Abstract
Calcitonin gene-related peptide (CGRP) is a predominant neurotransmitter from capsaicin-sensitive sensory nerves, which are widely distributed in the gastrointestinal system. These sensory nerves are reported to be involved in the protection of gastric mucosa against damage by various stimuli, and CGRP is a potential mediator in this process. In addition to increase in gastric mucosal blood flow, the beneficial effects of CGRP on gastric mucosa include inhibition of gastric acid secretion, prevention of cellular apoptosis and oxidative injury. The synthesis and release of CGRP is regulated by the capsaicin receptor which is known as transient receptor potential vanilloid subfamily member 1 (TRPV1) and the agonists of TRPV1 have the potential for gastric mucosal protection. So far, multiple TRPV1 agonists, including capsaicin, capsiate, anandamide and rutaecarpine are reported to exert beneficial effects on gastric mucosal injury induced by various stimuli. Therefore, the TRPV1/CGRP pathway represents a novel target for therapeutic intervention in human gastric mucosal injury.
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Franke A, Teyssen S, Singer MV. Alcohol-related diseases of the esophagus and stomach. Dig Dis. 2005;23:204–213.
Nagano Y, Matsui H, Tamura M, et al. NSAIDs and acidic environment induce gastric mucosal cellular mitochondrial dysfunction. Digestion. 2012;85:131–135.
Gulcan M, Ozen A, Karatepe HO, Gulcu D, Vitrinel A. Impact of H. pylori on growth: is the infection or mucosal disease related to growth impairment? Dig Dis Sci. 2010;55:2878–2886.
Brzozowski T, Konturek PC, Sliwowski Z, et al. Prostaglandin/cyclooxygenase pathway in ghrelin-induced gastroprotection against ischemia-reperfusion injury. J Pharmacol Exp Ther. 2006;319:477–487.
Hunt RH, Yuan Y. Acid-NSAID/aspirin interaction in peptic ulcer disease. Dig Dis. 2011;29:465–468.
Tytgat GN. Etiopathogenetic principles and peptic ulcer disease classification. Dig Dis. 2011;29:454–458.
Alvi A, Ansari SA, Ehtesham NZ, et al. Concurrent proinflammatory and apoptotic activity of a Helicobacter pylori protein (HP986) points to its role in chronic persistence. PLoS ONE. 2011;6:e22530.
Allen A, Flemstrom G. Gastroduodenal mucus bicarbonate barrier: protection against acid and pepsin. Am J Physiol Cell Physiol. 2005;288:C1–C19.
Wallace JL. Prostaglandins, NSAIDs, and gastric mucosal protection: why doesn’t the stomach digest itself? Physiol Rev. 2008;88:1547–1565.
Sibilia V, Rindi G, Pagani F, et al. Ghrelin protects against ethanol-induced gastric ulcers in rats: studies on the mechanisms of action. Endocrinology. 2003;144:353–359.
Evangelista S. Role of calcitonin gene-related Peptide in gastric mucosal defence and healing. Curr Pharm Des. 2009;15:3571–3576.
Feng G, Wang Q, Xu X, Liu Z, Li Z, Liu G. The protective effects of calcitonin gene-related peptide on gastric mucosa injury of gastric ischemia reperfusion in rats. Immunopharmacol Immunotoxicol. 2011;33(1):84–89.
Deng PY, Li YJ. Calcitonin gene-related peptide and hypertension. Peptides. 2005;26:1676–1685.
Li YJ, Peng J. The cardioprotection of calcitonin gene-related peptide-mediated preconditioning. Eur J Pharmacol. 2002;442:173–177.
Bell D, McDermott BJ. Calcitonin gene-related peptide in the cardiovascular system: characterization of receptor populations and their (patho)physiological significance. Pharmacol Rev. 1996;48:253–288.
Brain SD, Grant AD. Vascular actions of calcitonin gene-related peptide and adrenomedullin. Physiol Rev. 2004;84:903–934.
Young RL, Cooper NJ, Blackshaw LA. Chemical coding and central projections of gastric vagal afferent neurons. Neurogastroenterol Motil. 2008;20:708–718.
Zhong F, Christianson JA, Davis BM, Bielefeldt K. Dichotomizing axons in spinal and vagal afferents of the mouse stomach. Dig Dis Sci. 2008;53:194–203.
