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Published in: Gut Pathogens 1/2010

Open Access 01-12-2010 | Review

Current insights in to the pathophysiology of Irritable Bowel Syndrome

Authors: Theodoros Karantanos, Theofano Markoutsaki, Maria Gazouli, Nicholas P Anagnou, Dimitrios G Karamanolis

Published in: Gut Pathogens | Issue 1/2010

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Abstract

Irritable Bowel Syndrome (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect, in which abdominal pain is relieved with defecation and is associated with altered bowel habits.
IBS includes a wide range of symptoms while its pathophysiology is very complicated. Recent studies indicate that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors. Recent data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.
Literature
1.
go back to reference Clark C, DeLegge M: Irritable bowel syndrome: a practical approach. Nutr Clin Pract. 2008, 23: 263-267. 10.1177/0884533608318107.CrossRefPubMed Clark C, DeLegge M: Irritable bowel syndrome: a practical approach. Nutr Clin Pract. 2008, 23: 263-267. 10.1177/0884533608318107.CrossRefPubMed
2.
go back to reference Rey E, Talley NJ: Irritable bowel syndrome: Novel views on the epidemiology and potential risk factors. Dig Liver Dis. 2009, 41: 772-780. 10.1016/j.dld.2009.07.005.CrossRefPubMed Rey E, Talley NJ: Irritable bowel syndrome: Novel views on the epidemiology and potential risk factors. Dig Liver Dis. 2009, 41: 772-780. 10.1016/j.dld.2009.07.005.CrossRefPubMed
3.
go back to reference Dorn SD, Morris CB, Hu Y, Toner BB, Diamant N, Whitehead WE, Bangdiwala SI, Drossman DA: Irritable bowel syndrome subtypes defined by Rome II and Rome III criteria are similar. Clin Gastroenterol. 2009, 43: 214-220. 10.1097/MCG.0b013e31815bd749.CrossRef Dorn SD, Morris CB, Hu Y, Toner BB, Diamant N, Whitehead WE, Bangdiwala SI, Drossman DA: Irritable bowel syndrome subtypes defined by Rome II and Rome III criteria are similar. Clin Gastroenterol. 2009, 43: 214-220. 10.1097/MCG.0b013e31815bd749.CrossRef
4.
go back to reference Posserud I, Ersryd A, Simren M: Functional findings in irritable bowel syndrome. World J Gastroenterol. 2006, 12: 2830-2838.PubMedCentralPubMed Posserud I, Ersryd A, Simren M: Functional findings in irritable bowel syndrome. World J Gastroenterol. 2006, 12: 2830-2838.PubMedCentralPubMed
5.
6.
go back to reference Bueno L, Fioramonti J, Delvaux M: Mediators and pharmacology of visceral sensitivity: from basic to clinical investigations. Gastroenterology. 1997, 112: 1714-1743. 10.1016/S0016-5085(97)70056-8.CrossRefPubMed Bueno L, Fioramonti J, Delvaux M: Mediators and pharmacology of visceral sensitivity: from basic to clinical investigations. Gastroenterology. 1997, 112: 1714-1743. 10.1016/S0016-5085(97)70056-8.CrossRefPubMed
7.
go back to reference Tracey DJ, Walker JS: Pain due to nerve damage: are inflammatory mediators involved?. Inflamm Res. 1995, 44: 407-411. 10.1007/BF01757696.CrossRefPubMed Tracey DJ, Walker JS: Pain due to nerve damage: are inflammatory mediators involved?. Inflamm Res. 1995, 44: 407-411. 10.1007/BF01757696.CrossRefPubMed
8.
go back to reference Moss HE, Sanger GJ: The effects of granisetron, ICS 205-930 and ondansetron on the visceral pain reflex induced by duodenal distension. Br J Pharmacol. 1990, 100: 497-501.PubMedCentralCrossRefPubMed Moss HE, Sanger GJ: The effects of granisetron, ICS 205-930 and ondansetron on the visceral pain reflex induced by duodenal distension. Br J Pharmacol. 1990, 100: 497-501.PubMedCentralCrossRefPubMed
9.
go back to reference Zemlan FP, Murphy AZ, Behbehani MM: 5-HT1A receptors mediate the effect of the bulbospinal serotonin system on spinal dorsal horn nociceptive neurones. Pharmacology. 1994, 48: 1-10. 10.1159/000139156.CrossRefPubMed Zemlan FP, Murphy AZ, Behbehani MM: 5-HT1A receptors mediate the effect of the bulbospinal serotonin system on spinal dorsal horn nociceptive neurones. Pharmacology. 1994, 48: 1-10. 10.1159/000139156.CrossRefPubMed
10.
