尿囊素对实验性胃溃疡的影响:胃保护途径。

Effect of allantoin on experimentally induced gastric ulcers: Pathways of gastroprotection.

机构信息

Laboratory of Pharmacology of Natural and Synthetic Products, Department of Pharmacology, Institute of Biological Sciences, Federal University of Goiás, Goiania, GO, Brazil.

Laboratory of Histophysiology, Department of Histology, Embryology and Cell Biology, Institute of Biological Sciences, Federal University of Goiás, Goiania, GO, Brazil.

出版信息

Eur J Pharmacol. 2018 Feb 15;821:68-78. doi: 10.1016/j.ejphar.2017.12.052. Epub 2017 Dec 23.

Abstract

Gastric ulcer affects people worldwide, and its inefficacy and recurrence have fueled the search for new therapeutic strategies. Despite the well-known use of allantoin in medicines and cosmetic products, its effect has not yet been studied with regard to gastric ulcer. Hence, the aim of the present study was to explore the pharmaco-mechanistic efficacy of allantoin against commonly harmful agents that cause injuries to the stomach. Ethanol, indomethacin, and stress-induced gastric ulcer models were adopted, in addition to pylorus ligature, a quantification of vascular permeability, glutathione (GSH), gastric adhered mucus, prostaglandin (PGE), pro-inflammatory cytokines levels, myeloperoxidase (MPO), and catalase (CAT) activities. The gastric lesions were examined by gross, histological, and ultrastructural features. The results showed that treatment with allantoin (60mg/kg, per oral) reduced the gastric ulcer formation in all models. Furthermore, allantoin reduced the parameters of gastric acid secretion and attenuated both the vascular permeability and MPO activity. The levels of pro-inflammatory cytokines were also reduced, accompanied by a restoration of CAT activity and GSH levels. Notably, allantoin treatment preserved the gastric-adhered mucus and PGE levels after ethanol administration. Microscopic and ultrastructural analysis revealed that allantoin maintained tissue integrity and prevented morphological changes in cells caused by ethanol. In summary, we demonstrated for the first time that allantoin possesses gastroprotective activity through anti-inflammatory, anti-oxidative, antisecretory, and cytoprotective mechanisms. The antisecretory and cytoprotective mechanisms are probably associated with an increase in PGE levels.

摘要

胃溃疡影响着全世界的人们,其疗效不佳和复发促使人们寻求新的治疗策略。尽管尿囊素在药物和化妆品产品中的应用已广为人知,但它对胃溃疡的作用尚未得到研究。因此,本研究旨在探讨尿囊素对常见损伤胃的有害物质的药效机制。采用了乙醇、吲哚美辛和应激性胃溃疡模型,以及幽门结扎、血管通透性、谷胱甘肽 (GSH)、胃黏附黏液、前列腺素 (PGE)、促炎细胞因子水平、髓过氧化物酶 (MPO) 和过氧化氢酶 (CAT) 活性的定量测定。通过大体、组织学和超微结构特征检查胃损伤。结果表明,尿囊素(60mg/kg,口服)治疗可减少所有模型中的胃溃疡形成。此外,尿囊素可减少胃酸分泌参数,并减弱血管通透性和 MPO 活性。促炎细胞因子水平也降低,同时 CAT 活性和 GSH 水平得到恢复。值得注意的是,尿囊素治疗可在乙醇给药后保留胃黏附黏液和 PGE 水平。显微镜和超微结构分析表明,尿囊素通过抗炎、抗氧化、抗分泌和细胞保护机制维持组织完整性并防止细胞的形态变化。抗分泌和细胞保护机制可能与 PGE 水平的增加有关。

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