Shiraki M, Yamasaki K, Ishiyama H, Kanbe T, Yabuuchi Y, Asada S, Hirata I, Ooshiba S
Second Department of Internal Medicine, Osaka Medical College, Japan.
Nihon Yakurigaku Zasshi. 1988 Dec;92(6):389-95. doi: 10.1254/fpj.92.389.
The healing process of acetic acid-induced gastric ulcers was studied for over 180 days after ulcerogen injection, and the effect of a new antiulcer agent, proamipide, was also assessed by histological measurements. In the control group, rapid reduction in the macroscopic ulcer index and increment in histological indices such as healing, regeneration of defective mucosa and proliferation of granulation tissue were observed from the 5th day to the 60th day after the ulcer induction followed by significant aggravation on the 120th and 140th day, suggesting the recurrence or relapse of gastric ulcers may occur at about 120 to 140 days after acetic acid administration. Proamipide (20 mg/kg/day, p.o.) decreased all of these indices significantly from those in the control group. This indicates that proamipide remarkably promotes the healing process in acetic acid-induced gastric ulcers, the regeneration of the injured mucosa and also the formation of granulation tissue. The glandular index in the surrounding areas of the regenerated mucosa was lower than that in the central part in the control animals and this difference was decreased by proamipide intake, suggesting an imbalance in the regenerated mucosa of the scar may have significant roles in the induction of the recurrence or relapse of gastric ulcers.
在注射致溃疡剂后180多天的时间里,对醋酸诱导的胃溃疡愈合过程进行了研究,并且还通过组织学测量评估了一种新型抗溃疡药物普罗酰胺的效果。在对照组中,从溃疡诱导后的第5天到第60天,观察到宏观溃疡指数迅速降低,以及诸如愈合、缺损黏膜再生和肉芽组织增殖等组织学指标增加,随后在第120天和第140天出现明显恶化,这表明胃溃疡的复发可能在醋酸给药后约120至140天发生。普罗酰胺(20mg/kg/天,口服)使所有这些指标相对于对照组均显著降低。这表明普罗酰胺显著促进了醋酸诱导的胃溃疡的愈合过程、受损黏膜的再生以及肉芽组织的形成。在对照动物中,再生黏膜周围区域的腺体指数低于中央部分,而摄入普罗酰胺可减小这种差异,这表明瘢痕再生黏膜中的失衡可能在胃溃疡复发或再发的诱导中起重要作用。