Skip to main content

Advertisement

Log in

Is gastrointestinal dysfunction induced by gastric cancer peritoneal metastasis relevant to impairment of interstitial cells of Cajal?

  • Research Paper
  • Published:
Clinical & Experimental Metastasis Aims and scope Submit manuscript

Abstract

Although impaired gastrointestinal motility from gastric cancer peritoneal metastasis (GCPM) causes extraordinary pain, its cause is unclear. Interstitial cells of Cajal (ICC) are apparently pacemaker cells, and their loss could cause motor dysfunction. In this study, we developed a mouse model for GCPM, and investigated electrophysiological changes in the small intestine and attendant changes in ICC. We found decreased ICC and disrupted electrical rhythm in the model. Pathologic ICC changes were well described. Cancer peritoneal metastasis may impair intestinal myoelectrical activity by damaging ICC and ICC networks. Interstitial cells of Cajal will be a target of palliative treatment and merit further study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Abbreviations

GCPM:

Gastric cancer peritoneal metastasis

ICC:

Interstitial cells of Cajal

ICC-DMP:

ICC in the deep muscular plexus

ICC-IM:

ICC within the circular and longitudinal layers of muscle

ICC-MY:

ICC in the myenteric plexus

ICC-SMP:

ICC in the submuscular plexus

IgG:

Immunoglobulin G

NOS:

Nitric oxide synthase

RT-PCR:

Reverse transcriptase-polymerase chain reaction

SCF:

Stem cell factor

References

  1. Parkin DM, Bray F, Ferlay J et al (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108

    Article  PubMed  Google Scholar 

  2. Roviello F, Marrelli D, de Manzoni G et al (2003) Prospective study of peritoneal recurrence after curative surgery for gastric cancer. Br J Surg 90:1113–1119

    Article  CAS  PubMed  Google Scholar 

  3. Yoo CH, Noh SH, Shin DW et al (2000) Recurrence following curative resection for gastric carcinoma. Br J Surg 87:236–242

    Article  CAS  PubMed  Google Scholar 

  4. Huizinga JD, Thuneberg L, Klüppel M et al (1995) W/kit gene required for interstitial cells of Cajal and for intestinal pacemaker activity. Nature 373:347–349

    Article  CAS  PubMed  Google Scholar 

  5. Ward SM, Burns AJ, Torihashi S et al (1994) Mutation of the proto-oncogene c-kit blocks development of interstitial cells and electrical rhythmicity in murine intestine. J Physiol 480:91–97

    CAS  PubMed  Google Scholar 

  6. Sanders KM, Koh SD, Ward SM (2006) Interstitial cells of cajal as pacemakers in the gastrointestinal tract. Annu Rev Physiol 68:307–343

    Article  CAS  PubMed  Google Scholar 

  7. Thomsen L, Robinson TL, Lee JC et al (1998) Interstitial cells of Cajal generate a rhythmic pacemaker current. Nature Med 4:848–851

    Article  CAS  PubMed  Google Scholar 

  8. Maeda H, Yamagata A, Nishikawa S et al (1992) Requirement of c-kit for development of intestinal pacemaker system. Development 116:369

    CAS  PubMed  Google Scholar 

  9. Torihashi S, Ward SM, Nishikawa S et al (1995) c-kit-dependent development of interstitial cells and electrical activity in the murine gastrointestinal tract. Cell Tissue Res 280:97

    CAS  PubMed  Google Scholar 

  10. Torihashi S, Nishi K, Tokutomi Y et al (1999) Blockade of kit signaling induces transdifferentiation of interstitial cells of cajal to a smooth muscle phenotype. Gastroenterology 117:140

    Article  CAS  PubMed  Google Scholar 

  11. Beckett EA, Ro S, Bayguinov Y et al (2007) Kit signaling is essential fordevelopment and maintenance of interstitial cells of Cajal and electrical rhythmicity in the embryonic gastrointestinal tract. Dev Dyn 236:60–72

    Article  CAS  PubMed  Google Scholar 

  12. Wu JJ, Rothman TP, Gershon MD (2000) Development of the interstitial cells of Cajal: origin, Kit dependence and neuronal and nonneuronal sources of Kit ligand. J Neurosci Res 59:384–401

    Article  CAS  PubMed  Google Scholar 

  13. Ward SM, Sanders KM (2001) Physiology and pathophysiology of the interstitial cell of Cajal: from bench to bedside. I. Functional development and plasticity of interstitial cells of Cajal networks. Am J Physiol Gastrointest Liver Physiol 281:G602–G611

    CAS  PubMed  Google Scholar 

  14. Wang LM, McNally M, Hyland J et al (2008) Assessing interstitial cells of Cajal in slow transit constipation using CD117 is a useful diagnostic test. Am J Surg Pathol 32:980–985

