Published in:
01-09-2008 | Original Research Article
No Relationship between Plasma Desacyl-Ghrelin Levels and Rabeprazole-Related Delay in Gastric Emptying
Controlled Study in Healthy Volunteers
Authors:
Dr Takatsugu Yamamoto, Masaki Sanaka, Hajime Anjiki, Kengo Hattori, Taro Ishii, Yasushi Kuyama
Published in:
Drugs in R&D
|
Issue 5/2008
Login to get access
Abstract
Background and objective: Recent studies have indicated that rabeprazole, a proton pump inhibitor, delays gastric emptying. However, the mechanism of action remains unclear. We conducted this study to clarify whether desacylghrelin (the inactive form of the endogenous growth hormone secretagogue receptor ghrelin) is involved in rabeprazole-induced changes in gastric motor function.
Methods: Twelve healthy males underwent 13C-acetate breath tests to evaluate gastric emptying of a liquid meal twice after administration of rabeprazole 20 mg/day for 3 days or no medication (control). Gastric emptying was evaluated by two parameters: half-emptying time and time to peak 13CO2 excretion. Plasma desacyl-ghrelin levels were measured in blood samples collected at three time points: immediately pre-test and 1 and 2 hours after ingestion of the test meal.
Results: Rabeprazole significantly delayed gastric emptying of the liquid meal. However, plasma desacyl-ghrelin levels after ingestion of the liquid meal showed little difference before or after rabeprazole administration.
Conclusion: The results indicate that desacyl-ghrelin was not associated with changes in gastric emptying caused by rabeprazole.