Pascaud X B, Chovet M, Soulard P, Chevalier E, Roze C, Junien J L
Institut de Recherche Jouveinal, Fresnes, France.
Gastroenterology. 1993 Feb;104(2):427-34. doi: 10.1016/0016-5085(93)90410-e.
The ulceroprotective effects of JO 1784 [(+)-N-cyclopropyl-methyl-N-methyl-1,4-diphenyl-1-ethyl-but-3-en-1-yl amine, hydrochloride], a new specific and highly selective sigma ligand, were examined in rats.
Different models of gastric ulcers (4-hour restraint stress, aspirin, ethanol, and taurocholate) and cysteamine-induced duodenal ulcers were used. The gastric acid secretion (4-hour Shay rat preparation) and the duodenal bicarbonate secretion were also studied.
JO 1784 elicited a potent protection against duodenal ulcers but had a weaker protective effect on any of the gastric ulceration models tested. It displayed no gastric antisecretory activity but induced a dose-dependent stimulation of duodenal bicarbonate secretion. Haloperidol, hexamethonium, tetrodotoxin, bivagotomy (but not atropine), and the intravenous but not intracerebroventricular administration of devazepide, a cholecystokinin A antagonist, inhibited the stimulatory effect of JO 1784.
These results show that JO 1784, a selective sigma ligand, is a potent protector of the duodenal mucosa. This activity may be related to its stimulating effect on bicarbonate secretion, which is driven through a complex nervous mechanism involving muscarinic synapses, vagal afferent fibers, and peripheral cholecystokinin receptors. This drug might open a new specific way in the treatment of duodenal ulcers.
新型特异性高选择性西格玛配体JO 1784[(+)-N-环丙基甲基-N-甲基-1,4-二苯基-1-乙基-丁-3-烯-1-胺,盐酸盐]对大鼠的抗溃疡作用进行了研究。
采用不同的胃溃疡模型(4小时束缚应激、阿司匹林、乙醇和牛磺胆酸盐)和半胱胺诱导的十二指肠溃疡模型。还研究了胃酸分泌(4小时 Shay 大鼠制备)和十二指肠碳酸氢盐分泌。
JO 1784对十二指肠溃疡有强大的保护作用,但对所测试的任何胃溃疡模型的保护作用较弱。它没有胃抗分泌活性,但能剂量依赖性地刺激十二指肠碳酸氢盐分泌。氟哌啶醇、六甲铵、河豚毒素、双侧迷走神经切断术(但阿托品无效)以及静脉注射而非脑室内注射胆囊收缩素A拮抗剂德瓦西匹能抑制JO 1784的刺激作用。
这些结果表明,选择性西格玛配体JO 1784是十二指肠黏膜的有效保护剂。这种活性可能与其对碳酸氢盐分泌的刺激作用有关,该作用是通过涉及毒蕈碱突触、迷走传入纤维和外周胆囊收缩素受体的复杂神经机制驱动的。这种药物可能为十二指肠溃疡的治疗开辟一条新的特异性途径。