Role for protease activity in visceral pain in irritable bowel syndrome
Open accessAbstract
Mediators involved in the generation of symptoms in patients with irritable bowel syndrome (IBS) are poorly understood. Here we show that colonic biopsy samples from IBS patients release increased levels of proteolytic activity (arginine cleavage) compared to asymptomatic controls. This was dependent on the activation of NF-kappaB. In addition, increased proteolytic activity was measured in vivo, in colonic washes from IBS compared with control patients. Trypsin and tryptase expression and release were increased in colonic biopsies from IBS patients compared with control subjects. Biopsies from IBS patients (but not controls) released mediators that sensitized murine sensory neurons in culture. Sensitization was prevented by a serine protease inhibitor and was absent in neurons lacking functional protease-activated receptor-2 (PAR2). Supernatants from colonic biopsies of IBS patients, but not controls, also caused somatic and visceral hyperalgesia and allodynia in mice, when administered into the colon. These pronociceptive effects were inhibited by serine protease inhibitors and a PAR2 antagonist and were absent in PAR2-deficient mice. Our study establishes that proteases are released in IBS and that they can directly stimulate sensory neurons and generate hypersensitivity symptoms through the activation of PAR2.
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Some studies failed to demonstrate increased activated mast cells in IBS patients.
“However, some studies failed to demonstrate increased activated mast cells in IBS patients (35, 36, 57, 58, 168) and there are no consistent differences in the tissue concentrations of activated mast cells in patients with different IBS subtypes (36, 189).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [35]
Other studies have reported elevated levels of histamine and tryptase release in patients with IBS compared with controls.
“Other studies have reported elevated levels of histamine and tryptase release in patients with IBS compared with controls (11, 13, 35, 73).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [35]
Trypsin-like activity and tryptase release are increased in colonic biopsies from irritable bowel syndrome patients.
“For example, Trypsin-like activity and tryptase release are increased in colonic biopsies from IBS patients.7,58”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [58]
Studies in mice and humans have provided evidence that host- and bacterial-derived proteases may contribute to irritable bowel syndrome pathogenesis and symptom generation.
“Similar to IBD, studies in mice and humans have provided evidence that host- and bacterial-derived proteases may contribute to pathogenesis and symptom generation.7,13,57,58”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [58]
Biopsy supernatants from IBS patients excite spinal afferent neurons via PAR-2 activation.
“Biopsy supernatants from IBS patients have also been shown to excite spinal afferent neurons via PAR-2 activation.7,58,155”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [58]
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Proteinases and signalling: pathophysiological and therapeutic implications via PARs and more
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“In a study on colonic tissue from individuals with inflammatory bowel syndrome, it was shown further that levels of trypsin, tryptase and other unidentified serine proteinase that favoured cleavage at an arginine site are significantly upregulated (Cenac et al., 2007).”
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“PAR2, as well as its ligand mast cell tryptase, have been shown to be important for inflammation (Noorbakhsh et al., 2006; Barbara et al., 2007; Cenac et al., 2007).”
BackgroundProtease-activated receptor 2 signaling in inflammation
Rothmeier, A. S., & Ruf, W. (2011) · Seminars in Immunopathology · doi:10.1007/s00281-011-0289-1 · Cited by 289 · see citing works
“PAR2 is expressed throughout the intestine and trypsins as well, as tryptase are found in high levels in intestinal fluids of patients with inflammatory bowel disease, indicating a potential role of PAR2 in the pathogenesis of intestinal inflammation [123].”
The digestive neuronal–glial–epithelial unit: a new actor in gut health and disease
Neunlist, M., Landeghem, L. V., Mahé, M. M., Derkinderen, P., Varannes, S. B. D., & Rolli‐Derkinderen, M. (2012) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2012.221 · Cited by 277 · see citing works
Advances in mast cell biology: new understanding of heterogeneity and function
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Food-Grade Bacteria Expressing Elafin Protect Against Inflammation and Restore Colon Homeostasis
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“Indeed, elevated proteolytic activity has been detected in intestinal tissues from CD and UC patients (5, 6).”
