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Response of Esophageal Epithelium to Acute and Chronic Stress in Rabbits

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We studied electrophysiological changes in rabbit esophageal epithelium following acute (AS) and chronic stress (CS). Esophageal tissue was placed in Ussing chamber and the potential difference U between the luminal and abluminal sides, the short-circuit current Isc, as well as the tissue resistance R were measured. The initial values of these parameters for each sample were determined after the samples were stabilized in Ringer solution. Then, the tissues were exposed for 1 h to normal Ringer solution or Ringer solution with pH 4.0 and pH 1.7 with or without pepsin (0.25 mg/ml). Fluorescein was added to the luminal side of the sample to measure its permeability. In the AS group, U at Ringer solution (pH 1.7)+pepsin was significantly decreased in comparison with the baseline and control values (by 46 and 22%, respectively, p<0.05). R decreased by 74% in comparison with baseline, which little differed from the decrease in control samples exposed to Ringer solution (pH 1.7)+pepsin (by 62%). CS did not change U relative to baseline values, while changes in R were similar to those in the AS group. In the AS group, the permeability of the esophageal tissue perfused with Ringer solution (pH 1.7)+pepsin was significantly higher than in both the control and CS groups. AS, but not CS, made the esophageal epithelium more sensitive to the effects of noxious agents, disrupted barrier properties, and increased permeability. The effects of stress on gastroesophageal reflux disease symptoms can be related to severe exposure to acid and/or pepsin; however, the mechanisms other than epithelial defense should be evaluated.

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References

  1. Bhatia V, Tandon RK. Stress and the gastrointestinal tract. J. Gastroenterol. Hepatol. 2005;20(3):332-339. doi: https://doi.org/10.1111/j.1440-1746.2004.03508.x

    Article  PubMed  Google Scholar 

  2. Bilgi MM, Vardar R, Yıldırım E, Veznedaroğlu B, Bor S. Prevalence of Psychiatric Comorbidity in Symptomatic Gastroesophageal Reflux Subgroups. Dig. Dis. Sci. 2017;62(4):984-993. doi: https://doi.org/10.1007/s10620-016-4273-4

    Article  PubMed  Google Scholar 

  3. Bradley LA, Richter JE, Pulliam TJ, Haile JM, Scarinci IC, Schan CA, Dalton CB, Salley AN. The relationship between stress and symptoms of gastroesophageal reflux: the influence of psychological factors. Am. J. Gastroenterol. 1993;88(1): 11-19.

    CAS  PubMed  Google Scholar 

  4. Capanoglu D, Coskunsever D, Olukman M, Ülker S, Bor S. Esophageal Epithelial Resistance and Lower Esophageal Sphincter Muscle Contraction Increase in a Chronic Diabetic Rabbit Model. Dig. Dis. Sci. 2016;61(7):1879-1987. doi: https://doi.org/10.1007/s10620-016-4111-8

    Article  CAS  PubMed  Google Scholar 

  5. Caviglia R, Ribolsi M, Maggiano N, Gabbrielli AM, Emerenziani S, Guarino MP, Carotti S, Habib FI, Rabitti C, Cicala M. Dilated intercellular spaces of esophageal epithelium in nonerosive reflux disease patients with physiological esophageal acid exposure. Am. J. Gastroenterol. 2005;100(3):543-548. doi: https://doi.org/10.1111/j.1572-0241.2005.40978.x

    Article  PubMed  Google Scholar 

  6. Ercan F, Akici A, Ersoy Y, Hürdag C, Erin N. Inhibition of substance P activity prevents stress-induced bladder damage. Regul. Pept. 2006;133(1-3):82-89. doi: https://doi.org/10.1016/j.regpep.2005.09.024

    Article  CAS  PubMed  Google Scholar 

  7. Farré R, De Vos R, Geboes K, Verbecke K, Vanden Berghe P, Depoortere I, Blondeau K, Tack J, Sifrim D. Critical role of stress in increased oesophageal mucosa permeability and dilated intercellular spaces. Gut. 2007;56(9):1191-1197. doi: https://doi.org/10.1136/gut.2006.113688

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hemmink GJ, Bredenoord AJ, Weusten BL, Timmer R, Smout AJ. Does acute psychological stress increase perception of oesophageal acid? Neurogastroenterol. Motil. 2009;21(10):1055-10e86. doi: https://doi.org/10.1111/j.1365-2982.2009.01327.x

  9. Johnston BT. Stress and heartburn. J. Psychosom. Res. 2005;59(6):425-426. doi: https://doi.org/10.1016/j.jpsychores.2005.05.011

    Article  PubMed  Google Scholar 

  10. Oshima T, Gedda K, Koseki J, Chen X, Husmark J, Watari J, Miwa H, Pierrou S. Establishment of esophageal-like non-keratinized stratified epithelium using normal human bronchial epithelial cells. Am. J. Physiol. Cell Physiol. 2011;300(6):C1422-C1429. doi: https://doi.org/10.1152/ajpcell.00376.2010

    Article  CAS  PubMed  Google Scholar 

  11. Santos J, Benjamin M, Yang PC, Prior T, Perdue MH. Chronic stress impairs rat growth and jejunal epithelial barrier function: role of mast cells. Am. J. Physiol. Gastrointest. Liver Physiol. 2000;278(6):G847-G854. doi: https://doi.org/10.1152/ajpgi.2000.278.6.G847

    Article  CAS  PubMed  Google Scholar 

  12. Tobey NA, Carson JL, Alkiek RA, Orlando RC. Dilated intercellular spaces: a morphological feature of acid reflux—damaged human esophageal epithelium. Gastroenterology. 1996;111(5):1200-1205. doi: https://doi.org/10.1053/gast.1996.v111.pm8898633

    Article  CAS  PubMed  Google Scholar 

  13. Tobey NA, Hosseini SS, Caymaz-Bor C, Wyatt HR, Orlando GS, Orlando RC. The role of pepsin in acid injury to esophageal epithelium. Am. J. Gastroenterol. 2001;96(11):3062-3070. doi: https://doi.org/10.1111/j.1572-0241.2001.05260.x

    Article  CAS  PubMed  Google Scholar 

  14. Wallon C, Braaf Y, Wolving M, Olaison G, Söderholm JD. Endoscopic biopsies in Ussing chambers evaluated for studies of macromolecular permeability in the human colon. Scand. J. Gastroenterol. 2005;40(5):586-595. doi: https://doi.org/10.1080/00365520510012235

    Article  CAS  PubMed  Google Scholar 

  15. Wright CE, Ebrecht M, Mitchell R, Anggiansah A, Weinman J. The effect of psychological stress on symptom severity and perception in patients with gastro-oesophageal reflux. J. Psychosom. Res. 2005;59(6):415-424. doi: https://doi.org/10.1016/j.jpsychores.2005.05.012

    Article  PubMed  Google Scholar 

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Correspondence to S. Bor.

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Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 171, No. 5, pp. 550-556, May, 2021

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Ergün, P., Capanoglu, D., Kipcak, S. et al. Response of Esophageal Epithelium to Acute and Chronic Stress in Rabbits. Bull Exp Biol Med 171, 582–587 (2021). https://doi.org/10.1007/s10517-021-05273-6

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  • DOI: https://doi.org/10.1007/s10517-021-05273-6

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