Garner A, Heylings J R
Gastroenterology. 1979 Mar;76(3):497-503.
The mechanism of the gastric cytoprotective action of prostaglandins is unknown but seems to be unrelated to inhibition of acid secretion. In the present study, effects of the prostaglandins, 16,16-dimethyl E2 and F2 alpha on H+ and HCO-3 secretion and electrical properties in amphibian-isolated gastric mucosa were studied. Spontaneous net secretion in fundic mucosa from Rana temporaria and Necturus was acid, whereas Necturus antrum secreted only HCO-3. The histamine H2-receptor antagonist, metiamide (10(-3) M), was used to inhibit acid secretion for studies on fundic alkalinization. Nutrient side administration of 16,16-dimethyl E2 (10(-6) M) for 60 min inhibited H+ secretion and stimulated HCO-3 secretion in Rana temporaria fundus. The drug (10(-5) M) also stimulated antral alkalinization. There was a dose-related increase in HCO-3 secretion in Necturus fundus after administration of F2 alpha (10(-5)-10(-4) M), but this drug had no significant effect on H+ secretion. Inhibition of acid secretion by 16,16-dimethyl E2 was associated with an increase in potential difference (PD), but there was no change in electrical resistance. Neither of the prostaglandins affected PD or resistance in alkaline-secreting tissues. Previous work has suggested that gastric HCO-3 secretion has a physiologic role in protecting the mucosal surface. The ability of prostaglandins to stimulate alkaline secretion may contribute to the cytoprotective action of these drugs in the stomach.
前列腺素的胃细胞保护作用机制尚不清楚,但似乎与胃酸分泌的抑制无关。在本研究中,研究了前列腺素16,16 - 二甲基E2和F2α对两栖动物离体胃黏膜中H⁺和HCO₃⁻分泌以及电特性的影响。林蛙和美西螈胃底黏膜的自发净分泌为酸性,而美西螈胃窦仅分泌HCO₃⁻。组胺H2受体拮抗剂甲硫米特(10⁻³M)用于抑制胃酸分泌,以研究胃底碱化。向林蛙胃底黏膜营养液侧给予16,16 - 二甲基E2(10⁻⁶M)60分钟可抑制H⁺分泌并刺激HCO₃⁻分泌。该药物(10⁻⁵M)也刺激胃窦碱化。给予F2α(10⁻⁵ - 10⁻⁴M)后,美西螈胃底HCO₃⁻分泌呈剂量相关增加,但该药物对H⁺分泌无显著影响。16,16 - 二甲基E2抑制胃酸分泌与电位差(PD)增加有关,但电阻无变化。这两种前列腺素均不影响碱性分泌组织的PD或电阻。先前的研究表明,胃HCO₃⁻分泌在保护黏膜表面方面具有生理作用。前列腺素刺激碱性分泌的能力可能有助于这些药物在胃中的细胞保护作用。