go back to reference Barthan JM, Proud D: Bradykinin antagonists. Annu Rev Toxicol. 1991, 31: 129-162. 10.1146/annurev.pa.31.040191.001021.CrossRef Barthan JM, Proud D: Bradykinin antagonists. Annu Rev Toxicol. 1991, 31: 129-162. 10.1146/annurev.pa.31.040191.001021.CrossRef
11.
go back to reference Sharkey KA, Coggins PJ, Tetzlaff W, Zwiers H, Bisby MA, Davision JS: Distribution of growth - associated protein, B-50 (GAP-43) in the mammalian enteric nervous system. Neuroscience. 1990, 38: 13-20. 10.1016/0306-4522(90)90370-J.CrossRefPubMed Sharkey KA, Coggins PJ, Tetzlaff W, Zwiers H, Bisby MA, Davision JS: Distribution of growth - associated protein, B-50 (GAP-43) in the mammalian enteric nervous system. Neuroscience. 1990, 38: 13-20. 10.1016/0306-4522(90)90370-J.CrossRefPubMed
12.
go back to reference Millan MJ: The induction of pain: an integrative review. Prog Neurobiol. 1999, 57: 1-164. 10.1016/S0301-0082(98)00048-3.CrossRefPubMed Millan MJ: The induction of pain: an integrative review. Prog Neurobiol. 1999, 57: 1-164. 10.1016/S0301-0082(98)00048-3.CrossRefPubMed
13.
go back to reference Woolf CJ: An overview of the mechanisms of hyperalgesia. Pulm Pharmacol. 1995, 8: 161-167. 10.1006/pulp.1995.1021.CrossRefPubMed Woolf CJ: An overview of the mechanisms of hyperalgesia. Pulm Pharmacol. 1995, 8: 161-167. 10.1006/pulp.1995.1021.CrossRefPubMed
14.
go back to reference Corazziari E: Role of opioid ligands in the irritable bowel syndrome. Can J Gastroenterol. 1999, 13 (Suppl A): 71A-75A.PubMed Corazziari E: Role of opioid ligands in the irritable bowel syndrome. Can J Gastroenterol. 1999, 13 (Suppl A): 71A-75A.PubMed
15.
go back to reference Lopez-Garcia JA: Serotonergic modulation of spinal sensory circuits. Curr Top Med Chem. 2006, 6: 1987-1986. 10.2174/156802606778522159.CrossRefPubMed Lopez-Garcia JA: Serotonergic modulation of spinal sensory circuits. Curr Top Med Chem. 2006, 6: 1987-1986. 10.2174/156802606778522159.CrossRefPubMed
16.
go back to reference Chen A, Dworkin S, Haug J, Gehrig J: Human pain responsivity in a tonic pain model: phycological determinants. Pain. 1989, 37: 143-160. 10.1016/0304-3959(89)90126-7.CrossRefPubMed Chen A, Dworkin S, Haug J, Gehrig J: Human pain responsivity in a tonic pain model: phycological determinants. Pain. 1989, 37: 143-160. 10.1016/0304-3959(89)90126-7.CrossRefPubMed
17.
go back to reference Hobson AR, Aziz Q: Central nervous system processing of human visceral pain in health and disease. New Physiol Sci. 2003, 18: 109-114. Hobson AR, Aziz Q: Central nervous system processing of human visceral pain in health and disease. New Physiol Sci. 2003, 18: 109-114.
18.
go back to reference Price DD: Physiological and neural mechanisms of the affective dimension of pain. Science. 2000, 288: 1769-1772. 10.1126/science.288.5472.1769.CrossRefPubMed Price DD: Physiological and neural mechanisms of the affective dimension of pain. Science. 2000, 288: 1769-1772. 10.1126/science.288.5472.1769.CrossRefPubMed
19.
go back to reference Warg L, Martinez V, Larauche M, Taché Y: Proximal colon distension induces Fos expression in oxytocin-, vasopressin-, CRF-, and catecholamines-containin neurons in rat brain. Brain Res. 2009, 1247: 79-71. 10.1016/j.brainres.2008.09.094.CrossRef Warg L, Martinez V, Larauche M, Taché Y: Proximal colon distension induces Fos expression in oxytocin-, vasopressin-, CRF-, and catecholamines-containin neurons in rat brain. Brain Res. 2009, 1247: 79-71. 10.1016/j.brainres.2008.09.094.CrossRef
20.
