volvulus in Parkinson's disease(PD) remains unclear.A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients.Early recognition and treatment of c...The exact aetiology of sigmoid volvulus in Parkinson's disease(PD) remains unclear.A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients.Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus.Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion.If feasible,secondary sigmoidal resection should be performed.However,if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery,percutaneous endoscopic colostomy(PEC) should be considered.We describe an elderly PD patient who presented with sigmoid volvulus.She was treated conservatively with endoscopic detorsion.Surgery was consistently refused by the patient.After recurrence of the sigmoid volvulus a PEC was placed.展开更多
文摘Objective: To investigate the differen t expression of three isozymes of nitric oxide synthase (NOS) in diabetic rat colo ns and the contribution to the colonic dysfunction. Methods: Sprague-Dawley (SD) rats were used in this experiment and diabetes were induc ed by streptozotocin (65 mg/kg, i.v.). Three isozymes of NOS (nNOS, iNOS and eNO S) expression in proximal and distal colon were measured in two weeks after diab etes induction using the methods of immunocytochemistry and semi-quantitative r everse transcription-polymerase chain reaction (RT-PCR). Results: Positive immunoreactivity for nNOS was found in intermuscular and submucous plexus neuronal cells, neither eNOS nor iNOS had been found in any layers of col on in the two groups. The expression of nNOS mRNA was significantly increased in diabetic colon than that in control rats as determined by RT-PCR. The eNOS mRN A level of diabetic colon was lower compared to thecontrol rats, while no expres sion of iNOS mRNA was found in the normal or diabetic rats. Conclusion: This report has demonstrated that nNOS increased and eNOS decreased in rat colon in the early stages of diabetes. NO production by the nNOS might play a key role in colonic dysfunction, as supported by raised nNOS mRNA and enzyme e xpression in the diabetic colon. Reduced eNOS activity might also contribute to colonic dysfunction in experimental diabetes.
文摘The exact aetiology of sigmoid volvulus in Parkinson's disease(PD) remains unclear.A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients.Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus.Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion.If feasible,secondary sigmoidal resection should be performed.However,if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery,percutaneous endoscopic colostomy(PEC) should be considered.We describe an elderly PD patient who presented with sigmoid volvulus.She was treated conservatively with endoscopic detorsion.Surgery was consistently refused by the patient.After recurrence of the sigmoid volvulus a PEC was placed.
