Irritable bowel syndrome (IBS) is the prevalent functional gastrointestinal disorder. In most patients, it is combined with mental and psychological abnormalities and results in a considerable decline in quality of life. The precise etiology of IBS is still unknown, but it may be related to gastrointestinal motility abnormalities, visceral hypersensitivity, mucosal immunity abnormalities, alteration of intestinal flora and gut-brain axis abnormalities. Traditional drugs have been less effective in treating IBS. The neuromodulators, including tricyclic antidepressants and selective serotonin reuptake inhibitors, can not only moderate pain sensation, reduce visceral hypersensitivity, regulate gastrointestinal motility and improve symptoms, but also treat patients associated with mental and psychological abnormalities. In this paper, the application of neuromodulators in the treatment of IBS is briefly reviewed.
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Use of neuromodulators in the treatment of irritable bowel syndrome
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1. Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a me-ta-analysis[J]. Clin Gastroenterol Hepatol, 2012, 10(7): 712-721. DOI: 10.1016/j.cgh.2012.02.029.
2. Choung RS, Locke GR. Epidemiology of IBS[J]. Gastroenterol Clin North Am, 2011, 40(1): 1-10. DOI: 10.1016/j.gtc.2010.12.006.
3. 张璐, 段丽萍, 刘懿萱, 等. 中国人群肠易激综合征患病率和相关危险因素的Meta分析[J]. 中华内科杂志, 2014, 53(12): 969-975. DOI: 10.3760/cma.j.issn.0578- 1426.2014.12.011. [Zhang L, Duan LP, Liu YX, et al. A meta-analysis of the prevalence and risk factors of irritable bowel syndrome in Chinese community[J]. Chinese Journal of Internal Medicine, 2014, 53(12): 969-975.]
4. Koloski NA, Jones M, Kalantar J, et al. The brain-gut pathway in functional gastrointestinal disorders is bidirectional: a 12-year prospective population-based study[J]. Gut, 2012, 61(9): 1284-1290. DOI: 10.1136/gutjnl-2011-300474.
5. Drossman DA, Hasler WL. Rome IV-functional GI disorders: disorders of gut-brain interaction[J]. Gas-troenterology, 2016, 150(6): 1257-1261. DOI: 10. 1053/j.gastro.2016.03.035.
6. Gralnek IM, Hays RD, Kilbourne A, et al. The impact of irritable bowel syndrome on health-related quality of life[J]. Gastroenterology, 2000, 119(3): 654-660. DOI: 10.1053/gast.2000.16484.
7. Whitehead WE, Palsson O, Jones KR. Systematic review of the comorbidity of irritable bowel syn-drome with other disorders: what are the causes and implications?[J]. Gastroenterology, 2002, 122(4): 1140-1156. DOI: 10.10 53/gast.2002.32392.
8. Coss-Adame E, Rao SS. Brain and gut interactions in irritable bowel syndrome: new paradigms and new understandings[J]. Curr Gastroenterol Rep, 2014, 16(4): 379. DOI: 10.1007/s11894-014-0379-z.
9. Kelly JR, Borre Y, O' Brien C, et al. Transferring the blues: depression-associated gut microbiota in-duces neurobehavioural changes in the rat[J]. J Psychiatr Res, 2016, 82: 109-118. DOI: 10.1016/j.jpsychires.2016. 07.019.
10. Kurokawa S, Kishimoto T, Mizuno S, et al. The effect of fecal microbiota transplantation on psychiatric symptoms among patients with irritable bowel syndrome, functional diarrhea and functional constipa-tion: an open-label observational study[J]. J Affect Disord, 2018, 235: 506-512. DOI: 10.1016/j.jad.2018.04.038.
11. Koloski N, Holtmann G, Talley NJ. Is there a causal link between psychological disorders and function-al gastrointestinal disorders?[J]. Expert Rev Gastroenterol Hepatol, 2020, 14(11): 1047-1059. DOI: 10.1080/17474124.2020.1801414.
12. Koloski NA, Jones M, Talley NJ. Evidence that independent gut-to-brain and brain-to-gut pathways operate in the irritable bowel syndrome and functional dyspepsia: a 1-year population-based pro-spective study[J]. Aliment Pharmacol Ther, 2016, 44(6): 592-600. DOI: 10.1111/apt.13738.
