Structural and functional changes of the duodenum in human norovirus infection.

Abstract:

BACKGROUND:Norovirus infection is the most frequent cause of infectious diarrhoea in the western world. This study aimed to characterise functionally and histomorphologically the diseased duodenum in human biopsies. METHODS:Norovirus infection was diagnosed by the Kaplan criteria and confirmed by PCR of stool samples. Duodenal biopsies were obtained endoscopically. In miniaturised Ussing chambers, short circuit current, flux measurements and impedance spectroscopy were performed. Histological analysis including apoptosis staining and characterisation of intraepithelial lymphocytes was performed. Tight junction proteins were quantified by immunoblotting. RESULTS:In norovirus infection, epithelial resistance decreased from (mean (SEM)) 24 (2) Omega cm(2) in controls to 10 (1) Omega cm(2). Mannitol flux increased from 113 (24) nmol h(-1) cm(-2) in controls to 242 (29) nmol h(-1) cm(-2). Microdissection revealed a villus surface area reduced by 47% (6.6%). Intraepithelial lymphocytes were increased to 63 (7) per 100 enterocytes, with an increased rate of perforin-positive cytotoxic T cells. Expression of tight junctional proteins occludin, claudin-4 and claudin-5 was reduced. The epithelial apoptotic ratio was doubled in norovirus infection. Furthermore, the basal short circuit current was increased in norovirus infection and could be reduced by bumetanide and 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB). CONCLUSIONS:Norovirus infection leads to epithelial barrier dysfunction paralleled by a reduction of sealing tight junctional proteins and an increase in epithelial apoptosis, which may partly be mediated by increased cytotoxic intraepithelial lymphocytes. Furthermore, active anion secretion is markedly stimulated. Thus, the diarrhoea in norovirus infection is driven by both a leak flux and a secretory component.

journal_name

Gut

journal_title

Gut

authors

Troeger H,Loddenkemper C,Schneider T,Schreier E,Epple HJ,Zeitz M,Fromm M,Schulzke JD

doi

10.1136/gut.2008.160150

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1070-7

issue

8

eissn

0017-5749

issn

1468-3288

pii

gut.2008.160150

journal_volume

58

pub_type

杂志文章

相关文献

GUT文献大全
  • Modulation of human upper intestinal nutrient transit by a beta adrenoreceptor mediated pathway.

    abstract::To explore the role played by beta adrenoreceptor mediated pathways on human upper gut function a series of studies were conducted into the effects of beta adrenoreceptor agonists and antagonists on orocaecal and duodenocaecal transit and on antral and duodenal motor activity. Under control conditions orocaecal transi...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.33.8.1062

    authors: McIntyre AS,Thompson DG,Day S,Burnham WR,Walker ER

    更新日期:1992-08-01 00:00:00

  • Effect of ursodeoxycholic acid on methionine adenosyltransferase activity and hepatic glutathione metabolism in rats.

    abstract:BACKGROUND AND AIMS:Both bile salts and glutathione participate in the generation of canalicular bile flow. In this work, we have investigated the effect of different bile salts on hepatic glutathione metabolism. METHODS:Using the isolated and perfused rat liver, we studied hepatic glutathione content, and metabolism ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.50.5.701

    authors: Rodríguez-Ortigosa CM,Cincu RN,Sanz S,Ruiz F,Quiroga J,Prieto J

    更新日期:2002-05-01 00:00:00

  • Missing endomysial and reticulin binding of coeliac antibodies in transglutaminase 2 knockout tissues.

    abstract:BACKGROUND:Autoantibodies against transglutaminase 2 (TG2) are thought to be responsible for the endomysial (EMA), reticulin (ARA), and jejunal antibody (JEA) tissue binding of serum samples from coeliac patients but the exclusive role of TG2 in these staining patterns has not yet been established. AIMS:To evaluate wh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.2.199

    authors: Korponay-Szabó IR,Laurila K,Szondy Z,Halttunen T,Szalai Z,Dahlbom I,Rantala I,Kovács JB,Fésüs L,Mäki M

