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PubMed1990

Glycylsarcosine transport by epithelial cells isolated from chicken proximal cecum and rectum.

The transport of glycylsarcosine (Gly-Sar) has been investigated in cells isolated from the proximal cecum and rectum of the chick, and their characteristics have been compared with those of the jejunal dipeptide transport system. Results show that 1) cecal and rectal cells are capable of actively accumulating Gly-Sar. 2) Gly-Sar initial uptake and steady-state accumulation in cecal and rectal cells were decreased in Na(+)-free mannitol-substituted medium. However, in both cell types, as in jejunal cells, intracellular accumulations higher than one can be observed in the absence of Na+. 3) By lowering the medium pH from 7.4 to 6.0, the Gly-Sar accumulation was stimulated in both cecal and rectal cells. 4) Addition of 1 mM amiloride inhibited Gly-Sar uptake by the cecal and rectal cells. We conclude that proximal cecum and rectum have a dipeptide transport system with properties similar to those found in the jejunum.

3-O-Methylglucose↗

PubMed1995

Enzyme- and mineralocorticoid receptor-controlled electrogenic Na+ absorption in human rectum in vitro.

In vivo electrogenic Na+ absorption (JeNa) in the human rectum is controlled by acute variation of aldosterone in nanomolar concentration range. In this study we report both the induction of JeNa in human rectum epithelium by nanomolar aldosterone added in vitro and the enzymatic control of glucocorticoid action on JeNa. JeNa was measured as amiloride-sensitive short-circuit current 8 h after addition of the respective steroid. Aldosterone (10 nM) caused JeNa of 5.7 +/- 1.4 mumol.h-1.cm-2. Cortisol in the same concentration did not induce significant JeNa. Because cortisol is readily inactivated by 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD), the true mineralocorticoid activity of cortisol was evaluated after inhibition of 11 beta-HSD by carbenoxolone. Carbenoxolone alone did not exhibit mineralocorticoid activity. If cortisol (10 nM) was given together with carbenoxolone (1 microM), the resulting JeNa (4.5 +/- 0.4 mumol.h-1.cm-2) was not significantly different from that after 10 nM aldosterone, indicating equal intrinsic mineralocorticoid activity of cortisol and aldosterone. The same mechanisms were found in rat late distal colon. Kinetic data of carbenoxolone at 10 nM cortisol resulted in a Michaelis constant of 0.3 microMs, maximal absorption of 8.4 mumol.h-1.cm-2, and a Hill coefficient of 1.8. The effects of carbenoxolone and glycyrrhetinic acid did not differ. We conclude that JeNa is under complete control of mineralocorticoid action. "Spontaneous" JeNa in the beginning of the in vitro period can be explained by elevated steroid levels before tissue removal.(ABSTRACT TRUNCATED AT 250 WORDS)

11-beta-Hydroxysteroid Dehydrogenases↗

PubMed1997

Effects of transmural field stimulation in isolated smooth muscle of human rectum and internal anal sphincter.

Smooth muscle preparations from the circular muscle layer of the most distal rectum and the proximal and distal human internal anal sphincter (IAS) mounted in organ baths to record isometric tension developed spontaneous tension. Transmural electrical field stimulation (TMS) induced frequency- and impulse duration-dependent relaxations sensitive to tetrodotoxin in the stimulation range of 0.5-40 Hz and 0.04-0.6 ms. Poststimulus contractions were most frequent and prominent in rectal preparations. Maximal relaxations were comparable in the three locations and were achieved at 10 Hz and 0.4 ms. The frequency inducing half-maximal response was lower in rectal strips compared with IAS. Phentolamine (10-(6) M) enhanced relaxations and diminished off-contractions at 40 Hz in distal IAS. N omega-nitro-L-arginine (L-NNA) concentration dependently inhibited both relaxations and off-contractions (10 Hz, 0.4 ms). The pD2 values (-log EC50) of L-NNA were lower in rectal muscle compared with those in IAS. L-Arginine (10-(4) M) inhibited the blocking effect of L-NNA. In one-half of the preparations, L-NNA reversed the relaxations to duration contractions (15-40 Hz), which were inhibited by atropine in rectal preparations and by phentolamine in IAS. In conclusion, excitatory innervation of the IAS is alpha-adrenergic and cholinergic in the rectum. A product of the L-arginine-nitric oxide pathway mediates the TMS-induced inhibition of the muscle and is also involved in poststimulus contractions.

Adrenergic Agents↗

PubMed1983

Mechanism and control of salt absorption in locust rectum.

