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The Involvement of the Endogenous Opioid System in the Gastrointestinal Aging in Mice and Humans
Authors:Agata Szymaszkiewicz  Marcin Talar  Jakub W&#x;odarczyk  Miko&#x;aj wierczy&#x;ski  Adrian Bartoszek  Julia Krajewska  Anna Mokrowiecka  Ewa Ma&#x;ecka-Wojciesko  Jakub Fichna  Marta Zieli&#x;ska
Affiliation:1.Department of Biochemistry, Faculty of Medicine, Medical University of Lodz, 92-215 Lodz, Poland; (A.S.); (M.T.); (J.W.); (M.Ś.); (A.B.); (J.K.); (J.F.);2.Department of Digestive Tract Diseases, Medical University of Lodz, 90-153 Lodz, Poland; (A.M.); (E.M.-W.)
Abstract:Nearly 20% of elderly patients suffer from constipation, but the age-related changes in the gastrointestinal (GI) tract remain insufficiently elucidated. In this study, the alterations within the endogenous opioid system (EOS) as a potential cause of constipation in the elderly were evaluated. The GI functions were assessed in vitro and in vivo and compared between 6-, 12- and 18-month old mice. Moreover, the effect of opioid receptor (MOP, DOP, KOP) agonists on the mouse GI tract functions and the EOS components expression in mouse tissues and colonic biopsies from patients with functional constipation were determined. In the oldest mice, the GI peristalsis was significantly impaired as compared to the younger groups. The tissue response to MOP and DOP, but not KOP, agonists weakened with age in vitro; for DOP, it was confirmed in vivo. In the mouse upper GI tract, Oprm1, Oprd1, Oprk1 expression decreased with age; in the colon, Oprm1 expression increased. There were no differences in the expression of these genes in the colonic biopsies from patients >50 years old as compared to the younger group. In conclusion, the age-related impairment of the GI peristalsis may result from reduced MOP and DOP response to the activation with opioid agonists or the alterations in the EOS expression.
Keywords:aging  constipation  the elderly  endogenous opioid system  opioid receptors  opioids
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