Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.

AIMS: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, associated with alterations of bowel function, abdominal pain and other symptoms related to the GI tract. Recently the endogenous cannabinoid system (ECS) was shown to be involved in the physiological and pathophysi...

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Main Authors: Jakub Fichna, Jodianne T Wood, Malvina Papanastasiou, Subramanian K Vadivel, Piotr Oprocha, Maciej Sałaga, Marta Sobczak, Anna Mokrowiecka, Adam I Cygankiewicz, Piotr K Zakrzewski, Ewa Małecka-Panas, Wanda M Krajewska, Piotr Kościelniak, Alexandros Makriyannis, Martin A Storr
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3874007?pdf=render
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author Jakub Fichna
Jodianne T Wood
Malvina Papanastasiou
Subramanian K Vadivel
Piotr Oprocha
Maciej Sałaga
Marta Sobczak
Anna Mokrowiecka
Adam I Cygankiewicz
Piotr K Zakrzewski
Ewa Małecka-Panas
Wanda M Krajewska
Piotr Kościelniak
Alexandros Makriyannis
Martin A Storr
author_facet Jakub Fichna
Jodianne T Wood
Malvina Papanastasiou
Subramanian K Vadivel
Piotr Oprocha
Maciej Sałaga
Marta Sobczak
Anna Mokrowiecka
Adam I Cygankiewicz
Piotr K Zakrzewski
Ewa Małecka-Panas
Wanda M Krajewska
Piotr Kościelniak
Alexandros Makriyannis
Martin A Storr
author_sort Jakub Fichna
collection DOAJ
description AIMS: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, associated with alterations of bowel function, abdominal pain and other symptoms related to the GI tract. Recently the endogenous cannabinoid system (ECS) was shown to be involved in the physiological and pathophysiological control of the GI function. The aim of this pilot study was to investigate whether IBS defining symptoms correlate with changes in endocannabinoids or cannabinoid like fatty acid levels in IBS patients. METHODS: AEA, 2-AG, OEA and PEA plasma levels were determined in diarrhoea-predominant (IBS-D) and constipation-predominant (IBS-C) patients and were compared to healthy subjects, following the establishment of correlations between biolipid contents and disease symptoms. FAAH mRNA levels were evaluated in colonic biopsies from IBS-D and IBS-C patients and matched controls. RESULTS: Patients with IBS-D had higher levels of 2AG and lower levels of OEA and PEA. In contrast, patients with IBS-C had higher levels of OEA. Multivariate analysis found that lower PEA levels are associated with cramping abdominal pain. FAAH mRNA levels were lower in patients with IBS-C. CONCLUSION: IBS subtypes and their symptoms show distinct alterations of endocannabinoid and endocannabinoid-like fatty acid levels. These changes may partially result from reduced FAAH expression. The here reported changes support the notion that the ECS is involved in the pathophysiology of IBS and the development of IBS symptoms.
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spelling doaj.art-41cbd30d09b1462080790b70223e7a132022-12-21T18:32:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01812e8507310.1371/journal.pone.0085073Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.Jakub FichnaJodianne T WoodMalvina PapanastasiouSubramanian K VadivelPiotr OprochaMaciej SałagaMarta SobczakAnna MokrowieckaAdam I CygankiewiczPiotr K ZakrzewskiEwa Małecka-PanasWanda M KrajewskaPiotr KościelniakAlexandros MakriyannisMartin A StorrAIMS: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, associated with alterations of bowel function, abdominal pain and other symptoms related to the GI tract. Recently the endogenous cannabinoid system (ECS) was shown to be involved in the physiological and pathophysiological control of the GI function. The aim of this pilot study was to investigate whether IBS defining symptoms correlate with changes in endocannabinoids or cannabinoid like fatty acid levels in IBS patients. METHODS: AEA, 2-AG, OEA and PEA plasma levels were determined in diarrhoea-predominant (IBS-D) and constipation-predominant (IBS-C) patients and were compared to healthy subjects, following the establishment of correlations between biolipid contents and disease symptoms. FAAH mRNA levels were evaluated in colonic biopsies from IBS-D and IBS-C patients and matched controls. RESULTS: Patients with IBS-D had higher levels of 2AG and lower levels of OEA and PEA. In contrast, patients with IBS-C had higher levels of OEA. Multivariate analysis found that lower PEA levels are associated with cramping abdominal pain. FAAH mRNA levels were lower in patients with IBS-C. CONCLUSION: IBS subtypes and their symptoms show distinct alterations of endocannabinoid and endocannabinoid-like fatty acid levels. These changes may partially result from reduced FAAH expression. The here reported changes support the notion that the ECS is involved in the pathophysiology of IBS and the development of IBS symptoms.http://europepmc.org/articles/PMC3874007?pdf=render
spellingShingle Jakub Fichna
Jodianne T Wood
Malvina Papanastasiou
Subramanian K Vadivel
Piotr Oprocha
Maciej Sałaga
Marta Sobczak
Anna Mokrowiecka
Adam I Cygankiewicz
Piotr K Zakrzewski
Ewa Małecka-Panas
Wanda M Krajewska
Piotr Kościelniak
Alexandros Makriyannis
Martin A Storr
Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
PLoS ONE
title Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
title_full Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
title_fullStr Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
title_full_unstemmed Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
title_short Endocannabinoid and cannabinoid-like fatty acid amide levels correlate with pain-related symptoms in patients with IBS-D and IBS-C: a pilot study.
title_sort endocannabinoid and cannabinoid like fatty acid amide levels correlate with pain related symptoms in patients with ibs d and ibs c a pilot study
url http://europepmc.org/articles/PMC3874007?pdf=render
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