Abstract
Irritable bowel syndrome (IBS) is a chronic, relapsing functional bowel disorder associated with altered gastrointestinal (GI) motility, secretion and sensation. It is the most commonly diagnosed functional GI condition, with the highest prevalence in Western, rather than Eastern countries. North America and Europe remain the leading regions of IBS incidence, with about 10–20 % cases (up to approximately 25 % in some studies) in both adolescents and adults. Nevertheless, a rise in disease toll has recently been observed in South China (11.5 %) and Korea (6.6 %).
Abbreviations
- 5-HT:
-
Serotonin; 5-hydroxytryptamine
- ACTH:
-
Adrenocorticotropic hormone
- BGA:
-
Brain-gut axis
- CNS:
-
Central nervous system
- CRF:
-
Corticotrophin releasing factor
- CRP:
-
C-reactive protein
- ECs:
-
Enterochromaffin cells
- ENS:
-
Enteric nervous system
- FODMAPs:
-
Fermentable oligosaccharides, disaccharides, monosaccharides and polyols
- GI:
-
Gastrointestinal tract
- GRID2IP:
-
Glutamate receptor ionotropic delta 2 interacting protein; delphilin
- HPA:
-
Hypothalamic-pituitary-adrenal
- HTR3:
-
5-hydroxytryptamine receptor 3; serotonin receptor 3
- IBD:
-
Inflammatory bowel disease
- IBS:
-
Irritable bowel syndrome
- IBS-C:
-
Constipation-predominant IBS
- IBS-D:
-
Diarrhea-predominant IBS
- IELs:
-
Intraepithelial lymphocytes
- IFN-γ:
-
Interferon-γ
- GPCR:
-
G protein-coupled receptor
- GR:
-
Glucocorticoid receptor
- IL:
-
Interleukin
- KDELR2:
-
KDEL endoplasmic reticulum protein retention receptor 2
- M1:
-
Proinflammatory classically activated macrophage
- M2:
-
Antiinflammatory alternatively activated macrophage
- miRs:
-
MicroRNAs
- MCs:
-
Mast cells
- NO:
-
Nitric oxide
- PAI-1:
-
Plasminogen activator-1
- PAR-2:
-
Protease-activated receptor-2
- PI-IBS:
-
Post infectious IBS
- PGs:
-
Prostaglandins
- PM:
-
Particulate matter
- PVN:
-
Paraventricular nucleus
- ROS:
-
Reactive oxygen species
- SCFA:
-
Short chain fatty acids
- SERT:
-
5-HT reuptake transporter protein
- SNP:
-
Single nucleotide polymorphisms
- TGF-β:
-
Transforming growth factor β
- Th:
-
T helper cells
- TJs:
-
Tight junctions
- TL1A:
-
TNF-like ligand 1A
- TLRs:
-
Toll-like receptors
- TNF-α:
-
Tumor necrosis factor- α
- TNFSF15:
-
TNF ligand superfamily member 15 gene
- TRPV1:
-
Transient receptor potential vanilloid type 1
- WAT:
-
White adipose tissue
- WT:
-
Wild type
- ZO:
-
Zonula occludens
References
Kindt S, Van Oudenhove L, Broekaert D et al (2009) Immune dysfunction in patients with functional gastrointestinal disorders. Neurogastroenterol Motil 21:389–398. doi:10.1111/j.1365-2982.2008.01220.x
Camilleri M, Madsen K, Spiller R et al (2012) Intestinal barrier function in health and gastrointestinal disease. Neurogastroenterol Motil 24:503–512. doi:10.1111/j.1365-2982.2012.01921.x
Crişan I-M, Dumitraşcu DL (2014) Irritable bowel syndrome: peripheral mechanisms and therapeutic implications. Clujul Med 87:73–79. doi:10.15386/cjmed-269
Camilleri M, Carlson P, Acosta A, Busciglio I (2015) Colonic mucosal gene expression and genotype in irritable bowel syndrome patients with normal or elevated fecal bile acid excretion. Am J Physiol Gastrointest Liver Physiol 309:G10–G20. doi:10.1152/ajpgi.00080.2015
Distrutti E, Monaldi L, Di Gastro- SC et al (2016) Gut microbiota role in irritable bowel syndrome: new therapeutic strategies. World J Gastroenterol Febr 21:2219–2241. doi:10.3748/wjg.v22.i7.2219