The rectum is the main reabsorptive site in the excretory system of locusts. The primary urine entering this organ from the Malpighian tubules is rich in K+ (140 mM) and Cl- (90 mM), and most of this fluid is normally reabsorbed. Fluid and active Cl- reabsorption in the rectum are regulated by neuropeptide hormones from the corpus cardiacum. We have studied the mechanism of KCl reabsorption using voltage clamp, tracers, double-barreled ion-sensitive microelectrodes, and ion substitutions. Locust Cl- absorption differs from vertebrate systems in that it is not dependent on Na+ or HCO-3/CO2, and it is insensitive to normal inhibitors of Cl- transport. Entry of Cl- into rectal cells is active, electrogenic, and stimulated by luminal K+. This cation substantially increases the electrochemical gradient across the apical membrane against which Cl- is pumped; therefore K+ does not act solely and indirectly by electrical coupling. Kinetic studies also suggest that K+ activates the Cl- pump. Consequently at least two levels of control are exerted during cAMP stimulation; K+ permeability of the epithelium and the transepithelial potential generated by active Cl- transport both increase. The enhanced net K+ absorption from the lumen side after stimulation is largely passive, being electrically coupled to Cl- transport. However, this general increase in KCl absorption is "fine tuned" by K+ itself, through its direct effect on the Cl- pump.

Animals↗

PubMed2005

[Primary linitis plastica of the rectum].

Linitis plastica of the rectum is an uncommon entity that is difficult to diagnose due to the lack of mucosal lesions on endoscopy, the low diagnostic yield of biopsy and non-specific findings of barium radiology and computerized tomography. Rectal endoscopic ultrasonography has had a radical impact on the differential diagnosis of stenosing lesions of the rectum, among them linitis plastica, allowing diagnosis of this lesion even in patients with negative results of biopsy.

Aged↗

PubMed2002

The rectum: a window to irritable bowel syndrome?

This report summarizes current concepts and information gathered to date about the rectum in the irritable bowel syndrome (IBS) that were presented at the 10th meeting of IBiS Club held in Leuven, Belgium. A working group of experts in the field of IBS discussed whether the rectum or the whole colon is the better site to test in IBS patients and provided suggestions for a number of areas where further advances are required.

Biopsy↗

PubMedDate not supplied

Myoelectric activity of an ileal isoperistaltic or antiperistaltic loop interposed between colon and rectum: an experimental study in pigs.

The myoelectric activity of 25-30 cm ileal loops interposed isoperistaltically or antiperistaltically between colon and rectum was investigated 1-3 and 20-22 weeks after surgery, in growing pigs chronically fitted with intraparietal electrodes on the loop and the ileum. The fundamental motor profile of the small intestine consisting of migrating myoelectric complexes (MMC) was present on both loops; the MMCs were propagated on the antiperistaltic loop in the original anatomical direction. There was no coordination between the occurrence of phase 3 on the loop and the ileum. Some minor differences concerning the duration, the frequency and the velocity of propagation of phase 3 were observed between the loops and the ileum. Moreover propagated clusters of spike bursts and propagated long duration spike bursts appeared on the isoperistaltic and antiperistaltic loop, respectively, but not on the ileum. No prominent differences in the motor profiles of the loops have been observed between 1-3 and 20-22 weeks after surgery. It is concluded that despite the presence of semisolid contents with an abundant microflora the fundamental intestinal motor profile persists in ileal loops interposed between colon and rectum.

Animals↗

PubMed1994

Study of the electrical and mechanical activity of the rectum: an experimental study.

The electrical activity of the rectal detrusor was studied in 13 dogs. 10 electrodes were sutured serially to the rectal and lower sigmoid colon serosa. Electrical activity was recorded for 30 min/day for 10 days. Simultaneous electric and mechanical activity (recorded by a 6-French catheter connected to a pressure transducer) was also recorded with and without rectal distension by a condom balloon. Electrical activity was further determined after annular myotomy performed at different levels in the rectum and lower sigmoid colon. Pacesetter potentials (PP) were recorded from electrodes 3-10. They were triphasic, propagated caudally and had the same frequency and regular rhythm by all electrodes distal to the 3rd one. Frequency was constant in each dog from day to day. PP were accompanied by action potentials (AP) which had inconsistent frequencies and were accompanied by increased rectal pressure. Rectal distension led to an increase in both the frequency and amplitude of PP and AP. Rectal myotomy below the 3rd electrode resulted in PP and AP disappearing distal but not proximal to the cut, excluding the 1st and 2nd electrodes, which did not show activity. The results suggest that PP start at the 3rd electrode, which corresponds anatomically to the rectosigmoid junction (RSJ). AP cause contractile activity along the rectum. It seems that the RSJ is the site of a pacemaker triggering the PP that pace the AP which initiate the rectal contractile activity.