    更新日期:2003-02-01 00:00:00

  • Elution of cytomegalovirus antibodies from adenocarcinoma of the colon.

    abstract::Eluates were prepared by high salt extraction from normal colonic mucosa and adenocarcinomatous tissue from 28 patients, eight more from unmatched colonic tissue and five from patients with other gastrointestinal disease. Immunoglobulins were detected by ELISA: IgG was present in 24% eluates from normal colon and 21% ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.10.1053

    authors: Grail A,Norval M

    更新日期:1985-10-01 00:00:00

  • Lactate and pH in faeces from patients with colonic adenomas or cancer.

    abstract::Earlier studies have reported that faecal pH is more alkaline in patients with colonic cancer, indicating a reduction in colonic carbohydrate fermentation to organic acids. The pH of faeces from 11 pre and 14 postoperative, selected colonic cancer patients without intestinal obstruction, major loss of appetite or weig...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.5.625

    authors: Hove H,Rye Clausen M,Brøbech Mortensen P

    更新日期:1993-05-01 00:00:00

  • Vitamin D inhibits proliferation and profibrotic marker expression in hepatic stellate cells and decreases thioacetamide-induced liver fibrosis in rats.

    abstract:BACKGROUND AND AIM:Hepatic stellate cells (HSCs) are key participants in liver fibrosis development. 1,25(OH)(2)D(3), the active form of vitamin D, has antiproliferative properties and antifibrotic potential, as well as a role in extracellular matrix and matrix metalloproteinase (MMP) regulation in renal and lung fibro...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.234666

    authors: Abramovitch S,Dahan-Bachar L,Sharvit E,Weisman Y,Ben Tov A,Brazowski E,Reif S

    更新日期:2011-12-01 00:00:00

  • Electrodes for 24 hours pH monitoring--a comparative study.

    abstract::Three pH electrodes in clinical use were examined--(1) antimony electrode with remote reference electrode (Synectics 0011), (2) glass electrode with remote reference electrode (Microelectrodes Inc. MI 506) and (3) combined glass electrode with integral reference electrode (Radiometer GK2801C). In vitro studies showed ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.935

    authors: McLauchlan G,Rawlings JM,Lucas ML,McCloy RF,Crean GP,McColl KE

    更新日期:1987-08-01 00:00:00

  • Recent advances in the endoscopic management of variceal bleeding.

    abstract::For the first time the endoscopist has more than one option for the management of gastro-oesophageal varices. It is now feasible to select the appropriate therapy on the basis of the clinical setting. Acute injection sclerotherapy remains a quick and simple technique for the control of active bleeding from oesophageal...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.36.5.647

    authors: Williams SG,Westaby D

    更新日期:1995-05-01 00:00:00

  • Real time high resolution magnetic resonance imaging for the assessment of gastric motility disorders.

    abstract:BACKGROUND:The aim of this study was to evaluate whether patients with increased or decreased gastric motility can be differentiated from healthy volunteers by means of real time magnetic resonance imaging (MRI). PATIENTS AND METHODS:Ten healthy volunteers, 10 patients with gastroparesis, and 10 patients with function...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.038588

    authors: Ajaj W,Goehde SC,Papanikolaou N,Holtmann G,Ruehm SG,Debatin JF,Lauenstein TC

    更新日期:2004-09-01 00:00:00

  • Jaundice due to carbimazole.

    abstract::On three occasions, a 63 year old housewife with hyperthyroidism developed a reaction which included fever, pruritus, malaise, and, on one occasion, jaundice one to 17 days after taking carbimazole. Challenge with carbimazole was followed within 12 hours by abdominal pain, pruritus, and increased serum transaminase le...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.11.913

    authors: Lunzer M,Huang SN,Ginsburg J,Ahmed M,Sherlock S

    更新日期:1975-11-01 00:00:00

  • Growth differentiation factor 11 attenuates liver fibrosis via expansion of liver progenitor cells.

