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Jasper Pannemans, Jan Tack  Gastroenterology 

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1 How Effective Are Secretagogues for Irritable Bowel Syndrome With Constipation 
Jasper Pannemans, Jan Tack  Gastroenterology  Volume 155, Issue 6, Pages (December 2018) DOI: /j.gastro Copyright © 2018 AGA Institute Terms and Conditions

2 Figure 1 Mechanisms of action of secretagogues used for treatment of irritable bowel syndrome with constipation. Secretagogues increase the luminal fluid content by acting on chloride channels (linaclotide, plecanatide and lubiprostone) or the Na+/H+ exchanger 3 (NHE3) (tenapanor). Stimulatory effects are shown as green arrows while inhibitory effects are shown as red arrows. CFTR, cystic fibrosis transmembrane conductance regulator; cGMP, cyclic guanosine 3’,5’-monophosphate; ClC-2, chloride channel protein 2; EC, enterochromaffin; GC-C, guanylyl cyclase; PKG, cGMP-dependent protein kinase. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2018 AGA Institute Terms and Conditions


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