go back to reference Talley NJ: 5-hydroxytryptamine agonists and antagonists in the modulation of gastrointestinal motility and sensation: clinical implications. Aliment Pharmacol Ther. 1992, 6: 273-289. 10.1111/j.1365-2036.1992.tb00050.x.CrossRefPubMed Talley NJ: 5-hydroxytryptamine agonists and antagonists in the modulation of gastrointestinal motility and sensation: clinical implications. Aliment Pharmacol Ther. 1992, 6: 273-289. 10.1111/j.1365-2036.1992.tb00050.x.CrossRefPubMed
21.
go back to reference Gershon MD: The enteric nervous system: a second brain. Hosp Pract. 1996, 34: 31-42. 10.3810/hp.1999.07.153.CrossRef Gershon MD: The enteric nervous system: a second brain. Hosp Pract. 1996, 34: 31-42. 10.3810/hp.1999.07.153.CrossRef
22.
go back to reference Cooke HJ: Neurotransmitters in neuronal reflexes regulating intestinal secretion. Ann NY Acad Sci. 2000, 915: 77-80. 10.1111/j.1749-6632.2000.tb05225.x.CrossRefPubMed Cooke HJ: Neurotransmitters in neuronal reflexes regulating intestinal secretion. Ann NY Acad Sci. 2000, 915: 77-80. 10.1111/j.1749-6632.2000.tb05225.x.CrossRefPubMed
23.
go back to reference Goyal RK, Hirano I: The enteric nervous system. Engl J Med. 1996, 334: 1106-1115. 10.1056/NEJM199604253341707.CrossRef Goyal RK, Hirano I: The enteric nervous system. Engl J Med. 1996, 334: 1106-1115. 10.1056/NEJM199604253341707.CrossRef
24.
go back to reference Grider JR, Foxx-Orenstein AE, Jin JG: 5-Hydroxytryptamine 4 receptor agonists initiate the peristaltic reflex in human, rat, and guinea pig intestine. Gastroenterology. 1998, 115: 370-380. 10.1016/S0016-5085(98)70203-3.CrossRefPubMed Grider JR, Foxx-Orenstein AE, Jin JG: 5-Hydroxytryptamine 4 receptor agonists initiate the peristaltic reflex in human, rat, and guinea pig intestine. Gastroenterology. 1998, 115: 370-380. 10.1016/S0016-5085(98)70203-3.CrossRefPubMed
25.
go back to reference Bardhan KD, Bodemar G, Geldof H, Schütz E, Heath A, Mills JG, Jacques LA: A double-blind, randomized, placebo-controlled dose-ranging study to evaluate the efficacy of alosetron in the treatment of irritable bowel syndrome. Aliment Pharmacol Ther. 2000, 14: 23-34. 10.1046/j.1365-2036.2000.00684.x.CrossRefPubMed Bardhan KD, Bodemar G, Geldof H, Schütz E, Heath A, Mills JG, Jacques LA: A double-blind, randomized, placebo-controlled dose-ranging study to evaluate the efficacy of alosetron in the treatment of irritable bowel syndrome. Aliment Pharmacol Ther. 2000, 14: 23-34. 10.1046/j.1365-2036.2000.00684.x.CrossRefPubMed
26.
go back to reference Talley NJ, Phillips SF, Haddad A, Miller LJ, Twomey C, Zinsmeister AR, MacCarty RL, Ciociola A: GR 38032F (Ondansetron), a selective 5HT receptor antagonist, slows colonic transit in healthy man. Digest Dis Sci. 1990, 35: 477-480. 10.1007/BF01536922.CrossRefPubMed Talley NJ, Phillips SF, Haddad A, Miller LJ, Twomey C, Zinsmeister AR, MacCarty RL, Ciociola A: GR 38032F (Ondansetron), a selective 5HT receptor antagonist, slows colonic transit in healthy man. Digest Dis Sci. 1990, 35: 477-480. 10.1007/BF01536922.CrossRefPubMed
27.
go back to reference Martinez V, Wang L, Rivier J, Grigoriadis D, Taché Y: Central CRF, urocortins and stress increase colonic transit via CRF1 receptors while activation of CRF2 receptors delays gastric transit in mice. Physiol. 2004, 556 (Pt 1): 221-234.CrossRef Martinez V, Wang L, Rivier J, Grigoriadis D, Taché Y: Central CRF, urocortins and stress increase colonic transit via CRF1 receptors while activation of CRF2 receptors delays gastric transit in mice. Physiol. 2004, 556 (Pt 1): 221-234.CrossRef
28.
go back to reference Kresse AE, Million M, Saperas E, Taché Y: Colitis induces CRF expression in hypothalamic magnocellular neurons and blunts CRF gene response to stress in rats. Am J Physiol. 2001, 281: 1203-1213. Kresse AE, Million M, Saperas E, Taché Y: Colitis induces CRF expression in hypothalamic magnocellular neurons and blunts CRF gene response to stress in rats. Am J Physiol. 2001, 281: 1203-1213.
