Takeeda M, Hayashi Y, Yamato M, Murakami M, Takeuchi K
Department of Pharmacology and Experimental Therapeutics, Kyoto Pharmaceutical University, Misasagi, Yamashina, Kyoto 607-8414, Japan.
J Physiol Pharmacol. 2004 Mar;55(1 Pt 2):193-205.
Endogenous prostaglandins (PGs) are involved in adaptive gastric protection against acute injury, and cyclooxygenase (COX)-1 is responsible for the production of PGs in this phenomenon. In the present study, we examined the effect of various COX inhibitors on gastric ulcerogenic and acid secretory responses following daily exposure of the stomach to iodoacetamide (IA) and investigated the role for COX isozyme in gastric protection under subchronic mucosal irritation. Gastric mucosal irritation was induced by addition of 0.1% IA to drinking water, and the gastric mucosa was examined on the 6th day. Indomethacin (5 mg/kg) or SC-560 (selective COX-1 inhibitor, 5 mg/kg) or rofecoxib (selective COX-2 inhibitor, 5 mg/kg) was given p.o. twice 24 hr and 3 hr before the termination of IA treatment. Giving IA in drinking water for 5 days produced minimal damage in the stomach. The damage was significantly worsened by indomethacin, resulting in hemorrhagic lesions. Both SC-560 and rofecoxib also aggravated such lesions, although the effect of rofecoxib was more pronounced. Treatment with IA decreased acid secretion in pylorus-ligated stomachs, and this change was significantly reverted by indomethacin as well as SC-560 and rofecoxib. Mucosal PGE2 content was increased following IA treatment, with apparent expression of COX-2 mRNA in the stomach, and the increased PGE2 production was significantly suppressed by SC-560 and rofecoxib as well as indomethacin. These results suggest that endogenous PGs derived from both COX-1 and COX-2 are involved in the mucosal defense of the inflamed stomach, partly by decreasing acid secretion and contribute to maintaining the mucosal integrity under such conditions.
内源性前列腺素(PGs)参与胃对急性损伤的适应性保护,且环氧化酶(COX)-1在此现象中负责PGs的产生。在本研究中,我们检测了各种COX抑制剂对胃每日暴露于碘乙酰胺(IA)后的胃溃疡形成和胃酸分泌反应的影响,并研究了COX同工酶在亚慢性黏膜刺激下胃保护中的作用。通过在饮用水中添加0.1%的IA诱导胃黏膜刺激,并在第6天检查胃黏膜。吲哚美辛(5 mg/kg)或SC-560(选择性COX-1抑制剂,5 mg/kg)或罗非昔布(选择性COX-2抑制剂,5 mg/kg)在IA治疗结束前24小时和3小时口服给药两次。在饮用水中给予IA 5天对胃造成的损伤最小。吲哚美辛使损伤显著加重,导致出血性病变。SC-560和罗非昔布也加重了此类病变,尽管罗非昔布的作用更明显。IA治疗可降低幽门结扎胃的胃酸分泌,吲哚美辛以及SC-560和罗非昔布可使这种变化显著逆转。IA治疗后黏膜PGE2含量增加,胃中COX-2 mRNA有明显表达,SC-560、罗非昔布以及吲哚美辛可显著抑制PGE2产生的增加。这些结果表明,源自COX-1和COX-2的内源性PGs参与了炎症胃的黏膜防御,部分是通过减少胃酸分泌,并有助于在这种情况下维持黏膜完整性。
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