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Published in: Digestive Diseases and Sciences 2/2007

01-02-2007 | Original Paper

Effect of Different Cyclooxygenase Inhibitors on Gastric Adaptive Cytoprotection Induced by 20% Ethanol

Authors: Alessandra Gambero, Marta Maróstica, Tagliane Liza Becker, José Pedrazzoli Jr.

Published in: Digestive Diseases and Sciences | Issue 2/2007

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Abstract

In this study, we evaluated the effect of two different dosages of therapeutically prescribed nonsteroidal anti-inflammatory drugs (NSAIDs), ibuprofen, diclofenac, nimesulide, meloxicam, and celecoxib (ED80 for COX-1 and COX-2) on normal gastric mucosa and mucosa, previously exposed to 20% ethanol. At COX-2-inhibiting dosages, the NSAIDs tested were nonulcerogenic, and the same response profile was observed in “adapted” stomachs. Interestingly, low doses of nimesulide and celecoxib increase the levels of Prostaglandin E2 and COX-2, and protect against subsequent 100% ethanol exposition, suggesting that these drugs may act as “mild irritants” to gastric mucosa. The ulcerogenic response to NSAIDs was prevented by the previous 20% ethanol exposition, probably the result of nitric oxide synthesis, because PGE2 levels in gastric mucosa were reduced by these agents and a concomitant nitric oxide blockade reversed this protection.
Literature
1.
go back to reference Robert A, Nezamis JE, Lancaster C, Davis JP, Field SO, Hanchar AJ (1983) Mild irritants prevent gastric necrosis through “adaptive cytoprotection” mediated by prostaglandins. Am J Physiol 245:G113–G121PubMed Robert A, Nezamis JE, Lancaster C, Davis JP, Field SO, Hanchar AJ (1983) Mild irritants prevent gastric necrosis through “adaptive cytoprotection” mediated by prostaglandins. Am J Physiol 245:G113–G121PubMed
2.
go back to reference Konturek SJ, Brzozowski T, Piastucki I, Radecki T, Dembinski A, Dembinska-Kiec A (1982) Role of locally generated prostaglandins in adaptive gastric cytoprotection. Dig Dis Sci 27:967–971PubMedCrossRef Konturek SJ, Brzozowski T, Piastucki I, Radecki T, Dembinski A, Dembinska-Kiec A (1982) Role of locally generated prostaglandins in adaptive gastric cytoprotection. Dig Dis Sci 27:967–971PubMedCrossRef
3.
go back to reference Brzozowski T, Konturek PC, Konturek SJ, Drozdowicz D, Pajdo R, Pawlik M, Brzozowska I, Hahn EG (2000) Expression of cyclo-oxygenase (COX)-1 and COX-2 in adaptive cytoprotection induced by mild stress. J Physiol Paris 94:83–91PubMedCrossRef Brzozowski T, Konturek PC, Konturek SJ, Drozdowicz D, Pajdo R, Pawlik M, Brzozowska I, Hahn EG (2000) Expression of cyclo-oxygenase (COX)-1 and COX-2 in adaptive cytoprotection induced by mild stress. J Physiol Paris 94:83–91PubMedCrossRef
4.
go back to reference Robert A (1986) Cytoprotection and prostaglandins. Klin Wochenschr 7:40–43 Robert A (1986) Cytoprotection and prostaglandins. Klin Wochenschr 7:40–43
5.
go back to reference Takeuchi K, Araki H, Umeda M, Komoike Y, Suzuki K (2001) Adaptive gastric cytoprotection is mediated by prostaglandin EP1 receptors: a study using rats and knockout mice. J Pharmacol Exp Ther 297:1160–1165PubMed Takeuchi K, Araki H, Umeda M, Komoike Y, Suzuki K (2001) Adaptive gastric cytoprotection is mediated by prostaglandin EP1 receptors: a study using rats and knockout mice. J Pharmacol Exp Ther 297:1160–1165PubMed
6.