Wu XY, Zhu JX, Gao J, Owyang C, Li Y. Neurochemical phenotype of vagal afferent neurons activated to express C-FOS in response to luminal stimulation in the rat. Neuroscience. 2005;130:757–767.
Brain SD, Williams TJ, Tippins JR, Morris HR, MacIntyre I. Calcitonin gene-related peptide is a potent vasodilator. Nature. 1985;313:54–56.
DiPette DJ, Schwarzenberger K, Kerr N, Holland OB. Dose-dependent systemic and regional hemodynamic effects of calcitonin gene-related peptide. Am J Med Sci. 1989;297:65–70.
Sueur S, Pesant M, Rochette L, Connat JL. Antiapoptotic effect of calcitonin gene-related peptide on oxidative stress-induced injury in H9c2 cardiomyocytes via the RAMP1/CRLR complex. J Mol Cell Cardiol. 2005;39:955–963.
Zhao FP, Guo Z, Wang PF. Calcitonin gene related peptide (CGRP) inhibits norepinephrine induced apoptosis in cultured rat cardiomyocytes not via PKA or PKC pathways. Neurosci Lett. 2010;482:163–166.
Li D, Peng J, Xin HY, et al. Calcitonin gene-related peptide-mediated antihypertensive and anti-platelet effects by rutaecarpine in spontaneously hypertensive rats. Peptides. 2008;29:1781–1788.
Song S, Liu N, Liu W, Shi R, Guo KJ, Liu YF. The effect of pretreatment with calcitonin gene-related peptide on attenuation of liver ischemia and reperfusion injury due to oxygen free radicals and apoptosis. Hepatogastroenterology. 2009;56:1724–1729.
Zhou Z, Peng J, Wang CJ, et al. Accelerated senescence of endothelial progenitor cells in hypertension is related to the reduction of calcitonin gene-related peptide. J Hypertens. 2010;28:931–939.
Zhou Z, Hu CP, Wang CJ, Li TT, Peng J, Li YJ. Calcitonin gene-related peptide inhibits angiotensin II-induced endothelial progenitor cells senescence through up-regulation of klotho expression. Atherosclerosis. 2010;213:92–101.
Li JZ, Peng J, Xiao L, et al. Reversal of isoprenaline-induced cardiac remodeling by rutaecarpine via stimulation of calcitonin gene-related peptide production. Can J Physiol Pharmacol. 2010;88:949–959.
Peng J, Li YJ. New insights into nitroglycerin effects and tolerance: role of calcitonin gene-related peptide. Eur J Pharmacol. 2008;586:9–13.
Hay DL, Poyner DR, Quirion R. International union of pharmacology. LXIX. Status of the calcitonin gene-related peptide subtype 2 receptor. Pharmacol Rev. 2008;60:143–145.
Smillie SJ, Brain SD. Calcitonin gene-related peptide (CGRP) and its role in hypertension. Neuropeptides. 2011;45:93–104.
Egea SC, Dickerson IM. Direct interactions between calcitonin-like receptor (CLR) and CGRP-receptor component protein (RCP) regulate CGRP receptor signaling. Endocrinology. 2012;153:1850–1860.
Lenz HJ, Mortrud MT, Rivier JE, Brown MR. Central nervous system actions of calcitonin gene-related peptide on gastric acid secretion in the rat. Gastroenterology. 1985;88:539–544.
Tache Y, Pappas T, Lauffenburger M, Goto Y, Walsh JH, Debas H. Calcitonin gene-related peptide: potent peripheral inhibitor of gastric acid secretion in rats and dogs. Gastroenterology. 1984;87:344–349.
Kawashima K, Ishihara S, Karim Rumi MA, et al. Localization of calcitonin gene-related peptide receptors in rat gastric mucosa. Peptides. 2002;23:955–966.
Forster ER, Dockray GJ. The role of calcitonin gene-related peptide in gastric mucosal protection in the rat. Exp Physiol. 1991;76:623–626.
Saeki T, Ohno T, Boku K, Saigenji K, Katori M, Majima M. Mechanism of prevention by capsaicin of ethanol-induced gastric mucosal injury—a study in the rat using intravital microscopy. Aliment Pharmacol Ther. 2000;14:135–144.
Holzer P, Guth PH. Neuropeptide control of rat gastric mucosal blood flow. Increase by calcitonin gene-related peptide and vasoactive intestinal polypeptide, but not substance P and neurokinin A. Circ Res. 1991;68:100–105.
