Tatsumi Y, Tanino M, Kodama T, Kashima K, Katsura M, Okuma S
Third Department of Internal Medicine, Kyoto Prefectural University of Medicine, Japan.
Jpn J Pharmacol. 1998 Aug;77(4):293-9. doi: 10.1254/jjp.77.293.
Irsogladine maleate (IM) has been used as a mucosal protective agent, whose action is partially explained as enhancement of mucosal blood flow, increase of cellular cyclic AMP and facilitation of gap-junctional intercellular communication. Effect of IM on rat gastric mucosal hydrophobicity, one of the mucosal barrier properties, was investigated, in comparison with that of 16,16-dimethyl prostaglandin E2 (dmPGE2). IM alone had no effect on mucosal hydrophobicity and mucosal phospholipids content. dmPGE2 alone did not change mucosal hydrophobicity significantly, but remarkably increased mucosal surface-active phospholipids. Intragastric administration of absolute ethanol significantly decreased gastric mucosal hydrophobicity and mucosal phospholipids content. IM could prevent the decrease in mucosal hydrophobicity by ethanol, maintaining the surface mucus gel layer and mucosal surface phospholipids almost as non-damaged control levels, whereas dmPGE2 also prevented the decrease in mucosal hydrophobicity by ethanol, with the surface epithelium being partially exfoliated and mucosal surface-active phospholipids showing remarkable enhancement. These results suggest that IM may preserve gastric mucosal hydrophobicity against ethanol, not through enhancement of mucosal phospholipids content like prostaglandin, but possibly through its reported stabilization action to the epithelial cell lining, which may preserve the surface epithelium with the mucous gel layer containing surface-active phospholipids, a possible origin of mucosal hydrophobicity.
马来酸伊索前列定(IM)已被用作一种黏膜保护剂,其作用部分可解释为增强黏膜血流、增加细胞环磷酸腺苷以及促进间隙连接的细胞间通讯。与16,16-二甲基前列腺素E2(dmPGE2)相比,研究了IM对大鼠胃黏膜疏水性(一种黏膜屏障特性)的影响。单独使用IM对黏膜疏水性和黏膜磷脂含量无影响。单独使用dmPGE2对黏膜疏水性无显著改变,但显著增加了黏膜表面活性磷脂。胃内给予无水乙醇显著降低胃黏膜疏水性和黏膜磷脂含量。IM可防止乙醇导致的黏膜疏水性降低,使表面黏液凝胶层和黏膜表面磷脂几乎维持在未受损对照水平,而dmPGE2也可防止乙醇导致的黏膜疏水性降低,但表面上皮有部分脱落,且黏膜表面活性磷脂显著增加。这些结果表明,IM可能通过其对上皮细胞衬里的稳定作用来保护胃黏膜疏水性免受乙醇影响,而不是像前列腺素那样通过增加黏膜磷脂含量,这可能通过含有表面活性磷脂的黏液凝胶层来保护表面上皮,表面活性磷脂可能是黏膜疏水性的一个来源。