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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1639592</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2025.1639592</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Therapeutic effects of Poncirus fructus on colonic dysfunction and visceral pain in a zymosan-induced irritable bowel syndrome mouse model through interstitial cells of Cajal and ion channel modulation</article-title>
<alt-title alt-title-type="left-running-head">Choi et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2025.1639592">10.3389/fphar.2025.1639592</ext-link>
</alt-title>
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<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Choi</surname>
<given-names>Na Ri</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
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<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Ko</surname>
<given-names>Seok-Jae</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
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<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Woo-Gyun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Jung</surname>
<given-names>Daehwa</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Sang Chan</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
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<contrib contrib-type="author">
<name>
<surname>Lim</surname>
<given-names>Dong Wook</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Yun Tai</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
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<contrib contrib-type="author">
<name>
<surname>Woo</surname>
<given-names>Joo Han</given-names>
</name>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Park</surname>
<given-names>Jae-Woo</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kim</surname>
<given-names>Byung Joo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Longevity and Biofunctional Medicine, Pusan National University School of Korean Medicine</institution>, <addr-line>Yangsan</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Digestive Diseases, College of Korean Medicine, Kyung Hee University</institution>, <addr-line>Seoul</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Korean Internal Medicine, Kyung Hee University College of Korean Medicine, Kyung Hee University Hospital at Gangdong</institution>, <addr-line>Seoul</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Pharmaceutical Engineering, Daegu Hanny University</institution>, <addr-line>Gyeongsan</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>College of Oriental Medicine, Daegu Haany University</institution>, <addr-line>Gyeongsan</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Division of Food Functionality, Korea Food Research Institute</institution>, <addr-line>Wanju-gun</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Department of Food Biotechnology, Korea University of Science and Technology</institution>, <addr-line>Daejeon</addr-line>, <country>Republic of Korea</country>
</aff>
<aff id="aff8">
<sup>8</sup>
<institution>Department of Physiology, College of Medicine, Dongguk University</institution>, <addr-line>Gyeongju</addr-line>, <country>Republic of Korea</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/15167/overview">Michael Heinrich</ext-link>, University College London, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/460524/overview">Jae Boum Youm</ext-link>, Inje University, Republic of Korea</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/90741/overview">Insuk So</ext-link>, Seoul National University, Republic of Korea</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Jae-Woo Park, <email>pjw2907@khu.ac.kr</email>; Byung Joo Kim, <email>vision@pusan.ac.kr</email>
</corresp>
<fn fn-type="equal" id="fn001">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1639592</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>10</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Choi, Ko, Choi, Jung, Kim, Lim, Kim, Woo, Park and Kim.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Choi, Ko, Choi, Jung, Kim, Lim, Kim, Woo, Park and Kim</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Purpose</title>
<p>Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disorder with few effective long-term treatments. This study investigated the therapeutic potential of <italic>Poncirus fructus</italic> extract (PFE) for IBS-like symptoms, focusing on interstitial cells of Cajal (ICCs), visceral pain&#x2013;related ion channels, inflammation, and gut microbiota.</p>
</sec>
<sec>
<title>Methods</title>
<p>A zymosan-induced colitis mouse model was employed to mimic IBS-associated inflammation and pain. Electrophysiological recordings were performed in murine colonic ICCs and HEK293T cells overexpressing TRPV1, TRPV4, TRPA1, NaV1.5, or NaV1.7 channels. Additional analyses included histology, TNF-&#x3b1; measurement, behavioral pain assessments, and gut microbiota profiling.</p>
</sec>
<sec>
<title>Results</title>
<p>PFE depolarized ICC pacemaker potentials in a dose-dependent manner through HCN channel activation and M3 muscarinic receptor&#x2013;mediated PLC-PKC signaling involving p38 MAPK and JNK pathways. <italic>In vivo</italic>, PFE improved colon length, reduced tissue inflammation and damage, lowered TNF-&#x3b1; levels, and alleviated pain-related behaviors in zymosan-treated mice. Gut microbiota analysis revealed increased abundance of Lachnospiraceae following PFE treatment. Electrophysiology showed that PFE inhibited TRPV1 and NaV1.5/1.7 currents, enhanced TRPV4 current, and had no effect on TRPA1 current.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>PFE exerts multi-target effects by modulating ICC activity, suppressing inflammation, and regulating key ion channels involved in visceral pain. These findings suggest that PFE has therapeutic potential for the management of IBS symptoms.</p>
</sec>
</abstract>
<kwd-group>
<kwd>irritable bowel syndrome</kwd>
<kwd>Poncirus fructus</kwd>
<kwd>zymosan-induced</kwd>
<kwd>colitis</kwd>
<kwd>electrophysiology</kwd>
<kwd>gastrointestinal motility</kwd>
</kwd-group>
<contract-num rid="cn001">RS-2021-NR065896 2022R1C1C1004937</contract-num>
<contract-num rid="cn002">E0210201-05</contract-num>
<contract-sponsor id="cn001">National Research Foundation of Korea<named-content content-type="fundref-id">10.13039/501100003725</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Korea Food Research Institute<named-content content-type="fundref-id">10.13039/501100003712</named-content>
</contract-sponsor>
<counts>
<page-count count="15"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>1 Introduction</title>
<p>Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal (GI) disorder marked by changes in bowel habits, abdominal discomfort, and increased visceral sensitivity (<xref ref-type="bibr" rid="B38">Marasco et al., 2025</xref>; <xref ref-type="bibr" rid="B40">Nozu et al., 2025</xref>). Despite its high prevalence, effective and safe long-term treatments remain limited, highlighting the need for alternative therapeutic strategies (<xref ref-type="bibr" rid="B52">Zhang et al., 2024</xref>; <xref ref-type="bibr" rid="B24">Jeong et al., 2025</xref>). In recent years, botanical medicines have gained considerable interest due to their diverse bioactivities and long history of traditional use.</p>
<p>Interstitial cells of Cajal (ICCs) act as pacemaker cells within the GI tract, generating rhythmic electrical slow waves that regulate smooth muscle contractions and coordinate intestinal motility (<xref ref-type="bibr" rid="B35">Lee J et al., 2024</xref>; <xref ref-type="bibr" rid="B3">Baker et al., 2025</xref>). Dysfunction of ICCs has been associated with impaired gut motility and visceral pain, both of which are key features of IBS (<xref ref-type="bibr" rid="B18">Foong et al., 2020</xref>; <xref ref-type="bibr" rid="B42">Patejdl, 2024</xref>).</p>
<p>The zymosan-induced colitis model is commonly used to mimic IBS-related GI inflammation and pain (<xref ref-type="bibr" rid="B11">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Choi et al., 2024a</xref>; <xref ref-type="bibr" rid="B13">Choi et al., 2024b</xref>; <xref ref-type="bibr" rid="B47">Siting et al., 2025</xref>). Zymosan, a yeast-derived substance, triggers an inflammatory response in the colon that resembles the pathophysiology observed in IBS patients and this model serves as a valuable platform for evaluating potential therapies targeting inflammation, motility disturbances, and pain hypersensitivity associated with IBS (<xref ref-type="bibr" rid="B11">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Choi et al., 2024a</xref>; <xref ref-type="bibr" rid="B13">Choi et al., 2024b</xref>; <xref ref-type="bibr" rid="B47">Siting et al., 2025</xref>). Many current therapeutic approaches for IBS focus on modulating ion channels involved in pain perception and inflammation (<xref ref-type="bibr" rid="B45">Saito et al., 2009</xref>; <xref ref-type="bibr" rid="B49">Verstraelen et al., 2015</xref>; <xref ref-type="bibr" rid="B19">Fuentes and Christianson, 2016</xref>; <xref ref-type="bibr" rid="B5">Beckers et al., 2017</xref>; <xref ref-type="bibr" rid="B2">Alaimo and Rubert, 2019</xref>; <xref ref-type="bibr" rid="B11">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Choi et al., 2024a</xref>; <xref ref-type="bibr" rid="B13">Choi et al., 2024b</xref>). Several transient receptor potential (TRP) channels, such as TRPV1, TRPV4, and TRPA1, have been identified as key mediators of visceral pain signaling in the gut (<xref ref-type="bibr" rid="B5">Beckers et al., 2017</xref>; <xref ref-type="bibr" rid="B2">Alaimo and Rubert, 2019</xref>). In parallel, voltage-gated sodium (NaV) channels, particularly NaV1.5 and NaV1.7, play critical roles in GI function and nociceptive transmission (<xref ref-type="bibr" rid="B49">Verstraelen et al., 2015</xref>; <xref ref-type="bibr" rid="B11">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Choi et al., 2024a</xref>; <xref ref-type="bibr" rid="B13">Choi et al., 2024b</xref>). Consequently, these channels offer valuable targets for creating new therapeutic approaches to IBS.</p>
<p>Poncirus fructus (PF), or <italic>Poncirus trifoliata</italic> (L.) Raf. from the Rutaceae family, has a long history of use in traditional medicine for managing GI ailments (<xref ref-type="bibr" rid="B23">Jang et al., 2018</xref>; <xref ref-type="bibr" rid="B36">Lee K et al., 2024</xref>). Recent studies suggest that PF possesses anti-inflammatory and analgesic properties (<xref ref-type="bibr" rid="B46">Shin et al., 2006</xref>; <xref ref-type="bibr" rid="B27">Khan et al., 2019</xref>). However, its precise mechanisms of action in the context of IBS have yet to be fully elucidated.</p>
<p>In this study, we investigated the effects of Poncirus fructus extract (PFE) on IBS-like symptoms using a zymosan-induced colitis model. Our focus was on assessing PFE&#x2019;s impact on ICCs function, colonic inflammation, pain-associated behaviors, and its modulatory effects on key ion channels involved in pain sensation, including TRP and NaV channels. Through electrophysiological recordings, histological evaluations, behavioral analyses, and gut microbiota profiling, this research aims to elucidate the therapeutic potential of PFE for alleviating visceral pain and GI dysfunction in IBS.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methods</title>
<sec id="s2-1">
<title>2.1 Sample preparation</title>
<p>PF was purchased from Korea Natural Product Central Bank (<ext-link ext-link-type="uri" xlink:href="https://kobis.re.kr/npcb/uss/main.do">https://kobis.re.kr/npcb/uss/main.do</ext-link>; Ochang, Republic of Korea) and extracted using a 95% ethanol solution under reflux at 45&#xa0;&#xb0;C for 72&#xa0;h. The PFE was concentrated using a rotary evaporator and subsequently freeze-dried. The final yield of the dried extract was 12.9%.</p>
</sec>
<sec id="s2-2">
<title>2.2 Quantification of flavonoids from PFE</title>
<p>PFE and standard metabolites, including naringin and poncirin, were dissolved in 50% methanol, filtered through a 0.45&#xa0;&#xb5;m PVDF syringe filter, and used for analysis. HPLC was performed using a system equipped with a UV detector set at 280&#xa0;nm. A 10&#xa0;&#x3bc;L volume of each sample was injected into a C18 column (4.6 &#xd7; 250&#xa0;mm, 5&#xa0;&#x3bc;m). The HPLC conditions used for quantification of NA and PO in the PFE are summarized in <xref ref-type="table" rid="T1">Table 1</xref>. The mobile phase consisted of 0.1% formic acid in water (solvent A) and acetonitrile (solvent B), delivered at a flow rate of 1&#xa0;mL/min with the column maintained at 30&#xa0;&#xb0;C. A gradient elution was applied: solvent A started at 90%, decreased to 60% over 30&#xa0;min, and returned to 90%, with a total run time of 60&#xa0;min. All solvents were of HPLC grade.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Condition of HPLC analysis for NA and PO in PFE.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th colspan="4" align="center">HPLC analysis</th>
