Fuhro R, Fromm D
Gastroenterology. 1978 Oct;75(4):661-7.
This study examines some of the gastric mucosal effects of compounds structurally related to salicylate (which consists of a hydroxyl and a carboxyl group attached to a benzene ring) in order to determine the importance of the various ligands of the salicylate molecule. The presence of carboxyl group increases mucosal permeability to acid. This increase in cation flow initially is associated with a decrease in anion permeability. These ion selective effects subsequently give way to a nonspecific increase in permeability. The presence of a carboxyl group also is associated with a more than 80% decrease in short circuit current. A similar decrease in short circuit current occurs when the mucosa is exposed to a pyridine molecule with an attached carboxyl group (pyridine-3-carboxylic acid), but in a relatively low concentration, this agent also decreases the back diffusion of acid. The above noted changes in mucosal permeability and short circuit current do not appear to be attributable to the benzene or phenolic ligands of the salicylate molecule. It is concluded that the presence of a sufficient concentration of an exposed carboxyl group on the mucosal side of the tissue causes an increase in the permeability of the mucosa to acid. The presence of a carboxyl group also appears to alter active ion transport, but this effect cannot be attributed to enhanced diffusion of acid into the tissue. The data implicate the carboxyl group of salicylate as being key to its damaging effects on the stomach.
本研究考察了与水杨酸盐(由连接在苯环上的一个羟基和一个羧基组成)结构相关的化合物对胃黏膜的一些影响,以确定水杨酸盐分子各种配体的重要性。羧基的存在会增加黏膜对酸的通透性。阳离子流的这种增加最初与阴离子通透性的降低有关。这些离子选择性效应随后会让位于通透性的非特异性增加。羧基的存在还与短路电流下降超过80%有关。当黏膜暴露于带有羧基的吡啶分子(吡啶-3-羧酸)时,短路电流也会出现类似下降,但在相对较低浓度下,该试剂也会减少酸的反向扩散。上述黏膜通透性和短路电流的变化似乎并非归因于水杨酸盐分子的苯或酚类配体。得出的结论是,组织黏膜侧存在足够浓度的暴露羧基会导致黏膜对酸的通透性增加。羧基的存在似乎也会改变主动离子转运,但这种效应不能归因于酸向组织内扩散的增强。数据表明水杨酸盐的羧基是其对胃产生损伤作用的关键。