go back to reference Tanaka K, Nishimoto K, Tomisato W, Tsutsumi S, Hoshino T, Tsuchiya T, Mizushima T (2004) Adaptive cytoprotection induced by pretreatment with ethanol protects against gastric cell damage by NSAIDs. Dig Dis Sci 49:210–217PubMedCrossRef Tanaka K, Nishimoto K, Tomisato W, Tsutsumi S, Hoshino T, Tsuchiya T, Mizushima T (2004) Adaptive cytoprotection induced by pretreatment with ethanol protects against gastric cell damage by NSAIDs. Dig Dis Sci 49:210–217PubMedCrossRef
7.
go back to reference Tsutsumi S, Mima S, Tomisato W, Hoshino T, Tsuchiya T, Mizushima T (2003) Molecular mechanism of adaptive cytoprotection induced by ethanol in human gastric cells. Exp Biol Med 228:1089–1095 Tsutsumi S, Mima S, Tomisato W, Hoshino T, Tsuchiya T, Mizushima T (2003) Molecular mechanism of adaptive cytoprotection induced by ethanol in human gastric cells. Exp Biol Med 228:1089–1095
8.
go back to reference Konturek PC (1997) Physiological, immunohistochemical and molecular aspects of gastric adaptation to stress, aspirin and to H. pylori-derived gastrotoxins. J Physiol Pharmacol 48:3–42PubMed Konturek PC (1997) Physiological, immunohistochemical and molecular aspects of gastric adaptation to stress, aspirin and to H. pylori-derived gastrotoxins. J Physiol Pharmacol 48:3–42PubMed
9.
go back to reference Lewis JD, Kimmel SE, Localio AR, Metz DC, Farrar JT, Nessel L, Brensinger C, McGibney K, Strom BL (2005) Risk of serious upper gastrointestinal toxicity with over-the-counter nonaspirin nonsteroidal anti-inflammatory drugs. Gastroenterology 129:1865–1874PubMedCrossRef Lewis JD, Kimmel SE, Localio AR, Metz DC, Farrar JT, Nessel L, Brensinger C, McGibney K, Strom BL (2005) Risk of serious upper gastrointestinal toxicity with over-the-counter nonaspirin nonsteroidal anti-inflammatory drugs. Gastroenterology 129:1865–1874PubMedCrossRef
10.
go back to reference Tomisato W, Tsutsumi S, Hoshino T, Hwang HJ, Mio M, Tsuchiya T, Mizushima T (2004) Role of direct cytotoxic effects of NSAIDs in the induction of gastric lesions. Biochem Pharmacol 67:575–585PubMedCrossRef Tomisato W, Tsutsumi S, Hoshino T, Hwang HJ, Mio M, Tsuchiya T, Mizushima T (2004) Role of direct cytotoxic effects of NSAIDs in the induction of gastric lesions. Biochem Pharmacol 67:575–585PubMedCrossRef
11.
go back to reference Ligumsky M, Sestieri M, Karmeli F, Rachmilewitz D (1986) Protection by mild irritants against indomethacin-induced gastric mucosal damage in the rat: role of prostaglandin synthesis. Isr J Med Sci 22:807–811PubMed Ligumsky M, Sestieri M, Karmeli F, Rachmilewitz D (1986) Protection by mild irritants against indomethacin-induced gastric mucosal damage in the rat: role of prostaglandin synthesis. Isr J Med Sci 22:807–811PubMed
12.
go back to reference Tursi A, Cammarota G, Papa A, Cianci R, Cuoco L, Fedeli G, Gasbarrini G (1998) Effect of adequate alcohol intake, with or without cigarette smoking, on the risk of Helicobacter pylori infection. Hepatogastroenterology 45:1892–1895PubMed Tursi A, Cammarota G, Papa A, Cianci R, Cuoco L, Fedeli G, Gasbarrini G (1998) Effect of adequate alcohol intake, with or without cigarette smoking, on the risk of Helicobacter pylori infection. Hepatogastroenterology 45:1892–1895PubMed
13.
