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A deficiency of gastric interstitial cells of Cajal accompanied by decreased expression of neuronal nitric oxide synthase and substance P in patients with type 2 diabetes mellitus

Open access
Iwasaki, Hirohiko, Kajimura, Masayoshi, Osawa, Satoshi, Kanaoka, Shigeru, Furuta, Takahisa, Ikuma, Mutsuhiro, Hishida, Akira·2006·Journal of Gastroenterology

Abstract

BackgroundGastrointestinal motility is impaired in patients with diabetes mellitus (DM). Interstitial cells of Cajal (ICC) in the gastrointestinal tract play a central role in gastrointestinal motility. The present study examined whether ICC density, or expression of neuronal nitric oxide synthase (nNOS)- and substance P (SP)-containing nerves in the gastric antrum, were altered in patients with type 2 DM.MethodsParaffin-embedded gastric specimens from 51 controls and 36 male DM patients with gastric cancer were used for immunohistochemistry. Serial sections were stained with Kit and mast cell tryptase-specific antibodies. Fresh-frozen gastric specimens from patients with gastric cancer were used for immunofluorescence. The specimens were stained with antibodies to Kit, nNOS, and SP, and levels of expression of these three markers were compared between controls and DM patients.ResultsICC density in the inner circular muscle layer, but not in the myenteric plexus, was lower in patients with severe DM than in controls in paraffin-embedded specimens. In addition, decreased expression of nNOS and SP accompanied by reduced ICC density was observed in frozen specimens from patients with DM.ConclusionsThese results suggest that lower gastric ICC, nNOS, and SP densities in patients with DM may be associated with the pathogenesis of diabetic gastroparesis.

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Metadata

Authors
Iwasaki, H., Kajimura, M., Osawa, S., Kanaoka, S., Furuta, T., Ikuma, M., & Hishida, A.
Venue
Journal of Gastroenterology
Published
2006-12-08
Volume
41
Issue
11
Pages
1076-1087
ISSN
  • 0944-1174 (ISSN-L)
  • 1435-5922
OpenAlex
W1991218946
Cited by
190
References
4
FWCI
10.49
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: A deficiency of gastric interstitial cells of Cajal accompanied by decreased expression of neuronal nitric oxide synthase and substance P in patients with type 2 diabetes mellitus. https://app.cochat.ai/papers/10.1007/s00535-006-1909-8
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Iwasaki, H., Kajimura, M., Osawa, S., Kanaoka, S., Furuta, T., Ikuma, M., & Hishida, A. (2006). A deficiency of gastric interstitial cells of Cajal accompanied by decreased expression of neuronal nitric oxide synthase and substance P in patients with type 2 diabetes mellitus. Journal of Gastroenterology. https://doi.org/10.1007/s00535-006-1909-8

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