Peskar BM, Ehrlich K, Peskar BA. Role of ATP-sensitive potassium channels in prostaglandin-mediated gastroprotection in the rat. J Pharmacol Exp Ther. 2002;301:969–974.
Feng G, Wang Q, Xu X, Liu Z, Li Z, Liu G. The protective effects of calcitonin gene-related peptide on gastric mucosa injury of gastric ischemia reperfusion in rats. Immunopharmacol Immunotoxicol. 2011;33:84–89.
Feng G, Xu X, Wang Q, Liu Z, Li Z, Liu G. The protective effects of calcitonin gene-related peptide on gastric mucosa injury after cerebral ischemia reperfusion in rats. Regul Pept. 2010;160:121–128.
Kinoshita Y, Inui T, Chiba T. Calcitonin gene-related peptide: a neurotransmitter involved in capsaicin-sensitive afferent nerve-mediated gastric mucosal protection. J Clin Gastroenterol. 1993;17:S27–S32.
Hayashi H, Ohno T, Nishiyama K, Boku K, Katori M, Majima M. Transient prevention of ethanol-induced gastric lesion by capsaicin due to release of endogenous calcitonin gene-related peptide in rats. Jpn J Pharmacol. 2001;86:351–354.
Kaneko H, Mitsuma T, Nagai H, et al. Central action of adrenomedullin to prevent ethanol-induced gastric injury through vagal pathways in rats. Am J Physiol. 1998;274:R1783–R1788.
Matsumoto Y, Kanamoto K, Kawakubo K, et al. Gastroprotective and vasodilatory effects of epidermal growth factor: the role of sensory afferent neurons. Am J Physiol Gastrointest Liver Physiol. 2001;280:G897–G903.
Liu YZ, Zhou Y, Li D, et al. Reduction of asymmetric dimethylarginine in the protective effects of rutaecarpine on gastric mucosal injury. Can J Physiol Pharmacol. 2008;86:675–681.
Tache Y. Brainstem neuropeptides and vagal protection of the gastric mucosal against injury: role of prostaglandins, nitric oxide and calcitonin-gene related peptide in capsaicin afferents. Curr Med Chem. 2012;19:35–42.
Ohno T, Hattori Y, Komine R, et al. Roles of calcitonin gene-related peptide in maintenance of gastric mucosal integrity and in enhancement of ulcer healing and angiogenesis. Gastroenterology. 2008;134:215–225.
Shimozawa N, Okajima K, Harada N, et al. Contribution of sensory neurons to sex difference in the development of stress-induced gastric mucosal injury in mice. Gastroenterology. 2006;131:1826–1834.
Peng J, Li YJ. The vanilloid receptor TRPV1: role in cardiovascular and gastrointestinal protection. Eur J Pharmacol. 2010;627:1–7.
Zygmunt PM, Petersson J, Andersson DA, et al. Vanilloid receptors on sensory nerves mediate the vasodilator action of anandamide. Nature. 1999;400:452–457.
Caterina MJ, Rosen TA, Tominaga M, Brake AJ, Julius D. A capsaicin-receptor homologue with a high threshold for noxious heat. Nature. 1999;398:436–441.
Nakanishi M, Hata K, Nagayama T, et al. Acid activation of Trpv1 leads to an up-regulation of calcitonin gene-related peptide expression in dorsal root ganglion neurons via the CaMK-CREB cascade: a potential mechanism of inflammatory pain. Mol Biol Cell. 2010;21:2568–2577.
Lindsay RM, Lockett C, Sternberg J, Winter J. Neuropeptide expression in cultures of adult sensory neurons: modulation of substance P and calcitonin gene-related peptide levels by nerve growth factor. Neuroscience. 1989;33:53–65.
Supowit SC, Hallman DM, Zhao H, DiPette DJ. Alpha 2-adrenergic receptor activation inhibits calcitonin gene-related peptide expression in cultured dorsal root ganglia neurons. Brain Res. 1998;782:184–193.
Qin N, Neeper MP, Liu Y, Hutchinson TL, Lubin ML, Flores CM. TRPV2 is activated by cannabidiol and mediates CGRP release in cultured rat dorsal root ganglion neurons. J Neurosci. 2008;28:6231–6238.