Jandhyala SM, Talukdar R, Subramanyam C et al (2015) Role of the normal gut microbiota. World J Gastroenterol 21:8787–8803. doi:10.3748/wjg.v21.i29.8787
Bertrand J, Ghouzali I, Guérin C et al (2015) Glutamine restores tight junction protein claudin-1 expression in colonic mucosa of patients with diarrhea-predominant irritable bowel syndrome. J Parenter Enteral Nutr. doi:10.1177/0148607115587330
Barbara G, Zecchi L, Barbaro R et al (2012) Mucosal permeability and immune activation as potential therapeutic targets of probiotics in irritable bowel syndrome. J Clin Gastroenterol 46(Suppl):S52–S55. doi:10.1097/MCG.0b013e318264e918
Piche T (2014) Tight junctions and IBS—the link between epithelial permeability, low-grade inflammation, and symptom generation? Neurogastroenterol Motil 26:296–302. doi:10.1111/nmo.12315
Matricon J, Meleine M, Gelot A et al (2012) Review article: associations between immune activation, intestinal permeability and the irritable bowel syndrome. Aliment Pharmacol Ther 36:1009–1031. doi:10.1111/apt.12080
Wouters MM, Vicario M, Santos J (2015a) The role of mast cells in functional GI disorders. Gut 65:155–168. doi:10.1136/gutjnl-2015-309151
Barbara G, Wang B, Stanghellini V et al (2007) Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 132:26–37. doi:10.1053/j.gastro.2006.11.039
Li M, Zhang L, Lu B et al (2015) Role of dendritic cell-mediated abnormal immune response in visceral hypersensitivity. Int J Clin Exp Med 8:13243–13250
Greenwood-Van Meerveld B, Moloney RD, Johnson AC, Vicario M (2016) Mechanisms of stress-induced visceral pain: implications in irritable bowel syndrome. J Neuroendocrinol. doi:10.1111/jne.12361
Wouters MM, Vicario M, Santos J (2015b) The role of mast cells in functional GI disorders. Gut 155–168. doi:10.1136/gutjnl-2015-309151
Martínez C, Lobo B, Pigrau M et al (2013) Diarrhoea-predominant irritable bowel syndrome: an organic disorder with structural abnormalities in the jejunal epithelial barrier. Gut 62:1160–1168. doi:10.1136/gutjnl-2012-302093
Vivinus-Nebot M, Dainese R, Anty R et al (2012) Combination of allergic factors can worsen diarrheic irritable bowel syndrome: role of barrier defects and mast cells. Am J Gastroenterol 107:75–81. doi:10.1038/ajg.2011.315
Bischoff SC, Barbara G, Buurman W et al (2014) Intestinal permeability—a new target for disease prevention and therapy. BMC Gastroenterol 14:189. doi:10.1186/s12876-014-0189-7
Coates MD, Mahoney CR, Linden DR et al (2004) Molecular defects in mucosal serotonin content and decreased serotonin reuptake transporter in ulcerative colitis and irritable bowel syndrome. Gastroenterology 126:1657–1664. doi:10.1053/j.gastro.2004.03.013
Akbar a, Yiangou Y, Facer P, et al (2008) Increased capsaicin receptor TRPV1-expressing sensory fibres in irritable bowel syndrome and their correlation with abdominal pain. Gut 57:923–929. doi:10.1136/gut.2007.138982
Wouters MM, Balemans D, Van Wanrooy S et al (2016) Histamine receptor H1-mediated sensitization of TRPV1 mediates visceral hypersensitivity and symptoms in patients with irritable bowel syndrome. gastroenterology. doi:10.1053/j.gastro.2015.12.034