BackgroundSelf-citationSingle-cell RNAseq reveals seven classes of colonic sensory neuron
Hockley, J. R. F., Taylor, T. S., Callejo, G., Wilbrey, A. L., Gutteridge, A., Bach, K., Winchester, W. J., Bulmer, D. C., McMurray, G., & Smith, E. S. J. (2018) · Gut · doi:10.1136/gutjnl-2017-315631 · Cited by 251 · see citing works
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Protease inhibition as new therapeutic strategy for GI diseases
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Tissue Factor, Blood Coagulation, and Beyond: An Overview
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“FUT-175 consistent with PAR deficiency eases inflammatory bowel disease/symptom [395].”
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Stress and visceral pain: From animal models to clinical therapies
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The immune system in irritable bowel syndrome
Barbara, G., Cremon, C., Carini, G., Bellacosa, L., Zecchi, L., Giorgio, R. D., Corinaldesi, R., & Stanghellini, V. (2011) · Journal of Neurogastroenterology and Motility · doi:10.5056/jnm.2011.17.4.349 · Cited by 211 · see citing works
“Proteases are markedly increased in the mucosa of patients with IBS(5,47,58) and may act as signaling pain molecules via the activation of protease activated receptors (PAR) located on intestinal nerves conveying pain stimuli to the brain.(5,47,59) Trypsin and tryptase nociceptive effects evoked in mice were reduced b…”
InfluentialSelf-citationFord, A. C., & Talley, N. J. (2011) · Journal of Gastroenterology · doi:10.1007/s00535-011-0379-9 · Cited by 200 · see citing works
“Unaltered O’Sullivan et al. [35], Chadwick et al. [27], Cenac et al. [ 26 ]”
BackgroundMethodInfluentialClinical significance of lymph node metastasis in gastric cancer
Deng, J. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i14.3967 · Cited by 198 · see citing works
Sensory neuro-immune interactions differ between Irritable Bowel Syndrome subtypes
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Novel Fecal Biomarkers That Precede Clinical Diagnosis of Ulcerative Colitis
Galipeau, H. J., Caminero, A., Turpin, W., Bermudez-Brito, M., Santiago, A., Libertucci, J., Constante, M., Raygoza Garay, J. A., Rueda, G., Armstrong, S., et al. (2021) · Gastroenterology · doi:10.1053/j.gastro.2020.12.004 · Cited by 190 · see citing works
Self-citationCathepsin S Causes Inflammatory Pain via Biased Agonism of PAR2 and TRPV4
Zhao, P., Lieu, T., Barlow, Ν., Metcalf, M. D., Veldhuis, N. A., Jensen, D. D., Kočan, M., Sostegni, S., Haerteis, S., Baraznenok, V., et al. (2014) · Journal of Biological Chemistry · doi:10.1074/jbc.m114.599712 · Cited by 189 · see citing works
“Given the established contributions of PAR2 and TRPV4 to arthritis (63) and colitis (30, 64, 65), antagonists of Cat-S, PAR2, and TRPV4 may be valuable treatments for these and other inflammatory diseases.”
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Protease-activated receptor-2 in endosomes signals persistent pain of irritable bowel syndrome
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Self-citationOh my aching gut: irritable bowel syndrome, Blastocystis, and asymptomatic infection
Boorom, K., Smith, H. V., Nimri, L. F., Viscogliosi, É., Spanakos, G. K., Parkar, U., Li, L., Zhou, X., Ok, Ü. Z., Leelayoova, S., et al. (2008) · Parasites & Vectors · doi:10.1186/1756-3305-1-40 · Cited by 186 · see citing works
“Recent research into the etiology of abdominal pain, constipation and diarrhea in patients with symptoms attributed to IBS has suggested that the these symptoms are produced by high levels of serine protease produced in the gastrointestinal tract which are capable of exciting neurons directly through the protease-acti…”
BackgroundCrosstalk at the mucosal border: importance of the gut microenvironment in IBS
Öhman, L., Törnblom, H., & Simrén, M. (2014) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2014.200 · Cited by 181 · see citing works
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The enteric nervous system: normal functions and enteric neuropathies
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Transient Receptor Potential Vanilloid-4 Has a Major Role in Visceral Hypersensitivity Symptoms
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Self-citationIrritable bowel syndrome: towards biomarker identification
Clarke, G. A., Quigley, E. M. M., Cryan, J. F., & Dinan, T. G. (2009) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2009.08.001 · Cited by 180 · see citing works
Mucosal cytokine imbalance in irritable bowel syndrome
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“subsequently documented increased tryptase levels in the stool in IBS patients and went on to show that these proteases had pronociceptive effects in experimental animal models [15].”