</tr>
<tr>
<th align="center">Column</th>
<th colspan="3" align="center">C18 column (4.6 &#xd7; 150&#xa0;mm, 5&#xa0;&#x3bc;m)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="4" align="center">Mobility</td>
<td align="center">Time (min)</td>
<td align="center">(A) 0.1% formic acid</td>
<td align="center">(B) ACN</td>
</tr>
<tr>
<td align="center">0</td>
<td align="center">90</td>
<td align="center">10</td>
</tr>
<tr>
<td align="center">30</td>
<td align="center">60</td>
<td align="center">40</td>
</tr>
<tr>
<td align="center">60</td>
<td align="center">90</td>
<td align="center">10</td>
</tr>
<tr>
<td align="center">Flow rate</td>
<td colspan="3" align="center">1&#xa0;mL/min</td>
</tr>
<tr>
<td align="center">Column temperature</td>
<td colspan="3" align="center">30&#xa0;&#xb0;C</td>
</tr>
<tr>
<td align="center">Injection volume</td>
<td colspan="3" align="center">10&#xa0;&#x3bc;L</td>
</tr>
<tr>
<td align="center">Detection</td>
<td colspan="3" align="center">280&#xa0;nm</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-3">
<title>2.3 Preparation of ICCs cultures</title>
<p>For the ICCs experiments, a total of 58 ICR mice, aged between 3 and 6&#xa0;days, were acquired from Samtako Bio Korea Co., Ltd. (Osan, Republic of Korea). To prepare ICCs cultures, large intestines were harvested from ICR mice aged 3&#x2013;6&#xa0;days, including both males and females. The intestines were carefully dissected to remove the mucosal layer, ensuring minimal tissue damage. To facilitate the separation of the smooth muscle layers, the tissues were enzymatically digested using a solution containing collagenase (Worthington Biochemical Corporation, Lakewood, NJ, USA). The enzymatic digestion allowed for the efficient dissociation of cells, which were then suspended and maintained in a smooth muscle growth medium (Clonetics Corp., San Diego, CA, USA). The cultures were incubated at 37&#xa0;&#xb0;C in a controlled environment to support cell viability and proliferation. All ICC-related experiments were performed after 12&#xa0;h of culture to ensure proper cell adaptation and functionality.</p>
</sec>
<sec id="s2-4">
<title>2.4 Induction of colitis</title>
<p>In the zymosan-induced IBS animal model study, 78 male mice, aged 6&#x2013;7&#xa0;weeks and weighing between 23 and 26&#xa0;g, were utilized. To induce colitis, a 0.1&#xa0;mL solution of 30&#xa0;mg/mL zymosan (Sigma-Aldrich, St. Louis, MO, USA), was administered directly into the colon of experimental mice for three consecutive days. This method aimed to trigger an inflammatory response resembling colitis. Following the induction of colitis, the mice were randomly assigned to six experimental groups: (a) naive (n &#x3d; 13), which did not receive any treatment; (b) control (n &#x3d; 15), representing the colitis-induced but untreated group; (c) PFE 250&#xa0;mg/kg (n &#x3d; 14), a treatment group receiving a low dose of PFE; (d) PFE 500&#xa0;mg/kg (n &#x3d; 15), a group receiving a higher dose of PFE; (e) amitriptyline (AMT) (n &#x3d; 13), an antidepressant commonly prescribed for irritable bowel syndrome (IBS) symptom relief; and (f) sulfasalazine (SSZ) (n &#x3d; 14), an anti-inflammatory agent widely used in the treatment of GI diseases. AMT and SSZ were included as positive control treatments to compare their effects with PFE in mitigating colitis symptoms (<xref ref-type="bibr" rid="B43">Pruzanski et al., 1997</xref>; <xref ref-type="bibr" rid="B22">Iqbal et al., 2025</xref>).</p>
</sec>
<sec id="s2-5">
<title>2.5 Assessment of body weight changes and food intake</title>
<p>To monitor physiological changes associated with colitis induction and treatment, body weight measurements were taken on days 1, 4, 8, and 12. This allowed for the assessment of weight fluctuations over time, providing insight into the potential impact of colitis and therapeutic interventions on overall health. Additionally, total food intake was recorded throughout the experimental period to evaluate dietary consumption patterns. Tracking both body weight and food intake helped determine whether colitis induction or treatment affected metabolic status, appetite, or overall wellbeing in the experimental groups.</p>
</sec>
<sec id="s2-6">
<title>2.6 Evaluation of colon and stool conditions</title>
<p>To evaluate the impact of zymosan-induced colitis on the colon, both colon weight and length were measured. Colon length was specifically defined as the distance from the cecal end to the anus, allowing for a standardized assessment of potential inflammation-related shortening. Additionally, stool characteristics were analyzed using a structured scoring system. Three independent researchers, blinded to the experimental conditions, assessed stool consistency based on the Bristol Stool Scale. Stool consistency was categorized into four distinct levels: 0 (normal), 1 (moist), 2 (sticky), and 3 (diarrhea). This comprehensive evaluation helped determine the severity of colitis-induced GI changes and treatment effects.</p>
</sec>
<sec id="s2-7">
<title>2.7 Histological analysis of the colon</title>
<p>For histological analysis, colon tissue samples were first fixed to preserve structural integrity, then embedded in paraffin to facilitate sectioning. Thin tissue sections were prepared and stained using hematoxylin and eosin (H&#x26;E) to highlight cellular and morphological features. The stained samples were subsequently examined under a visible-light microscope (Nikon, Tokyo, Japan) to assess histopathological changes, such as inflammation, epithelial damage, and tissue integrity. This analysis provided detailed insights into the extent of colitis-induced tissue alterations and the potential effects of therapeutic interventions.</p>
</sec>
<sec id="s2-8">
<title>2.8 Quantification of tumor necrosis factor (TNF)-&#x3b1; expression level by RT-qPCR</title>
<p>To quantify the expression level of Tumor Necrosis Factor (TNF)-&#x3b1;, total mRNA was extracted from colonic tissue and the isolated RNA was then reverse-transcribed into complementary DNA (cDNA) using a cDNA synthesis kit containing M-MLV Reverse Transcriptase (Promega, Madison, WI, USA). This process allowed for the conversion of mRNA into cDNA, which could then be used as a template for further quantitative PCR analysis to evaluate the expression levels of TNF-&#x3b1;. The qPCR reaction was run using QuantStudio 1 (Applied Biosystems, Waltham, MA, USA) at the Cardiovascular and Metabolic Disease Core Research Support Center (Busan, Republic of Korea).</p>
</sec>
<sec id="s2-9">
<title>2.9 Assessment of pain-associated behaviors</title>
<p>Pain-related behaviors were assessed using established methods described in a previous study (<xref ref-type="bibr" rid="B32">Laird et al., 2001</xref>). The evaluation focused on specific behavioral indicators, including abdominal licking, full-body stretching, pressing the abdomen against the floor, and arching caused by abdominal contractions. To enhance the reliability of the observations, two independent researchers carefully monitored and recorded these behaviors over a 10-min period. This approach ensured an objective assessment of pain responses associated with colitis induction and treatment effects.</p>
</sec>
<sec id="s2-10">
<title>2.10 Microbiota analysis</title>
<p>Genomic DNA was extracted from stool samples using the QIAamp PowerFecal DNA Kit (QIAGEN, Hilden, Germany). The V4 region of the bacterial 16S rRNA gene was amplified with unique 8&#xa0;bp barcodes and sequenced on the Illumina iSeq 100 platform (<xref ref-type="bibr" rid="B39">Nakao et al., 2021</xref>). Sequence data were analyzed using the QIIME pipeline, with taxonomic classification performed based on the SILVA 128 reference database (<xref ref-type="bibr" rid="B7">Caporaso et al., 2010</xref>; <xref ref-type="bibr" rid="B44">Quast et al., 2013</xref>).</p>
</sec>
<sec id="s2-11">
<title>2.11 Plasmid transfection</title>
<p>For plasmid transfection, HEK293T cells were first cultured in 6-well plates under appropriate growth conditions. The following day, transfection was carried out using a specialized reagent (Thermo Fisher Scientific, Waltham, MA, USA). Plasmid DNA (1.5&#x2013;2&#xa0;&#xb5;g per well) encoding human TRP channels TRPV1, TRPV4, TRPA1, or NaV channels NaV1.5 and NaV1.7 was introduced into the cells. Additionally, pEGFP-N1 was co-transfected to enable visualization of successfully transfected cells.</p>
</sec>
<sec id="s2-12">
<title>2.12 Electrophysiological experiments</title>
<p>Whole-cell patch-clamp recordings were conducted using an Axopatch 200B amplifier (Molecular Devices, San Jose, CA, USA) to investigate the electrophysiological properties of the cells. Pacemaker potentials in ICCs were assessed in current-clamp mode. To examine TRP channel activity, a holding voltage of &#x2212;60&#xa0;mV was applied, with ramp pulses ranging from &#x2212;100&#xa0;mV to 100&#xa0;mV. For NaV channel recordings, membrane currents were measured over a voltage range of &#x2212;120&#xa0;mV to 0&#xa0;mV, with a holding voltage set at &#x2212;120&#xa0;mV. The detailed compositions of the internal and external solutions used in these experiments are available in a previously published study (<xref ref-type="bibr" rid="B11">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="B35">Lee J et al., 2024</xref>).</p>
</sec>
<sec id="s2-13">
<title>2.13 Statistical analysis</title>
<p>The results are expressed as the mean &#xb1; standard error (SE). Variance analysis was conducted using a one-way analysis of variance (ANOVA), followed by Dunnett&#x2019;s multiple comparison test to compare group differences. All statistical evaluations were carried out using GraphPad Prism 8 software, with statistical significance set at a p-value of less than 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Quantification of flavonoids in PFE</title>
<p>NA and PO are known as the major metabolites of PFE (<xref ref-type="bibr" rid="B33">Lee et al., 2005</xref>). Quantitative analysis was performed in triplicate, and the concentrations of NA and PO in PFE were determined to be 9.34 &#xb1; 1.56&#xa0;mg/g and 46.6 &#xb1; 1.02&#xa0;mg/g, respectively. Calibration curves for both metabolites were constructed based on peak area versus concentration, and exhibited excellent linearity (NA, <italic>y &#x3d; 297,34x-24244</italic>, <italic>R</italic>
<sup>2</sup> &#x3d; 0.9995; PO, <italic>y &#x3d; 227,03x&#x2b;12,942</italic>, <italic>R</italic>
<sup>2</sup> &#x3d; 0.9998). A representative chromatogram of the reference standards and their corresponding peaks in the PFE is shown in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Identification of major metabolites of PFE. HPLC chromatogram of NA, and PO as a standard metabolite&#x2019;s mixture <bold>(A)</bold> and PFE <bold>(B)</bold>. <bold>(C)</bold> Quantitative analysis in PFE. The concentration of NA and PO were 9.34 &#xb1; 1.56&#xa0;mg/g and 46.6 &#xb1; 1.02&#xa0;mg/g PTE, respectively.</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g001.tif">
<alt-text content-type="machine-generated">Graph A and B show chromatograms with peaks for naringin and poncirin, indicating retention times and absorbance units. Graph A has chemical structures, while Graph B lacks them. Table C lists compound contents in percent by mass: naringin at nine point three four milligrams per gram plus or minus one point five six, and poncirin at forty-six point six milligrams per gram plus or minus one point zero two.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Effects of PFE on the pacemaker potentials of ICCs from murine large intestines</title>
<p>We utilized the whole-cell patch-clamp technique to analyze the electrophysiological properties of ICCs in the large intestine. In current-clamp mode (I &#x3d; 0), ICCs exhibited spontaneous pacemaker potentials, which were depolarized by PFE (10&#x2013;100&#xa0;&#x3bc;g/mL) in a concentration-dependent manner (<xref ref-type="fig" rid="F2">Figures 2A&#x2013;C</xref>). In the presence of PFE, mean degrees of depolarization were 6.8 &#xb1; 1.0&#xa0;mV (n &#x3d; 7) at 10&#xa0;&#x3bc;g/mL, 18.4 &#xb1; 1.4&#xa0;mV (n &#x3d; 8) at 50&#xa0;&#x3bc;g/mL, and 30.3 &#xb1; 1.9&#xa0;mV (n &#x3d; 7) at 100&#xa0;&#x3bc;g/mL (<xref ref-type="fig" rid="F2">Figure 2D</xref>). Based on our analysis, the EC<sub>50</sub> value for PFE&#x2019;s depolarizing effect on pacemaker potentials was determined to be 27.3&#xa0;&#x3bc;g/mL (<xref ref-type="fig" rid="F2">Figure 2E</xref>). These results indicate that PFE modulates ICC activity by depolarizing pacemaker potentials.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Impact of PFE on pacemaker activity in ICCs from the murine colon. <bold>(A&#x2013;C)</bold> The administration of PFE led to a dose-dependent depolarization in the pacemaker potential of ICCs. This depolarizing effect was more pronounced at higher concentrations of PFE. <bold>(D)</bold> A summary of the changes in pacemaker potentials following PFE treatment is shown, with the data normalized for comparison. <bold>(E)</bold> EC<sub>50</sub> is 27.3&#xa0;&#x3bc;g/mL. Bars indicate mean &#xb1; SE. &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 compared to control. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g002.tif">
