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Serotonin and intestinal insufficiency in the perioperative period

https://doi.org/10.33667/2078-5631-2024-35-79-88

Abstract

The review is devoted to the problem of postoperative intestinal insufficiency: one of the probable pathophysiological bases of this condition, serotonin deficiency, is considered. The problems of intestinal insufficiency from the point of view of functional and structural disorders of the intestine are considered in detail, the relationship of this condition with the synthesis and metabolism of serotonin is analyzed. Special attention is paid to the accumulated clinical experience in the treatment of intestinal insufficiency through the donation of parenteral serotonin preparations, the advantages and side effects of such therapy, as well as possible complications, are considered in detail. In this regard, emphasis is placed on the most rational and effective approaches to the correction of serotonin deficiency in the treatment of functional intestinal insufficiency of the perioperative period.

About the Authors

D. G. Eremich
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency
Russian Federation

Eremich Darya G., anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept

Saint-Petersburg



I. S. Simutis
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Simutis Ionas S., DM Sci (habil.), head of Resuscitation and Intensive Care Dept;

associate professor

Saint-Petersburg



M. S. Danilov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Danilov Mark S., PhD Me, anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept;

assistant professor

Saint-Petersburg



D. S. Salygina
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency
Russian Federation

Salygina Daria S., anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept

Saint-Petersburg



V. A. Ratnikov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; Saint Petersburg State University
Russian Federation

Ratnikov Vyacheslav A., deputy general director – medical director;

DM Sci (habil.), professor, chief specialist of the Federal Medical and Biological Agency of Russia in Radiation Diagnostics, professor at Scientific and Clinical Educational Center "Radiation Diagnostics and Nuclear Medicine" of Institute of High Medical Technologies of the Faculty of Medicine

Saint-Petersburg



References

1. Moon J. H., Oh C. M., Kim H. Serotonin in the regulation of systemic energy metabolism. J Diabetes Investig. 2022 Oct;13(10):1639–1645. doi: 10.1111/jdi.13879. Epub 2022 Jul 23. PMID: 35762288; PMCID: PMC 9533050

2. Kanova, M.; Kohout, P. Serotonin – Its Synthesis and Roles in the Healthy and the Critically Ill. Int. J. Mol. Sci. 2021, 22, 4837. https://doi.org/10.3390/ijms22094837

3. Kwon, Y.H.; Wang, H.; Denou, E.; Ghia, J.E.; Rossi, L.; Fointes, M.E.; Bernier, S.P.; Shajib, M.S.; Banskota, S.; Collins, S.M.; et al. Modulation of gut microbiota composition n by serotonin signalling influences intestinal immune response and susceptibility to colitis. Cell. Mol. Gastroenterol. Hepatol. 2019, 7, 709–728.

4. Shaijb, M.S.; Khan, I. The role of serotonin and its receptors in activation of immune responses and inflammation. Acta Physiol. 2015, 2113, 561–574.

5. Shur V. Yu., Samotrueva M. A., Mazhitova M. V. [et al.] / Serotonin: biological properties and prospects for clinical use // Fundamental research. 2014; 7 (3): 621–629. (In Russ.).

6. Vlasov A. P., Bolotskikh V. A., Rubtsov O. Yu. Prognostic criteria for endotoxicosis based on enteral insufficiency. Modern problems of science and education. 2016; 3. (In Russ.).

7. Nienke Koopman, et al.The Multifaceted Role of Serotonin in Intestinal HomeostasisInt. J. Mol. Sci. 2021, 22(17), 9487

8. Wan, M.; Ding, L.; Wang, D.; Han, J.; Gao, P. Serotonin: A Potent Immune Cell Modulator in Autoimmune Diseases. Front. Immunol. 2020;11:186.

9. Khomyakov EA, Rybakov EG Postoperative gastrointestinal paresis. Surgery. 2017; 3. DOI: 10.17116/hirurgia2017376-85.

10. Vlasov A.P., Trofimov V.A., Grigorieva T.I., Shibitov V.A., Vlasov P.A. Enteral distress syndrome in surgery: concept, pathogenesis, diagnostics. Surgery. Journal named after N.I. Pirogov. 2016;(11):48 53. (In Russ.).

11. Korymasov E.A., Ivanov S.A., Kenarskaya M.V. Algorithm for diagnostics and treatment of enteral insufficiency syndrome in peritonitis. Bulletin of surgery named after I.I. Grekov. 2021; 180 (2): 28–36. (In Russ.). DOI: 10.24884/0042-4625-2021-180-2-28-36

12. Machulina I.A., Shestopalov A.E., Evdokimov E.A. / Therapy of severe intestinal failure: the main stages and the role of nutrients// Medical alphabet. - 2020. - No. 7. (In Russ.).