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Self-citationVeldhuis, N. A., Poole, D. P., Grace, M. S., McIntyre, P., & Bunnett, N. W. (2014) · Pharmacological Reviews · doi:10.1124/pr.114.009555 · Cited by 172 · see citing works
“These proteases are present in biopsy supernatants and can activate PARs (particularly PAR2), leading to the sensitization of mouse sensory neurons and colonic afferents (Cenac et al., 2007).”
BackgroundSelf-citationVisceral hypersensitivity in non-erosive reflux disease
Knowles, C. H., & Aziz, Q. (2007) · Gut · doi:10.1136/gut.2007.127886 · Cited by 171 · see citing works
Basic and clinical aspects of gastrointestinal pain
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“In keeping with a role in GI nociception, expression of all relevant GPCRs, e.g. Bradykinin 2 (B2) receptors [43], PG receptors [159], histamine receptors [212], 5HT receptors [96], TrK A [73], Ret [84] and PAR2 [55] receptors, has been demonstrated in several classes of GI afferents with a further subset of GPCRs hav…”
BackgroundInfluentialEngineering lactococci and lactobacilli for human health
Bermúdez‐Humarán, L. G., Aubry, C., Motta, J., Deraison, C., Steidler, L., Vergnolle, N., Chatel, J., & Langella, P. (2013) · Current Opinion in Microbiology · doi:10.1016/j.mib.2013.06.002 · Cited by 164 · see citing works
“Indeed, intestinal tissues from CD and UC patients show elevated proteolytic activity [8 ,9].”
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“Proteases obtained from IBS patients induced proteinase receptor-2-dependent activation of pain pathways in mice.(13) In addition, colonic low-grade immune activation correlated with TRPV-1 immunoreactivity and with the severity of abdominal pain.”
BackgroundSelf-citationPathophysiology, Evaluation, and Management of Chronic Watery Diarrhea
Camilleri, M., Sellin, J. H., & Barrett, K. E. (2016) · Gastroenterology · doi:10.1053/j.gastro.2016.10.014 · Cited by 163 · see citing works
Colonic immune cells in irritable bowel syndrome: A systematic review and meta‐analysis
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Self-citationMast Cell Proteases as Protective and Inflammatory Mediators
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The enteric nervous system in gastrointestinal disease etiology
Holland, A. M., Bon‐Frauches, A. C., Keszthelyi, D., Melotte, V., & Boesmans, W. (2021) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-021-03812-y · Cited by 164 · see citing works
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“These mechanisms contribute to painful inflammation of the intestine (5, 6), pancreas (7, 8), and joints (9).”
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Self-citationMast Cell-Mediated Mechanisms of Nociception
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“PAR2 may sensitize neurons via Ca2+ mobilization [143,152] and TRPV1 channel activation [154].”
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Cénac, N., Bautzová, T., Faouder, P. L., Veldhuis, N. A., Poole, D. P., Rolland, C., Bertrand, J., Liedtke, W., Dubourdeau, M., Bertrand‐Michel, J., et al. (2015) · Gastroenterology · doi:10.1053/j.gastro.2015.04.011 · Cited by 152 · see citing works
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“53 Interestingly, administration of IBS supernatant into the colon of mice resulted in increased pain responses evoked by colorectal distension.”
BackgroundSerum and Colonic Mucosal Immune Markers in Irritable Bowel Syndrome
Chang, L., Adeyemo, M. A., Karagiannidis, I., Videlock, E. J., Bowe, C., Shih, W., Presson, A. P., Yuan, P., Cortina, G. R., Gong, H., et al. (2011) · The American Journal of Gastroenterology · doi:10.1038/ajg.2011.423 · Cited by 148 · see citing works
Mast cell proteases as pharmacological targets
Caughey, G. H. (2015) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2015.04.045 · Cited by 151 · see citing works
“, 2006); visceral pain (Cenac et al., 2007), aortic aneurysms (Zhang et al.”
BackgroundFunctional gastrointestinal disorders and gut-brain axis: What does the future hold?
