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胃黏膜中的前列腺素E2及其在预防猫阿司匹林诱导溃疡中的作用。

Prostaglandin E2 in gastric mucosa and its role in the prevention of ulcers induced by acetyl salicylic acid in cats.

作者信息

Konturek S J, Radecki T, Brzozowski T, Piastucki I, Dembińska-Kieć A, Zmuda A, Gryglewski R

出版信息

Digestion. 1981;21(4):205-13. doi: 10.1159/000198564.

Abstract

Gastric mucosa of the cat generates PGE2 activity at a significantly higher concentration in the antral 59.25 +/- 7.42 ng/g) than in the oxyntic (28.06 +/- 4.50 ng/ml) gland area. Intravenous (i.v.) infusion of histamine 80 micrograms/kg/h) or intragastric (i.g.) instillation of 0.1 N HCl (4 mEq/h) for 3 h significantly decreased the generation of PGE2 in antral and fundic mucosa, but did not result in the formation of gastric lesions. Aspirin (ASA) given i.v. or i.g. for 3 h caused a further fall in the generation of PGE2 in the mucosa and when combined with i.v. histamine or i.g. HCl, it caused almost complete disappearance of PGE2 activity and the formation of antral ulcers in all tested cats. Exogenous PGE2, given i.v. in a dose (30 micrograms/kg/h) reducing histamine-stimulated (80 micrograms/kg/h) acid secretion by about 50%, prevented almost completely the formation of gastric ulcers induced by a combination of ASA plus i.v. histamine or i.g. HCl. This study indicates that the gastric mucosa generates PGE2 which is capable of preventing gastric ulcers induced by ASA combined with histamine or mucosal acidification.

摘要

猫胃黏膜产生前列腺素E2(PGE2)的活性在胃窦部(59.25±7.42纳克/克)显著高于胃体腺区(28.06±4.50纳克/毫升)。静脉注射(i.v.)组胺(80微克/千克/小时)或胃内(i.g.)滴注0.1N盐酸(4毫当量/小时)3小时,可显著降低胃窦和胃底黏膜中PGE2的生成,但未导致胃损伤的形成。静脉注射或胃内给予阿司匹林(ASA)3小时,可使黏膜中PGE2的生成进一步下降,当与静脉注射组胺或胃内盐酸联合使用时,可导致所有受试猫的PGE2活性几乎完全消失,并形成胃窦溃疡。静脉注射外源性PGE2(剂量为30微克/千克/小时)可使组胺刺激(80微克/千克/小时)的胃酸分泌减少约50%,几乎完全预防了由ASA加静脉注射组胺或胃内盐酸联合诱导的胃溃疡的形成。本研究表明,胃黏膜产生的PGE2能够预防由ASA与组胺或黏膜酸化联合诱导的胃溃疡。

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