Action Potentials↗

PubMed1996

Study of the arterial pattern of the rectum and its clinical application.

The purpose of this communication was to study rectal arterial supply in order to characterize its various patterns and use them to help avoid rectal ischemic complications and, in addition, to explain some of the unknown rectal pathologic conditions. Thirty-two cadavers were studied. The pelvic organs were eviscerated. The rectal arteries were examined by direct dissection in 12 specimens and after injecting the inferior mesenteric artery with barium sulfate in 20 specimens. The superior rectal artery (SRA) and vein were found to be enclosed in a fibrous sheath which was connected to the posterior rectal surface by an anterior mesorectum containing the "transverse rectal branches', and to the sacrum by an avascular posterior mesorectum. Small lymph nodes were scattered alongside the anterior mesorectum. The SRA gave rise to 4 branches: transverse rectal, descending rectal, rectosigmoid and terminal. The transverse rectal arteries arose from the SRA in 24 specimens and from the descending rectal artery in 8. They were distributed to the upper half of the rectum. The rectosigmoid artery was distributed to the descending limb of the sigmoid colon and rectosigmoid junction. We found 2 terminal branches in 21/32 cadavers and 3 in 11/32. They communicated in the lower half of the rectum. The inferior rectal arteries were present in all the dissected cadavers while the middle rectal arteries could be identified in only 50% of the cadavers. Two arterial patterns were recognized: annular in the upper rectal half provided by the transverse rectal arteries and plexiform in the lower half supplied by the SRA terminal branches.

Adolescent↗

PubMed1991

Biomechanical wall properties of the porcine rectum: a study using impedance planimetry.

The aim was to investigate biomechanical wall properties of the porcine rectum by way of manometry and impedance planimetry. Distension of a balloon inserted into the rectum with definite pressure steps up to 80 cm H2O was done for simultaneous recording of pressure and the balloon cross-sectional area (Bcsa). Viscoelastic wall properties were derived in terms of compliance. Besides eliciting the ascending peristaltic reflex and relaxation of the internal anal sphincter, the balloon inflation elicited a phase of rapid Bcsa increase followed by an accommodation phase of slow Bcsa increase to a steady-state Bcsa, reached within 3 min. The Bcsa increased in a nonlinear way with increasing balloon pressures with only a minimal increase from 70 to 80 cm H2O. Rectal compliance decreased in a nonlinear way with increasing distension pressure.

Animals↗

PubMed1996

Alcohol dehydrogenase in the human colon and rectum.

Alcohol dehydrogenase (ADH) activities were measured in rectal biopsies from 55 patients (28 males, 27 females aged 22-81 years), in colonic biopsies from 19 patients (10 males, 9 females aged 21-81 years) and in three surgical specimens. All patients had normal mucosa as determined by light microscopy. The activity of rectal ADH was comparable to gastric ADH activity and did not exhibit any significant gender effect (5.5 +/- 1.1 vs. 6.7 +/- 1.0 nmol/mg protein x min; nonsignificant). No significant correlation was found between age and rectal ADH activity. Compared to ADH activities in other colonic segments, rectal ADH activity was found to be significantly increased (ascending colon: 3.9 +/- 0.7 nmol/mg protein x min; p < 0.05; transversal colon: 3.4 +/- 1.1 nmol/mg protein x min; p < 0.05; descending colon 2.3 +/- 0.4 nmol/mg protein x min; p < 0.001; rectum 6.1 +/- 0.8 nmol/mg protein x min). This higher activity of ADH in the rectum could result in increased acetaldehyde levels after alcohol administration and could therefore play a role, at least in part, in the ethanol-associated rectal cocarcinogenesis.

Adult↗

PubMed2006

Luminal concentrations of L- and D-lactate in the rectum may relate to severity of disease and outcome in septic patients.