Chen J, Zhang Y, Deng Z (2012) Imbalanced shift of cytokine expression between T helper 1 and T helper 2 (Th1/Th2) in intestinal mucosa of patients with post-infectious irritable bowel syndrome. BMC Gastroenterol 12:91. doi:10.1186/1471-230X-12-91
Bashashati M, Rezaei N, Shafieyoun A et al (2014) Cytokine imbalance in irritable bowel syndrome: a systematic review and meta-analysis. Neurogastroenterol Motil 26:1036–1048. doi:10.1111/nmo.12358
Darkoh C, Comer L, Zewdie G et al (2014) Chemotactic chemokines are important in the pathogenesis of irritable bowel syndrome. PLoS One 9:e93144. doi:10.1371/journal.pone.0093144
Seyedmirzaee S, Hayatbakhsh MM, Ahmadi B et al (2016) Serum immune biomarkers in irritable bowel syndrome. Clin Res Hepatol Gastroenterol. doi:10.1016/j.clinre.2015.12.013
van der Veek PPJ, van den Berg M, de Kroon YE et al (2005) Role of tumor necrosis factor-alpha and interleukin-10 gene polymorphisms in irritable bowel syndrome. Am J Gastroenterol 100:2510–2516. doi:10.1111/j.1572-0241.2005.00257.x
McKernan DP, Gaszner G, Quigley EM et al (2011) Altered peripheral toll-like receptor responses in the irritable bowel syndrome. Aliment Pharmacol Ther 33:1045–1052. doi:10.1111/j.1365-2036.2011.04624.x
Lee CG, Lee JK, Kang Y-S et al (2015) Visceral abdominal obesity is associated with an increased risk of irritable bowel syndrome. Am J Gastroenterol 110:310–319. doi:10.1038/ajg.2014.422
Russo F, Chimienti G, Clemente C et al (2013) Adipokine profile in celiac patients: differences in comparison with patients suffering from diarrhea-predominant IBS and healthy subjects. Scand J Gastroenterol 48:1377–1385. doi:10.3109/00365521.2013.845907
Caselli C, D’Amico A, Cabiati M et al (2014) Back to the heart: the protective role of adiponectin. Pharmacol Res 82:9–20. doi:10.1016/j.phrs.2014.03.003
Lovren F, Pan Y, Quan A et al (2010) Adiponectin primes human monocytes into alternative anti-inflammatory M2 macrophages. Am J Physiol Heart Circ Physiol 299:H656–H663. doi:10.1152/ajpheart.00115.2010
Waluga M, Hartleb M, Boryczka G et al (2014) Serum adipokines in inflammatory bowel disease. World J Gastroenterol 20:6912–6917. doi:10.3748/wjg.v20.i22.6912
Yarandi SS, Hebbar G, Sauer CG et al (2011) Diverse roles of leptin in the gastrointestinal tract: modulation of motility, absorption, growth, and inflammation. Nutrition 27:269–275. doi:10.1016/j.nut.2010.07.004
Yoon JY, Park SJ, Cheon JH (2014) Effect of colostrum on the symptoms and mucosal permeability in patients with irritable bowel syndrome: a randomized placebo-controlled study. Intest Res 12:80–82. doi:10.5217/ir.2014.12.1.80
Gazouli M, Wouters MM, Kapur-Pojskić L et al (2016) Lessons learned—resolving the enigma of genetic factors in IBS. Nat Rev Gastroenterol Hepatol 13:77–87. doi:10.1038/nrgastro.2015.206
Makker J, Chilimuri S, Bella JN (2015) Genetic epidemiology of irritable bowel syndrome. World J Gastroenterol 21:11353–11361. doi:10.3748/wjg.v21.i40.11353
Gu QY, Zhang J, Feng YC et al (2015) Association of genetic polymorphisms in HTR3A and HTR3E with diarrhea predominant irritable bowel syndrome. Int J Clin Exp Med 8:4581–4585
Zucchelli M, Camilleri M, Andreasson AN et al (2011) Association of TNFSF15 polymorphism with irritable bowel syndrome. Gut 60:1671–1677
Ek WE, Reznichenko A, Ripke S et al (2014) Exploring the genetics of irritable bowel syndrome : a GWA study in the general population and replication in multinational case-control cohorts. Gut 1–9. doi:10.1136/gutjnl-2014-307997