13. Magomedov M.A., Grishina L.A., Masolitin S.V., Kolerova I.V. Pathogenetic rationale and experience of using serotonin adipate in the complex therapy of functional intestinal obstruction in surgical practice. Clinical analysis in general medicine. (In Russ.). 2022; 6: 70–77. DOI: 10.47407/kr2022.3.6.00180

14. Stakanov A. V., Musaeva T. S. Efficiency of serotonin adipate in preventing intestinal dysfunction in patients after colorectal surgery. Anesthesiology and reanimatology. 2015; 60(6): 29-32. (In Russ.).

15. Belik B. M. Evaluation of clinical efficacy of serotonin adipate in treatment and prevention of enteral insufficiency syndrome in generalized peritonitis. Surgery. Journal im. N. I. Pirogov. 2016;(9):76 82. (In Russ.).

16. Guzel T, Mirowska-Guzel D. The Role of Serotonin Neurotransmission in Gastrointestinal Tract and Pharmacotherapy. Molecules. 2022 Mar 3;27(5):1680. doi: 10.3390/molecules27051680. PMID: 35268781; PMCID: PMC 8911970.

17. Захаренко А. А., Семиглазов В. В., Тен О. А., Джамилов Ш. Р., Беляев М. А., Рыбальченко В. А., Курсенко Р. В., Багненко С. Ф. Периоперационные изменения микробиоценоза в хирургическом лечении больных колоректальным раком (обзор литературы) // Вестн. хир.. 2019. № 5. URL: https://cyberleninka.ru/article/n/perioperatsionnye-izmeneniya-mikrobiotsenoza-v-hirurgicheskomlechenii-bolnyh-kolorektalnym-rakom-obzor-literatury (дата обращения: 20.10.2024)

18. Jessica M. Yano, Kristie Yu, et al. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell. 2015. Apr 9;161(2):264–276. doi: https://doi.org/10.1016/j.cell.2015.02.047

19. O’Mahony, S.M., Clarke, G., Borre, Y.E., Dinan, T.G., and Cryan, J.F. (2015). Serotonin, tryptophan metabolism and the brain-gut-microbiome axis. Behav. Brain Res. 277, 32–48

20. Демидова, Т. Ю. Кишечная микробиота как эндокринный орган / Т. Ю. Демидова, К. Г. Лобанова, О. Ш. Ойноткинова // Ожирение и метаболизм. 2020;17(3):299–306. DOI 10.14341/omet12457.

21. Mittal R.; Debs, L.H.; Patel, A.P.; Nguyen, D.; Patel, K.; O’Connor, G.; Grati, M.; Mittal, J.; Yan, D.; Eshraghi, A.A.; et al. Neurotransmitters: The Critical Modulators Regulating Gut–Brain Axis. J. Cell. Physiol. 2017, 232, 2359–2372.

22. Stasi C., Sadalla S., Milani S. The Relationship Between the Serotonin Metabolism, Gut-Microbiota and the Gut-Brain Axis. Curr Drug Metab. 2019;20(8):646–655. doi: 10.2174/1389200220666190725115503. PMID: 31345143.

23. Hui Yu, Xianjie Wan, Mingyi Yang, Jiale Xie, Ke Xu, Jiachen Wang, Guoqiang Wang, Peng Xu, A large-scale causal analysis of gut microbiota and delirium: A Mendelian randomization study, Journal of Affective Disorders, Volume 329,2023, Pages 64–71, https://doi.org/10.1016/j.jad.2023.02.078.

24. Zhang, Y., Baldyga, K., Dong, Y. et al. The association between gut microbiota and postoperative delirium in patients. Transl Psychiatry 13, 156 (2023). https://doi.org/10.1038/s41398-023-02450-1

25. Garcez FB, Garcia de Alencar JC, Fernandez SSM, Avelino-Silva VI, Sabino EC, Martins RCR, Franco LAM, Lima Ribeiro SM, Possolo de Souza H, Avelino-Silva TJ. Association Between Gut Microbiota and Delirium in Acutely Ill Older Adults. J Gerontol A Biol Sci Med Sci. 2023 Aug 2;78(8):1320–1327. doi: 10.1093/gerona/glad074. PMID: 36869725; PMCID: PMC 10395556.)

26. Akram N, Faisal Z, Irfan R, Shah YA, Batool SA, Zahid T, Zulfiqar A, Fatima A, Jahan Q, Tariq H, Saeed F, Ahmed A, Asghar A, Ateeq H, Afzaal M, Khan MR. Exploring the serotonin-probiotics-gut health axis: A review of current evidence and potential mechanisms. Food Sci Nutr. 2023 Dec 7;12(2):694–706. doi: 10.1002/fsn3.3826. PMID: 38370053; PMCID: PMC 10867509.

