Cui Guanglin, Koh Theodore J, Chen Duan, Zhao Chun-Mei, Takaishi Shigeo, Dockray Graham J, Varro Andrea, Rogers Arlin B, Fox James G, Wang Timothy C
Division of Gastroenterology, University of Massachusetts Medical School, Worcester, Massachusetts.
Cancer Res. 2004 Nov 15;64(22):8160-6. doi: 10.1158/0008-5472.CAN-04-0876.
Recently we have reported synergistic effects between glycine-extended gastrin (G-gly) and amidated gastrin-17 on acid secretion in short-term infusion studies. In the present study, we examined the long-term effect of G-gly on the atrophy-promoting effects of amidated gastrin in the mouse stomach with or without Helicobacter infection. Transgenic mice overexpressing amidated gastrin (INS-GAS mice), G-gly (MTI/G-gly mice), and both peptides (INS-GAS/G-gly mice) were used for assessment of acid secretion and ulcer susceptibility and histologic examination and scoring of preneoplastic lesions in response to the 3 and 6 months Helicobacter felis (H. felis) infection. We found that MTI/G-gly mice had normal gastric histology and acid secretion. Double transgenic (INS-GAS/G-gly) mice showed 2-fold increases in acid secretion compared with INS-GAS mice. Acute peptic ulcers after pyloric ligation were noted in 50% of the INS-GAS/G-gly mice but in none of the INS-GAS mice at 6 months of age. Whereas male INS-GAS mice had a >50% decrease in the numbers of parietal cell and enterochromaffin-like cell at 6 months of age, the male double transgenic mice had no such decrease. Overexpression of G-gly reduced the scores of preneoplasia in the stomach; however, it did not prevent the development of amidated gastrin-dependent gastric cancer in both H. felis-infected mice and uninfected mice. We conclude that G-gly synergizes with amidated gastrin to stimulate acid secretion and inhibits parietal cell loss in INS-GAS/G-gly mice. The overexpression of G-gly seems to increase the susceptibility to peptic ulcer disease and delay the development of Helicobacter-mediated gastric preneoplasia in this model.
最近,我们在短期输注研究中报告了甘氨酸延伸胃泌素(G-甘氨酸)和酰胺化胃泌素-17对胃酸分泌的协同作用。在本研究中,我们研究了G-甘氨酸对有或无幽门螺杆菌感染的小鼠胃中酰胺化胃泌素促萎缩作用的长期影响。使用过表达酰胺化胃泌素的转基因小鼠(INS-GAS小鼠)、G-甘氨酸(MTI/G-甘氨酸小鼠)以及两种肽都过表达的小鼠(INS-GAS/G-甘氨酸小鼠),来评估胃酸分泌、溃疡易感性,并对感染3个月和6个月的猫幽门螺杆菌(H. felis)后的癌前病变进行组织学检查和评分。我们发现MTI/G-甘氨酸小鼠具有正常的胃组织学和胃酸分泌。双转基因(INS-GAS/G-甘氨酸)小鼠的胃酸分泌比INS-GAS小鼠增加了两倍。在6月龄时,50%的INS-GAS/G-甘氨酸小鼠出现幽门结扎后的急性消化性溃疡,而INS-GAS小鼠无一出现。6月龄时,雄性INS-GAS小鼠的壁细胞和肠嗜铬样细胞数量减少了50%以上,而雄性双转基因小鼠则没有这种减少。G-甘氨酸的过表达降低了胃中癌前病变的评分;然而,它并不能阻止H. felis感染小鼠和未感染小鼠中酰胺化胃泌素依赖性胃癌的发生。我们得出结论,G-甘氨酸与酰胺化胃泌素协同刺激胃酸分泌,并抑制INS-GAS/G-甘氨酸小鼠壁细胞的丢失。在该模型中,G-甘氨酸的过表达似乎增加了消化性溃疡疾病的易感性,并延缓了幽门螺杆菌介导的胃癌前病变的发展。