Pawlik W W, Gustaw P, Sendur R, Czarnobilski K, Konturek S J
Institute of Physiology, Medical Academy, Kraków, Poland.
Pol J Pharmacol Pharm. 1990 Sep-Oct;42(5):447-55.
Solcoseryl, a deproteinized extract of calf blood has been used in the treatment of peptic ulcer, but the mechanisms responsible for its therapeutic properties remain elusive. The present study was designed to determine the effects of solcoseryl on gastric total (GBF) and mucosal (MBF) blood flow, gastric oxygen consumption (GVO2) and mucosal formation of prostaglandin E2 (PGE2) and leukotriene C4 (LTC4) in anesthetized dogs. Soloseryl given iv or ia into the oxyntic gland area of canine stomach caused a dose-dependent increase in the GBF, MBF and GVO2, PGE2 and LTC4 contents in the ethanol-treated gastric mucosa showed a 5-12 fold increase over the values in the intact mucosa. The generation of LTC4, but not PGE2, was significantly diminished by solcoseryl. Pre-treatment with indomethacin completely prevented the effects of solcoseryl on mucosal PGE2, but not LTC4 levels, and significantly reduced its circulatory and metabolic actions on the stomach. The results of these studies indicate that solcoseryl causes dilatation of gastric arterioles and precapillary sphincters thereby improving mucosal blood flow and oxygen supply. The results also suggest that endogenous prostaglandins serve as mediators of the vascular and possibly metabolic effects of the drug on the stomach. The observed reduction by solcoseryl in gastric biosynthesis of LTC4 during mucosal injury may be an important factor in the gastroprotective and anti-ulcer effects of solcoseryl.
索高捷疗,一种小牛血去蛋白提取物,已被用于治疗消化性溃疡,但其治疗特性的作用机制仍不清楚。本研究旨在确定索高捷疗对麻醉犬胃总血流量(GBF)、黏膜血流量(MBF)、胃氧耗量(GVO2)以及黏膜前列腺素E2(PGE2)和白三烯C4(LTC4)生成的影响。静脉注射或腹腔注射索高捷疗至犬胃泌酸腺区,可使GBF、MBF、GVO2剂量依赖性增加,乙醇处理的胃黏膜中PGE2和LTC4含量比完整黏膜中的值增加了5 - 12倍。索高捷疗可显著减少LTC4的生成,但不影响PGE2的生成。用吲哚美辛预处理可完全阻止索高捷疗对黏膜PGE2水平的影响,但不影响LTC4水平,并显著降低其对胃的循环和代谢作用。这些研究结果表明,索高捷疗可使胃小动脉和毛细血管前括约肌扩张,从而改善黏膜血流和氧气供应。结果还提示,内源性前列腺素可能是该药物对胃的血管及可能的代谢作用的介质。索高捷疗在黏膜损伤期间使胃LTC4生物合成减少,这一现象可能是其胃保护和抗溃疡作用的重要因素。