Mozsik G, Szolcsanyi J, Racz I. Gastroprotection induced by capsaicin in healthy human subjects. World J Gastroenterol. 2005;11:5180–5184.
Li NS, Luo XJ, Dai Z, et al. Beneficial effects of capsiate on ethanol-induced mucosal injury in rats are related to stimulation of calcitonin gene-related Peptide release. Planta Med. 2012;78:24–30.
Luo XJ, Li NS, Zhang YS, et al. Vanillyl nonanoate protects rat gastric mucosa from ethanol-induced injury through a mechanism involving calcitonin gene-related peptide. Eur J Pharmacol. 2012;666:211–217.
Warzecha Z, Dembinski A, Ceranowicz P, et al. Role of sensory nerves in gastroprotective effect of anandamide in rats. J Physiol Pharmacol. 2011;62:207–217.
Wang L, Hu CP, Deng PY, et al. The protective effects of rutaecarpine on gastric mucosa injury in rats. Planta Med. 2005;71:416–419.
Sato H, Kawashima K, Yuki M, et al. Lafutidine, a novel histamine H2-receptor antagonist, increases serum calcitonin gene-related peptide in rats after water immersion-restraint stress. J Lab Clin Med. 2003;141:102–105.
Satyanarayana MN. Capsaicin and gastric ulcers. Crit Rev Food Sci Nutr. 2006;46:275–328.
Mozsik G, Szolcsanyi J, Domotor A. Capsaicin research as a new tool to approach of the human gastrointestinal physiology, pathology and pharmacology. Inflammopharmacology. 2007;15:232–245.
Szolcsányi L, Barthó L. Capsaicin-sensitive afferents and their role in gastroprotection: an update. J Physiol. 2001;95:181–188.
Szolcsanyi J. Forty years in capsaicin research for sensory pharmacology and physiology. Neuropeptides. 2004;38:377–384.
Junqueira-Junior J, Junqueira AF, Medeiros JV, et al. Role of capsaicin-sensitive primary afferent neurons and non-protein sulphydryl groups on gastroprotective effect of amifostine against ethanol-induced gastric damage in rats. Dig Dis Sci. 2011;56:314–322.
Luo XJ, Peng J, Li YJ. Recent advances in the study on capsaicinoids and capsinoids. Eur J Pharmacol. 2011;650:1–7.
Lang Y, Kisaka H, Sugiyama R, et al. Functional loss of pAMT results in biosynthesis of capsinoids, capsaicinoid analogs, in Capsicum annuum cv. CH-19 Sweet. Plant J. 2009;59:953–961.
Iida T, Moriyama T, Kobata K, et al. TRPV1 activation and induction of nociceptive response by a non-pungent capsaicin-like compound, capsiate. Neuropharmacology. 2003;44:958–967.
Pothoulakis C, Castagliuolo I, LaMont JT, et al. CP-96,345, a substance P antagonist, inhibits rat intestinal responses to Clostridium difficile toxin A but not cholera toxin. Proc Natl Acad Sci USA. 1994;91:947–951.
McVey DC, Vigna SR. The capsaicin VR1 receptor mediates substance P release in toxin A-induced enteritis in rats. Peptides. 2001;22:1439–1446.
McVey DC, Schmid PC, Schmid HH, Vigna SR. Endocannabinoids induce ileitis in rats via the capsaicin receptor (VR1). J Pharmacol Exp Ther. 2003;304:713–722.
Acknowledgments
This work was supported by the Special Fund for National Outstanding Doctoral Dissertation of China (No. 2007B7 to Peng J.), by the National Natural Science Foundation of China (No. 30971194 to Peng J.) and by the Doctoral Fund of Education Ministry of China (No. 200805331118 to Yang Z.C.). We sincerely thank Dr. Qing-Jie Li (Division of Gastroenterology, Department of Internal Medicine, The University of Texas, Medical Branch) for his kind assistance in fixing the language problems in our manuscript.
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Luo, XJ., Liu, B., Dai, Z. et al. Stimulation of Calcitonin Gene-Related Peptide Release Through Targeting Capsaicin Receptor: A Potential Strategy for Gastric Mucosal Protection. Dig Dis Sci 58, 320–325 (2013). https://doi.org/10.1007/s10620-012-2362-6
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DOI: https://doi.org/10.1007/s10620-012-2362-6