[HTML][HTML] Calcium-sensing receptor: A new target for therapy of diarrhea

SX Cheng - World journal of gastroenterology, 2016 - ncbi.nlm.nih.gov
World journal of gastroenterology, 2016ncbi.nlm.nih.gov
Management of acute diarrhea remains a global challenge, particularly in resource-limiting
countries. Oral rehydration solution (ORS), a passive rehydrating therapy developed
approximately 40 years ago, remains the mainstay treatment. Although ORS is effective for
hydration, since it does not inhibit enterotoxin-mediated excessive secretion, reduced
absorption and compromised barrier function-the primary mechanisms of diarrhea, ORS
does not offer a rapid relief of diarrhea symptom. There are a few alternative therapies …
Abstract
Management of acute diarrhea remains a global challenge, particularly in resource-limiting countries. Oral rehydration solution (ORS), a passive rehydrating therapy developed approximately 40 years ago, remains the mainstay treatment. Although ORS is effective for hydration, since it does not inhibit enterotoxin-mediated excessive secretion, reduced absorption and compromised barrier function-the primary mechanisms of diarrhea, ORS does not offer a rapid relief of diarrhea symptom. There are a few alternative therapies available, yet the use of these drugs is limited by their expense, lack of availability and/or safety concerns. Novel anti-diarrheal therapeutic approaches, particularly those simple affordable therapies, are needed. This article explores intestinal calcium-sensing receptor (CaSR), a newly uncovered target for therapy of diarrhea. Unlike others, targeting this host antidiarrheal receptor system appears “all-inclusive”: it is anti-secretory, pro-absorptive, anti-motility, and anti-inflammatory. Thus, activating CaSR reverses changes of both secretory and inflammatory diarrheas. Considering its unique property of using simple nutrients such as calcium, polyamines, and certain amino acids/oligopeptides as activators, it is possible that through targeting of CaSR with a combination of specific nutrients, novel oral rehydrating solutions that are inexpensive and practical to use in all countries may be developed.
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