    abstract:OBJECTIVE:Liver fibrosis and cirrhosis resulting from chronic liver injury represent a major healthcare burden worldwide. Growth differentiation factor (GDF) 11 has been recently investigated for its role in rejuvenation of ageing organs, but its role in chronic liver diseases has remained unknown. Here, we investigate...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-318812

    authors: Dai Z,Song G,Balakrishnan A,Yang T,Yuan Q,Möbus S,Weiss AC,Bentler M,Zhu J,Jiang X,Shen X,Bantel H,Jaeckel E,Kispert A,Vogel A,Saborowski A,Büning H,Manns M,Cantz T,Ott M,Sharma AD

    更新日期:2020-06-01 00:00:00

  • Gastric B-cell mucosa associated lymphoid tissue lymphoma: a clinicopathological study in 56 patients.

    abstract::Clinico-pathological features of 56 patients with primary gastric lymphoma were evaluated retrospectively. All cases were regraded according to a classification of Isaacson et al into high grade and low grade B-cell mucosa associated lymphoid tissue lymphoma. A third group of mixed grade was recognised in 11 patients ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.10.1307

    authors: Castrillo JM,Montalban C,Obeso G,Piris MA,Rivas MC

    更新日期:1992-10-01 00:00:00

  • Micrometastases: marker of metastatic potential or evidence of residual disease?

    abstract:BACKGROUND:Micrometastases within bone marrow have been shown to indicate a poor prognosis in patients with epithelial tumours. However, the degree to which micrometastases represent true residual disease or cell shedding and metastatic potential, is unclear. AIM:To explore whether micrometastases represent residual d...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.4.512

    authors: O'Sullivan GC,Collins JK,Kelly J,Morgan J,Madden M,Shanahan F

    更新日期:1997-04-01 00:00:00

  • Incorporation of fatty acids from fish oil and olive oil into colonic mucosal lipids and effects upon eicosanoid synthesis in inflammatory bowel disease.

    abstract::The incorporation of the fatty acids in fish and olive oil into the colonic mucosa of patients with inflammatory bowel disease was examined during 12 weeks' dietary supplementation with the oils, and the influence on colonic mucosal prostaglandin and thromboxane generation was measured. With a dietary supplement of 18...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.10.1151

    authors: Hillier K,Jewell R,Dorrell L,Smith CL

    更新日期:1991-10-01 00:00:00

  • Predicting the development of gastric cancer from combining Helicobacter pylori antibodies and serum pepsinogen status: a prospective endoscopic cohort study.

    abstract:BACKGROUND AND AIMS:Helicobacter pylori infection and gastric atrophy are both risk factors for gastric cancer. We aimed to elucidate the natural history of gastric cancer development according to H pylori infection and gastric atrophy status. SUBJECTS AND METHODS:A total of 9293 participants in a mass health appraisa...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.055400

    authors: Watabe H,Mitsushima T,Yamaji Y,Okamoto M,Wada R,Kokubo T,Doi H,Yoshida H,Kawabe T,Omata M

    更新日期:2005-06-01 00:00:00

  • Zinc carnosine, a health food supplement that stabilises small bowel integrity and stimulates gut repair processes.

    abstract:BACKGROUND:Zinc carnosine (ZnC) is a health food product claimed to possess health-promoting and gastrointestinal supportive activity. Scientific evidence underlying these claims is, however, limited. AIM:To examine the effect of ZnC on various models of gut injury and repair, and in a clinical trial. METHODS:In vitr...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gut.2006.099929

    authors: Mahmood A,FitzGerald AJ,Marchbank T,Ntatsaki E,Murray D,Ghosh S,Playford RJ

    更新日期:2007-02-01 00:00:00

  • Mucosal 5-aminosalicylic acid concentration inversely correlates with severity of colonic inflammation in patients with ulcerative colitis.

    abstract:BACKGROUND AND AIM:The treatment of ulcerative colitis (UC) with 5-aminosalicylic acid (5-ASA) does not have the same therapeutic effect in all patients. We tested the hypothesis that the effectiveness of the drug is related to its mucosal concentration. PATIENTS:Twenty one UC patients receiving oral 5-ASA (2.4-3.2 g/...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.3.410

    authors: Frieri G,Giacomelli R,Pimpo M,Palumbo G,Passacantando A,Pantaleoni G,Caprilli R