29.
go back to reference Tache Y, Martinez V, Wang L, Million M: CRF1 receptor signaling pathways are involved in stress-related alterations of colonic function and viscerosensitivity: implications for irritable bowel syndrome. British J Pharmacology. 2004, 141: 1321-1330. 10.1038/sj.bjp.0705760.CrossRef Tache Y, Martinez V, Wang L, Million M: CRF1 receptor signaling pathways are involved in stress-related alterations of colonic function and viscerosensitivity: implications for irritable bowel syndrome. British J Pharmacology. 2004, 141: 1321-1330. 10.1038/sj.bjp.0705760.CrossRef
30.
go back to reference Cooke HJ: Neurotransmitters in neuronal reflexes regulating intestinal secretion. Ann NY Acad Sci. 2000, 915: 77-80. 10.1111/j.1749-6632.2000.tb05225.x.CrossRefPubMed Cooke HJ: Neurotransmitters in neuronal reflexes regulating intestinal secretion. Ann NY Acad Sci. 2000, 915: 77-80. 10.1111/j.1749-6632.2000.tb05225.x.CrossRefPubMed
31.
go back to reference Wapnir RA, Teichberg S: Regulation mechanisms of intestinal secretion: implications in nutrient absorption. Nutr Biochem. 2002, 13: 190-199. 10.1016/S0955-2863(02)00181-X.CrossRef Wapnir RA, Teichberg S: Regulation mechanisms of intestinal secretion: implications in nutrient absorption. Nutr Biochem. 2002, 13: 190-199. 10.1016/S0955-2863(02)00181-X.CrossRef
32.
go back to reference Elenkov U, Wilder RL, Chrousos GP: The sympathetic nerve--an integrative interface between two supersystems: the brain and immune system. Pharmacol Rev. 2000, 52: 585-638. Elenkov U, Wilder RL, Chrousos GP: The sympathetic nerve--an integrative interface between two supersystems: the brain and immune system. Pharmacol Rev. 2000, 52: 585-638.
33.
go back to reference Hansen MB: The enteric nervous system I: organization and classification. Pharmacol Toxicol. 2003, 92: 105-113. 10.1034/j.1600-0773.2003.t01-1-920301.x.CrossRefPubMed Hansen MB: The enteric nervous system I: organization and classification. Pharmacol Toxicol. 2003, 92: 105-113. 10.1034/j.1600-0773.2003.t01-1-920301.x.CrossRefPubMed
34.
go back to reference Adeyemi EOA, Desai KD, Towsey M, Ghista D: Characterization of autonomic dysfunction in patients with irritable bowel syndrome by means of heart rate variability studies. Am J Gastroenterol. 1999, 94: 816-823. 10.1111/j.1572-0241.1999.00861.x.CrossRefPubMed Adeyemi EOA, Desai KD, Towsey M, Ghista D: Characterization of autonomic dysfunction in patients with irritable bowel syndrome by means of heart rate variability studies. Am J Gastroenterol. 1999, 94: 816-823. 10.1111/j.1572-0241.1999.00861.x.CrossRefPubMed
35.
go back to reference Aggarawal A, Cutts TF, Abell TL, Cardoso S, Familoni B, Bremer J, Karas J: Predominant symptoms in irritable bowel syndrome correlate with specific autonomic nervous abnormalities. Gastroenterology. 1994, 106: 945-950. Aggarawal A, Cutts TF, Abell TL, Cardoso S, Familoni B, Bremer J, Karas J: Predominant symptoms in irritable bowel syndrome correlate with specific autonomic nervous abnormalities. Gastroenterology. 1994, 106: 945-950.
36.
go back to reference Elsenbruch S, Orr WC: Diarrhea- and constipation-predominant IBS patients differ in postprandial autonomic and cortisol responses. Am J Gastroenterol. 2001, 96: 460-466. 10.1111/j.1572-0241.2001.03526.x.CrossRefPubMed Elsenbruch S, Orr WC: Diarrhea- and constipation-predominant IBS patients differ in postprandial autonomic and cortisol responses. Am J Gastroenterol. 2001, 96: 460-466. 10.1111/j.1572-0241.2001.03526.x.CrossRefPubMed
37.