go back to reference Nobuhara Y, Takeuchi K, Okabe S (1986) Vinegar is a dietary mild irritant to the rat gastric mucosa. Jpn J Pharmacol 41:101–108PubMed Nobuhara Y, Takeuchi K, Okabe S (1986) Vinegar is a dietary mild irritant to the rat gastric mucosa. Jpn J Pharmacol 41:101–108PubMed
14.
go back to reference Gambero A, Becker TL, Zago AS, de Oliveira AF, Pedrazzoli Jr J (2005) Comparative study of anti-inflammatory and ulcerogenic activities of different cyclo-oxygenase inhibitors. Inflammopharmacology 13:441–454PubMedCrossRef Gambero A, Becker TL, Zago AS, de Oliveira AF, Pedrazzoli Jr J (2005) Comparative study of anti-inflammatory and ulcerogenic activities of different cyclo-oxygenase inhibitors. Inflammopharmacology 13:441–454PubMedCrossRef
15.
go back to reference Gamberini MT, Skorupa LA, Souccar C, Lapa AJ (1991) Inhibition of gastric secretion by a water extract from Baccharis triptera, Mart. Mem Inst Oswaldo Cruz 2:137–139 Gamberini MT, Skorupa LA, Souccar C, Lapa AJ (1991) Inhibition of gastric secretion by a water extract from Baccharis triptera, Mart. Mem Inst Oswaldo Cruz 2:137–139
16.
go back to reference Shay H, Komarov AS, Fels SS, Meranze D, Gruenstein M, Siplet H (1945) A simple method for the uniform production of gastric ulceration in rats. Gastroenterology 5:43–61 Shay H, Komarov AS, Fels SS, Meranze D, Gruenstein M, Siplet H (1945) A simple method for the uniform production of gastric ulceration in rats. Gastroenterology 5:43–61
17.
go back to reference Oh TY, Ahn GJ, Choi SM, Ahn BO, Kim WB (2005) Increased susceptibility of ethanol-treated gastric mucosa to naproxen and its inhibition by DA-9601, an Artemisia asiatica extract. World J Gastroenterol 11:7450–7456PubMed Oh TY, Ahn GJ, Choi SM, Ahn BO, Kim WB (2005) Increased susceptibility of ethanol-treated gastric mucosa to naproxen and its inhibition by DA-9601, an Artemisia asiatica extract. World J Gastroenterol 11:7450–7456PubMed
18.
go back to reference Davies NM, Sharkey KA, Asfaha S, Macnaughton WK, Wallace JL (1997) Aspirin causes rapid up-regulation of cyclo-oxygenase-2 expression in the stomach of rats. Aliment Pharmacol Ther 11:1101–1108PubMedCrossRef Davies NM, Sharkey KA, Asfaha S, Macnaughton WK, Wallace JL (1997) Aspirin causes rapid up-regulation of cyclo-oxygenase-2 expression in the stomach of rats. Aliment Pharmacol Ther 11:1101–1108PubMedCrossRef
19.
go back to reference Takeeda M, Hayashi Y, Yamato M, Murakami M, Takeuchi K (2004) Roles of endogenous prostaglandins and cyclooxygenase izoenzymes in mucosal defense of inflamed rat stomach. J Physiol Pharmacol 55:193–205PubMed Takeeda M, Hayashi Y, Yamato M, Murakami M, Takeuchi K (2004) Roles of endogenous prostaglandins and cyclooxygenase izoenzymes in mucosal defense of inflamed rat stomach. J Physiol Pharmacol 55:193–205PubMed
20.
go back to reference Tomisato W, Tanaka K, Tsutsumi S, Hoshino T, Yokomizo K, Suzuki K, Katsu T, Mizushima T, Mizushima T (2005) Low direct cytotoxicity and cytoprotective effects of nitric oxide releasing indomethacin. Dig Dis Sci 50:1927–1937PubMedCrossRef Tomisato W, Tanaka K, Tsutsumi S, Hoshino T, Yokomizo K, Suzuki K, Katsu T, Mizushima T, Mizushima T (2005) Low direct cytotoxicity and cytoprotective effects of nitric oxide releasing indomethacin. Dig Dis Sci 50:1927–1937PubMedCrossRef
21.