Mukhtar, K., Nawaz, H., & Abid, S. (2019) · World Journal of Gastroenterology · doi:10.3748/wjg.v25.i5.552 · Cited by 152 · see citing works
Immune Activation in Irritable Bowel Syndrome: Can Neuroimmune Interactions Explain Symptoms?
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“Proteases released from the intestinal mucosa of patients with irritable bowel syndrome, including trypsins and tryptase, cause visceral hyperalgesia in mice by activating PAR2, suggesting a role for proteases and PAR2 in pain in humans (13).”
BackgroundSelf-citationMartínez, C., Rodiño‐Janeiro, B. K., Lobo, B., Stanifer, M. L., Klaus, B., Granzow, M., González-Castro, A. M., Salvo‐Romero, E., Alonso, C., Pigrau, M., et al. (2017) · Gut · doi:10.1136/gutjnl-2016-311477 · Cited by 143 · see citing works
Brain-derived neurotrophic factor contributes to abdominal pain in irritable bowel syndrome
Yu, Y., Zuo, X., Zhao, Q.-J., Chen, F.-X., Yang, J., Dong, Y., Wang, P., & Li, Y. (2011) · Gut · doi:10.1136/gutjnl-2011-300265 · Cited by 144 · see citing works
Mechanisms Underlying Visceral Hypersensitivity in Irritable Bowel Syndrome
Barbara, G., Cremon, C., GIORGIO, R. D., Dothel, G., Zecchi, L., Bellacosa, L., Carini, G., Stanghellini, V., & Corinaldesi, R. (2011) · Current Gastroenterology Reports · doi:10.1007/s11894-011-0195-7 · Cited by 144 · see citing works
“These proteases were involved in the activation of sensory neurons, as well as generation of colonic hypersensitivity when infused in the colon of recipient mice, through a mechanism involving the activation of protease activated receptor-2 [61].”
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Gut Microbiota as Potential Orchestrators of Irritable Bowel Syndrome
Bennet, S., Öhman, L., & Simrén, M. (2015) · Gut and Liver · doi:10.5009/gnl14344 · Cited by 143 · see citing works
New treatments and therapeutic targets for IBS and other functional bowel disorders
Simrén, M., & Tack, J. (2018) · Nature reviews: Gastroenterology & hepatology · doi:10.1038/s41575-018-0034-5 · Cited by 127 · see citing works
Caminero, A., McCarville, J. L., Galipeau, H. J., Deraison, C., Bernier, S. P., Constante, M., Rolland, C., Meisel, M., Murray, J. A., Yu, X. B., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-09037-9 · Cited by 139 · see citing works
Self-citationMast Cells and Irritable Bowel Syndrome: From the Bench to the Bedside
Zhang, L., Song, J., & Hou, X. (2016) · Journal of Neurogastroenterology and Motility · doi:10.5056/jnm15137 · Cited by 138 · see citing works
“Several studies also demonstrated that serine protease inhibitors and PAR2 antagonist could control the mucosal inflammation and block the pro-nociceptive effects in mice colon.(101) Accordingly, antagonizing PAR2 may be a highly compelling means for IBS treatment.”
BackgroundBlastocystis subtypes in irritable bowel syndrome and inflammatory bowel disease in Ankara, Turkey
Al, F. D., Kuştımur, S., Yoshikawa, H., Tunçer, C., Şimşek, Z., Tanyüksel, M., Araz, E., & Boorom, K. (2009) · Memórias do Instituto Oswaldo Cruz · doi:10.1590/s0074-02762009000500011 · Cited by 137 · see citing works
“A study of colonic biopsies taken from IBS and IBD patients found that gastrointestinal symptoms in these diseases are a result of serine protease production (Cenac et al. 2007).”
