Takeuchi K, Hirata T, Yamamoto H, Kunikata T, Ishikawa M, Ishihara Y
Department of Pharmacology and Experimental Therapeutics, Kyoto Pharmaceutical University, Misasagi, Yamashina, Kyoto 607-8414, Japan.
Aliment Pharmacol Ther. 1999 Jan;13(1):87-96. doi: 10.1046/j.1365-2036.1999.00439.x.
S-0509, 2-[(tert-butoxycarbonylmethyl) [(m-(carboxy-phenyl)-ureidomethyl-carbonyl]] aminobenzo phenone, was developed as a potent and selective CCKB/gastrin receptor antagonist that does not affect the central nervous system.
We evaluated the effects of S-0509 on gastric acid secretion and duodenal ulcerogenic and healing responses in rats comparing it with L-365,260, another CCKB/gastrin receptor antagonist.
S-0509 (0.1 approximately 10 mg/kg, i.d.) was able to dose-dependently decrease basal acid secretion and inhibit the acid secretory responses induced by both pentagastrin (60 microg/kg/h, i.v.) and peptone (10%, i.g.) but not histamine (4 mg/kg/hr, i.v.) or carbachol (60 microg/kg/h, i.v.). L-365,260 (10 and 30 mg/kg, i.d.) caused only partial a suppression of the acid secretory response to pentagastrin but not to other stimuli, including peptone treatment. On the other hand, a duodenal ulcerogen, mepirizole (200 mg/kg, s.c. ) caused an increase in acid secretion and resulted in penetrating ulcers in the proximal duodenum, and these ulcers gradually healed over 3 weeks. S-0509 significantly inhibited both the acid secretory (> 1.0 mg/kg, i.d.) and ulcerogenic (> 3 mg/kg, p.o.) responses induced by mepirizole when it was given as a pre-treatment. It also promoted significantly the healing of these ulcers (> 3 x 2 mg/kg, p. o.) when it was given twice daily for 14 days. In contrast, L-365, 260 (30 mg/kg) tended to reduce the severity of mepirizole-induced duodenal ulcers, with a slight inhibition of acid secretion, but it caused no influence on the healing response of these ulcers.
These results confirmed that S-0509 is a selective CCKB/gastrin receptor antagonist with potent antisecretory action in vivo conditions, and further demonstrated that this agent not only prevents the development of duodenal ulcers but also shows healing promoting action on duodenal ulcers, probably through the blockade of CCKB/gastrin receptors.
S-0509,即2-[(叔丁氧羰基甲基)[(间-(羧基苯基)-脲基甲基-羰基]]氨基二苯甲酮,被开发为一种强效且选择性的CCKB/胃泌素受体拮抗剂,不影响中枢神经系统。
我们评估了S-0509对大鼠胃酸分泌、十二指肠溃疡形成及愈合反应的影响,并将其与另一种CCKB/胃泌素受体拮抗剂L-365,260进行比较。
S-0509(0.1至10毫克/千克,腹腔注射)能够剂量依赖性地降低基础胃酸分泌,并抑制由五肽胃泌素(60微克/千克/小时,静脉注射)和蛋白胨(10%,灌胃)诱导的胃酸分泌反应,但对组胺(4毫克/千克/小时,静脉注射)或卡巴胆碱(60微克/千克/小时,静脉注射)无影响。L-365,260(10和30毫克/千克,腹腔注射)仅部分抑制对五肽胃泌素的胃酸分泌反应,对包括蛋白胨处理在内的其他刺激无抑制作用。另一方面,十二指肠溃疡原药美吡唑(200毫克/千克,皮下注射)导致胃酸分泌增加,并在十二指肠近端形成穿透性溃疡,这些溃疡在3周内逐渐愈合。当S-0509作为预处理给药时,能显著抑制美吡唑诱导的胃酸分泌反应(大于1.0毫克/千克,腹腔注射)和溃疡形成反应(大于3毫克/千克,口服)。当每天给药两次,连续给药14天时,它还能显著促进这些溃疡的愈合(大于3×2毫克/千克,口服)。相比之下,L-365,260(30毫克/千克)倾向于降低美吡唑诱导的十二指肠溃疡的严重程度,对胃酸分泌有轻微抑制作用,但对这些溃疡的愈合反应无影响。
这些结果证实S-0509是一种选择性CCKB/胃泌素受体拮抗剂,在体内条件下具有强效的抗分泌作用,并进一步证明该药物不仅能预防十二指肠溃疡的发生,还对十二指肠溃疡具有促愈合作用,可能是通过阻断CCKB/胃泌素受体实现的。