go back to reference Seibert K, Zhang Y, Leahy K, Hauser S, Masferrer J, Perkins W, Lee L, Isakson P (1994) Pharmacological and biochemical demonstration of the role of cyclooxygenase 2 in inflammation and pain. Proc Natl Acad Sci USA 91:12013–12017PubMedCrossRef Seibert K, Zhang Y, Leahy K, Hauser S, Masferrer J, Perkins W, Lee L, Isakson P (1994) Pharmacological and biochemical demonstration of the role of cyclooxygenase 2 in inflammation and pain. Proc Natl Acad Sci USA 91:12013–12017PubMedCrossRef
22.
go back to reference Tomisato W, Tsutsumi S, Rokutan K, Tsuchiya T, Mizushima T (2001) NSAIDs induce both necrosis and apoptosis in guinea pig gastric mucosal cells in primary culture. Am J Physiol Gastrointest Liver Physiol 281:G1092–G1100PubMed Tomisato W, Tsutsumi S, Rokutan K, Tsuchiya T, Mizushima T (2001) NSAIDs induce both necrosis and apoptosis in guinea pig gastric mucosal cells in primary culture. Am J Physiol Gastrointest Liver Physiol 281:G1092–G1100PubMed
23.
go back to reference Suleyman H, Altinkaynak K, Gocer F, Maras A, Akcay F, Onuk MD, Gepdiremen A (2002) Effect of nimesulide on the indomethacin- and ibuprofen-induced ulcer in rat gastric tissue. Pol J Pharmacol 54:255–259PubMed Suleyman H, Altinkaynak K, Gocer F, Maras A, Akcay F, Onuk MD, Gepdiremen A (2002) Effect of nimesulide on the indomethacin- and ibuprofen-induced ulcer in rat gastric tissue. Pol J Pharmacol 54:255–259PubMed
24.
go back to reference Suleyman H, Akcay F, Altinkaynak K (2002) The effect of nimesulide on the indomethacin- and ethanol-induced gastric ulcer in rats. Pharmacol Res 45:155–158PubMedCrossRef Suleyman H, Akcay F, Altinkaynak K (2002) The effect of nimesulide on the indomethacin- and ethanol-induced gastric ulcer in rats. Pharmacol Res 45:155–158PubMedCrossRef
25.
go back to reference Ogino K, Hatanaka K, Kawamura M, Ohno T, Harada Y (2000) Meloxicam inhibits prostaglandin E(2) generation via cyclooxygenase 2 in the inflammatory site but not that via cyclooxygenase 1 in the stomach. Pharmacology 61:244–250PubMedCrossRef Ogino K, Hatanaka K, Kawamura M, Ohno T, Harada Y (2000) Meloxicam inhibits prostaglandin E(2) generation via cyclooxygenase 2 in the inflammatory site but not that via cyclooxygenase 1 in the stomach. Pharmacology 61:244–250PubMedCrossRef
26.
go back to reference Patrignani P, Panara MR, Sciulli MG, Santini G, Renda G, Patrono C (1997) Differential inhibition of human prostaglandin endoperoxide synthase-1 and -2 by nonsteroidal anti-inflammatory drugs. J Physiol Pharmacol 48:623–631PubMed Patrignani P, Panara MR, Sciulli MG, Santini G, Renda G, Patrono C (1997) Differential inhibition of human prostaglandin endoperoxide synthase-1 and -2 by nonsteroidal anti-inflammatory drugs. J Physiol Pharmacol 48:623–631PubMed
27.