<alt-text content-type="machine-generated">Graphs depicting the effect of PFE on depolarization and concentration response. Panels A, B, and C show voltage traces at PFE concentrations of ten, fifty, and one hundred micrograms per milliliter, respectively, indicating increased depolarization. Panel D presents bar charts illustrating degree of depolarization at different PFE concentrations, with statistical significance marked by asterisks. Panel E displays a dose-response curve showing normalized change in percent with an EC50 value of twenty-seven point three micrograms per milliliter.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Hyperpolarization-activated cyclic Nucleotide-Gate (HCN) channel-mediated modulation of PFE responses in murine large intestinal ICCs</title>
<p>Previous studies have indicated that HCN channels contribute to the generation of pacemaker activity in large intestinal ICCs (<xref ref-type="bibr" rid="B10">Choi et al., 2022</xref>). To investigate the involvement of HCN channels in the PFE-induced modulation of pacemaker activity, specific HCN channel inhibitors were applied. Treatment with ZD7288 or CsCl, both known HCN blockers, inhibited spontaneous pacemaker potentials in large intestinal ICCs and abolished the effects of PFE on these potentials (n &#x3d; 7, <xref ref-type="fig" rid="F3">Figures 3A,B</xref>). Given the regulatory role of intracellular cAMP on HCN channels, we also tested SQ22536, an adenylate cyclase inhibitor. Application of SQ22536 similarly suppressed pacemaker activity and prevented PFE-induced responses (n &#x3d; 7, <xref ref-type="fig" rid="F3">Figure 3C</xref>). The overall impact of HCN channel inhibition and cAMP blockade on PFE-induced effects is summarized in <xref ref-type="fig" rid="F3">Figures 3D&#x2013;F</xref>. These findings indicate that HCN channels are essential not only for basal pacemaker activity in large intestinal ICCs but also for mediating the effects of PFE.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Inhibitory effects of HCN channel blockers and adenylate cyclase inhibition on PFE-induced modulation of pacemaker potentials in ICCs from the murine colon. <bold>(A,B)</bold> Application of ZD7288 (10&#xa0;&#x3bc;M) and CsCl (5&#xa0;mM), both known inhibitors of HCN channels, suppressed spontaneous pacemaker potentials and abolished PFE-induced responses in colonic ICCs. <bold>(C)</bold> SQ22536 (5&#xa0;&#x3bc;M), an inhibitor of adenylate cyclase, also attenuated pacemaker activity and prevented the effects of PFE. <bold>(D&#x2013;F)</bold> Quantitative summary of changes in pacemaker potential depolarization following PFE treatment. Bars indicate mean &#xb1; SE. &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 compared to control. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g003.tif">
<alt-text content-type="machine-generated">Electrophysiological recordings (A, B, C) show changes in membrane voltage with different treatments: ZD7288, CsCl, and SQ22536, combined with PFE. Bar graphs (D, E, F) depict depolarization degree decreases compared to control (CTRL) for each treatment. Significant differences noted with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Identification of muscarinic receptor subtypes targeted by PFE in in murine large intestinal ICCs</title>
<p>Muscarinic receptor activation is known to depolarize GI smooth muscle membranes (<xref ref-type="bibr" rid="B16">Ehlert et al., 2012</xref>), and previous studies have reported that M2 and M3 muscarinic receptor subtypes are predominantly expressed in GI ICCs (<xref ref-type="bibr" rid="B14">Drumm et al., 2020</xref>). To identify which receptor subtypes mediate the depolarizing effects of PFE, we employed selective muscarinic receptor antagonists. ICCs were treated with either methoctramine (10&#xa0;&#x3bc;M), a selective M2 receptor antagonist, or 4-DAMP (10&#xa0;&#x3bc;M), a selective M3 receptor antagonist. Neither antagonist alone altered the pacemaker potentials; furthermore, methoctramine pretreatment did not affect PFE-induced depolarizations (<xref ref-type="fig" rid="F4">Figure 4A</xref>). In contrast, pretreatment with 4-DAMP completely blocked PFE-induced depolarization responses (<xref ref-type="fig" rid="F4">Figure 4B</xref>). To further assess the signaling pathway involved, we tested the effect of U73122, a phospholipase C (PLC) inhibitor. Application of U73122 (5&#xa0;&#x3bc;M) suppressed pacemaker potentials and abolished PFE-induced depolarizations (<xref ref-type="fig" rid="F4">Figure 4C</xref>). Additionally, the involvement of protein kinase C (PKC) was examined using calphostin C (10&#xa0;&#x3bc;M), a specific PKC inhibitor. While calphostin C alone had no effect on pacemaker activity, it prevented the PFE-induced depolarizing effect (<xref ref-type="fig" rid="F4">Figure 4D</xref>). The summarized results of muscarinic receptor subtype inhibition and PLC/PKC pathway blockade on PFE-induced responses are shown in <xref ref-type="fig" rid="F4">Figures 4E&#x2013;H</xref>. Collectively, these findings suggest that PFE modulates pacemaker potentials in ICCs primarily via M3 muscarinic receptors, and that the PLC-PKC signaling cascade may be involved in mediating these effects.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Involvement of muscarinic receptor subtypes and PLC/PKC signaling pathways in PFE-induced depolarizations in ICCs from the murine colon. <bold>(A)</bold> PFE continued to induce depolarization of pacemaker potentials in the presence of methoctramine, a selective M2 receptor antagonist. <bold>(B)</bold> However, pretreatment with 4-DAMP, a selective M3 receptor antagonist, abolished the depolarizing effect of PFE. <bold>(C,D)</bold> The depolarizing action of PFE was also blocked by U-73122 (5&#xa0;&#x3bc;M), a PLC inhibitor, and by calphostin C (10&#xa0;&#x3bc;M), a PKC inhibitor. <bold>(E&#x2013;H)</bold> Bar graphs summarize the inhibitory effects of receptor antagonists and pathway inhibitors on PFE-induced depolarizations. Bars indicate mean &#xb1; SE. &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 compared to control. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g004.tif">
<alt-text content-type="machine-generated">Electrophysiological graphs show membrane potential changes in response to various treatments. Panels A-D depict voltage recordings under different conditions with methoctramine, 4-DAMP, U-73122, and calphostin C. Panels E-H present bar charts illustrating the degree of depolarization with PFE 100 micrograms per milliliter, comparing control to each treatment, with significant decreases marked in panels F, G, and H.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 Effects of mitogen-activated protein kinases (MAPKs) on PFE-induced responses in murine large intestinal ICCs</title>
<p>To evaluate the involvement of MAPKs in PFE-induced responses in large intestinal ICCs, specific MAPK pathway inhibitors were employed. Application of PD98059, a selective inhibitor of p42/44 MAPK (ERK1/2), had no significant effect on PFE-induced depolarizations in large intestinal ICCs (n &#x3d; 6, <xref ref-type="fig" rid="F5">Figure 5A</xref>). In contrast, pretreatment with SB203580, a p38 MAPK inhibitor, effectively suppressed the effects of PFE (n &#x3d; 8, <xref ref-type="fig" rid="F5">Figure 5B</xref>). Additionally, inhibition of JNK signaling using a JNK-II specific inhibitor also blocked PFE-induced depolarizations (n &#x3d; 7, <xref ref-type="fig" rid="F5">Figure 5C</xref>). A summary of the effects of these MAPK inhibitors on PFE responses is presented in <xref ref-type="fig" rid="F5">Figure 5D</xref>. These findings suggest that p38 MAPK and JNK pathways, but not ERK1/2, are involved in mediating the depolarizing actions of PFE in large intestinal ICCs.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Influence of tyrosine kinase and MAPK pathway inhibition on PFE-induced depolarizations in ICCs from the murine colon. <bold>(A)</bold> PD98059 (10&#xa0;&#x3bc;M), a selective inhibitor of ERK1/2 (p42/44 MAPK), had no significant impact on PFE-induced modulation of pacemaker activity. <bold>(B)</bold> In contrast, SB203580 (10&#xa0;&#x3bc;M), a p38 MAPK inhibitor, suppressed the depolarizing effects of PFE. <bold>(C)</bold> Similarly, inhibition of JNK signaling with a JNK-II inhibitor (10&#xa0;&#x3bc;M) abolished the PFE-induced depolarizations. <bold>(D)</bold> Graphical summary of the effects of MAPK pathway inhibitors on PFE-mediated changes in pacemaker potential frequency. Bars indicate mean &#xb1; SE. &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 compared to control. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g005.tif">
<alt-text content-type="machine-generated">Graphs A, B, and C show voltage recordings under different conditions with the application of PFE 100 micrograms per milliliter following inhibitors PD98059, SB203580, and JNK II. Graph D is a bar chart illustrating depolarization degrees in control and treated conditions, with significant reduction in the SB203580 and JNK II conditions compared to control and PD98059.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-6">
<title>3.6 Effects of PFE on zymosan-induced colonic changes</title>
<p>We conducted experiments using a zymosan-induced IBS animal model to assess the effects of PFE. After PFE administration, we evaluated colon length, colon weight, and stool consistency. The colon length of zymosan-induced mice was significantly reduced compared to na&#xef;ve mice; however, PFE treatment restored it to near-normal levels [8.89 &#xb1; 0.36&#xa0;cm in na&#xef;ve, 6.82 &#xb1; 0.23&#xa0;cm in control (&#x23;&#x23;&#x23;p &#x3c; 0.001), 8.04 &#xb1; 0.40&#xa0;cm at 250&#xa0;mg/kg PFE (&#x2a;p &#x3c; 0.05), 7.96 &#xb1; 0.06&#xa0;cm at 500&#xa0;mg/kg PFE (&#x2a;p &#x3c; 0.05), 7.83 &#xb1; 0.77&#xa0;cm at AMT (&#x2a;p &#x3c; 0.05), and 7.93 &#xb1; 0.23&#xa0;cm at SSZ (&#x2a;p &#x3c; 0.05); <xref ref-type="fig" rid="F6">Figure 6A</xref>]. Additionally, colon weight, which significantly increased in the zymosan-induced group, was reduced upon PFE administration [1.03 &#xb1; 0.08&#xa0;g in na&#xef;ve, 1.39 &#xb1; 0.01&#xa0;g in control (&#x23;&#x23;&#x23;p &#x3c; 0.001), 1.24 &#xb1; 0.03&#xa0;g at 250&#xa0;mg/kg PFE (&#x2a;p &#x3c; 0.05), 1.18 &#xb1; 0.01&#xa0;g at 500&#xa0;mg/kg PFE (&#x2a;&#x2a;p &#x3c; 0.01), 1.20 &#xb1; 0.03&#xa0;g at AMT (&#x2a;&#x2a;p &#x3c; 0.01), and 1.27 &#xb1; 0.10&#xa0;g at SSZ; <xref ref-type="fig" rid="F6">Figure 6B</xref>]. Furthermore, stool consistency, which was altered by zymosan, improved following PFE treatment [2.50 &#xb1; 0.71 in na&#xef;ve, 5.33 &#xb1; 0.58 in control (&#x23;&#x23;p &#x3c; 0.01), 2.25 &#xb1; 0.96&#xa0;at 250&#xa0;mg/kg PFE (&#x2a;&#x2a;&#x2a;p &#x3c; 0.001), 2.33 &#xb1; 0.58&#xa0;at 500&#xa0;mg/kg PFE (&#x2a;&#x2a;&#x2a;p &#x3c; 0.001), 3.33 &#xb1; 0.58&#xa0;at AMT (&#x2a;p &#x3c; 0.05), and 3.67 &#xb1; 0.58&#xa0;at SSZ (&#x2a;p &#x3c; 0.05); <xref ref-type="fig" rid="F6">Figure 6C</xref>]. Moreover, PFE administration reversed the weight loss induced by zymosan (<xref ref-type="fig" rid="F6">Figure 6D</xref>), while food intake remained unchanged across groups (<xref ref-type="fig" rid="F6">Figure 6E</xref>). These results indicate that PFE effectively alleviated colonic dysfunction, mitigated weight loss, and did not influence food consumption in a zymosan-induced IBS mouse model.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Influence of PFE on colonic parameters, stool consistency, body weight, and food consumption in a zymosan-induced IBS model. <bold>(A)</bold> The length of the colon, <bold>(B)</bold> the weight of the colon, and <bold>(C)</bold> the stool consistency scores were assessed in a zymosan-induced model of IBS. Furthermore, the effects of PFE on <bold>(D)</bold> body weight and <bold>(E)</bold> food intake were measured over the experimental period. Bars indicate mean &#xb1; SE. &#x23;p &#x3c; 0.05, &#x23;&#x23;p &#x3c; 0.01, and &#x23;&#x23;&#x23;p &#x3c; 0.001 compared to na&#xef;ve controls; &#x2a;p &#x3c; 0.05, &#x2a;&#x2a;p &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;p &#x3c; 0.001 compared to control group. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g006.tif">
<alt-text content-type="machine-generated">Grouped bar graphs and a line chart showing the effects of PFE (in mg/kg) on colon length, relative colon weight, stool score, body weight, and food intake. Graph A shows colon length with higher lengths in PFE groups compared to CTRL. Graph B illustrates relative colon weight, higher in PFE groups. Graph C indicates stool score improvements in PFE groups. Graph D, a line chart, displays percentage changes in body weight over days, with differences in the PFE groups. Graph E compares food intake, with no significant differences among groups. Asterisks and hashtags denote statistical significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-7">
