Plasma and gastric mucosal 5-hydroxytryptamine concentrations following cold water intake in patients with diarrhea-predominant irritable bowel syndrome
Xiu Li Zuo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorCorresponding Author
Yan Qing Li
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Professor Yan Qing Li, Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, China. Email: [email protected]Search for more papers by this authorXiao Zhong Yang
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorMin Guo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorYu Ting Guo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorXue Feng Lu
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorJun Man Li
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorPaul V Desmond
Department of Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australia
Search for more papers by this authorXiu Li Zuo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorCorresponding Author
Yan Qing Li
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Professor Yan Qing Li, Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, China. Email: [email protected]Search for more papers by this authorXiao Zhong Yang
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorMin Guo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorYu Ting Guo
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorXue Feng Lu
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorJun Man Li
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, China and
Search for more papers by this authorPaul V Desmond
Department of Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australia
Search for more papers by this authorAbstract
Background and Aim: The purpose of the present paper was to investigate the effects of cold water intake on 5-hydroxytryptamine (5-HT) and its metabolite 5-hydroxyindole acetic acid (5-HIAA) in diarrhea-predominant irritable bowel syndrome (d-IBS) patients, and to observe the relationship between 5-HT and symptomatology.
Methods: The plasma 5-HT/5-HIAA concentrations at 0, 30 min, 60 min, 90 min, 120 min, 150 min and 180 min following cold or warm water intake were investigated in 32 female subjects with d-IBS and 21 healthy female subjects. Gastric mucosal 5-HT under fasting conditions and following water intake were further investigated in 15 d-IBS patients and nine healthy subjects. Symptomatology was assessed throughout the study.
Results: The plasma 5-HT concentrations in IBS patients were significantly higher than those of controls at 30 min (P = 0.022), 60 min (P < 0.001), 90 min (P < 0.001), 120 min (P < 0.001) and 150 min (P = 0.001) after cold water intake. The peak plasma 5-HT/5-HIAA and area under the curve for 5-HT/5-HIAA were also higher in d-IBS patients (P < 0.001). Gastric mucosal 5-HT in d-IBS patients and controls did not show any significant differences both under fasting condition (P = 0.596) and after cold water intake (P = 0.426). Last, the d-IBS patients with symptoms had higher 5-HT concentration (P < 0.001) and there was a positive correlation (r = 0.714, P = 0.001)between the symptomatology and plasma 5-HT level.
Conclusions: These data suggest that symptomatology following cold water intake may be associated with increased plasma 5-HT concentrations in female subjects with d-IBS.
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