BackgroundModulation of the TRPV4 ion channel as a therapeutic target for disease
Grace, M. S., Bonvini, S. J., Belvisi, M. G., & McIntyre, P. (2017) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2017.02.019 · Cited by 133 · see citing works
CORINALDESI, R., STANGHELLINI, V., CREMON, C., GARGANO, L., COGLIANDRO, R. F., DE GIORGIO, R., BARTESAGHI, G., CANOVI, B., & BARBARA, G. (2009) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.2009.04041.x · Cited by 131 · see citing works
Self-citationModifying the Protease, Antiprotease Pattern by Elafin Overexpression Protects Mice From Colitis
Motta, J., Magne, L., Descamps, D., Rolland, C., Squarzoni–Dale, C., Rousset, P., Martin, L., Cenac, N., Balloy, V., Huerre, M., et al. (2011) · Gastroenterology · doi:10.1053/j.gastro.2010.12.050 · Cited by 130 · see citing works
Self-citationA Global Perspective on Irritable Bowel Syndrome
Quigley, E. M. M., Abdel-Hamid, H., Barbara, G., Bhatia, S. J., Boeckxstaens, G. E., GIORGIO, R. D., Delvaux, M. M., Drossman, D. A., Foxx–Orenstein, A. E., Guarner, F., et al. (2012) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0b013e318247157c · Cited by 131 · see citing works
Self-citationDu, Q., Liao, Q., Chen, C., Yang, X., Xie, R., & Xu, J. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01064 · Cited by 127 · see citing works
Bermúdez‐Humarán, L. G., Motta, J., Aubry, C., Kharrat, P., Martin, L., Sallenave, J., Deraison, C., Vergnolle, N., & Langella, P. (2015) · Microbial Cell Factories · doi:10.1186/s12934-015-0198-4 · Cited by 128 · see citing works
“Inflammatory bowel disease (IBD) is a group of chronic inflammatory disorders that cause inflammation of the digestive tract.”
BackgroundInfluentialSelf-citationProtease-activated receptors as drug targets in inflammation and pain
Vergnolle, N. (2009) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2009.05.004 · Cited by 124 · see citing works
Self-citationTransient receptor potential ankyrin-1 has a major role in mediating visceral pain in mice
Cattaruzza, F., Spreadbury, I., Miranda‐Morales, M., Grady, E. F., Vanner, S. J., & Bunnett, N. W. (2009) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00221.2009 · Cited by 123 · see citing works
“Proteases are prominent mediators of inflammation and pain in many tissues, including the intestine (8, 15).”
BackgroundInfluentialSelf-citationInfection, inflammation, and the irritable bowel syndrome
Spiller, R., & Garsed, K. (2009) · Digestive and Liver Disease · doi:10.1016/j.dld.2009.07.007 · Cited by 122 · see citing works
Bacterial proteases in IBD and IBS
Steck, N., Mueller, K., Schemann, M., & Haller, D. (2011) · Gut · doi:10.1136/gutjnl-2011-300775 · Cited by 119 · see citing works
“Changes in diversity and composition as well as functionality of the intestinal microbiota were associated with IBD17 18 and IBS.19 Pathogenic infections are suggested as the starting point for IBD20 and IBS,21 but further work is needed to understand the role of commensal bacteria and their possible contribution to t…”
BackgroundResultInfluentialLinley, J. E., Rose, K. E., Patil, M. J., Robertson, B., Akopian, A. N., & Gamper, N. L. (2008) · Journal of Neuroscience · doi:10.1523/jneurosci.2297-08.2008 · Cited by 121 · see citing works
“In in vivo studies, injection of PAR-2 agonists induced both spontaneous nociception and hyperalgesia (Vergnolle et al., 2001; Paszcuk et al., 2008), whereas a PAR-2 antagonist produced antinociceptive effects in an inflammatory pain model (Cenac et al., 2007).”
Backgroundvan den Wijngaard, R. M., Klooker, T. K., Welting, O., Stanisor, O. I., Wouters, M. M., van der Coelen, D., Bulmer, D. C., Peeters, P. J., Aerssens, J., Hoogt, R. D., et al. (2009) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2009.01339.x · Cited by 117 · see citing works
Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome
Ringel, Y., & Maharshak, N. (2013) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00207.2012 · Cited by 115 · see citing works
“However, some studies failed to demonstrate increased activated mast cells in IBS patients (35, 36, 57, 58, 168) and there are no consistent differences in the tissue concentrations of activated mast cells in patients with different IBS subtypes (36, 189).”