<title>3.7 Effect of PFE on colon tissue, TNF-&#x3b1; levels and pain-associated behaviors</title>
<p>H&#x26;E staining revealed significant histological alterations in the colon tissues of zymosan-treated control mice, showing increased tissue thickness compared to normal mice. However, following treatment with PFE, the tissue thickness was restored to levels similar to those of the normal control group (<xref ref-type="fig" rid="F7">Figures 7A,B</xref>). Colon samples were collected for analysis on day 4 post-colitis induction with zymosan. The control group displayed a significant increase in TNF-&#x3b1; expression, reflecting elevated levels associated with inflammation. In contrast, treatment with 250 and 500&#xa0;mg/kg PFE, as well as the positive control group, led to a significant reduction in TNF-&#x3b1; levels (<xref ref-type="fig" rid="F7">Figure 7C</xref>). Furthermore, pain-related behaviors were notably elevated on day 4, but PFE treatment significantly decreased these behaviors, which are indicative of visceral pain (<xref ref-type="fig" rid="F7">Figure 7D</xref>). These results demonstrate that PFE effectively improved colonic tissue integrity, reduced TNF-&#x3b1; expression, and mitigated pain-related symptoms in the zymosan-induced IBS mouse model.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Impact of PFE on histological changes, TNF-&#x3b1; expression, and pain-related behavior in a colonic inflammation model. <bold>(A)</bold> H&#x26;E staining was conducted, with structural changes in the colon observed at &#xd7;50 magnification. <bold>(B)</bold> The thickness of the colonic mucosa was quantitatively measured to assess tissue integrity. <bold>(C)</bold> The expression levels of tumor necrosis factor-alpha (TNF-&#x3b1;), a key inflammatory marker, were analyzed using real-time quantitative PCR (RT-qPCR) to determine the inflammatory response following PFE treatment. <bold>(D)</bold> Pain-related behaviors were assessed to examine the potential analgesic effects of PFE in the experimental model. Bars indicate mean &#xb1; SE. &#x23;&#x23;p &#x3c; 0.01, and &#x23;&#x23;&#x23;&#x23;p &#x3c; 0.0001 vs. na&#xef;ve. &#x2a;p &#x3c; 0.05, &#x2a;&#x2a;&#x2a;p &#x3c; 0.001, &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 vs. control. <italic>CTRL: Control. TNF-</italic>&#x3b1;<italic>: Tumor Necrosis Factor-&#x3b1;.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g007.tif">
<alt-text content-type="machine-generated">Panel A shows histological sections of intestinal mucosa under different treatments: Na&#xEF;ve, CTRL, PFE 250, PFE 500, AMT, and SSZ. Panel B is a bar graph showing relative mucosa thickness, with CTRL significantly higher than treatment groups. Panels C and D display bar graphs of TNF-&#x3B1; levels and pain behaviors, respectively, where CTRL is notably higher, with treatments showing reduced levels. Statistical significance is highlighted with symbols.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-8">
<title>3.8 Effect of PFE on fecal microbial composition</title>
<p>To assess the impact of PFE on the composition of the gut microbiota, fecal samples from each experimental group were analyzed. Differences in microbial communities were detected at the phylum level among the groups (<xref ref-type="fig" rid="F8">Figure 8A</xref>). At the family level, no notable change was observed in the abundance of <italic>Ruminococcaceae</italic> (<xref ref-type="fig" rid="F8">Figure 8B</xref>). In contrast, <italic>Lachnospiraceae</italic> levels were elevated following PFE treatment (<xref ref-type="fig" rid="F8">Figure 8C</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Composition of fecal microbiota at the phylum and family levels. <bold>(A)</bold> Bar chart illustrating the relative abundance of bacterial phyla across experimental groups. <bold>(B,C)</bold> Comparative analysis of the relative abundance of the Ruminococcaceae and Lachnospiraceae families, respectively, in each group. Bars indicate mean &#xb1; SE. &#x2a;p &#x3c; 0.05. &#x2a;&#x2a;p &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g008.tif">
<alt-text content-type="machine-generated">Bar and column charts showing relative abundance of bacterial phyla across treatments. Chart A displays stacked bars for Naive, Zymosan, 250, and 500 PFE groups, highlighting Firmicutes and Bacteroidota. Legend indicates colors for bacterial phyla. Chart B shows the abundance of Ruminococcaceae, with no significant differences across treatments. Chart C shows Lachnospiraceae abundance, with significant decreases in Zymosan group compared to Naive, and increases from 250 to 500 PFE.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-9">
<title>3.9 Effects of PFE on TRP channel currents</title>
<p>To examine how PFE influences TRP channels, whole-cell patch-clamp recordings were performed using HEK293T cells transfected with TRPV1, TRPV4, or TRPA1. For TRPV1, current&#x2013;voltage (I&#x2013;V) curves were obtained using a ramp protocol from &#x2212;100&#xa0;mV to &#x2b;100&#xa0;mV. Capsaicin was applied to activate TRPV1 currents (<xref ref-type="bibr" rid="B1">Abdel-Salam and M&#xf3;zsik, 2023</xref>), and BCTC was used to confirm TRPV1 specificity (<xref ref-type="bibr" rid="B21">Heber et al., 2020</xref>). PFE treatment significantly suppressed TRPV1 currents at concentrations of 100, 200, and 500&#xa0;&#x3bc;g/mL (&#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001), as shown in <xref ref-type="fig" rid="F9">Figures 9A&#x2013;C</xref>. In the case of TRPV4, GSK101 was used to induce TRPV4 currents (<xref ref-type="bibr" rid="B4">Baratchi et al., 2019</xref>), and ruthenium red (RR) served as a selective blocker (<xref ref-type="bibr" rid="B9">Cho et al., 2014</xref>). Under these conditions, PFE significantly enhanced TRPV4-mediated currents at all tested concentrations (&#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001; <xref ref-type="fig" rid="F9">Figures 9D&#x2013;F</xref>). For TRPA1, cells were activated using AITC (<xref ref-type="bibr" rid="B41">Ohashi et al., 2023</xref>), and A967079 was applied to confirm channel specificity (<xref ref-type="bibr" rid="B20">Gyamfi et al., 2020</xref>). In contrast to its effects on TRPV channels, PFE did not alter TRPA1-mediated currents at any concentration tested (<xref ref-type="fig" rid="F9">Figures 9G&#x2013;I</xref>). These findings indicate that PFE modulates TRPV1 and TRPV4 channel activity, while having no significant impact on TRPA1, suggesting a specific involvement of TRPV1 in the mechanism underlying PFE-mediated relief of visceral pain hypersensitivity.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Modulatory effects of PFE on TRP channel currents (TRPV1, TRPV4, and TRPA1). Representative whole-cell patch-clamp recordings illustrate the effects of PFE at concentrations of 100, 200, and 500&#xa0;&#x3bc;g/mL on <bold>(A)</bold> TRPV1, <bold>(D)</bold> TRPV4, and <bold>(G)</bold> TRPA1 currents. Capsaicin (TRPV1), GSK101 (TRPV4), and AITC (TRPA1) were used as respective agonists to activate each channel. Specificity of the recorded currents was confirmed using selective antagonists: BCTC (TRPV1), ruthenium red (TRPV4), and A-967079 (TRPA1). <bold>(B,E,H)</bold> I&#x2013;V relationships demonstrate the effects of varying PFE concentrations on each TRP channel&#x2019;s current&#x2013;voltage characteristics. <bold>(C,F,I)</bold> Statistical comparisons of the relative changes in TRP currents reveal that PFE inhibited TRPV1 activity, enhanced TRPV4 activity, and had no effects on TRPA1 currents. Bars indicate mean &#xb1; SE. &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 vs. control.</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g009.tif">
<alt-text content-type="machine-generated">Graphs illustrate the effects of different concentrations of PFE on ion current modulation using capsaicin, GSK 101, and AITC. Panels A, D, G show current over time with PFE exposure. Panels B, E, H display current-voltage relationships. Panels C, F, I present normalized currents at plus one hundred millivolts under varying conditions. Significant reductions and variations in currents are observed with the addition of BCTC, RR, and A-967079, respectively. Arrows indicate points of measurement or events.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-10">
<title>3.10 Effects of PFE on NaV 1.5 and 1.7 currents</title>
<p>PFE markedly inhibited NaV1.5 currents in a concentration-dependent manner, reducing peak inward currents by 92.8% &#xb1; 7.1% at 0.1&#xa0;mg/mL, 89.1% &#xb1; 5.2% at 0.3&#xa0;mg/mL, 81.4% &#xb1; 4.7% at 1&#xa0;mg/mL (&#x2a;&#x2a;p &#x3c; 0.01), and 55.9% &#xb1; 4.4% at 5&#xa0;mg/mL (&#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001), with an estimated IC<sub>50</sub> of 7.3&#xa0;mg/mL (<xref ref-type="fig" rid="F10">Figures 10A&#x2013;C</xref>). Similarly, NaV1.7 currents were suppressed by 92.9% &#xb1; 2.4% at 0.1&#xa0;mg/mL, 88.2% &#xb1; 4.5% at 0.3&#xa0;mg/mL (&#x2a;p &#x3c; 0.05), 85.0% &#xb1; 4.7% at 1&#xa0;mg/mL (&#x2a;&#x2a;p &#x3c; 0.01), and 68.7% &#xb1; 5.4% at 5&#xa0;mg/mL (&#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001), with an IC<sub>50</sub> of 25.6&#xa0;mg/mL (<xref ref-type="fig" rid="F10">Figures 10D&#x2013;F</xref>). These findings imply that NaV1.5 and NaV1.7 channels are key targets involved in GI regulation and the antinociceptive effects of PFE.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>Modulatory effects of PFE on NaV1.5 and NaV1.7 currents in HEK293T cells. Representative whole-cell patch-clamp recordings showing the dose-dependent effects of PFE at concentrations of 0.1, 0.3, 1, and 5&#xa0;mg/mL on <bold>(A)</bold> NaV1.5 and <bold>(D)</bold> NaV1.7 currents. <bold>(B&#x2013;E)</bold> Statistical summaries depict the relative changes in current amplitudes for NaV1.5 and NaV1.7 channels following PFE treatment, illustrating the extent of inhibition across concentrations. <bold>(C&#x2013;F)</bold> Normalized current analyses reveal the potency of PFE in modulating NaV, with estimated IC<sub>50</sub> values of 7.3&#xa0;mg/mL for NaV1.5 and 25.6&#xa0;mg/mL for NaV1.7, indicating greater sensitivity of NaV1.5 to PFE. Bars indicate mean &#xb1; SE. &#x2a;p &#x3c; 0.05, &#x2a;&#x2a;p &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;&#x2a;p &#x3c; 0.0001 vs. control. <italic>CTRL: Control.</italic>
</p>
</caption>
<graphic xlink:href="fphar-16-1639592-g010.tif">
<alt-text content-type="machine-generated">Graphs display the effect of PFE on sodium currents. Panels A and D show current traces for NaV1.5 and NaV1.7 channels, respectively, at different PFE concentrations. Panels B and E depict bar graphs of relative currents, showing a decrease with increasing PFE concentration. Panels C and F present dose-response curves, illustrating a concentration-dependent reduction in current for both channels, with half-maximal inhibitory concentrations (IC&#x2085;&#x2080;) indicated as 7.3 and 25.6 mg for NaV1.5 and NaV1.7, respectively.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>In this study, we investigated the therapeutic potential of the PFE in a zymosan-induced colitis mouse model, which mimics key features of IBS, including inflammation, visceral hypersensitivity, and motility dysfunction. Our findings demonstrate that PFE modulates ICCs pacemaker activity, alleviates colonic inflammation, and reduces visceral pain, indicating its potential as a therapeutic candidate for IBS management.</p>
<p>PF, a traditional medicinal botanical drug, has long been utilized in East Asian medicine for the treatment of various GI disorders (<xref ref-type="bibr" rid="B23">Jang et al., 2018</xref>). It has been reported to possess anti-inflammatory, prokinetic, and analgesic properties, making it a promising candidate for digestive health applications (<xref ref-type="bibr" rid="B46">Shin et al., 2006</xref>; <xref ref-type="bibr" rid="B28">Kim B. J. et al., 2013</xref>; <xref ref-type="bibr" rid="B23">Jang et al., 2018</xref>; <xref ref-type="bibr" rid="B27">Khan et al., 2019</xref>; <xref ref-type="bibr" rid="B31">Kim et al., 2019</xref>). Previous studies have shown that PF extracts can enhance GI motility, regulate smooth muscle contraction, and exert protective effects against colitis and gastric ulcers (<xref ref-type="bibr" rid="B46">Shin et al., 2006</xref>; <xref ref-type="bibr" rid="B34">Lee et al., 2009</xref>; <xref ref-type="bibr" rid="B28">Kim B. J. et al., 2013</xref>; <xref ref-type="bibr" rid="B29">Kim K. S. et al., 2013</xref>; <xref ref-type="bibr" rid="B26">Kang and Kim, 2016</xref>). The bioactive metabolites in PF, such as naringin and poncirin, have been implicated in modulating gut motility and reducing inflammation, further supporting its potential therapeutic role in IBS and related disorders (<xref ref-type="bibr" rid="B30">Kim et al., 2016</xref>; <xref ref-type="bibr" rid="B6">Cao et al., 2018</xref>; <xref ref-type="bibr" rid="B36">Lee K et al., 2024</xref>; <xref ref-type="bibr" rid="B50">Wu et al., 2024</xref>). Additionally, various natural products, including botanical medicines, have been widely studied for their efficacy in treating IBS and other GI conditions (<xref ref-type="bibr" rid="B52">Zhang et al., 2024</xref>).</p>