13. Vanuytsel T, Tack JF, Boeckxstaens GE. Treatment of abdominal pain in irritable bowel syndrome[J]. J Gastroenterol, 2014, 49(8): 1193-1205. DOI: 10.1007/s00535-014-0966-7.
14. Lacy BE, Pimentel M, Brenner DM, et al. ACG clinical guideline: management of irritable bowel syn-drome[J]. Am J Gastroenterol, 2021, 116(1): 17-44. DOI: 10.14309/ajg.0000000000001036.
15. Ford AC, Moayyedi P, Chey WD, et al. American college of gastroenterology monograph on manage-ment of irritable bowel syndrome[J]. Am J Gastroenterol, 2018, 113(Suppl 2): 1-18. DOI: 10.1038/s41395-018-0084-x.
16. Moayyedi P, Andrews CN, MacQueen G, et al. Canadian association of gastroenterology clinical prac-tice guideline for the management of irritable bowel syndrome (IBS)[J]. J Can Assoc Gastroenterol, 2019, 2(1): 6-29. DOI: 10.1093/jcag/gwy071.
17. Song KH, Jung HK, Kim HJ, et al. Clinical practice guidelines for irritable bowel syndrome in Korea, 2017 revised edition[J]. J Neurogastroenterol Motil, 2018, 24(2): 197-215. DOI: 10.5056/jnm17145.
18. Wu JC, Chan AO, Chan YW, et al. The current treatment landscape of irritable bowel syndrome in adults in Hong Kong: consensus statements[J]. Hong Kong Med J, 2017, 23(6): 641-647. DOI: 10.12809/hkmj177060.
19. 中华医学会消化病学分会胃肠功能性疾病协作组,中华医学会消化病学分会胃肠动力学组. 2020年中国肠易激综合征专家共识意见[J]. 中华消化杂志, 2020, 40(12): 803-818. DOI: 10.3760/cma.j.cn311367- 20201116-00660. [Study Group of Functional Gastrointestinal Disorders, Study Group of Gastrointestinal Motility, Chi-nese Society of Gastroenterology, Chinese Medical Association. Chinese expert consensus of irritable bowel syndrome in 2020[J]. Chinese Journal of Digestion, 2020, 40(12): 803- 818.]
20. Sobin WH, Heinrich TW, Drossman DA. Central neuromodulators for treating functional GI disorders: a primer[J]. Am J Gastroenterol, 2017, 112(5): 693-702. DOI: 10.1038/ajg.2017.57.
21. Bechmann LP, Best J, Haag S, et al. Serotoninergic and non-serotoninergic effects of two tricyclic an-tidepressants on visceral nociception in a rat model[J]. Scand J Gastroenterol, 2009, 44(6): 680-686. DOI: 10.1080/0036 5520902767272.
22. Morgan V, Pickens D, Gautam S, et al. Amitriptyline reduces rectal pain related activation of the ante-rior cingulate cortex in patients with irritable bowel syndrome[J]. Gut, 2005, 54(5): 601-607. DOI: 10.1136/gut.2004.047423.
23. Ford AC, Lacy BE, Harris LA, et al. Effect of antidepressants and psychological therapies in irritable bowel syndrome: an updated systematic review and meta-analysis[J]. Am J Gastroenterol, 2019, 114(1): 21-39. DOI: 10.1038/s41395-018-0222-5.
24. Vahedi H, Merat S, Momtahen S, et al. Clinical trial: the effect of amitriptyline in patients with diar-rhoea-predominant irritable bowel syndrome[J]. Aliment Pharmacol Ther, 2008, 27(8): 678-684. DOI: 10.1111/j.1365-2036.2008.03633.x.
25. Talley NJ, Locke GR, Saito YA, et al. Effect of amitriptyline and escitalopram on functional dyspepsia: a multicenter, randomized controlled study[J]. Gastroenterology, 2015, 149(2): 340-349. DOI: 10.1053/j.gastro.2015.04.020.
26. Abdul-Baki H, El Hajj II, Elzahabi L, et al. A randomized controlled trial of imipramine in patients with irritable bowel syndrome[J]. World J Gastroenterol, 2009, 15(29): 3636-3642. DOI: 10.3748/wjg.15.3636.
27. Halpert A, Dalton CB, Diamant NE, et al. Clinical response to tricyclic antidepressants in functional bowel disorders is not related to dosage[J]. Am J Gastroenterol, 2005, 100(3): 664-671. DOI: 10.1111/j.1572-0241.2005.30375.x.