go back to reference Robert JJT, Elsenbruch S, Whitehead WC: Sleep-related autonomic disturbances in symptom subgroups of women with irritable bowel syndrome. Dig Dis Sci. 2006, 51: 2121-2127. 10.1007/s10620-006-9305-z.CrossRefPubMed Robert JJT, Elsenbruch S, Whitehead WC: Sleep-related autonomic disturbances in symptom subgroups of women with irritable bowel syndrome. Dig Dis Sci. 2006, 51: 2121-2127. 10.1007/s10620-006-9305-z.CrossRefPubMed
38.
go back to reference Tillisch K, Mayer EA, Labus JS, Stains J, Chang L, Naliboff BD: Sex specific alterations in autonomic function among patients with irritable bowel syndrome. Gut. 2005, 54: 1396-1401. 10.1136/gut.2004.058685.PubMedCentralCrossRefPubMed Tillisch K, Mayer EA, Labus JS, Stains J, Chang L, Naliboff BD: Sex specific alterations in autonomic function among patients with irritable bowel syndrome. Gut. 2005, 54: 1396-1401. 10.1136/gut.2004.058685.PubMedCentralCrossRefPubMed
39.
go back to reference Tanaka T, Manabe N, Hata J, Kusunoki H, Ishii M, Sato M, Kamada T, Shiotani A, Haruma K: Characterization of autonomic dysfunction in patients with irritable bowel syndrome using fingertip blood flow. Neurogastroenterol Motil. 2007, 20: 498-504. 10.1111/j.1365-2982.2007.01039.x.CrossRef Tanaka T, Manabe N, Hata J, Kusunoki H, Ishii M, Sato M, Kamada T, Shiotani A, Haruma K: Characterization of autonomic dysfunction in patients with irritable bowel syndrome using fingertip blood flow. Neurogastroenterol Motil. 2007, 20: 498-504. 10.1111/j.1365-2982.2007.01039.x.CrossRef
40.
go back to reference Naliboff BD, Berman S, Chang L, Derbyshire SW, Suyenobu B, Vogt BA, Mandelkern M, Mayer EA: Sex-related difference in IBS patients: central processing of visceral stimuli. Gastroenterology. 2003, 124: 1738-1747. 10.1016/S0016-5085(03)00400-1.CrossRefPubMed Naliboff BD, Berman S, Chang L, Derbyshire SW, Suyenobu B, Vogt BA, Mandelkern M, Mayer EA: Sex-related difference in IBS patients: central processing of visceral stimuli. Gastroenterology. 2003, 124: 1738-1747. 10.1016/S0016-5085(03)00400-1.CrossRefPubMed
41.
go back to reference Viramontes B, Camilleri M, McKinzie S, Pardi DS, Burton D, Thomforde GM: Gender-related differences in slowing colonic transit by a 5-HT3 antagonist in subjects with diarrhea-predominant irritable syndrome. Am J Gastroenterol. 2001, 96: 2671-2679. 10.1111/j.1572-0241.2001.04138.x.CrossRefPubMed Viramontes B, Camilleri M, McKinzie S, Pardi DS, Burton D, Thomforde GM: Gender-related differences in slowing colonic transit by a 5-HT3 antagonist in subjects with diarrhea-predominant irritable syndrome. Am J Gastroenterol. 2001, 96: 2671-2679. 10.1111/j.1572-0241.2001.04138.x.CrossRefPubMed
42.
go back to reference Mayer EA, Berman S, Chang L, Naliboff BD: Sex-based differences in gastrointestinal pain. Eur J Pain. 2004, 8: 451-463. 10.1016/j.ejpain.2004.01.006.CrossRefPubMed Mayer EA, Berman S, Chang L, Naliboff BD: Sex-based differences in gastrointestinal pain. Eur J Pain. 2004, 8: 451-463. 10.1016/j.ejpain.2004.01.006.CrossRefPubMed
43.
go back to reference Mayer EA, Gebhart GF: Basic and clinical aspects of visceral hyperalgia. Gastroenterology. 1994, 107: 271-293.PubMed Mayer EA, Gebhart GF: Basic and clinical aspects of visceral hyperalgia. Gastroenterology. 1994, 107: 271-293.PubMed
44.
go back to reference Lee HR, Pimentel M: Bacteria and irritable bowel syndrome: the evidence for small intestinal bacterial overgrowth. Curr Gastroenterol Rep. 2006, 8: 305-311. 10.1007/s11894-006-0051-3.CrossRefPubMed Lee HR, Pimentel M: Bacteria and irritable bowel syndrome: the evidence for small intestinal bacterial overgrowth. Curr Gastroenterol Rep. 2006, 8: 305-311. 10.1007/s11894-006-0051-3.CrossRefPubMed
45.