    Article  PubMed  Google Scholar 

  15. Ordög T (2008) Interstitial cells of Cajal in diabetic gastroenteropathy. Neurogastroenterol Motil 20:8–18

    Article  PubMed  Google Scholar 

  16. Wang XY, Huizinga JD, Diamond J et al (2009) Loss of intramuscular and submuscular interstitial cells of Cajal and associated enteric nerves is related to decreased gastric emptying in streptozotocin-induced diabetes. Neurogastroenterol Motil 21:1095-e92

    Article  PubMed  Google Scholar 

  17. Adachi Y, Ishii Y, Yoshimoto M et al (2008) Phenotypic alteration of interstitial cells of Cajal in idiopathic sigmoid megacolon. J Gastroenterol 43:626–631

    Article  PubMed  Google Scholar 

  18. Wang H, Zhang Y, Liu W et al (2009) Interstitial cells of Cajal reduce in number in recto-sigmoid Hirschsprung’s disease and total colonic aganglionosis. Neurosci Lett 451:208–211

    Article  CAS  PubMed  Google Scholar 

  19. Hou X, Yin J, Liu J et al (2005) In vivo gastric and intestinal slow waves in W/WV mice. Dig Dis Sci 50:1335–1341

    Article  PubMed  Google Scholar 

  20. Li YJ, Sun LC, He Y et al (2009) The anti-tumor properties of two tumstatin peptide fragments in human gastric carcinoma. Acta Pharmacol Sin 30:1307–1315

    Article  CAS  PubMed  Google Scholar 

  21. Ward SM, Sanders KM (2001) Interstitial cells of Cajal: primary targets of enteric motor innervation. Anat Rec 262:125–135

    Article  CAS  PubMed  Google Scholar 

  22. Yin J, Chen JD (2008) Roles of interstitial cells of Cajal in regulating gastrointestinal motility: in vitro versus in vivo studies. J Cell Mol Med 12:1118–1129

    Article  PubMed  Google Scholar 

  23. Takeda M, Takayama I, Terada N et al (2001) Immunoelectron-microscopic study of Kit-expressing cells in the jejunum of wildtype and Ws/Ws rats. Cell Tissue Res 304:21–30

    Article  CAS  PubMed  Google Scholar 

  24. Faussone-Pellegrini MS, Thuneberg L (1999) Guide to the identification of interstitial cells of Cajal. Microsc ResTech 47:248–266

    Article  CAS  Google Scholar 

  25. Rumessen JJ, Vanderwinden JM (2003) Interstitial cells in the musculature of the gastrointestinal tract: Cajal and beyond. Int Rev Cytol 229:115–208

    Article  CAS  PubMed  Google Scholar 

  26. Komuro T (1999) Comparative morphology of interstitial cells of Cajal: ultrastructural characterization. Microsc Res Tech 47:267–285

    Article  CAS  PubMed  Google Scholar 

  27. Huizinga JD, Thuneberg L, Vanderwinden JM et al (1997) Interstitial cells of Cajal as targets for pharmacological intervention in gastrointestinal motor disorders. Trends Pharmacol Sci 18:393–403

    CAS  PubMed  Google Scholar 

  28. Argilés JM, Busquets S, García-Martínez C et al (2005) Mediators involved in the cancer anorexia-cachexia syndrome: past, present, and future. Nutrition 21:977–985

    PubMed  Google Scholar 

  29. Tisdale MJ (2009) Mechanisms of cancer cachexia. Physiol Rev 89:381–410

    Article  CAS  PubMed  Google Scholar 

  30. Correia M, Cravo M, Marques-Vidal P et al (2007) Serum concentrations of TNF-alpha as a surrogate marker for malnutrition and worse quality of life in patients with gastric cancer. Clin Nutr 26:728–735

    Article  CAS  PubMed  Google Scholar 

  31. Huizinga JD, Berezin I, Sircar K et al (2001) Development of interstitial cells of Cajal in a full-term infant without an enteric nervous system. Gastroenterology 120:561–567

    Article  CAS  PubMed  Google Scholar 

  32. Choi KM, Gibbons SJ, Roeder JL et al (2007) Regulation of interstitial cells of Cajal in the mouse gastric body by neuronal nitric oxide. Neurogastroenterol Motil 19:585–595

    Article  CAS  PubMed  Google Scholar 

  33. Nishimura M, Koda K, Oda K et al (2007) Mesenteric transection decreases expression of interstitial cells of Cajal in an experimental model. Br J Surg 94:483–490

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by grant of Harbin Science and Technology Bureau.(2007AA3CS083) and grant of Science and Technology Department of Heilongjiang Province.(GC07C35101).

The research depends on the cooperation of the two different departments. So we consider that Hongqun Zheng and Yan He contributed equally to this work. Qifan Zhang and Xiaoming Jin are both as Correspondence.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Xiaoming Jin or Qifan Zhang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zheng, H., He, Y., Tong, J. et al. Is gastrointestinal dysfunction induced by gastric cancer peritoneal metastasis relevant to impairment of interstitial cells of Cajal?. Clin Exp Metastasis 28, 291–299 (2011). https://doi.org/10.1007/s10585-010-9371-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10585-010-9371-7

Keywords

Navigation