INTRODUCTION: Little is known about the condition of the large bowel in patients with sepsis. We have previously demonstrated increased concentrations of L-lactate in the rectal lumen in patients with abdominal septic shock. The present study was undertaken to assess the concentrations of L- and D-lactate in rectal lumen and plasma in septic patients including the possible relation to site of infection, severity of disease, and outcome. METHODS: An intensive care unit observational study was conducted at two university hospitals, and 23 septic patients and 11 healthy subjects were enrolled. Participants were subjected to rectal equilibrium dialysis, and concentrations of L- and D-lactate in dialysates and plasma were analysed by spectrophotometry. RESULTS: Luminal concentrations of L-lactate in rectum were related to the sequential organ failure assessment scores (R2 = 0.27, P = 0.01) and were higher in non-survivors compared to survivors and healthy subjects (mean [range] 5.0 [0.9 to 11.8] versus 2.2 [0.4 to 4.9] and 0.5 [0 to 1.6] mmol/l, respectively, P < 0.0001), with a positive linear trend (R2 = 0.53, P < 0.0001). Also, luminal concentrations of D-lactate were increased in non-survivors compared to survivors and healthy subjects (1.1 [0.3 to 2.5] versus 0.3 [0 to 1.2] and 0.1 [0 to 0.8] mmol/l, respectively, P = 0.01), with a positive linear trend (R2 = 0.14, P = 0.04). Luminal concentrations of L- and D-lactate were unaffected by the site of infection. Plasma concentrations of L-lactate were also increased in non-survivors compared to survivors (3.8 [1.7 to 7.0] versus 1.5 [0 to 3.6] mmol/l, P < 0.01). In contrast, plasma concentrations of D-lactate were equally raised in non-survivors (0.4 [0.1 to 0.7] mmol/l) and survivors (0.3 [0.1 to 0.6] mmol/l) compared with healthy subjects (0.03 [0 to 0.13] mmol/l). CONCLUSION: In patients with severe sepsis and septic shock, luminal concentrations of L- and D-lactate in the rectum were related to severity of disease and outcome.

Adult↗

PubMed1990

Effect of cyclodextrins on biological membrane. I. Effect of cyclodextrins on the absorption of a non-absorbable drug from rat small intestine and rectum.

The effects of three kinds of cyclodextrins (CyDs), alpha-, beta- and gamma-CyD on biological membranes were investigated by changes in absorption of a non-absorbable drug, sulfanilic acid (SA), from the rat small intestine and rectum using an in situ perfusion technique. The absorption of SA from the intestine was slight and was not affected by the addition of CyDs. After pretreatment with a mucolytic agent, N-acetyl-L-cysteine (N-Ac), the absorption of SA was increased compared with SA alone in the presence of only beta-CyD. Similar treatment with sodium deoxycholate (SDC) and sodium lauryl sulfate (SLS) to gastro-intestinal membrane showed the enhanced absorption of SA by the addition of beta-CyD. The mucin layer on the surface of the gastro-intestinal membrane may play an important role in the absorption of drugs. On the other hand, enhanced absorption of SA from the rat rectum was not induced by beta-CyD with or without pretreatment with N-Ac, SDC or SLS. Simultaneously, the release of neutral sugars in the perfusate after treatment with adjuvants was also observed with N-Ac, SDC and SLS. These results indicate that the mucin layer works as a barrier to the increased absorption of SA by beta-CyD.

Animals↗

PubMed1984

A smooth muscle excitatory material from the nerve of Remak of the chicken rectum.

The chicken rectum receives a powerful excitatory innervation of nonadrenergic, non-cholinergic (NANC) nerves via the Remak nerve which is a ganglionated nerve trunk in the fowl vicera. To extract a smooth muscle excitatory material from the Remak nerve, tissue samples were boiled in 0.01 N HCl at 100 degrees C for 5-7 min, homogenized, and centrifuged. Aliquots of supernatant were defatted with petroleum ether and lyophilized. The lyophilized residue dissolved in water (ERN) was bioassayed for contracting activity on the longitudinal muscle of the guinea-pig ileum and, if needed, the isolated whole chick rectum. Approximately half of the contacting activity of ERN was attributable to acetylcholine. The remainder was found to be mediated by neither histamine, serotonin, angiotensin II nor prostaglandins (E1, E2 and F2 alpha). The ERN activity was abolished by 2-3 min boiling in alkali and 30 min incubation at 37 degrees C with pepsin, but sustained after boiling in acid, indicating that the mediator of the contracting activity is probably a peptide. Active fractions were obtained with one peak after gel filtration with Sephadex G-50. They were pooled and applied to a Sephadex G-25 column. The Ve/Vo values for the active material ranged from 1.69 to 1.85, indicating that it has a molecular weight of 1000-1300 by comparison with Ve/Vo values for peptides of known molecular weights applied to the same column.

Adenosine Triphosphate↗

PubMed1986

Isolation of smooth muscle excitatory substances from chicken rectum and their characterization.