go back to reference Riordan SM, Kim R: Bacterial overgrowth as a cause of irritable bowel syndrome. Curr Opin Gastroenterol. 2006, 22: 669-673. 10.1097/01.mog.0000245544.80160.46.CrossRefPubMed Riordan SM, Kim R: Bacterial overgrowth as a cause of irritable bowel syndrome. Curr Opin Gastroenterol. 2006, 22: 669-673. 10.1097/01.mog.0000245544.80160.46.CrossRefPubMed
46.
go back to reference Husebye E: The pathogenesis of gastrointestinal bacterial overgrowth. Chemotherapy. 2005, 51 (Suppl 1): 1-22. 10.1159/000081988.CrossRefPubMed Husebye E: The pathogenesis of gastrointestinal bacterial overgrowth. Chemotherapy. 2005, 51 (Suppl 1): 1-22. 10.1159/000081988.CrossRefPubMed
47.
go back to reference Collins SM: Putative inflammatory and immunological mechanisms in functional bowel disorders. Clin Gastroenterol. 1999, 13: 429-436. Collins SM: Putative inflammatory and immunological mechanisms in functional bowel disorders. Clin Gastroenterol. 1999, 13: 429-436.
48.
go back to reference Spiller R: Role of infection in irritable bowel syndrome. Gastroenterol. 2007, 42 (Suppl XVII): 41-47. 10.1007/s00535-006-1925-8.CrossRef Spiller R: Role of infection in irritable bowel syndrome. Gastroenterol. 2007, 42 (Suppl XVII): 41-47. 10.1007/s00535-006-1925-8.CrossRef
49.
go back to reference Gasbarrini A, Lauritano EC, Garcovitch M, Sparano L, Gasbarrini G: New insights into the pathophysiology of IBS: intestinal microflora, gas production and gut motility. Eur Rev Med Pharmacol Sci. 2008, 12 (Suppl 1): 111-7.PubMed Gasbarrini A, Lauritano EC, Garcovitch M, Sparano L, Gasbarrini G: New insights into the pathophysiology of IBS: intestinal microflora, gas production and gut motility. Eur Rev Med Pharmacol Sci. 2008, 12 (Suppl 1): 111-7.PubMed
50.
go back to reference Gui XY: Mast cells: a possible link between psychological stress, enteric infection, food allergy and gut hypersensitivity in the irritable bowel syndrome. Gastroenterol Hepatol. 1998, 13: 980-989. 10.1111/j.1440-1746.1998.tb00558.x.CrossRef Gui XY: Mast cells: a possible link between psychological stress, enteric infection, food allergy and gut hypersensitivity in the irritable bowel syndrome. Gastroenterol Hepatol. 1998, 13: 980-989. 10.1111/j.1440-1746.1998.tb00558.x.CrossRef
51.
go back to reference Kalliomäki MA: Food allergy and irritable bowel syndrome. Curr Opin Gastroenterol. 2005, 21: 708-711. 10.1097/01.mog.0000181712.81657.0a.CrossRefPubMed Kalliomäki MA: Food allergy and irritable bowel syndrome. Curr Opin Gastroenterol. 2005, 21: 708-711. 10.1097/01.mog.0000181712.81657.0a.CrossRefPubMed
52.
go back to reference Aszalós Z: Neurological and psychiatric aspects of some gastrointestinal diseases. Orv Hetil. 2008, 149: 2079-2086. 10.1556/OH.2008.28480.CrossRefPubMed Aszalós Z: Neurological and psychiatric aspects of some gastrointestinal diseases. Orv Hetil. 2008, 149: 2079-2086. 10.1556/OH.2008.28480.CrossRefPubMed
53.
go back to reference Hotoleanu C, Popp R, Trifa AP, Nedelcu L, Dumitrascu DL: Genetic determination of irritable bowel syndrome. World J Gastroenterol. 2008, 14: 6636-6640. 10.3748/wjg.14.6636.PubMedCentralCrossRefPubMed Hotoleanu C, Popp R, Trifa AP, Nedelcu L, Dumitrascu DL: Genetic determination of irritable bowel syndrome. World J Gastroenterol. 2008, 14: 6636-6640. 10.3748/wjg.14.6636.PubMedCentralCrossRefPubMed
54.
go back to reference Saito YA, Locke GR, Talley NJ: A comparison of the Rome and Manning criteria for case identification in epidemiological investigations of irritable bowel disease. Am J Gastroenterol. 2000, 95: 2816-2824. 10.1111/j.1572-0241.2000.03192.x.CrossRefPubMed Saito YA, Locke GR, Talley NJ: A comparison of the Rome and Manning criteria for case identification in epidemiological investigations of irritable bowel disease. Am J Gastroenterol. 2000, 95: 2816-2824. 10.1111/j.1572-0241.2000.03192.x.CrossRefPubMed
55.