<p>Traditional remedies containing bioactive plant-derived metabolites, such as PF, ginger, peppermint, and licorice, have demonstrated beneficial effects in alleviating gut inflammation, modulating intestinal motility, and reducing visceral pain (<xref ref-type="bibr" rid="B38">Marasco et al., 2025</xref>). These natural treatments offer promising alternatives or adjuncts to conventional IBS therapies due to their multifaceted mechanisms of action and favorable safety profiles.</p>
<p>IBS is a prevalent and chronic GI disorder that significantly impacts patients&#x2019; quality of life (<xref ref-type="bibr" rid="B38">Marasco et al., 2025</xref>; <xref ref-type="bibr" rid="B40">Nozu et al., 2025</xref>). Despite its high prevalence, the pathophysiology of IBS remains incompletely understood, and effective treatment options are limited (<xref ref-type="bibr" rid="B52">Zhang et al., 2024</xref>; <xref ref-type="bibr" rid="B24">Jeong et al., 2025</xref>). The complex interplay between gut motility dysfunction, visceral hypersensitivity, immune activation, and gut microbiota dysbiosis necessitates ongoing research to develop targeted therapies (<xref ref-type="bibr" rid="B52">Zhang et al., 2024</xref>; <xref ref-type="bibr" rid="B24">Jeong et al., 2025</xref>). Given the heterogeneity of IBS symptoms and its substantial burden on healthcare systems worldwide, the exploration of novel therapeutic approaches, such as natural metabolites with anti-inflammatory, prokinetic, and analgesic properties, is of paramount importance. Research into PFE and other botanical extracts may pave the way for safer, more effective treatments that address the multifaceted nature of IBS.</p>
<p>One of the primary findings of this study is that PFE significantly influenced ICCs pacemaker activity (<xref ref-type="fig" rid="F2">Figure 2</xref>). ICCs are essential for regulating smooth muscle activity and maintaining normal GI motility (<xref ref-type="bibr" rid="B35">Lee J et al., 2024</xref>; <xref ref-type="bibr" rid="B3">Baker et al., 2025</xref>). Dysregulation of ICCs has been implicated in IBS pathophysiology, contributing to both delayed and accelerated GI transit times (<xref ref-type="bibr" rid="B18">Foong et al., 2020</xref>; <xref ref-type="bibr" rid="B42">Patejdl, 2024</xref>). The ability of PFE to modulate ICCs function suggests that it may help restore normal colonic motility, thereby improving symptoms associated with IBS. In addition, electrophysiological investigations demonstrated that PFE-induced pacemaker modulation was mediated by HCN channels, as blockade with ZD7288, CsCl, or SQ22536 abolished the effects of PFE (<xref ref-type="fig" rid="F3">Figure 3</xref>). Furthermore, PFE was found to act through M3 muscarinic receptors, with 4-DAMP and downstream PLC-PKC signaling inhibitors effectively blocking its depolarizing action in ICCs (<xref ref-type="fig" rid="F4">Figure 4</xref>). Additionally, MAPK signaling was involved in this response, as inhibition of p38 MAPK or JNK, but not ERK1/2, suppressed PFE-induced effects (<xref ref-type="fig" rid="F5">Figure 5</xref>). These findings suggest a complex but specific intracellular signaling cascade underlying PFE&#x2019;s prokinetic actions on ICCs.</p>
<p>Furthermore, PFE effectively mitigated colonic dysfunction induced by zymosan, as indicated by the restoration of colon length and reduction in colon weight (<xref ref-type="fig" rid="F6">Figure 6</xref>). These findings suggest that PFE may counteract the inflammatory and structural changes associated with colitis. Histological analysis further confirmed the protective effects of PFE, as it significantly preserved tissue integrity and reduced signs of inflammation, such as epithelial damage and thickening of colonic tissues (<xref ref-type="fig" rid="F7">Figures 7A,B</xref>). Importantly, PFE administration significantly downregulated TNF-&#x3b1; expression, a key pro-inflammatory cytokine involved in IBS pathogenesis (<xref ref-type="fig" rid="F7">Figure 7C</xref>). Elevated TNF-&#x3b1; levels have been associated with increased gut permeability, immune activation, and heightened pain sensitivity in IBS patients. The observed reduction in TNF-&#x3b1; expression following PFE treatment underscores its anti-inflammatory potential in IBS-like conditions.</p>
<p>Pain-related behaviors, including abdominal licking, stretching, and pressing, were significantly elevated in the zymosan-induced colitis model, reflecting the heightened visceral pain characteristic of IBS. PFE administration effectively reduced these behaviors, suggesting its analgesic potential in managing IBS-associated pain (<xref ref-type="fig" rid="F7">Figure 7D</xref>). The underlying mechanism of PFE&#x2019;s pain-relieving effects was further explored through electrophysiological studies, which revealed that PFE significantly modulated pain-related ion channels, particularly TRP and NaV channels.</p>
<p>TRPV1, TRPV4, and TRPA1 channels are well-established mediators of visceral pain hypersensitivity in IBS. Our findings indicate that PFE significantly inhibited TRPV1 channel activity (<xref ref-type="fig" rid="F9">Figures 9A&#x2013;C</xref>) and enhanced TRPV4 currents (<xref ref-type="fig" rid="F9">Figures 9D&#x2013;F</xref>), whereas it showed no significant modulatory effect on TRPA1 channels (<xref ref-type="fig" rid="F9">Figures 9G&#x2013;I</xref>). Given that TRPV1 is known to contribute to inflammatory pain via activation by noxious stimuli, its suppression by PFE likely played a role in reducing visceral pain sensitivity. Conversely, TRPV4 and TRPA1 do not seem to be involved in IBS regulation by PFE. Among these, I would like to mention TRPV4. Our results indeed demonstrated that PFE enhanced TRPV4 currents. However, previous studies have suggested that inhibition of TRPV4, rather than its activation, is generally associated with the improvement of IBS-related symptoms such as visceral hypersensitivity. Therefore, although PFE increased TRPV4 currents <italic>in vitro</italic>, this effect is unlikely to contribute to its therapeutic action in IBS. Instead, our data strongly indicate that the beneficial effects of PFE on IBS are primarily mediated through modulation of TRPV1 activity, which is consistent with its known role in visceral pain regulation. Therefore, we concluded that TRPV4 activation by PFE is an off-target phenomenon, while TRPV1 serves as the key channel involved in the therapeutic mechanism of PFE in IBS. Additionally, PFE significantly inhibited NaV1.5 and NaV1.7 channel activity (<xref ref-type="fig" rid="F10">Figure 10</xref>). NaV1.5 is primarily involved in GI motility, and its dysregulation has been linked to gut dysmotility disorders, including IBS (<xref ref-type="bibr" rid="B48">Strege et al., 2003</xref>; <xref ref-type="bibr" rid="B49">Verstraelen et al., 2015</xref>). In contrast, NaV1.7 plays a critical role in pain perception by amplifying nociceptive signals (<xref ref-type="bibr" rid="B25">Jiang et al., 2021</xref>). The observed suppression of NaV1.7 currents by PFE suggests that it may exert analgesic effects by reducing hyperexcitability of nociceptive neurons. The dose-dependent inhibitory effects of PFE on these ion channels further support its potential role in alleviating IBS-associated visceral pain. Future research should also investigate the involvement of other ion channels, such as calcium-activated potassium channels and chloride channels, in the pathophysiology of IBS and the potential modulatory effects of PFE on these targets (<xref ref-type="bibr" rid="B37">Lin and Yu, 2018</xref>; <xref ref-type="bibr" rid="B17">Fan et al., 2021</xref>). Expanding our understanding of additional ion channel interactions may provide further insights into the comprehensive mechanisms underlying PFE&#x2019;s therapeutic effects.</p>
<p>In addition to these physiological effects, we also examined the impact of PFE on gut microbiota composition. At the phylum level, microbial communities in the zymosan-induced IBS group differed from those in the na&#xef;ve and PFE-treated groups (<xref ref-type="fig" rid="F8">Figure 8A</xref>). Although an increase in <italic>Firmicutes</italic> is commonly reported in IBS (<xref ref-type="bibr" rid="B15">Duan et al., 2019</xref>), our study observed a decreasing trend. A similar reduction in <italic>Firmicutes</italic> has also been noted in previous studies using gintonin (<xref ref-type="bibr" rid="B13">Choi et al., 2024b</xref>), suggesting that this may be a characteristic response in zymosan-induced models. Fecal microbiota analysis further revealed that while the abundance of <italic>Ruminococcaceae</italic> remained relatively unchanged, <italic>Lachnospiraceae</italic> levels were significantly increased following PFE administration (<xref ref-type="fig" rid="F8">Figures 8B,C</xref>). Members of the <italic>Lachnospiraceae</italic> family contribute to gut health, particularly by supporting the integrity of the intestinal barrier and modulation of inflammatory responses (<xref ref-type="bibr" rid="B8">&#x106;esi&#x107; et al., 2023</xref>; <xref ref-type="bibr" rid="B51">Zaplana et al., 2024</xref>). The observed increase in this bacterial family suggests that PFE may help restore microbial balance and contribute to its overall therapeutic efficacy in IBS. However, the microbiota results showed some variability depending on the experimental conditions. Maintaining consistent animal states throughout the study was challenging, and external factors such as stress during drug administration may have influenced microbial composition. In certain cases, differences between groups were minimal. Therefore, more rigorously controlled conditions will be required in future studies to ensure reproducibility and accuracy in microbiota-related findings. Moreover, this study was limited to a diarrhea-predominant IBS model induced by zymosan. To fully evaluate the therapeutic potential of PFE, future studies should also investigate its effects in other IBS subtypes, including constipation-predominant IBS. Additionally, only two concentrations of PFE (250 and 500&#xa0;mg/kg) were tested; thus, future work should explore a wider dose range to better characterize the dose-response relationship and optimize therapeutic outcomes.</p>
<p>While our study provides strong evidence for the therapeutic potential of PFE in IBS, certain limitations should be considered. First, although the zymosan-induced colitis model effectively replicates inflammation and motility dysfunction seen in IBS, it does not fully encompass all subtypes of IBS, such as IBS with predominant constipation (IBS-C) or diarrhea (IBS-D). We fully acknowledge that IBS is a heterogeneous disorder, with varying underlying mechanisms and clinical presentations across subtypes such as IBS-D, IBS-C, and mixed-type (IBS-M). In the present study, we utilized a zymosan-induced post-inflammatory mouse model, which is most closely associated with the post-infectious or diarrhea-predominant subtype of IBS. This model exhibits transient colonic inflammation, altered motility, and visceral hypersensitivity without permanent mucosal damage&#x2014;features commonly observed in IBS-D and post-infectious IBS (PI-IBS) patients. Moreover, the observed effects of PFE&#x2014;including its ability to reduce TNF-&#x3b1; levels, modulate colonic motility via ICCs regulation, and attenuate pain-related behaviors&#x2014;are particularly relevant to IBS-D pathophysiology, which is often associated with immune activation, gut dysmotility, and enhanced visceral pain perception. Although our current model does not fully encompass all IBS subtypes, our findings lay the groundwork for exploring PFE in broader IBS contexts. In future studies, we plan to examine the effects of PFE in other validated models that reflect constipation-predominant or mixed-type IBS, and to investigate how specific active metabolites may differentially affect motility and pain pathways across subtypes. Second, we utilized PFE without isolating specific active metabolites. Although this reflects traditional usage, it limits mechanistic clarity and may affect reproducibility. In addition, the dose range used in the current study was relatively narrow, focusing on a single effective concentration. A systematic evaluation of multiple doses will be essential to clarify the dose&#x2013;response relationship of PFE, optimize its therapeutic efficacy, and minimize potential adverse effects. Third, while we focused on key ion channels implicated in visceral pain (TRPV1, TRPV4, TRPA1, NaV1.5, and NaV1.7), other relevant targets such as acid-sensing ion channels (ASICs), purinergic receptors, or serotonergic pathways were not explored. In addition, the <italic>in vivo</italic> assessments were limited to a short-term experimental window; thus, the long-term efficacy, safety, and pharmacokinetics of PFE remain to be investigated. Finally, as this study was conducted entirely in animals and cell lines, further translational studies, including clinical trials, will be required to confirm the therapeutic potential of PFE in human IBS patients. Taken together, future work will focus on testing PFE in multiple IBS models (IBS-D, IBS-C, and IBS-M), performing dose-ranging studies, isolating its active metabolites, expanding the scope of molecular targets, and evaluating chronic administration and clinical applicability.</p>
