Abstract

An orally administered serotonin-4 (5-HT4) receptor agonist, mosapride citrate (MOS), promotes enteric neurogenesis in anastomoses after gut surgery. We performed gut surgery and transplanted 2 × 105 neural stem cells (NSCs) from the embryonic central nervous system after marking them with the cell linker, PKH26. We found that neurons differentiated from transplanted NSCs (PKH [+]) and newborn enteric neurons differentiated from mobilized (host) NSCs (YFP [+]) in the deep granulation tissue of the anastomotic ileum. MOS significantly increased the number of PKH (+) and YFP (+) neurons by 2.5-fold (P < 0.005) (n = 4). The distribution patterns of PKH (+) neurons and YFP (+) neurons were similar along the depth of the anastomosis. A 5-HT4 receptor antagonist, SB-207266, abolished these effects of MOS (n = 4). Our results indicate that neurogenesis from transplanted NSCs is potentiated by activation of 5-HT4 receptors. Thus, a combination of drug administration and cell transplantation could be more beneficial than cell transplantation alone in treating Hirschsprung’s disease and related disorders.

Highlights

  • We have previously shown that enteric neural 5-HT4 receptors activated by mosapride citrate (MOS) promote reconstruction of the impaired enteric neural circuit after transection and formation of an anastomosis

  • As the preliminary for cell transplantation, we examined the effects of MOS on neural stem cells (NSCs) in culture

  • We confirmed that enteric neurons were visible in vivo in the terminal ileum, which had a maximal thickness of 50 lm at the myenteric ganglion level in an intact Thy1-YFP mouse

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Summary

Introduction

We have previously shown that enteric neural 5-HT4 receptors activated by mosapride citrate (MOS) promote reconstruction of the impaired enteric neural circuit after transection and formation of an anastomosis. This treatment promoted recovery of the ‘‘defecating reflex’’ [1, 2] in the rectum of guinea pigs [3]. This plasticity of enteric neurons is brought about by mobilized neural stem cells (NSCs) [3]. Liu et al [6] demonstrated that neuroprotection and/or neurogenesis in the adult mouse enteric nervous system (ENS) is mediated by 5-HT4 receptor

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