Human Chorionic Gonadotropin Regulates Gastric Emptying in Ovariectomized Rats
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K-M SEOW, J-L LEE and others hCG and gastric emptying 216:3 307–314 Research Human chorionic gonadotropin regulates gastric emptying in ovariectomized rats Kok-Min Seow1,2,*, Jyun-Lin Lee3,*, Ming-Luen Doong3, Seng-Wong Huang4, Jiann-Loung Hwang1,5, Wei-Ju Huang6, Full-Young Chang7, Low-Tone Ho3,8,9 and Chi-Chang Juan3,9,10 1Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan 2Department of Obstetrics and Gynecology, National Yang-Ming University, Linong Street, Taipei 11221, Taiwan 3Institute of Physiology, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 11221, Taiwan 4Department of Surgery, National Yang-Ming University, Linong Street, Taipei 11221, Taiwan 5Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan 6Department of Nursing, Hsin Sheng College of Medical Care and Management, Taoyuan, Taiwan 7Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Section 2, Shi-Pai Road, Taipei 11217, Taiwan 8Department of Internal Medicine, Taipei Veterans General Hospital, Shi-Pai Road, Taipei 11217, Taiwan Correspondence 9Department of Education and Medical Research, Taipei Veterans General Hospital, Shi-Pai Road, Taipei 11217, should be addressed to Taiwan C-C Juan 10Department of Education and Research, Taipei City Hospital, Taipei, Taiwan Email *(K-M Seow and J-L Lee contributed equally to this work) [email protected] Abstract Prolongation of gastrointestinal transit resulting in nausea and vomiting in pregnancy (NVP) Key Words Journal of Endocrinology is the most common phenomenon during the first trimester of pregnancy. Increased human " human chorionic chorionic gonadotropin (hCG) concentration during the first trimester is the most likely gonadotropin cause of NVP. The aim of this study was to investigate the effect of hCG on gastrointestinal " gastric emptying transit and plasma concentrations of cholecystokinin (CCK) in ovariectomized (Ovx) rats. I.p. " cholecystokinin injection of hCG was used to evaluate the dose effect of hCG on gastrointestinal transit in " ovariectomized rats Ovx rats. The CCK antagonist lorglumide was used to clarify the role of CCK in regulating gastrointestinal transit. Gastrointestinal transit was assessed 15 min after intragastric gavage 51 of a mixture of 10% charcoal and Na2 CrO4 (0.5 mCi/ml). After i.p. administration of hCG, gastric emptying was inhibited in Ovx rats, but intestinal transit was not affected. Plasma CCK concentrations were increased in a dose-dependent manner after hCG treatment, and gastric emptying showed a significant negative correlation with CCK concentrations 2 (PZ0.01, r ZK0.5104). Peripheral administration (i.p.) of lorglumide, a selective CCK1 receptor antagonist, attenuated the hCG-induced inhibition of gastric emptying in Ovx rats, whereas central administration via the i.c.v. route did not. hCG treatment of Ovx rats inhibits gastric emptying in a dose-dependent manner via a peripheral mechanism of CCK hypersecretion and activation of CCK1 receptors. Journal of Endocrinology (2013) 216, 307–314 http://joe.endocrinology-journals.org Ñ 2013 Society for Endocrinology Published by Bioscientifica Ltd. DOI: 10.1530/JOE-12-0421 Printed in Great Britain Downloaded from Bioscientifica.com at 09/27/2021 11:08:42PM via free access Research K-M SEOW, J-L LEE and others hCG and gastric emptying 216:3 308 Introduction Disturbed gastrointestinal transit, leading to a delay in gastric Materials and methods emptying time, is one of the most common phenomenon in Animals pregnant women (Chiloiro et al. 2001), and this effect is probably caused by changes in plasma concentrations of Female Sprague Dawley rats weighing 250–300 g were certain hormones, such as estrogen (Chen et al. 1995) and housed in a temperature-controlled (22G1 8C) and light- progesterone (Sheen-Chen et al. 2001), as concentrations of controlled (0600–2000 h) environment and fed rat chow. these hormones increase throughout pregnancy. Pregnant Tap water was given ad libitum. Animal protocols were womenwithdecreasedgastrointestinal transit suffer from approved by the Institutional Animal Care and Use nausea, vomiting, or abdominal distension during the course Committee of the National Yang-Ming University. All of pregnancy, especially during the first trimester (Jarnfelt- animals received care in compliance with the Principles of Samsioe et al. 1983). The etiology of nausea and vomiting in Laboratory Animal Care and the Guide for the Care and pregnancy (NVP) is still unknown. Human chorionic gonado- Use of Laboratory Animals published by the National tropin (hCG), a hormone secreted by the placental tropho- Science Council, Taiwan. blast, has been proposed as the most likely cause of NVP, as hCG concentrations rise rapidly during the first trimester and Surgery for insertion of i.c.v. cannulas peak at 10–12 weeks of gestation (Soules et al. 1980). Goodwin et al. (1994) reported that serum hCG concentrations are Surgery for insertion of i.c.v. cannulas was performed significantly increased in women with