    更新日期:2000-09-01 00:00:00

  • A comparative effectiveness trial of two faecal immunochemical tests for haemoglobin (FIT). Assessment of test performance and adherence in a single round of a population-based screening programme for colorectal cancer.

    abstract:AIM:To compare acceptability and diagnostic accuracy of a recently available faecal immunochemical test (FIT) system (HM-JACKarc) with the FIT routinely used in an established screening programme (OC-Sensor). DESIGN:Randomised controlled trial (ISRCTN20086618) within a population-based colorectal cancer (CRC) screenin...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gutjnl-2016-312716

    authors: Passamonti B,Malaspina M,Fraser CG,Tintori B,Carlani A,D'Angelo V,Galeazzi P,Di Dato E,Mariotti L,Bulletti S,D'Amico MR,Gustinucci D,Martinelli N,Spita N,Cesarini E,Rubeca T,Giaimo M,Segnan N,Senore C

    更新日期:2018-03-01 00:00:00

  • Prolonged manometric recording of anorectal motor activity in ambulant human subjects: evidence of periodic activity.

    abstract::Based on short recordings, the rectum has been shown to have contractions with a frequency of five to 10 cycles per minute and slow contractions at three cycles per minute. To define anorectal motility over a prolonged period of time, we have studied 12 healthy volunteers using a fine pressure sensitive anorectal prob...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.7.1007

    authors: Kumar D,Williams NS,Waldron D,Wingate DL

    更新日期:1989-07-01 00:00:00

  • Mucin gene expression in human embryonic and fetal intestine.

    abstract:BACKGROUND:The intestinal epithelium is covered by a continuous layer of mucus which is secreted by well differentiated epithelial cells. Disregulation of the expression of mucins has been reported to have possible implications in the neoplastic process which affects intestinal mucosae. It is well known that preneoplas...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.4.519

    authors: Buisine MP,Devisme L,Savidge TC,Gespach C,Gosselin B,Porchet N,Aubert JP

    更新日期:1998-10-01 00:00:00

  • Diversity in oat potential immunogenicity: basis for the selection of oat varieties with no toxicity in coeliac disease.

    abstract:BACKGROUND AND AIMS:Coeliac disease (CD) is triggered by an abnormal reaction to gluten. Peptides resulting from partially digested gluten of wheat, barley or rye cause inflammation of the small intestinal mucosa. Previous contradictory studies suggest that oats may trigger the abnormal immunological response in patien...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.225268

    authors: Comino I,Real A,de Lorenzo L,Cornell H,López-Casado MÁ,Barro F,Lorite P,Torres MI,Cebolla A,Sousa C

    更新日期:2011-07-01 00:00:00

  • Liver microbubble transit time compared with histology and Child-Pugh score in diffuse liver disease: a cross sectional study.

    abstract:BACKGROUND:A previous pilot study showed that early arrival time of a microbubble in a hepatic vein is a sensitive indicator of cirrhosis. AIM:To see if this index can also grade diffuse liver disease. PATIENTS:Thirty nine fasted patients with histologically characterised disease were studied prospectively. Nine pati...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.8.1188

    authors: Blomley MJ,Lim AK,Harvey CJ,Patel N,Eckersley RJ,Basilico R,Heckemann R,Urbank A,Cosgrove DO,Taylor-Robinson SD

    更新日期:2003-08-01 00:00:00

  • Effect of ingestion of fat on ileostomy effluent.

    abstract::Infusion of fat into the ileum slows small bowel transit and increases absorption of a carbohydrate meal. Paired studies were undertaken to investigate the effect of adding fat to the diet on gastrointestinal transit and absorption in eight people with terminal ileostomies. Each subject ate a daily diet that contained...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.4.435

    authors: Higham SE,Read NW

    更新日期:1990-04-01 00:00:00

  • Fatigue is associated with high circulating leptin levels in chronic hepatitis C.