27. Aaron Brown, He Liu. Interaction Between Intestinal Serotonin and The Gut Microbiome. Int J Anat Appl Physiol. 2021;07(04):192–196. doi: http://dx.doi.org/10.19070/2572-7451-2100036

28. Shajib MS, Khan WI. The role of serotonin and its receptors in activation of immune responses and inflammation. Acta Physiol (Oxf). 2015 Mar;213(3):561–74. doi: 10.1111/apha.12430. Epub 2014 Dec 11. PMID: 25439045.

29. Goyal MS, Venkatesh S, Milbrandt J, Gordon JI, Raichle ME. Feeding the brain and nurturing the mind: linking nutrition and the gut microbiota to brain development. Proc Natl Acad SciUSA. 2015;112(46):14105–14112. doi: 10.1073/pnas.1511465112.

30. Sanchez de Medina F, Romero-Calvo I, Mascaraque C, Martinez-Augustin O. Intestinal inflammation and mucosal barrier function. Inflamm Bowel Dis. 2014;20(12):2394–2404. doi: 10.1097/MIB.0000000000000204.

31. Verheijden S, De Schepper S, Boeckxstaens GE. Neuron-macrophage crosstalk in the intestine: a “microglia” perspective. Front Cell Neurosci. 2015;9:403. doi: 10.3389/fncel.2015.00403.

32. Jones, L.A.; Sun, E.W.; Martin, A.M.; Keating, D. J. The ever-changing roles of serotonin. Int. J. Biochem. Cell Biol. 2020, 125, 105776.

33. Arreola R, Becerril-Villanueva E, Cruz-Fuentes C, et al. Immunomodulatory effects mediated by serotonin. J Immunol Res. 2015;2015:354957. doi: 10.1155/2015/354957.

34. Meijerink, Jocelijn. (2021). The Intestinal Fatty Acid-Enteroendocrine Interplay, Emerging Roles for Olfactory Signaling and Serotonin Conjugates. Molecules. 26. 1416. 10.3390/molecules26051416.

35. Terry N, Margolis KG. Serotonergic Mechanisms Regulating the GI Tract: Experimental Evidence and Therapeutic Relevance. Handb Exp Pharmacol. 2017;239:319–342. doi: 10.1007/164_2016_103. PMID: 28035530; PMCID: PMC 5526216.

36. Spohn, S., Mawe, G. Non-conventional features of peripheral serotonin signalling – the gut and beyond. Nat Rev Gastroenterol Hepatol 14, 412–420 (2017). https://doi.org/10.1038/nrgastro.2017.51

37. Belkind-Gerson J, Hotta R, Nagy N, Thomas AR, Graham H, Cheng L, Solorzano J, Nguyen D, Kamionek M, Dietrich J, Cherayil BJ, Goldstein AM. Colitis induces enteric neurogenesis through a 5-HT4-dependent mechanism. Inflamm Bowel Dis. 2015 Apr;21(4):870–8. doi: 10.1097/MIB.0000000000000326. PMID: 25742399; PMCID: PMC 6688165.

38. Tappenden KA. Pathophysiology of short bowel syndrome: considerations of resected and residual anatomy. JPEN J Parenter Enteral Nutr 2014;38:14S-22S.

39. Zhang L, Greig CJ, Cowles RA. Orally dosed citalopram stimulates small intestinal mucosal growth. J Surg Res 2019;236:326–331.

40. Tackett JJ, Gandotra N, Bamdad MC, Muise ED, Cowles RA. Enhanced serotonin signaling stimulates ordered intestinal mucosal growth. J Surg Res 2016; 208:198–203.

41. Park CJ, Armenia SJ, Shaughnessy MP, Greig CJ, Cowles RA. Potentiation of serotonin signaling leads to increased carbohydrate and lipid absorption in the murine small intestine. J Pediatr Surg 2019;54:1245–1249.

42. Greig CJ, Zhang L, Cowles RA. Potentiated serotonin signaling in serotonin re-uptake transporter knockout mice increases enterocyte mass and small intestinal absorptive function. Physiol Rep 2019;7: e14278.

43. Imamdin, Aqeela & van der Vorst, Emiel. (2023). Exploring the Role of Serotonin as an Immune Modulatory Component in Cardiovascular Diseases. International Journal of Molecular Sciences. 24. 1549. 10.3390/ijms24021549.

44. Кодиров Абдугофур Неъматович Физиологическая роль серотонина // Re-health journal. 2021. № 2 (10). URL: https://cyberleninka.ru/article/n/fiziologicheskaya-rol-serotonina (дата обращения: 20.10.2024).