Acid-acetone extracts of the chicken rectum were subjected to chromatographic and electrophoretic separation, and two new smooth muscle-contracting substances close to purity were obtained. One of them showed chemical and biological characteristics similar to those of substance P, but it was clearly different from substance P on the basis of chromatographic and electrophoretic criteria. Thus, one could be a peptide belonging to the substance P-family. The other substance was also shown to be of peptide nature since its biological activity was destroyed by chymotrypsin and carboxypeptidase A. Parallel bioassay on the two tissues of the longitudinal muscle of the guinea-pig ileum and the isolated whole chick rectum revealed that none of the peptides such as substance P, physalaemin, kassinin, eledoisin, bradykinin and angiotensin II could be a candidate for the active substance. The biological activity was not antagonized by naloxone, suggesting that the substance was a peptide other than the opioid compounds. The molecular sizes estimated by gel filtration are 1300 for the substance P-like peptide and 1600 for the other substance. The possible physiological roles of the two substances as an excitatory non-adrenergic, non-cholinergic transmitter were discussed.

Animals↗

PubMed1986

Isolation of a peptide material showing strong rectal muscle-contracting activity from chicken rectum and its identification as chicken neurotensin.

A peptide with strong activity to contract isolated whole chick rectum, RC-substance, in an acid-acetone extract prepared from 2.0 kg wet weight of chicken rectums was isolated by gel filtration on Sephadex G-25, ion exchange chromatography on a SP-Sephadex C-25 column, and high voltage paper chromatography. The close purity of this substance was established by high performance liquid chromatography (HPLC). The RC-substance displayed the same pharmacological and enzymatic properties as bovine neurotensin (NT). However, it differed from bovine NT in its behavior during the ion exchange chromatography, in its mobility during the electrophoresis, and in its retention time on HPLC. The amino acid analysis by a conventional OPA method revealed that all ten amino acid residues of which molar ratios were integral were common with those of chicken NT. Its biological activities were equipotent to those of bovine NT, suggesting the presence of proline in the COOH-terminal hexapeptide. From these results, it can be concluded that the RC-substance is identical to chicken NT. Exposure to high concentrations of bovine NT rendered the rectal smooth muscle of the chicken insensitive to subsequent applications of the RC-substance as well as bovine NT. This desensitization also reduced specifically the contractile responses of the rectal muscle elicited by non-adrenergic and non-cholinergic (NANC) nerve stimulation, suggesting a possible physiological role of the RC-substance as the neurotransmitter of NANC neurones.

Amino Acids↗

PubMed1991

[A three-dimensional computerized reconstruction of the rectum, anus and surrounding muscles of the rat fetus at the 20th gestation day].

Using fetuses of Wistar/I rats on the 20th gestation day. We designed a three-dimensional computerized reconstruction of the rectum, anus and the surrounding muscles. The tissues were fixed in Bouin's solution sagittally sectioned serially were stained with hematoxylin-eosin. Light microscopic pictures at 40 x magnification were subjected to the analysis using a three-dimensional image processing system, consisting of a drum-scanner, a general purpose computer (Micro VAX II), and a color image processor. The results showed that this system clearly reconstructed the three-dimensional image of the rectum, anus and the surrounding muscles and suggested the presence of the puborectal muscle sling.

Anal Canal↗

PubMed1987

Reflex responses of neurons in the inferior mesenteric ganglion to mechanical stimulation of the colon, rectum, anal canal, and urinary bladder in the dog.

Unitary discharges were recorded from the inferior mesenteric ganglion of decerebrate dogs. Eighty-one units were identified as sympathetic postganglionic neurons innervating the colon and rectum by collision test performed by stimulation of the lumbar colonic nerve. Discharges of four units were enhanced simultaneously with an increased outflow of the renal nerve by pinching a toe. Thus, those units were regarded as vasoconstrictors of colonic blood vessels. Sixty-five units whose discharges were depressed or not affected by the pinching were regarded as neurons innervating colonic smooth muscle or mucosa (colonic units). Discharges were enhanced in the majority of the colonic units by colonic, rectal, and vesical distension, and mechanical stimulation of the anal canal, while discharges were depressed in a few units by rectal and vesical distension, and the anal canal stimulation. The number and percentage of the depressed units increased not only after cutting the hypogastric nerves and descending branches of the lumbar colonic nerve but also after transection of the caudal pons. The reflex depressions disappeared after transection at the bulbospinal junction, but the reflex enhancements remained. These results indicate that the colonic units are enhanced through a spinal reflex by the inflows from the distal colon, rectum, anal canal, and urinary bladder through the lumbar colonic, hypogastric, pelvic, and pudendal nerves, while a few are inhibited through a supraspinal reflex by inflows through the pelvic and pudendal nerves.

Action Potentials↗