Assessing the interstitial cells of Cajal, cells of enteric nervous system and neurotransmitters in slow transit constipation, using immunohistochemistry for CD117, PGP9.5 and serotonin.

BACKGROUND/AIMS: Slow transit constipation is one of the common causes of chronic constipation, in which the intestinal diameter is normal, but its transit time is markedly increased. The underlying cause in this disease is not definitely understood.
METHODOLOGY: In this study was investigated the difference in the quantity of pace maker cells, cells of enteric nervous system and serotonin positive cells in normal colon and colon of the patients with slow transit constipation by using immunohistochemistry for c-Kit, PGP 9.5 and serotonin.
RESULTS: The number of c-Kit positive pacemaker cells in the muscular layer was significantly decreased in the patients with slow transit constipation. PGP 9.5 positive enteric nervous system cells were significantly decreased in the patients with slow transit constipation in inner circular layer. Number of serotonin positive cells in the patients with slow transit constipation was significantly increased.
CONCLUSIONS: Slow transit constipation is most probably a true enteric neuropathy.