28. Kuiken SD, Tytgat GN, Boeckxstaens GE. The selective serotonin reuptake inhibitor fluoxetine does not change rectal sensitivity and symptoms in patients with irritable bowel syndrome: a double blind, randomized, placebo-controlled study[J]. Clin Gastroenterol Hepatol, 2003, 1(3): 219-228. DOI: 10.1053/cgh.2003.50032.
29. Gorard DA, Libby GW, Farthing MJ. Influence of antidepressants on whole gut and orocaecal transit times in health and irritable bowel syndrome[J]. Aliment Pharmacol Ther, 1994, 8(2): 159-166. DOI: 10.1111/j.1365-2036. 1994.tb00273.x.
30. Tabas G, Beaves M, Wang J, et al. Paroxetine to treat irritable bowel syndrome not responding to high-fiber diet: a double-blind, placebo-controlled trial[J]. Am J Gastroenterol, 2004, 99(5): 914-920. DOI: 10.1111/j.1572-0241.2004.04127.x.
31. Vahedi H, Merat S, Rashidioon A, et al. The effect of fluoxetine in patients with pain and constipa-tion-predominant irritable bowel syndrome: a double-blind randomized-controlled study[J]. Aliment Pharmacol Ther, 2005, 22(5): 381-385. DOI: 10.1111/j.1365-2036.2005.02566.x.
32. Tack J, Broekaert D, Fischler B, et al. A controlled crossover study of the selective serotonin reuptake inhibitor citalopram in irritable bowel syndrome[J]. Gut, 2006, 55(8): 1095-1103. DOI: 10.1136/gut.2005.077503.
33. Marks DM, Han C, Krulewicz S, et al. History of depressive and anxiety disorders and paroxetine re-sponse in patients with irritable bowel syndrome: post hoc analysis from a placebo-controlled study[J]. Prim Care Companion J Clin Psychiatry, 2008, 10(5): 368-375. DOI: 10.4088/pcc.v10n0504.
34. Talley NJ, Kellow JE, Boyce P, et al. Antidepressant therapy (imipramine and citalopram) for irritable bowel syndrome: a double-blind, randomized, placebo-controlled trial[J]. Dig Dis Sci, 2008, 53(1): 108-115. DOI: 10.1007/s10620-007-9830-4.
35. Masand PS, Pae CU, Krulewicz S, et al. A double-blind, randomized, placebo-controlled trial of parox-etine controlled-release in irritable bowel syndrome[J]. Psychosomatics, 2009, 50(1): 78-86. DOI: 10.1176/appi.psy.50.1.78.
36. Han C, Masand PS, Krulewicz S, et al. Childhood abuse and treatment response in patients with irrita-ble bowel syndrome: a post-hoc analysis of a 12-week, randomized, double-blind, placebo-controlled trial of par-oxetine controlled release[J]. J Clin Pharm Ther, 2009, 34(1): 79-88. DOI: 10.1111/j.1365-2710.2008.00975.x.
37. Brennan BP, Fogarty KV, Roberts JL, et al. Duloxetine in the treatment of irritable bowel syndrome: an open-label pilot study[J]. Hum psychopharmacol, 2009, 24(5): 423-428. DOI: 10.1002/hup.1038.
38. Ladabaum U, Sharabidze A, Levin TR, et al. Citalopram provides little or no benefit in nondepressed patients with irritable bowel syndrome[J]. Clin Gastroenterol Hepatol, 2010, 8(1): 42-48. DOI: 10.1016/j.cgh.2009.09.008.
39. Kaplan A, Franzen MD, Nickell PV, et al. An open-label trial of duloxetine in patients with irritable bowel syndrome and comorbid generalized anxiety disorder[J]. Int J Psychiatry Clin Pract, 2014, 18(1): 11-15. DOI: 10.3109/13651501.2013.838632.
40. Vork L, Mujagic Z, Drukker M, et al. The experience sampling method-evaluation of treatment effect of escitalopram in IBS with comorbid panic disorder[J]. Neurogastroenterol Motil, 2019, 31(1): e13515. DOI: 10.1111/nmo.13515.
41. Xie C, Tang Y, Wang Y, et al. Efficacy and safety of antidepressants for the treatment of irritable bow-el syndrome: a meta-analysis[J]. PLoS One, 2015, 10(8): e0127815. DOI: 10.1371/journal.pone.0127815.
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