Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice

Functional gastrointestinal disorders (FGIDs) have prominent sex differences in incidence, symptoms, and treatment response that are not well understood. Androgens are steroid hormones present at much higher levels in males than females and could be involved in these differences. In adults with irri...

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Main Authors: Daniella Rastelli, Ariel Robinson, Valentina N. Lagomarsino, Lynley T. Matthews, Rafla Hassan, Kristina Perez, William Dan, Peter D. Yim, Madison Mixer, Aleksandra Prochera, Amy Shepherd, Liang Sun, Kathryn Hall, Sarah Ballou, Anthony Lembo, Judy Nee, Meenakshi Rao
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-01-01
Series:The Journal of Clinical Investigation
Subjects:
Online Access:https://doi.org/10.1172/JCI150789
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author Daniella Rastelli
Ariel Robinson
Valentina N. Lagomarsino
Lynley T. Matthews
Rafla Hassan
Kristina Perez
William Dan
Peter D. Yim
Madison Mixer
Aleksandra Prochera
Amy Shepherd
Liang Sun
Kathryn Hall
Sarah Ballou
Anthony Lembo
Judy Nee
Meenakshi Rao
author_facet Daniella Rastelli
Ariel Robinson
Valentina N. Lagomarsino
Lynley T. Matthews
Rafla Hassan
Kristina Perez
William Dan
Peter D. Yim
Madison Mixer
Aleksandra Prochera
Amy Shepherd
Liang Sun
Kathryn Hall
Sarah Ballou
Anthony Lembo
Judy Nee
Meenakshi Rao
author_sort Daniella Rastelli
collection DOAJ
description Functional gastrointestinal disorders (FGIDs) have prominent sex differences in incidence, symptoms, and treatment response that are not well understood. Androgens are steroid hormones present at much higher levels in males than females and could be involved in these differences. In adults with irritable bowel syndrome (IBS), a FGID that affects 5% to 10% of the population worldwide, we found that free testosterone levels were lower than those in healthy controls and inversely correlated with symptom severity. To determine how this diminished androgen signaling could contribute to bowel dysfunction, we depleted gonadal androgens in adult mice and found that this caused a profound deficit in gastrointestinal transit. Restoring a single androgen hormone was sufficient to rescue this deficit, suggesting that circulating androgens are essential for normal bowel motility in vivo. To determine the site of action, we probed androgen receptor expression in the intestine and discovered, unexpectedly, that a large subset of enteric neurons became androgen-responsive upon puberty. Androgen signaling to these neurons was required for normal colonic motility in adult mice. Taken together, these observations establish a role for gonadal androgens in the neural regulation of bowel function and link altered androgen levels with a common digestive disorder.
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spelling doaj.art-d09b2fd9c6d544b3901ac8fede3897272022-12-22T02:38:08ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-01-011322Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in miceDaniella RastelliAriel RobinsonValentina N. LagomarsinoLynley T. MatthewsRafla HassanKristina PerezWilliam DanPeter D. YimMadison MixerAleksandra ProcheraAmy ShepherdLiang SunKathryn HallSarah BallouAnthony LemboJudy NeeMeenakshi RaoFunctional gastrointestinal disorders (FGIDs) have prominent sex differences in incidence, symptoms, and treatment response that are not well understood. Androgens are steroid hormones present at much higher levels in males than females and could be involved in these differences. In adults with irritable bowel syndrome (IBS), a FGID that affects 5% to 10% of the population worldwide, we found that free testosterone levels were lower than those in healthy controls and inversely correlated with symptom severity. To determine how this diminished androgen signaling could contribute to bowel dysfunction, we depleted gonadal androgens in adult mice and found that this caused a profound deficit in gastrointestinal transit. Restoring a single androgen hormone was sufficient to rescue this deficit, suggesting that circulating androgens are essential for normal bowel motility in vivo. To determine the site of action, we probed androgen receptor expression in the intestine and discovered, unexpectedly, that a large subset of enteric neurons became androgen-responsive upon puberty. Androgen signaling to these neurons was required for normal colonic motility in adult mice. Taken together, these observations establish a role for gonadal androgens in the neural regulation of bowel function and link altered androgen levels with a common digestive disorder.https://doi.org/10.1172/JCI150789GastroenterologyNeuroscience
spellingShingle Daniella Rastelli
Ariel Robinson
Valentina N. Lagomarsino
Lynley T. Matthews
Rafla Hassan
Kristina Perez
William Dan
Peter D. Yim
Madison Mixer
Aleksandra Prochera
Amy Shepherd
Liang Sun
Kathryn Hall
Sarah Ballou
Anthony Lembo
Judy Nee
Meenakshi Rao
Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
The Journal of Clinical Investigation
Gastroenterology
Neuroscience
title Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
title_full Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
title_fullStr Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
title_full_unstemmed Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
title_short Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
title_sort diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice
topic Gastroenterology
Neuroscience
url https://doi.org/10.1172/JCI150789
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