Merai Ankitkumar Harshadrai, Asad Mohammed, Prasad V Satya
Department of Pharmacology, Krupanidhi College of Pharmacy, Bangalore, India.
Pharmacology. 2009;84(2):93-8. doi: 10.1159/000228726. Epub 2009 Jul 15.
The effect of centrally administered losartan, an AT(1) receptor antagonist, on gastric acid secretion and gastric cytoprotection was studied using different models of gastric ulcers, such as acetic acid-induced chronic gastric ulcers, pylorus ligation, ethanol-induced and stress-induced acute gastric ulcers and cysteamine hydrochloride-induced duodenal ulcer. Losartan was administered intracerebroventrically (i.c.v.) at 2 different doses (125 and 250 microg/kg). Both doses of losartan increased the healing of acetic acid-induced chronic gastric ulcers. In pylorus-ligated rats, a significant reduction in free acidity, total acidity and ulcer index was observed with high dose (250 microg/kg, i.c.v.), while low dose (125 microg/kg, i.c.v.) produced reduction only in free acidity and ulcer index. Both doses also produced a significant antiulcer effect in ethanol-induced and stress-induced gastric ulcers. Losartan also reduced ulcer area in cysteamine-induced duodenal ulcer. We conclude that AT(1) receptor antagonism in the brain increases healing of gastric ulcers and reduces gastric acid secretion and increases gastric mucin content.
使用不同的胃溃疡模型,如醋酸诱导的慢性胃溃疡、幽门结扎、乙醇诱导和应激诱导的急性胃溃疡以及盐酸半胱胺诱导的十二指肠溃疡,研究了脑室内注射血管紧张素Ⅱ1型(AT(1))受体拮抗剂氯沙坦对胃酸分泌和胃细胞保护的作用。氯沙坦以两种不同剂量(125和250微克/千克)进行脑室内注射(i.c.v.)。两种剂量的氯沙坦均能促进醋酸诱导的慢性胃溃疡的愈合。在幽门结扎的大鼠中,高剂量(250微克/千克,i.c.v.)可显著降低游离酸度、总酸度和溃疡指数,而低剂量(125微克/千克,i.c.v.)仅能降低游离酸度和溃疡指数。两种剂量在乙醇诱导和应激诱导的胃溃疡中也均产生显著的抗溃疡作用。氯沙坦还能减少半胱胺诱导的十二指肠溃疡的溃疡面积。我们得出结论,脑内的AT(1)受体拮抗作用可促进胃溃疡的愈合,减少胃酸分泌并增加胃黏液含量。