Kaan S K, Cho C H
Department of Pharmacology, Faculty of Medicine, University of Hong Kong, Hong Kong.
Inflamm Res. 1996 Aug;45(8):370-5. doi: 10.1007/BF02252930.
Although propranolol has been shown to protect against ethanol and stress ulceration, the antiulcer mechanisms are still unclear. The present study examined the antiulcer mechanisms of propranolol in three different types of ulceration induced respectively by ethanol (60%), indomethacin (30 mg/kg) and stress (cold-restraint). Propranolol pretreatment in the highest dose (10 mg/kg) given either intraperitoneally (i.p.) or orally (p.o.) prevented gastric mucosal damage in these three ulcer models. The three doses of the drug (2.5, 5 or 10 mg/kg) dose-dependently decreased systemic blood pressure which was accompanied by a reduction of gastric mucosal blood flow. These findings suggest that the protection was unrelated to an improvement of local circulation in the stomach. However, propranolol preserved the mucus levels in the three types of ulcer models. The beta-adrenoceptor blocker also increased the basal gastric mucosal potential difference. These findings indicate that propranolol strengthens the mucosal barrier by the preservation of mucosal mucus and enhancement of the mucosal integrity in the stomach.
尽管已证明普萘洛尔可预防乙醇和应激性溃疡,但抗溃疡机制仍不清楚。本研究考察了普萘洛尔在分别由乙醇(60%)、吲哚美辛(30毫克/千克)和应激(冷束缚)诱导的三种不同类型溃疡中的抗溃疡机制。以最高剂量(10毫克/千克)腹腔注射(i.p.)或口服(p.o.)给予普萘洛尔预处理,可预防这三种溃疡模型中的胃黏膜损伤。该药物的三个剂量(2.5、5或10毫克/千克)剂量依赖性地降低了全身血压,同时胃黏膜血流量减少。这些发现表明,这种保护作用与胃局部循环的改善无关。然而,普萘洛尔在三种溃疡模型中均维持了黏液水平。β-肾上腺素能受体阻滞剂还增加了基础胃黏膜电位差。这些发现表明,普萘洛尔通过维持黏膜黏液和增强胃黏膜完整性来加强黏膜屏障。