go back to reference Saito YA, Locke GR, Zimmerman JM, Holtmann G, Slusser JP, de Andrade M, Petersen GM, Talley NJ: The genetics of irritable bowel syndrome. Clin Gastroenterol Hepatol. 2005, 3: 1057-1065. 10.1016/S1542-3565(05)00184-9.CrossRefPubMed Saito YA, Locke GR, Zimmerman JM, Holtmann G, Slusser JP, de Andrade M, Petersen GM, Talley NJ: The genetics of irritable bowel syndrome. Clin Gastroenterol Hepatol. 2005, 3: 1057-1065. 10.1016/S1542-3565(05)00184-9.CrossRefPubMed
57.
go back to reference Kalantar JS, Locke GR, Zinsmeister AR, Beighley CM, Talley NJ: Familial aggregation of irritable bowel syndrome: a prospective study. Gut. 2003, 52: 1703-1707. 10.1136/gut.52.12.1703.PubMedCentralCrossRefPubMed Kalantar JS, Locke GR, Zinsmeister AR, Beighley CM, Talley NJ: Familial aggregation of irritable bowel syndrome: a prospective study. Gut. 2003, 52: 1703-1707. 10.1136/gut.52.12.1703.PubMedCentralCrossRefPubMed
58.
go back to reference Morris-Yates A, Talley NJ, Boyce PM, Nandurkar S, Andrews G: Evidence of a genetic contribution to functional bowel disorder. Am J Gastroenterol. 1998, 93: 1311-1317. 10.1111/j.1572-0241.1998.440_j.x.CrossRefPubMed Morris-Yates A, Talley NJ, Boyce PM, Nandurkar S, Andrews G: Evidence of a genetic contribution to functional bowel disorder. Am J Gastroenterol. 1998, 93: 1311-1317. 10.1111/j.1572-0241.1998.440_j.x.CrossRefPubMed
59.
go back to reference Levy RL, Jones KR, Whitehead WE, Feld SI, Talley NJ, Corey LA: Irritable bowel syndrome in twins: heredity and social learning both contribute to etiology. Gastroenterology. 2001, 121: 799-804. 10.1053/gast.2001.27995.CrossRefPubMed Levy RL, Jones KR, Whitehead WE, Feld SI, Talley NJ, Corey LA: Irritable bowel syndrome in twins: heredity and social learning both contribute to etiology. Gastroenterology. 2001, 121: 799-804. 10.1053/gast.2001.27995.CrossRefPubMed
60.
go back to reference Bengtson MB, Rønning T, Vatn MH, Harris JR: Irritable bowel syndrome in twins: genes and enviropment. Gut. 2006, 55: 1754-1759. 10.1136/gut.2006.097287.PubMedCentralCrossRefPubMed Bengtson MB, Rønning T, Vatn MH, Harris JR: Irritable bowel syndrome in twins: genes and enviropment. Gut. 2006, 55: 1754-1759. 10.1136/gut.2006.097287.PubMedCentralCrossRefPubMed
61.
go back to reference Lembo A, Zaman M, Jones M, Talley NJ: Influence of genetics on irritable bowel syndrome, gastro-oesophageal reflux and dyspepsia: a twin study. Aliment Pharmacol Ther. 2007, 25: 1343-1350. 10.1111/j.1365-2036.2007.03326.x.CrossRefPubMed Lembo A, Zaman M, Jones M, Talley NJ: Influence of genetics on irritable bowel syndrome, gastro-oesophageal reflux and dyspepsia: a twin study. Aliment Pharmacol Ther. 2007, 25: 1343-1350. 10.1111/j.1365-2036.2007.03326.x.CrossRefPubMed
62.
go back to reference Li Y, Nie Y, Xie J, Tang W, Liang P, Sha W, Yang H, Zhou Y: The association of serotonin transporter genetic polymorphisms and irritable bowel syndrome and its influence on tegaserod treatment in Chinese patients. Dig Dis Sci. 2007, 52: 2942-2949. 10.1007/s10620-006-9679-y.CrossRefPubMed Li Y, Nie Y, Xie J, Tang W, Liang P, Sha W, Yang H, Zhou Y: The association of serotonin transporter genetic polymorphisms and irritable bowel syndrome and its influence on tegaserod treatment in Chinese patients. Dig Dis Sci. 2007, 52: 2942-2949. 10.1007/s10620-006-9679-y.CrossRefPubMed
63.