<p>In summary, PF (also known as &#x201c;Jisil&#x201d; in Korean and &#x201c;Zhishi&#x201d; in Chinese) has a long history of use in traditional East Asian medicine for treating various GI symptoms, including abdominal pain, indigestion, bloating, constipation, and diarrhea. It is commonly included in botanical formulas designed to regulate Qi, improve GI motility, and relieve food stagnation. Our findings provide a mechanistic basis that supports these traditional uses. Specifically, the observed effects of PFE on colonic motility via modulation of ICCs, the reduction in visceral pain through inhibition of nociceptive ion channels such as TRPV1 and NaV1.5/1.7, and the attenuation of intestinal inflammation are all consistent with the GI indications of PF in traditional medicine. Furthermore, the increase in beneficial gut microbiota (e.g., Lachnospiraceae) after PFE treatment aligns with the traditional notion of restoring gut harmony and balance. By identifying specific molecular targets and signaling pathways involved in the therapeutic effects of PF, our study bridges traditional empirical knowledge with modern pharmacological evidence.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>Taken together, these findings strongly support the conclusion that PFE exerts therapeutic effects in a zymosan-induced IBS model by modulating ICC activity, reducing colonic inflammation, alleviating visceral pain, and influencing pain-related ion channels. Furthermore, alterations in gut microbiota composition associated with PFE treatment, including a trend toward increased levels of beneficial bacterial families, may contribute to the maintenance of intestinal homeostasis. These findings suggest that PFE holds promise as a potential treatment option for IBS and related gastrointestinal disorders. Further clinical investigations will be necessary to confirm its efficacy and safety in human populations.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original data are available upon reasonable request to the corresponding author. The data are not publicly available due to privacy and ethical restrictions.</p>
</sec>
<sec sec-type="ethics-statement" id="s7">
<title>Ethics statement</title>
<p>The animal experiments were conducted in accordance with the guidelines of the Institutional Animal Care and Use Committee (IACUC) of Pusan National University (Busan, Republic of Korea; Approval no. PNU-2023-0266). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s8">
<title>Author contributions</title>
<p>NC: Data curation, Formal Analysis, Investigation, Methodology, Software, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing. S-JK: Data curation, Formal Analysis, Investigation, Methodology, Software, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing. W-GC: Data curation, Formal Analysis, Investigation, Methodology, Software, Validation, Writing &#x2013; original draft, Writing &#x2013; review and editing. DJ: Data curation, Formal Analysis, Investigation, Writing &#x2013; original draft, Writing &#x2013; review and editing. SK: Data curation, Formal Analysis, Investigation, Writing &#x2013; original draft, Writing &#x2013; review and editing. DL: Formal Analysis, Investigation, Software, Writing &#x2013; original draft, Writing &#x2013; review and editing. YK: Formal Analysis, Investigation, Software, Writing &#x2013; original draft, Writing &#x2013; review and editing. JW: Data curation, Formal Analysis, Investigation, Methodology, Writing &#x2013; original draft, Writing &#x2013; review and editing. J-WP: Conceptualization, Funding acquisition, Methodology, Project administration, Supervision, Writing &#x2013; original draft, Writing &#x2013; review and editing. BK: Conceptualization, Funding acquisition, Methodology, Project administration, Supervision, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Education (RS-2021-NR065896) and by the National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No. 2022R1C1C1004937). Also this study was supported by the Main Research Program (E0210201-05) of the Korea Food Research Institute (KFRI) funded by the Korean Ministry of Science and ICT.</p>
</sec>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s11">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
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<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abdel-Salam</surname>
<given-names>O. M. E.</given-names>
</name>
<name>
<surname>M&#xf3;zsik</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Capsaicin, the vanilloid receptor TRPV1 agonist in neuroprotection: mechanisms involved and significance</article-title>. <source>Neurochem. Res.</source> <volume>48</volume> (<issue>11</issue>), <fpage>3296</fpage>&#x2013;<lpage>3315</lpage>. <pub-id pub-id-type="doi">10.1007/s11064-023-03983-z</pub-id>
<pub-id pub-id-type="pmid">37493882</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alaimo</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Rubert</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>The pivotal role of TRP channels in homeostasis and diseases throughout the gastrointestinal tract</article-title>. <source>Int. J. Mol. Sci.</source> <volume>20</volume> (<issue>21</issue>), <fpage>5277</fpage>. <pub-id pub-id-type="doi">10.3390/ijms20215277</pub-id>
<pub-id pub-id-type="pmid">31652951</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baker</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Karwa</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>J. Y.</given-names>
</name>
<name>
<surname>Riar</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Drumm</surname>
<given-names>B. T.</given-names>
</name>
<name>
<surname>Sanders</surname>
<given-names>K. M.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Ca&#xb2;&#x207a; signaling in myenteric interstitial cells of cajal (ICC-MY) and their role as conditional pacemakers in the Colon</article-title>. <source>Cell. Calcium</source> <volume>125</volume>, <fpage>102990</fpage>. <pub-id pub-id-type="doi">10.1016/j.ceca.2024.102990</pub-id>
<pub-id pub-id-type="pmid">39755028</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baratchi</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Keov</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Darby</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Lai</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Khoshmanesh</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Thurgood</surname>
<given-names>P.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>The TRPV4 agonist GSK1016790A regulates the membrane expression of TRPV4 channels</article-title>. <source>Front. Pharmacol.</source> <volume>10</volume>, <fpage>6</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2019.00006</pub-id>
<pub-id pub-id-type="pmid">30728775</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beckers</surname>
<given-names>A. B.</given-names>
</name>
<name>
<surname>Weerts</surname>
<given-names>Z. Z. R. M.</given-names>
</name>
<name>
<surname>Helyes</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Masclee</surname>
<given-names>A. A. M.</given-names>
</name>
<name>
<surname>Keszthelyi</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Review article: transient receptor potential channels as possible therapeutic targets in irritable bowel syndrome</article-title>. <source>Aliment. Pharmacol. Ther.</source> <volume>46</volume> (<issue>10</issue>), <fpage>938</fpage>&#x2013;<lpage>952</lpage>. <pub-id pub-id-type="doi">10.1111/apt.14294</pub-id>
<pub-id pub-id-type="pmid">28884838</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Cai</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Protective effect of naringin on DSS-induced ulcerative colitis in mice</article-title>. <source>J. Agric. Food Chem.</source> <volume>66</volume> (<issue>50</issue>), <fpage>13133</fpage>&#x2013;<lpage>13140</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jafc.8b03942</pub-id>
<pub-id pub-id-type="pmid">30472831</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Caporaso</surname>
<given-names>J. G.</given-names>
</name>
<name>
<surname>Kuczynski</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Stombaugh</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Bittinger</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Bushman</surname>
<given-names>F. D.</given-names>
</name>
<name>
<surname>Costello</surname>
<given-names>E. K.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>QIIME allows analysis of high-throughput community sequencing data</article-title>. <source>Nat. Methods</source> <volume>7</volume>, <fpage>335</fpage>&#x2013;<lpage>336</lpage>. <pub-id pub-id-type="doi">10.1038/nmeth.f.303</pub-id>
<pub-id pub-id-type="pmid">20383131</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>&#x106;esi&#x107;</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Lugovi&#x107; Mihi&#x107;</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Ozreti&#x107;</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Lojki&#x107;</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Buljan</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>&#x160;itum</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Association of gut <italic>Lachnospiraceae</italic> and chronic spontaneous urticaria</article-title>. <source>Life (Basel)</source> <volume>13</volume> (<issue>6</issue>), <fpage>1280</fpage>. <pub-id pub-id-type="doi">10.3390/life13061280</pub-id>
<pub-id pub-id-type="pmid">37374063</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cho</surname>
<given-names>K. J.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>E. Y.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>H. S.</given-names>
</name>
<name>
<surname>Koh</surname>
<given-names>J. S.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>J. C.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Expression of transient receptor potential vanilloid 4 and effects of ruthenium red on detrusor overactivity associated with bladder outlet obstruction in rats</article-title>. <source>World J. Urol.</source> <volume>32</volume> (<issue>3</issue>), <fpage>677</fpage>&#x2013;<lpage>682</lpage>. <pub-id pub-id-type="doi">10.1007/s00345-013-1099-y</pub-id>
<pub-id pub-id-type="pmid">23700140</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Seo</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Shin</surname>
<given-names>D. H.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Hyperpolarization-activated cyclic nucleotide-gated channels working as pacemaker channels in colonic interstitial cells of Cajal</article-title>. <source>J. Cell. Mol. Med.</source> <volume>26</volume> (<issue>2</issue>), <fpage>364</fpage>&#x2013;<lpage>374</lpage>. <pub-id pub-id-type="doi">10.1111/jcmm.17087</pub-id>
<pub-id pub-id-type="pmid">34845842</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Kwon</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>S. C.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>J. W.</given-names>
</name>
<name>
<surname>Nam</surname>
<given-names>J. H.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>The traditional herbal medicines mixture, Banhasasim-tang, relieves the symptoms of irritable bowel syndrome <italic>via</italic> modulation of TRPA1, NaV1.5 and NaV1.7 channels</article-title>. <source>J. Ethnopharmacol.</source> <volume>312</volume>, <fpage>116499</fpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2023.116499</pub-id>
<pub-id pub-id-type="pmid">37059250</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y. T.</given-names>
</name>
<name>
<surname>Das</surname>
<given-names>R.</given-names>
</name>
<etal/>
</person-group> (<year>2024a</year>). <article-title>
<italic>Atractylodes macrocephala</italic> Koidz alleviates symptoms in zymosan induced irritable bowel syndrome mouse model through TRPV1, NaV1.5, and NaV1.7 channel modulation</article-title>. <source>Nutrients</source> <volume>16</volume> (<issue>11</issue>), <fpage>1683</fpage>. <pub-id pub-id-type="doi">10.3390/nu16111683</pub-id>
<pub-id pub-id-type="pmid">38892616</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Ko</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Nam</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Nah</surname>
<given-names>S. Y.</given-names>
</name>
<etal/>