Tran L, Chaloner A, Sawalha AH, Greenwood Van-Meerveld B (2013) Importance of epigenetic mechanisms in visceral pain induced by chronic water avoidance stress. Psychoneuroendocrinology 38:898–906
Zhou Q, Costinean S, Croce CM et al (2015) MicroRNA 29 targets nuclear factor-κB-repressing factor and claudin 1 to increase intestinal permeability. Gastroenterology 148:158–169. doi:10.1053/j.gastro.2014.09.037
Zhou Q, Souba WW, Croce CM, Verne GN (2010) MicroRNA-29a regulates intestinal membrane permeability in patients with irritable bowel syndrome. Gut 59:775–784
Zhou Q, Yang L, Larson S, et al (2015b) Decreased miR-199 augments visceral pain in patients with IBS through translational upregulation of TRPV1. Gut 1–9. doi:10.1136/gutjnl-2013-306464
Fourie NH, Peace RM, Abey SK et al (2014) Elevated circulating miR-150 and miR-342-3p in patients with irritable bowel syndrome. Exp Mol Pathol 96:422–425
Kennedy PJ, Cryan JF, Dinan TG, Clarke G (2014) Irritable bowel syndrome: a microbiome-gut-brain axis disorder? World J Gastroenterol 20:14105–14125. doi:10.3748/wjg.v20.i39.14105
Fichna J, Storr MA (2012) Brain-gut interactions in IBS. Front Pharmacol 3 JUL:1–12. doi:10.3389/fphar.2012.00127
Tillisch K, Mayer EA, Labus JS (2011) Quantitative meta-analysis identifies brain regions activated during rectal distension in irritable bowel syndrome. Gastroenterology 140:91–100. doi:10.1053/j.gastro.2010.07.053
Fukudo S (2007) Role of corticotropin-releasing hormone in irritable bowel syndrome and intestinal inflammation. J Gastroenterol 42(1):48–51. doi:10.1007/s00535-006-1942-7
Taché Y, Bonaz B (2007) Corticotropin-releasing factor receptors and stress-related alterations of gut motor function. J Clin Invest 117:33–40. doi:10.1172/JCI30085
Qin H-Y, Cheng C-W, Tang X-D, Bian Z-X (2014) Impact of psychological stress on irritable bowel syndrome. World J Gastroenterol 20:14126–14131. doi:10.3748/wjg.v20.i39.14126
Surdea-Blaga T, Băban A, Dumitrascu DL (2012) Psychosocial determinants of irritable bowel syndrome. World J Gastroenterol 18:616–626. doi:10.3748/wjg.v18.i7.616
De Palma G, Collins SM, Bercik P (2014) The microbiota-gut-brain axis in functional gastrointestinal disorders. Gut Microbes 5:419–429. doi:10.4161/gmic.29417
Rajilić-Stojanović M, Jonkers DM, Salonen A et al (2015) Intestinal microbiota and diet in IBS: causes, consequences, or epiphenomena? Am J Gastroenterol 110:278–287. doi:10.1038/ajg.2014.427
Kish L, Hotte N, Kaplan GG et al (2013) Environmental particulate matter induces murine intestinal inflammatory responses and alters the gut microbiome. PLoS One 8
Marynowski M, Likońska A, Zatorski H, Fichna J (2015) Role of environmental pollution in irritable bowel syndrome. World J Gastroenterol 21:11371–11378. doi:10.3748/wjg.v21.i40.11371
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Mosińska, P., Krajewska, J. (2017). Current Theories for Development of Irritable Bowel Syndrome. In: Fichna, J. (eds) Introduction to Gastrointestinal Diseases Vol. 1. Springer, Cham. https://doi.org/10.1007/978-3-319-49016-8_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-49016-8_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-49015-1
Online ISBN: 978-3-319-49016-8
eBook Packages: MedicineMedicine (R0)