Takeuchi K, Takehara K, Ohuchi T
Department of Pharmacology, Kyoto, Japan.
Digestion. 1996;57(3):201-9. doi: 10.1159/000201341.
We examined the effect of diethyldithiocarbamate (DDC), the superoxide dismutase (SOD) inhibitor, on the development of gastric lesions induced by indomethacin in rats. Indomethacin (25 mg/kg) was given subcutaneously, and gastric acid secretion, motility, lipid peroxidation, vascular permeability, and myeloperoxidase as well as gastric lesions were measured. Indomethacin produced high-amplitude contractions of the stomach and caused hemorrhagic lesions in the corpus mucosa with significant increase in neutrophil-related processes such as myeloperoxidase activity, vascular permeability and lipid peroxidation. These changes caused by indomethacin were all significantly inhibited by prior administration of atropine (3 mg/kg s.c.). Pretreatment of the animals with DDC (75-1,000 mg/kg s.c.) prevented these lesions induced by indomethacin in the corpus mucosa in a dose-dependent manner (> 100 mg/kg), though at high doses (> 750 mg/kg) some damage was found in both the antrum and duodenum. DDC showed a significant inhibition against the gastric mucosal SOD activity (> 400 mg/kg), yet potently suppressed the increase of lipid peroxidation, vascular permeability, and myeloperoxidase activity caused by indomethacin. DDC dose-dependently (> 75 mg/kg) inhibited the enhancement of gastric motility caused by indomethacin and showed a weak antisecretory effect at high doses (> 750 mg/kg). These results showed that DDC reduced indomethacin-induced gastric lesions by suppressing gastric motility, despite inhibiting SOD activity. This study also indicates the prime importance of gastric hypercontraction in the pathogenesis of this lesion model and suggests that other events including the neutrophil-related processes may be secondary to gastric hypercontraction caused by indomethacin.
我们研究了超氧化物歧化酶(SOD)抑制剂二乙基二硫代氨基甲酸盐(DDC)对吲哚美辛诱导的大鼠胃损伤发展的影响。皮下注射吲哚美辛(25mg/kg),并测量胃酸分泌、胃动力、脂质过氧化、血管通透性、髓过氧化物酶以及胃损伤情况。吲哚美辛引起胃的高幅度收缩,并导致胃体黏膜出现出血性损伤,同时与中性粒细胞相关的过程如髓过氧化物酶活性、血管通透性和脂质过氧化显著增加。吲哚美辛引起的这些变化均被预先皮下注射阿托品(3mg/kg)显著抑制。用DDC(75 - 1000mg/kg皮下注射)预处理动物,以剂量依赖性方式(>100mg/kg)预防了吲哚美辛在胃体黏膜诱导的这些损伤,尽管在高剂量(>750mg/kg)时胃窦和十二指肠均出现了一些损伤。DDC对胃黏膜SOD活性有显著抑制作用(>400mg/kg),但能有效抑制吲哚美辛引起的脂质过氧化、血管通透性和髓过氧化物酶活性的增加。DDC以剂量依赖性方式(>75mg/kg)抑制吲哚美辛引起的胃动力增强,在高剂量(>750mg/kg)时显示出较弱的抗分泌作用。这些结果表明,尽管DDC抑制了SOD活性,但通过抑制胃动力减少了吲哚美辛诱导的胃损伤。本研究还表明胃过度收缩在该损伤模型发病机制中至关重要,并提示包括中性粒细胞相关过程在内的其他事件可能继发于吲哚美辛引起的胃过度收缩。