go back to reference Harada Y, Kawamura M, Hatanaka K, Saito M, Ogino M, Ohno T, Ogino K, Yang Q (1998) Differing profiles of prostaglandin formation inhibition between selective prostaglandin H synthase-2 inhibitors and conventional NSAIDs in inflammatory and non-inflammatory sites of the rat. Prostaglandins Other Lipid Mediat 55:345–358PubMed Harada Y, Kawamura M, Hatanaka K, Saito M, Ogino M, Ohno T, Ogino K, Yang Q (1998) Differing profiles of prostaglandin formation inhibition between selective prostaglandin H synthase-2 inhibitors and conventional NSAIDs in inflammatory and non-inflammatory sites of the rat. Prostaglandins Other Lipid Mediat 55:345–358PubMed
28.
go back to reference Hirata T, Ukawa H, Yamakuni H, Kato S, Takeuchi K (1997) Cyclooxygenase isozymes in mucosal ulcergenic and functional responses following barrier disruption in rat stomachs. Br J Pharmacol 122:447–454PubMedCrossRef Hirata T, Ukawa H, Yamakuni H, Kato S, Takeuchi K (1997) Cyclooxygenase isozymes in mucosal ulcergenic and functional responses following barrier disruption in rat stomachs. Br J Pharmacol 122:447–454PubMedCrossRef
29.
go back to reference Laudanno OM, Cesolari JA, Esnarriaga J, San Miguel P, Bedini OA (2000) In vivo selectivity of nonsteroidal antiinflammatory drugs and gastrointestinal ulcers in rats. Dig Dis Sci 45:1359–1365PubMedCrossRef Laudanno OM, Cesolari JA, Esnarriaga J, San Miguel P, Bedini OA (2000) In vivo selectivity of nonsteroidal antiinflammatory drugs and gastrointestinal ulcers in rats. Dig Dis Sci 45:1359–1365PubMedCrossRef
30.
go back to reference Reichstein BJ, Okamoto C, Forte JG (1986) Effect of ethanol on acid secretion by isolated gastric glands from rabbit. Gastroenterology 91:439–447PubMed Reichstein BJ, Okamoto C, Forte JG (1986) Effect of ethanol on acid secretion by isolated gastric glands from rabbit. Gastroenterology 91:439–447PubMed
31.
go back to reference Singer MV, Leffmann C, Eysselein VE, Calden H, Goebell H (1987) Action of ethanol and some alcoholic beverages on gastric acid secretion and release of gastrin in humans. Gastroenterology 93:1247–1254PubMed Singer MV, Leffmann C, Eysselein VE, Calden H, Goebell H (1987) Action of ethanol and some alcoholic beverages on gastric acid secretion and release of gastrin in humans. Gastroenterology 93:1247–1254PubMed
32.
go back to reference Ko JK, Cho CH, Lam SK (2004) Adaptive cytoprotection through modulation of nitric oxide in ethanol-evoked gastritis. World J Gastroenterol 10:2503–2508PubMed Ko JK, Cho CH, Lam SK (2004) Adaptive cytoprotection through modulation of nitric oxide in ethanol-evoked gastritis. World J Gastroenterol 10:2503–2508PubMed
33.
go back to reference West SD, Helmer KS, Chang LK, Cui Y, Greeley GH, Mercer DW (2003) Cholecystokinin secretagogue-induced gastroprotection: role of nitric oxide and blood flow. Am J Physiol Gastrointest Liver Physiol 284:G399–410PubMed West SD, Helmer KS, Chang LK, Cui Y, Greeley GH, Mercer DW (2003) Cholecystokinin secretagogue-induced gastroprotection: role of nitric oxide and blood flow. Am J Physiol Gastrointest Liver Physiol 284:G399–410PubMed
Metadata
Title
Effect of Different Cyclooxygenase Inhibitors on Gastric Adaptive Cytoprotection Induced by 20% Ethanol
Authors
Alessandra Gambero
Marta Maróstica
Tagliane Liza Becker
José Pedrazzoli Jr.
Publication date
01-02-2007
Published in
Digestive Diseases and Sciences / Issue 2/2007
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-006-9487-4

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