45. Гаус О. В., Ливзан М. А. При синдроме раздраженной кишки уровень зонулина ассоциирован с уровнями кортизола, дофамина и серотонина. Экспериментальная и клиническая гастроэнтерология. 2023;212(4): 37–48. DOI: 10.31146/1682–8658-ecg-212-4-37-48

46. Brian A. Baldo and Michael A. Rose. The anaesthetist, opioid analgesic drugs, and serotonin toxicity: a mechanistic and clinical review. British Journal of Anaesthesia, 124 (1): 44e62 (2020) doi: 10.1016/j.bja.2019.08.010

47. Xie, Y.; Zhou, G.; Wang, C.; Xu, X.; Li, C., Specific microbiota dynamically 402 regulate the bidirectional gut-brain axis communications in mice fed meat protein 403 diets. J Agr Food Chem 2019, 67, 1003–1017.

48. Kovatcheva-Datchary, P., Nilsson, A., Akrami, R., Lee, Y. S., De Vadder, F., Arora, T., Hallen, A., Martens, E., Björck, I., Bäckhed, F., Dietary fiber-induced improvement in glucose metabolism is associated with increased abundance of 420 prevotella. Cell metabolism 2015, 22, 971–982.

49. Mu, C.; Yang, Y.; Luo, Z.; Zhu, W., Temporal microbiota changes of high-protein diet intake in a rat model. Anaerobe 2017, 47, 218–225.

50. David, L. A., Maurice, C. F., Carmody, R. N., Gootenberg, D. B., Button, J. E., Wolfe, B. E., Ling, A. V., Devlin, A. S., Varma, Y., Fischbach, M. A., Biddinger, S. B., Dutton, R. J., Turnbaugh, P. J., Diet rapidly and reproducibly alters the human gut microbiome. Nature 2014, 505, 559–563.

51. Kaczmarek J. L., Thompson, S.V., Holscher H. D., Complex interactions of 428 circadian rhythms, eating behaviors, and the gastrointestinal microbiota and their potential impact on health. Nutrition reviews 2017, 75, 673–682.

52. Zhu, Y., Shi, X., Lin, X., Ye, K., Xu, X., Li, C., Zhou, G., Beef, chicken, and soy proteins in diets induce different gut microbiota and metabolites in rats. Front microbiol 2017, 8, 1395.

53. Zhu, Y., Lin, X., Zhao, F., Shi, X., Li, H., Li, Y., Zhu, W., Xu, X., Li, C., Zhou G., Meat, dairy and plant proteins alter bacterial composition of rat gut bacteria. Sci Rep 2015, 5, 15220.

54. Zhu, Y.; Lin, X.; Li, H.; Li, Y.; Shi, X.; Zhao, F.; Xu, X.; Li, C.; Zhou, G., Intake of meat proteins substantially increased the relative abundance of genus lactobacillus in rat feces. Plos One 2016, 11, e0152678.

55. Xie, Yunting; Wang, Chong; Zhao, Di; Wang, Chao; Li, Chunbao. (2020). Dietary Proteins Regulate Serotonin Biosynthesis and Catabolism by Specific Gut Microbes. Journal of Agricultural and Food Chemistry, (), acs.jafc.0c00832–. doi:10.1021/acs.jafc.0c00832

56. Karkusova, M. D. Biological effects of serotonin (review article) / M. D. Karkusova // Bulletin of new medical technologies. Electronic publication. 2022; 16 (6): 133-139. (In Russ.). DOI 10.24412/2075-4094-2022-6-3-12

57. Mikheenkova, N. M. Serotonin syndrome: clinical presentation, pathophysiology and therapy / N. M. Mikheenkova, P. V. Ryvkin, S. N. Mosolov // Modern therapy of mental disorders. 2022; 2: 53-63. (In Russ.). DOI 10.21265/PSYPH.2022.90.61.006

58. Krotenko N. P., M. S. Grinenko, Experience of using serotonin adipate in the intensive care unit in non-surgical patients with gastrointestinal dysfunction, Clinical review in general medicine, VOLUME 4, No. 5, 2023, 81-92. (In Russ.).

59. Gong J et al. Randomised clinical trial: prucalopride, a colonic promotility agent, reduces the duration of post-operative ileus after elective gastrointestinal surgery. Aliment Pharmacol Ther 2016; 43 (7): 778–89.

60. Milne T et al. Effect of prucalopride to improve time to gut function recovery following elective colorectal surgery: randomized clinical trial. Br J Surg 2022. P. znac121


Review

For citations:


Eremich D.G., Simutis I.S., Danilov M.S., Salygina D.S., Ratnikov V.A. Serotonin and intestinal insufficiency in the perioperative period. Medical alphabet. 2024;(35):79-88. (In Russ.) https://doi.org/10.33667/2078-5631-2024-35-79-88

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)