</person-group> (<year>2024b</year>). <article-title>Study on the therapeutic effects and mechanisms of gintonin in irritable bowel syndrome and its relationship with TRPV1, TRPV4, and NaV1.5</article-title>. <source>Pharm. (Basel)</source> <volume>17</volume> (<issue>9</issue>), <fpage>1170</fpage>. <pub-id pub-id-type="doi">10.3390/ph17091170</pub-id>
<pub-id pub-id-type="pmid">39338333</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Drumm</surname>
<given-names>B. T.</given-names>
</name>
<name>
<surname>Rembetski</surname>
<given-names>B. E.</given-names>
</name>
<name>
<surname>Huynh</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Nizar</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Baker</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Sanders</surname>
<given-names>K. M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Excitatory cholinergic responses in mouse colon intramuscular interstitial cells of Cajal are due to enhanced Ca2&#x2b; release <italic>via</italic> M3 receptor activation</article-title>. <source>FASEB J.</source> <volume>34</volume> (<issue>8</issue>), <fpage>10073</fpage>&#x2013;<lpage>10095</lpage>. <pub-id pub-id-type="doi">10.1096/fj.202000672R</pub-id>
<pub-id pub-id-type="pmid">32539213</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duan</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Duan</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Alterations of gut microbiota in patients with irritable bowel syndrome based on 16S rRNA-targeted sequencing: a systematic review</article-title>. <source>Clin. Transl. Gastroenterol.</source> <volume>10</volume> (<issue>2</issue>), <fpage>e00012</fpage>. <pub-id pub-id-type="doi">10.14309/ctg.0000000000000012</pub-id>
<pub-id pub-id-type="pmid">30829919</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ehlert</surname>
<given-names>F. J.</given-names>
</name>
<name>
<surname>Pak</surname>
<given-names>K. J.</given-names>
</name>
<name>
<surname>Griffin</surname>
<given-names>M. T.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Muscarinic agonists and antagonists: effects on gastrointestinal function</article-title>. <source>Handb. Exp. Pharmacol.</source> <volume>208</volume>, <fpage>343</fpage>&#x2013;<lpage>374</lpage>. <pub-id pub-id-type="doi">10.1007/978-3-642-23274-9_15</pub-id>
<pub-id pub-id-type="pmid">22222706</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fan</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Guan</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Ye</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Blockade of BK channels attenuates chronic visceral hypersensitivity in an IBS-like rat model</article-title>. <source>Mol. Pain.</source> <volume>17</volume>, <fpage>17448069211040364</fpage>. <pub-id pub-id-type="doi">10.1177/17448069211040364</pub-id>
<pub-id pub-id-type="pmid">34407673</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Foong</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zarrouk</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ho</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>O&#x27;Connor</surname>
<given-names>M. D.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Understanding the biology of human interstitial cells of Cajal in gastrointestinal motility</article-title>. <source>Int. J. Mol. Sci.</source> <volume>21</volume> (<issue>12</issue>), <fpage>4540</fpage>. <pub-id pub-id-type="doi">10.3390/ijms21124540</pub-id>
<pub-id pub-id-type="pmid">32630607</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fuentes</surname>
<given-names>I. M.</given-names>
</name>
<name>
<surname>Christianson</surname>
<given-names>J. A.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Ion channels, ion channel receptors, and visceral hypersensitivity in irritable bowel syndrome</article-title>. <source>Neurogastroenterol. Motil.</source> <volume>28</volume> (<issue>11</issue>), <fpage>1613</fpage>&#x2013;<lpage>1618</lpage>. <pub-id pub-id-type="doi">10.1111/nmo.12979</pub-id>
<pub-id pub-id-type="pmid">27781369</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gyamfi</surname>
<given-names>O. A.</given-names>
</name>
<name>
<surname>Bortey-Sam</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Donkor</surname>
<given-names>A. B.</given-names>
</name>
<name>
<surname>White</surname>
<given-names>C. W.</given-names>
</name>
<name>
<surname>Logue</surname>
<given-names>B. A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Analysis of TRPA1 antagonist, A-967079, in plasma using high-performance liquid chromatography tandem mass-spectrometry</article-title>. <source>J. Pharm. Anal.</source> <volume>10</volume> (<issue>2</issue>), <fpage>157</fpage>&#x2013;<lpage>163</lpage>. <pub-id pub-id-type="doi">10.1016/j.jpha.2019.12.005</pub-id>
<pub-id pub-id-type="pmid">32373387</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Heber</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Ciotu</surname>
<given-names>C. I.</given-names>
</name>
<name>
<surname>Hartner</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Gold-Binder</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Ninidze</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Gleiss</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>TRPV1 antagonist BCTC inhibits pH 6.0-induced pain in human skin</article-title>. <source>Pain</source> <volume>161</volume> (<issue>7</issue>), <fpage>1532</fpage>&#x2013;<lpage>1541</lpage>. <pub-id pub-id-type="doi">10.1097/j.pain.0000000000001848</pub-id>
<pub-id pub-id-type="pmid">32107360</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Iqbal</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hira</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Saeed</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Shahid</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Butt</surname>
<given-names>S. T.</given-names>
</name>
<name>
<surname>Rashid</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>Efficacy of amitriptyline in irritable bowel syndrome: a systematic review and meta-analysis</article-title>. <source>J. Neurogastroenterol. Motil.</source> <volume>31</volume> (<issue>1</issue>), <fpage>28</fpage>&#x2013;<lpage>37</lpage>. <pub-id pub-id-type="doi">10.5056/jnm24084</pub-id>
<pub-id pub-id-type="pmid">39779201</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>E. K.</given-names>
</name>
<name>
<surname>Shim</surname>
<given-names>W. S.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Phytotherapeutic effects of the fruits of Poncirus trifoliata (L.) Raf. on cancer, inflammation, and digestive dysfunction</article-title>. <source>Phytother. Res.</source> <volume>32</volume> (<issue>4</issue>), <fpage>616</fpage>&#x2013;<lpage>624</lpage>. <pub-id pub-id-type="doi">10.1002/ptr.6008</pub-id>
<pub-id pub-id-type="pmid">29250842</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jeong</surname>
<given-names>E. S.</given-names>
</name>
<name>
<surname>Jung</surname>
<given-names>H. K.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Yun</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y. S.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Characterization of post-inflammatory irritable bowel syndrome animal model following acute colitis recovery</article-title>. <source>Sci. Rep.</source> <volume>15</volume> (<issue>1</issue>), <fpage>8512</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-025-88981-7</pub-id>
<pub-id pub-id-type="pmid">40075091</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Castro</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Blomster</surname>
<given-names>L. V.</given-names>
</name>
<name>
<surname>Agwa</surname>
<given-names>A. J.</given-names>
</name>
<name>
<surname>Maddern</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Schober</surname>
<given-names>G.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Pharmacological inhibition of the voltage-gated sodium channel NaV1.7 alleviates chronic visceral pain in a rodent model of irritable bowel syndrome</article-title>. <source>ACS Pharmacol. Transl. Sci.</source> <volume>4</volume>, <fpage>1362</fpage>&#x2013;<lpage>1378</lpage>. <pub-id pub-id-type="doi">10.1021/acsptsci.1c00072</pub-id>
<pub-id pub-id-type="pmid">34423271</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kang</surname>
<given-names>G. D.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>D. H.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Poncirin and its metabolite ponciretin attenuate colitis in mice by inhibiting LPS binding on TLR4 of macrophages and correcting Th17/Treg imbalance</article-title>. <source>J. Ethnopharmacol.</source> <volume>189</volume>, <fpage>175</fpage>&#x2013;<lpage>185</lpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2016.05.044</pub-id>
<pub-id pub-id-type="pmid">27224242</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Khan</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ullah</surname>
<given-names>M. Z.</given-names>
</name>
<name>
<surname>Afridi</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Rasheed</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Khalid</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Ullah</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Antinociceptive properties of 25-methoxy hispidol A, a triterpinoid isolated from poncirus trifoliata (rutaceae) through inhibition of NF-&#x3ba;B signalling in mice</article-title>. <source>Phytother. Res.</source> <volume>33</volume> (<issue>2</issue>), <fpage>327</fpage>&#x2013;<lpage>341</lpage>. <pub-id pub-id-type="doi">10.1002/ptr.6223</pub-id>
<pub-id pub-id-type="pmid">30456885</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>B. J.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>G. S.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>H. W.</given-names>
</name>
</person-group> (<year>2013a</year>). <article-title>Involvement of transient receptor potential melastatin type 7 channels on Poncirus fructus-induced depolarizations of pacemaking activity in interstitial cells of Cajal from murine small intestine</article-title>. <source>Integr. Med. Res.</source> <volume>2</volume> (<issue>2</issue>), <fpage>62</fpage>&#x2013;<lpage>69</lpage>. <pub-id pub-id-type="doi">10.1016/j.imr.2013.04.004</pub-id>
<pub-id pub-id-type="pmid">28664056</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>K. S.</given-names>
</name>
<name>
<surname>Shim</surname>
<given-names>W. S.</given-names>
</name>
<name>
<surname>dela Pe&#xf1;a</surname>
<given-names>I. C.</given-names>
</name>
<name>
<surname>Seo</surname>
<given-names>E. K.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>W. Y.</given-names>
</name>
<name>
<surname>Jin</surname>
<given-names>H. E.</given-names>
</name>
<etal/>
</person-group> (<year>2013b</year>). <article-title>Smooth muscle relaxation activity of an aqueous extract of dried immature fruit of Poncirus trifoliata (PF-W) on an isolated strip of rat ileum</article-title>. <source>Nat. Prod. Commun.</source> <volume>8</volume> (<issue>8</issue>), <fpage>1934578X1300800829</fpage>&#x2013;<lpage>1148</lpage>. <pub-id pub-id-type="doi">10.1177/1934578x1300800829</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>S. K.</given-names>
</name>
<name>
<surname>Joo</surname>
<given-names>M. C.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Effects and safety of aqueous extract of <italic>Poncirus fructus</italic> in spinal cord injury with neurogenic bowel</article-title>. <source>Evid. Based Complement. Altern. Med.</source> <volume>2016</volume>, <fpage>7154616</fpage>. <pub-id pub-id-type="doi">10.1155/2016/7154616</pub-id>
<pub-id pub-id-type="pmid">27738444</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Seol</surname>
<given-names>M. H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>B. C.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>The effects of poncirus fructus on insulin resistance and the macrophage-mediated inflammatory response in high fat diet-induced obese mice</article-title>. <source>Int. J. Mol. Sci.</source> <volume>20</volume> (<issue>12</issue>), <fpage>2858</fpage>. <pub-id pub-id-type="doi">10.3390/ijms20122858</pub-id>
<pub-id pub-id-type="pmid">31212747</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Laird</surname>
<given-names>J. M. A.</given-names>
</name>
<name>
<surname>Martinez-Caro</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Garcia-Nicas</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Cervero</surname>
<given-names>F.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>A new model of visceral pain and referred hyperalgesia in the mouse</article-title>. <source>Pain</source> <volume>92</volume>, <fpage>335</fpage>&#x2013;<lpage>342</lpage>. <pub-id pub-id-type="doi">10.1016/S0304-3959(01)00275-5</pub-id>
<pub-id pub-id-type="pmid">11376906</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname>
<given-names>H. T.</given-names>
</name>
<name>
<surname>Seo</surname>
<given-names>E. K.</given-names>
</name>
<name>
<surname>Chung</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Shim</surname>