BackgroundResultNeuroanatomy of lower gastrointestinal pain disorders
Vermeulen, W. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i4.1005 · Cited by 116 · see citing works
Vicario, M., González-Castro, A. M., Martínez, C., Lobo, B., Pigrau, M., Guilarte, M., de Torres, I. M., Mosquera, J. L., Fortea, M., Sevillano-Aguilera, C., et al. (2014) · Gut · doi:10.1136/gutjnl-2013-306236 · Cited by 116 · see citing works
Al, F. D., Şimşek, Z., Boorom, K., Ekici, E., Şahin, M., Tunçer, C., Kuştımur, S., & Altınbaş, A. (2010) · PLoS ONE · doi:10.1371/journal.pone.0015484 · Cited by 116 · see citing works
“As the production of such a trypsin-like compound by colonic biopsies is present in all IBS/IBD patients, but is of unknown origin [29,30,31], the biopsy data from this study may help elucidate the source of that compound.”
BackgroundMethodResultInfluentialCellular and Molecular Basis of Intestinal Barrier Dysfunction in the Irritable Bowel Syndrome
Martínez, C., González-Castro, A. M., Vicario, M., & Santos, J. (2012) · Gut and Liver · doi:10.5009/gnl.2012.6.3.305 · Cited by 115 · see citing works
“Among these mediators, major basic protein has been described to induce epithelial barrier dysfunction associated with the down-regulation of occluding.75 It has recently been identify increased number of eosinophils along with mucosal hyperplasia and lymphocyte aggregation in the lamina propria of the colon in IBS pa…”
BackgroundInfluentialProtease-activated receptors in health and disease
Peach, C. J., Edgington-Mitchell, L. E., Bunnett, N. W., & Schmidt, B. L. (2023) · Physiological Reviews · doi:10.1152/physrev.00044.2021 · Cited by 116 · see citing works
Self-citationRecent developments in the pathophysiology of irritable bowel syndrome
El-Salhy, M. (2015) · World Journal of Gastroenterology · doi:10.3748/wjg.v21.i25.7621 · Cited by 111 · see citing works
Beatty, J. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i14.3976 · Cited by 107 · see citing works
Valdez-Morales, E. E., Overington, J., Guerrero-Alba, R., Ochoa-Cortes, F., Ibeakanma, C. O., Spreadbury, I., Bunnett, N. W., Beyak, M., & Vanner, S. J. (2013) · American Journal of Gastroenterology · doi:10.1038/ajg.2013.241 · Cited by 107 · see citing works
Self-citation
- Authors
- Cenac, N., Andrews, C. N., Holzhausen, M., Chapman, K., Cottrell, G., Andrade-Gordon, P., Steinhoff, M., Barbara, G., Beck, P., Bunnett, N. W., Sharkey, K. A., Ferraz, J. G. P., Shaffer, E., & Vergnolle, N.
- Affiliations
- University of Calgary (CA)
- University of California, San Francisco (US)
- University of Münster (DE)
- University of Bologna (IT)
- Corresponding author
- Vergnolle, Nathalie
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2007-03-01
- Volume
- 117
- Issue
- 3
- Pages
- 636-647
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC1794118
- OpenAlex
- W2140528350
- Cited by
- 591
- References
- 66
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 22 · 2023: 19 · 2022: 21 · 2021: 24 · 2020: 26 · 2019: 27 · 2018: 25 · 2017: 32 · 2016: 37 · 2015: 28 · 2014: 36 · 2013: 38 · 2012: 41
- FWCI
- 39.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (submittedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- Funders
- Crohn's and Colitis Foundation
- Crohn's and Colitis Foundation of Canada
- Canadian Association of Gastroenterology
- Fondation pour la Recherche Médicale
- Alberta Heritage Foundation for Medical Research
- National Institutes of Health (DK43207, DK57480)
- Canadian Institutes of Health Research (DK43207)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 43207, R01DK043207, DK-57480, R56DK043207)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- irritable bowel syndrome, visceral pain, proteolytic activity, NF-κB, trypsin, tryptase, protease-activated receptor 2, sensory neuron sensitization, visceral hypersensitivity, allodynia, serine protease inhibitors, colonic biopsy
- MeSH terms
- Adult, alpha 1-Antitrypsin, Colon, Female, Humans, Hyperalgesia, Male, Middle Aged, Neurons, Afferent, Endopeptidases, Trypsin, Abdominal Pain, Serine Proteinase Inhibitors, NF-kappa B, Irritable Bowel Syndrome, Receptor, PAR-2, Tryptases
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