go back to reference Yeo A, Boyd P, Lumsden S, Saunders T, Handley A, Stubbins M, Knaggs A, Asquith S, Taylor I, Bahari B, Crocker N, Rallan R, Varsani S, Montgomery D, Alpers DH, Dukes GE, Purvis I, Hicks GA: Association between a functional polymorphism in the serotonin transporter gene and diarrhoea predominant irritable bowel syndrome in women. Gut. 2004, 53: 1452-1458. 10.1136/gut.2003.035451.PubMedCentralCrossRefPubMed Yeo A, Boyd P, Lumsden S, Saunders T, Handley A, Stubbins M, Knaggs A, Asquith S, Taylor I, Bahari B, Crocker N, Rallan R, Varsani S, Montgomery D, Alpers DH, Dukes GE, Purvis I, Hicks GA: Association between a functional polymorphism in the serotonin transporter gene and diarrhoea predominant irritable bowel syndrome in women. Gut. 2004, 53: 1452-1458. 10.1136/gut.2003.035451.PubMedCentralCrossRefPubMed
64.
go back to reference Sikander A, Rana SV, Sinha SK, Prasad KK, Arora SK, Sharma SK, Singh K: Serotonin transporter promoter variant: Analysis in Indian IBS patients and control population. Clin Gastroenterol. 2009, 43: 957-961. 10.1097/MCG.0b013e3181b37e8c.CrossRef Sikander A, Rana SV, Sinha SK, Prasad KK, Arora SK, Sharma SK, Singh K: Serotonin transporter promoter variant: Analysis in Indian IBS patients and control population. Clin Gastroenterol. 2009, 43: 957-961. 10.1097/MCG.0b013e3181b37e8c.CrossRef
65.
go back to reference Cremonini F, Camilleri M, McKinzie S, Carlson P, Camilleri CE, Burton D, Thomforde G, Urrutia R, Zinsmeister AR: Effect of CCK-1 antagonist, dexloxiglumide, in female patients with irritable bowel syndrome: a pharmacodynamic and pharmacogenomic study. Am J Gastroenterol. 2005, 100: 652-663. 10.1111/j.1572-0241.2005.41081.x.CrossRefPubMed Cremonini F, Camilleri M, McKinzie S, Carlson P, Camilleri CE, Burton D, Thomforde G, Urrutia R, Zinsmeister AR: Effect of CCK-1 antagonist, dexloxiglumide, in female patients with irritable bowel syndrome: a pharmacodynamic and pharmacogenomic study. Am J Gastroenterol. 2005, 100: 652-663. 10.1111/j.1572-0241.2005.41081.x.CrossRefPubMed
66.
go back to reference Kim HJ, Camilleri M, Carlson PJ, Cremonini F, Ferber I, Stephens D, McKinzie S, Zinsmeister AR, Urrutia R: Association of distinct alpha(2) adrenoceptor and serotonin transporter polymorphisms with constipation and somatic symptoms in functional gastrointestinal disorders. Gut. 2004, 53: 829-837. 10.1136/gut.2003.030882.PubMedCentralCrossRefPubMed Kim HJ, Camilleri M, Carlson PJ, Cremonini F, Ferber I, Stephens D, McKinzie S, Zinsmeister AR, Urrutia R: Association of distinct alpha(2) adrenoceptor and serotonin transporter polymorphisms with constipation and somatic symptoms in functional gastrointestinal disorders. Gut. 2004, 53: 829-837. 10.1136/gut.2003.030882.PubMedCentralCrossRefPubMed
67.
go back to reference Veek Van der PP, Berg van den M, de Kroon YE, Verspaget HW, Masclee AA: Role of tumor necrosis factor-alpha and interleukin-10 gene polymorphisms in irritable bowel syndrome. Am J Gastroenterol. 2005, 100: 2510-2516. 10.1111/j.1572-0241.2005.00257.x.CrossRefPubMed Veek Van der PP, Berg van den M, de Kroon YE, Verspaget HW, Masclee AA: Role of tumor necrosis factor-alpha and interleukin-10 gene polymorphisms in irritable bowel syndrome. Am J Gastroenterol. 2005, 100: 2510-2516. 10.1111/j.1572-0241.2005.00257.x.CrossRefPubMed
Metadata
Title
Current insights in to the pathophysiology of Irritable Bowel Syndrome
Authors
Theodoros Karantanos
Theofano Markoutsaki
Maria Gazouli
Nicholas P Anagnou
Dimitrios G Karamanolis
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Gut Pathogens / Issue 1/2010
Electronic ISSN: 1757-4749
DOI
https://doi.org/10.1186/1757-4749-2-3

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