Miyazaki Y, Shinomura Y, Higashimoto Y, Imamura I, Fukui H, Aoki T, Okuda Y, Narita T, Miwa K, Miyazaki I
Second Department of Internal Medicine, Osaka University Medical School, Japan.
Regul Pept. 1995 Jul 21;58(1-2):47-54. doi: 10.1016/0167-0115(95)00059-k.
Intact and antrectomized female rats were treated with the potent proton pump inhibitor, E3810 (daily 40 mg/kg weight, s.c.) for 4 weeks. Plasma gastrin concentration and urinary excretion of N-terminal big gastrin increased until day 14 and persisted at a high level in intact rats treated with E3810, but did not increase in antrectomized rats. Urinary excretion of histamine increased progressively and reached 7 times the control value following 4 weeks of treatment with E3810 in intact rats, but not in antrectomized rats. At the termination of the treatment, the endocrine cell density in the oxyntic mucosa of intact rats had increased by 85% with increased histamine content and elevated histidine decarboxylase activity, while antrectomized rats showed a low histamine level and low histidine decarboxylase activity. Administration of gastrin-17 I (10 micrograms/kg weight, sc) itself caused a significant increase in urinary excretion of histamine, which was inhibited by the specific gastrin receptor antagonist, L-365,260. These results suggests that the massive urinary excretion of histamine caused by the treatment with E3810 reflects gastrin-induced mobilization of gastric histamine and that neither E3810 itself nor E3810-induced luminal pH elevation has direct effects on mobilization of oxyntic mucosal histamine.
完整的和经胃窦切除的雌性大鼠用强效质子泵抑制剂E3810(每日40毫克/千克体重,皮下注射)治疗4周。血浆胃泌素浓度和N端大胃泌素的尿排泄量在第14天前增加,并在接受E3810治疗的完整大鼠中持续维持在高水平,但在胃窦切除的大鼠中未增加。组胺的尿排泄量逐渐增加,在完整大鼠中用E3810治疗4周后达到对照值的7倍,但在胃窦切除的大鼠中未达到。治疗结束时,完整大鼠胃底黏膜中的内分泌细胞密度增加了85%,组胺含量增加,组氨酸脱羧酶活性升高,而胃窦切除的大鼠组胺水平低且组氨酸脱羧酶活性低。注射胃泌素-17 I(10微克/千克体重,皮下注射)本身导致组胺尿排泄量显著增加,这被特异性胃泌素受体拮抗剂L-365,260抑制。这些结果表明,E3810治疗引起的大量组胺尿排泄反映了胃泌素诱导的胃组胺动员,并且E3810本身和E3810诱导的管腔pH升高对胃底黏膜组胺的动员均无直接影响。