    abstract:BACKGROUND AND AIMS:Fatigue is a frequent and disabling symptom reported by patients with chronic hepatitis C (CHC). Its mechanism is poorly understood. Recent attention has focused on the role of leptin and energy expenditure in CHC. Our aims were to analyse fatigue in CHC and to determine its relationship with diseas...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.3.434

    authors: Piche T,Gelsi E,Schneider SM,Hébuterne X,Giudicelli J,Ferrua B,Laffont C,Benzaken S,Hastier P,Montoya ML,Longo F,Rampal P,Tran A

    更新日期:2002-09-01 00:00:00

  • Bacterial adhesion and disease activity in Helicobacter associated chronic gastritis.

    abstract::Ultrastructural examination of biopsies showing Helicobacter pylori associated chronic gastritis reveals close attachment between gastric surface epithelial cells and the organism. The finding of 'adhesion pedestals', which represents a cellular response to the presence of the organism, is analogous to the response of...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.2.134

    authors: Hessey SJ,Spencer J,Wyatt JI,Sobala G,Rathbone BJ,Axon AT,Dixon MF

    更新日期:1990-02-01 00:00:00

  • Diagnostic utility of alarm features for colorectal cancer: systematic review and meta-analysis.

    abstract:OBJECTIVE:Colorectal cancer is the second most common cause of cancer death in Europe and North America. Alarm features are used to prioritize access to urgent investigation, but there is little information concerning their utility in the diagnosis of colorectal cancer. METHODS:A systematic review and meta-analysis of...

    journal_title:Gut

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/gut.2008.159723

    authors: Ford AC,Veldhuyzen van Zanten SJ,Rodgers CC,Talley NJ,Vakil NB,Moayyedi P

    更新日期:2008-11-01 00:00:00

  • Serum zonulin and its diagnostic performance in non-coeliac gluten sensitivity.

    abstract:OBJECTIVE:Non-coeliac gluten sensitivity (NCGS) is characterised by intestinal and extraintestinal symptoms related to the ingestion of gluten-containing foods, in the absence of coeliac disease (CD) and wheat allergy. No biomarkers are available to diagnose NCGS and the gold standard double-blind placebo-controlled gl...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-319281

    authors: Barbaro MR,Cremon C,Morselli-Labate AM,Di Sabatino A,Giuffrida P,Corazza GR,Di Stefano M,Caio G,Latella G,Ciacci C,Fuschi D,Mastroroberto M,Bellacosa L,Stanghellini V,Volta U,Barbara G

    更新日期:2020-11-01 00:00:00

  • Production of antibodies to gliadin in intestinal mucosa of patients with coeliac disease: a study at the single cell level.

    abstract::Lymphocytes obtained after enzymatic digestion of intestinal biopsies from patients with coeliac disease were examined for the presence of gliadin specific antibody secreting cells by means of the ELISPOT technique. This technique permits enumeration of gliadin antibody secreting immunocytes, differentiated with regar...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.1.72

    authors: Lycke N,Kilander A,Nilsson LA,Tarkowski A,Werner N

    更新日期:1989-01-01 00:00:00

  • Gastric mucosal morphology and faecal blood loss during ethanol ingestion.

    abstract::The faecal blood loss of six alcoholic subjects with normal gastric mucosa, six with superficial gastritis, and six with atrophic gastritis was studied before and during ingestion of 40% v/v ethanol using (51)Cr-tagged red blood cells. No significant change in faecal blood loss was observed in the normal mucosa and su...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.4.289

    authors: Dinoso VP Jr,Meshkinpour H,Lorber SH

    更新日期:1973-04-01 00:00:00

  • Renal tubular dysfunction in patients with inflammatory bowel disease treated with aminosalicylate.

    abstract:BACKGROUND:An increasing number of case reports indicate potential nephrotoxicity of 5-aminosalicylic acid (5-ASA), which shares similarities with the chemical structures of both phenacetin and acetylsalicylic acid. AIM:In a point prevalence study the occurrence of sensitive indices indicative of early kidney malfunct...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.6.761

    authors: Schreiber S,Hämling J,Zehnter E,Howaldt S,Daerr W,Raedler A,Kruis W

    更新日期:1997-06-01 00:00:00