<given-names>C. K.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Prokinetic activity of an aqueous extract from dried immature fruit of Poncirus trifoliata (L.) Raf</article-title>. <source>J. Ethnopharmacol.</source> <volume>102</volume> (<issue>2</issue>), <fpage>131</fpage>&#x2013;<lpage>136</lpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2005.05.052</pub-id>
<pub-id pub-id-type="pmid">16191468</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>S. H.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y. S.</given-names>
</name>
<name>
<surname>Jeong</surname>
<given-names>C. S.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Protective effects of neohesperidin and poncirin isolated from the fruits of Poncirus trifoliata on potential gastric disease</article-title>. <source>Phytother. Res.</source> <volume>23</volume> (<issue>12</issue>), <fpage>1748</fpage>&#x2013;<lpage>1753</lpage>. <pub-id pub-id-type="doi">10.1002/ptr.2840</pub-id>
<pub-id pub-id-type="pmid">19367677</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee J</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Ko</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Seo</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Koo</surname>
<given-names>S. H.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Zuojin Pill enhances gastrointestinal motility by modulating the pacemaker potentials in interstitial cells of Cajal through multiple signaling pathways</article-title>. <source>Int. J. Med. Sci.</source> <volume>21</volume> (<issue>15</issue>), <fpage>2883</fpage>&#x2013;<lpage>2896</lpage>. <pub-id pub-id-type="doi">10.7150/ijms.103507</pub-id>
<pub-id pub-id-type="pmid">39628697</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee K</surname>
<given-names>K. I.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>M. S.</given-names>
</name>
<name>
<surname>Yuk</surname>
<given-names>H. J.</given-names>
</name>
<name>
<surname>Jo</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>H. J.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Alleviating depressive-like behavior in DSS-induced colitis mice: exploring naringin and poncirin from Poncirus trifoliata extracts</article-title>. <source>Biomed. Pharmacother.</source> <volume>175</volume>, <fpage>116770</fpage>. <pub-id pub-id-type="doi">10.1016/j.biopha.2024.116770</pub-id>
<pub-id pub-id-type="pmid">38772154</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>B. P.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Colonic hypermotility in a rat model of irritable bowel syndrome is associated with upregulation of TMEM16A in myenteric plexus</article-title>. <source>Dig. Dis. Sci.</source> <volume>63</volume> (<issue>12</issue>), <fpage>3329</fpage>&#x2013;<lpage>3338</lpage>. <pub-id pub-id-type="doi">10.1007/s10620-018-5261-7</pub-id>
<pub-id pub-id-type="pmid">30155840</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marasco</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Cremon</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Salvi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Meacci</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Dajti</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Colecchia</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>Functional foods and nutraceuticals in irritable bowel syndrome</article-title>. <source>J. Clin. Med.</source> <volume>14</volume> (<issue>6</issue>), <fpage>1830</fpage>. <pub-id pub-id-type="doi">10.3390/jcm14061830</pub-id>
<pub-id pub-id-type="pmid">40142637</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nakao</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Inui</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Akamatsu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Goto</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Doi</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Matsuoka</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Illumina iSeq 100 and MiSeq exhibit similar performance in freshwater fish environmental DNA metabarcoding</article-title>. <source>Sci. Rep.</source> <volume>11</volume>, <fpage>15763</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-021-95360-5</pub-id>
<pub-id pub-id-type="pmid">34344957</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nozu</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Miyagishi</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Ishioh</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Takakusaki</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Okumura</surname>
<given-names>T.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Irisin prevents visceral hypersensitivity and colonic hyperpermeability in a rat model of irritable bowel syndrome</article-title>. <source>Peptides</source> <volume>188</volume>, <fpage>171394</fpage>. <pub-id pub-id-type="doi">10.1016/j.peptides.2025.171394</pub-id>
<pub-id pub-id-type="pmid">40154794</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ohashi</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Tashima</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Namiki</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Horie</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Allyl isothiocyanate, an activator of TRPA1, increases gastric mucosal blood flow through calcitonin gene-related peptide and adrenomedullin in anesthetized rats</article-title>. <source>J. Pharmacol. Sci.</source> <volume>151</volume> (<issue>4</issue>), <fpage>187</fpage>&#x2013;<lpage>194</lpage>. <pub-id pub-id-type="doi">10.1016/j.jphs.2023.02.002</pub-id>
<pub-id pub-id-type="pmid">36925217</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Patejdl</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Gastrointestinal motility function and dysfunction in the elderly patient: what are the effects of aging?</article-title> <source>Visc. Med.</source> <volume>40</volume> (<issue>6</issue>), <fpage>325</fpage>&#x2013;<lpage>330</lpage>. <pub-id pub-id-type="doi">10.1159/000542156</pub-id>
<pub-id pub-id-type="pmid">39664093</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pruzanski</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Stefanski</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Vadas</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Ramamurthy</surname>
<given-names>N. S.</given-names>
</name>
</person-group> (<year>1997</year>). <article-title>Inhibition of extracellular release of proinflammatory secretory phospholipase A2 (sPLA2) by sulfasalazine: a novel mechanism of anti-inflammatory activity</article-title>. <source>Biochem. Pharmacol.</source> <volume>53</volume>, <fpage>1901</fpage>&#x2013;<lpage>1907</lpage>. <pub-id pub-id-type="doi">10.1016/s0006-2952(97)00137-8</pub-id>
<pub-id pub-id-type="pmid">9256165</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Quast</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Pruesse</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Yilmaz</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Gerken</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Schweer</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Yarza</surname>
<given-names>P.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>The SILVA ribosomal RNA gene database project: improved data processing and web-based tools</article-title>. <source>Nucleic Acids Res.</source> <volume>41</volume>, <fpage>D590</fpage>&#x2013;<lpage>D596</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gks1219</pub-id>
<pub-id pub-id-type="pmid">23193283</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Saito</surname>
<given-names>Y. A.</given-names>
</name>
<name>
<surname>Strege</surname>
<given-names>P. R.</given-names>
</name>
<name>
<surname>Tester</surname>
<given-names>D. J.</given-names>
</name>
<name>
<surname>Locke</surname>
<given-names>G. R.</given-names>
</name>
<name>
<surname>Talley</surname>
<given-names>N. J.</given-names>
</name>
<name>
<surname>Bernard</surname>
<given-names>C. E.</given-names>
</name>
<etal/>
</person-group> (<year>2009</year>). <article-title>Sodium channel mutation in irritable bowel syndrome: evidence for an ion channelopathy</article-title>. <source>Am. J. Physiol. Gastrointest. Liver Physiol.</source> <volume>296</volume> (<issue>2</issue>), <fpage>G211</fpage>&#x2013;<lpage>G218</lpage>. <pub-id pub-id-type="doi">10.1152/ajpgi.90571.2008</pub-id>
<pub-id pub-id-type="pmid">19056759</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shin</surname>
<given-names>T. Y.</given-names>
</name>
<name>
<surname>Oh</surname>
<given-names>J. M.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>B. J.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>W. H.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>C. H.</given-names>
</name>
<name>
<surname>Jun</surname>
<given-names>C. D.</given-names>
</name>
<etal/>
</person-group> (<year>2006</year>). <article-title>Anti-inflammatory effect of Poncirus trifoliata fruit through inhibition of NF-kappaB activation in mast cells</article-title>. <source>Toxicol. Vitro.</source> <volume>20</volume> (<issue>7</issue>), <fpage>1071</fpage>&#x2013;<lpage>1076</lpage>. <pub-id pub-id-type="doi">10.1016/j.tiv.2006.02.003</pub-id>
<pub-id pub-id-type="pmid">16574371</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siting</surname>
<given-names>L. I.</given-names>
</name>
<name>
<surname>Shaojun</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Yehui</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Gejing</surname>
<given-names>D. E.</given-names>
</name>
<name>
<surname>Caicai</surname>
<given-names>L. I.</given-names>
</name>
<name>
<surname>Ziyan</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>Electroacupuncture alleviates zymosan-induced colorectal hypersensitivity</article-title>. <source>J. Tradit. Chin. Med.</source> <volume>45</volume> (<issue>1</issue>), <fpage>32</fpage>&#x2013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.19852/j.cnki.jtcm.20220425.001</pub-id>
<pub-id pub-id-type="pmid">39957156</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Strege</surname>
<given-names>P. R.</given-names>
</name>
<name>
<surname>Ou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Sha</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Rich</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Gibbons</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Szurszewski</surname>
<given-names>J. H.</given-names>
</name>
<etal/>
</person-group> (<year>2003</year>). <article-title>Sodium current in human intestinal interstitial cells of Cajal</article-title>. <source>Am. J. Physiol. Gastrointest. Liver Physiol.</source> <volume>285</volume>, <fpage>G1111</fpage>&#x2013;<lpage>G1121</lpage>. <pub-id pub-id-type="doi">10.1152/ajpgi.00152.2003</pub-id>
<pub-id pub-id-type="pmid">12893628</pub-id>
</citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Verstraelen</surname>
<given-names>T. E.</given-names>
</name>
<name>
<surname>Ter Bekke</surname>
<given-names>R. M.</given-names>
</name>
<name>
<surname>Volders</surname>
<given-names>P. G.</given-names>
</name>
<name>
<surname>Masclee</surname>
<given-names>A. A.</given-names>
</name>
<name>
<surname>Kruimel</surname>
<given-names>J. W.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>The role of the SCN5A-encoded channelopathy in irritable bowel syndrome and other gastrointestinal disorders</article-title>. <source>Neurogastroenterol. Motil.</source> <volume>27</volume> (<issue>7</issue>), <fpage>906</fpage>&#x2013;<lpage>913</lpage>. <pub-id pub-id-type="doi">10.1111/nmo.12569</pub-id>
<pub-id pub-id-type="pmid">25898860</pub-id>
</citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Niu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Ren</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Naringenin promotes gastrointestinal motility in mice by impacting the SCF/c-Kit pathway and Gut Microbiota</article-title>. <source>Foods</source> <volume>13</volume> (<issue>16</issue>), <fpage>2520</fpage>. <pub-id pub-id-type="doi">10.3390/foods13162520</pub-id>
<pub-id pub-id-type="pmid">39200447</pub-id>
</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zaplana</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Miele</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Tolonen</surname>
<given-names>A. C.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>
<italic>Lachnospiraceae</italic> are emerging industrial biocatalysts and biotherapeutics</article-title>. <source>Front. Bioeng. Biotechnol.</source> <volume>11</volume>, <fpage>1324396</fpage>. <pub-id pub-id-type="doi">10.3389/fbioe.2023.1324396</pub-id>
<pub-id pub-id-type="pmid">38239921</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Chinese herbal medicine for irritable bowel syndrome: a perspective of local immune actions</article-title>. <source>Am. J. Chin. Med.</source> <volume>52</volume> (<issue>7</issue>), <fpage>2079</fpage>&#x2013;<lpage>2106</lpage>. <pub-id pub-id-type="doi">10.1142/S0192415X24500800</pub-id>
<pub-id pub-id-type="pmid">39663262</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>