hyperemesis gravi- following the procedure described by Lin et al. (2003) with darum compared with the control subjects of comparable minor modification. Briefly, the rats were anesthetized by gestational age. Furthermore, hCG concentrations correlate i.p. injection of phenobarbital (30 mg/kg) and placed in with the severity of vomiting (Goodwin et al. 1992). These a stereotaxic frame. A stainless steel guide cannula was findings suggest that hCG may play a role in the pathogenesis implanted according to the atlas of Paxinos and Watson, of NVP and gastrointestinal transit. However, there are no data i.e. 0.8 mm posterior to bregma, 1.4 mm lateral to the on the relationship between hCG and gastrointestinal transit. midline, and 3.5 mm ventral to the dura. An AG-4 cannula Cholecystokinin (CCK), a 33 amino acid peptide (Eicom, Kyoto, Japan) was placed 4.5 mm below the scalp extracted from porcine intestine (Jorpes & Mutt 1966), Journal of Endocrinology and secured in place with two anchor screws and dental inhibits gastric emptying in animals (Debas et al. 1975, Wu acrylic (Tempro, GC Corporation, Tokyo, Japan). hCG was et al. 2008) and humans (Konturek et al. 1990) but has also injected through the AG-4 cannula 1 week after insertion in vivo been reported to stimulate colonic transit (Dinoso of the cannula. et al. 1973, Harvey & Read 1973). The biological actions of CCK are mediated by two types of receptors, CCK1 and Materials CCK2 (Noble et al. 1999). CCK1 receptors are present in both the CNS and various peripheral tissues, such as the The chemicals used in the study included recombi- gallbladder, pancreas, stomach, colon, and ileum, while nant hCG (Ovidrel; Merck Serono), EDTA, aprotinin, the CCK receptor is found predominantly in the CNS 2 trifluoroacetic acid (TFA), and lorglumide sodium (all (Silvente-Poirot et al. 1993). from Sigma Chemical Company), acetonitrile (Wako The aim of this study was to investigate the effects of 51 Chemical Industries, Ltd., Osaka, Japan), Na2 CrO4 hCG on gastric emptying and gastrointestinal transit in (DuPont NEN Research Products, Boston, MA, USA), and ovariectomized (Ovx) rats and to clarify the role of CCK CCK EIA kit (Phoenix Pharmaceuticals, Belmont, CA, USA). and its receptors in regulating the effect of hCG on gastrointestinal transit. Furthermore, estrogen is import- ant for maintaining normal uterine weight. Ovariectomy Experimental design of rats without estrogen supplementation caused uterine atrophy. Decreased uterine weight is an important hall- Effect of Ovx on gastric emptying Ten female rats mark of success in ovariectomy surgery. Also, the were randomly divided into two groups of five each, influence of endogenous estrogen on gastrointestinal group 1 as the control group (diestrus rats) and group 2, transit is relatively excluded. Hence, the change of uterine in which rats were bilaterally Ovx under i.p. phenobarbital weight was observed in this study. (30 mg/kg) anesthesia. The rats were fasted overnight and http://joe.endocrinology-journals.org Ñ 2013 Society for Endocrinology Published by Bioscientifica Ltd. DOI: 10.1530/JOE-12-0421 Printed in Great Britain Downloaded from Bioscientifica.com at 09/27/2021 11:08:42PM via free access Research K-M SEOW, J-L LEE and others hCG and gastric emptying 216:3 309 51 were then fed by gavage with a mixture of Na2 CrO4 Measurement of gastric emptying and gastrointestinal (0.5 mCi/ml) and charcoal (10%) at a dose of 3 ml/kg. The transit rats were decapitated 15 min later, the uteri were weighed, Gastric emptying and gastrointestinal transit were and gastrointestinal transit was measured. measured as described by Doong et al. (1998). The rats were fed by gavage via a catheter (PE-205, inner diameter Effect of i.p. injection of hCG on gastric emptying (ID) 1.67 mm, outer diameter (OD) 2.42 mm, Clay-Adam, and intestinal transit Forty female rats were randomly Parsippany, NJ, USA) with physiological saline (3 ml/kg) divided into four groups of ten each and were bilaterally containing Na 51CrO (0.5 mCi/ml) and 10% charcoal, Ovx under light ether anesthesia. Starting 2 weeks later, 2 4 which was stirred continuously before use. Additional air the test rats received a single daily i.p. injection of 50, 100, (0.5 ml) was used to flush the residual charcoal suspension or 200 IU hCG for 2 days, while the control rats were in the catheter into the rat. Fifteen minutes later, the rats injected with normal saline (1 ml/kg). After a 24-h fast, the were decapitated and the stomach and attached small rats received another i.p. injection of hCG (50, 100, or intestine were immediately exposed by laparotomy. After 200 IU) or normal saline, then, 45 min later, underwent 51 ligation of the esophagogastric, gastroduodenal, and gavage with a mixture of Na2 CrO4 (0.5 mCi/ml) and ileocecal junctions, the whole stomach and small intestine charcoal (10%) at a dose of 3 ml/kg, then were decapitated were carefully removed and placed on a wooden board to 15 min later, the uteri were weighed, and gastrointestinal observe the leading edge of the charcoal within the transit was measured.