Circulating motilin, ghrelin, and GLP-1 and their correlations with gastric slow waves in patients with chronic kidney disease
| العنوان: | Circulating motilin, ghrelin, and GLP-1 and their correlations with gastric slow waves in patients with chronic kidney disease |
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| المؤلفون: | Gao Jue Wu, Xu Dong Cai, Jiande D.Z. Chen, Guang Hui Zhong, Jie Xing |
| المصدر: | American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. 313:R149-R157 |
| بيانات النشر: | American Physiological Society, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, 0301 basic medicine, medicine.medical_specialty, Physiology, medicine.medical_treatment, Anorexia, Gastroenterology, Motilin, Gastrointestinal Hormones, 03 medical and health sciences, 0302 clinical medicine, Glucagon-Like Peptide 1, Renal Dialysis, Physiology (medical), Internal medicine, Humans, Medicine, Renal Insufficiency, Chronic, Gastrointestinal Transit, Aged, Retrospective Studies, Myoelectric Complex, Migrating, business.industry, Stomach, digestive, oral, and skin physiology, Retrospective cohort study, Middle Aged, medicine.disease, Glucagon-like peptide-1, Ghrelin, Treatment Outcome, 030104 developmental biology, Endocrinology, medicine.anatomical_structure, Female, 030211 gastroenterology & hepatology, Hemodialysis, medicine.symptom, business, Kidney disease |
| الوصف: | Patients with chronic kidney disease (CKD) commonly complain upper gastrointestinal (GI) symptoms, especially anorexia. Hemodialysis (HD) has been noted to improve GI symptoms; however, the underlying mechanisms are unclear. This study was designed 1) to study effects of HD on GI symptoms and gastric slow waves; and 2) to investigate possible roles of ghrelin and glucagon-like peptide-1 (GLP-1): the study recruited 13 healthy controls, 20 CKD patients without HD (CKD group), and 18 CKD patients with HD (HD group). Dyspeptic symptoms, autonomic functions, gastric slow waves, and plasma level of ghrelin and GLP-1 were analyzed. First, the CKD patients with HD showed markedly lower scores of anorexia (0.6 ± 0.2 vs. 3.2 ± 0.4, P < 0.001) compared with patients without HD. Second, the CKD group but not HD group showed a significant reduction (25.6%) in the percentage of normal gastric slow waves, compared with controls. Third, the CKD group exhibited a significantly lower ghrelin level compared with the HD group (26.8 ± 0.9 vs. 34.1 ± 2.3 ng/l, P < 0.02) and a higher GLP-1 level (29.4 ± 2.8 vs. 20.0 ± 2.1 pmol/l, P < 0.05) compared with controls. Moreover, the percentage of normal slow waves was positively correlated with ghrelin ( r = 0.385, P = 0.019) but negatively correlated with GLP-1 ( r = −0.558, P < 0.001) in all CKD patients. Hemodialysis improves upper GI symptoms and gastric slow waves in CKD patients. An increase in ghrelin and a decrease in GLP-1 might be involved in the HD-induced improvement in gastric slow waves. |
| تدمد: | 1522-1490 0363-6119 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fbd1eee1f4f9e9f78552b60c7d2b641aTest https://doi.org/10.1152/ajpregu.00317.2016Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fbd1eee1f4f9e9f78552b60c7d2b641a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15221490 03636119 |
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