Analysis of Helicobacter pylori and nonsteroidal anti-inflammatory drug-induced gastric epithelial injury
Authors: Igarashi, M.1; Takagi, A.1; Jiang, X.2; Hasumi, K.1; Watanabe, S.1; Deguchi, R.1; Miwa, T.1
Source: Alimentary Pharmacology & Therapeutics, Volume 16, Supplement 2, April 2002 , pp. 235-239(5)
Publisher: Blackwell Publishing
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Abstract:
Background: Helicobacter pylori and nonsteroidal anti-inflammatory drugs (NSAIDs) are important factors in gastric mucosal injury. However, the relationship between H. pylori and NSAID-related gastroduodenal mucosal injury has not been clarified. Aim: To determine the role of H. pylori in NSAID-induced gastric mucosal injury and to examine the effects of H. pylori, indomethacin and sofalcone on gastric epithelial cells in culture, as a useful model to study gastric mucosal injury. In addition, we studied the effect of sofalcone, a gastric mucosal protection agent, on H. pylori and NSAID-induced gastric mucosal injury. Methods: Cytotoxic and noncytotoxic strains of H. pylori were used, each with an inoculum of 107 cfu/mL. The effect on the growth of RGM-1 cells (a rat gastric epithelial cell line) was studied by MTT assay, and levels of prostaglandin E2 in culture supernatants were measured by EIA. Results: Both cytotoxic and noncytotoxic strains of H. pylori tended to induce cell injury in RGM-1 cells at 48 h after inoculation. Indomethacin alone induced gastric epithelial injury in a dose-dependent manner, but did not augment cell injury induced by H. pylori. In addition, sofalcone (10−5 mol/L) showed a suppressive effect on indomethacin-induced gastric epithelial injury. Conclusion: These findings indicate that indomethacin induces gastric mucosal injury regardless of H. pylori infection, and suggests that sofalcone may be a useful drug in the treatment of NSAID-induced mucosal injury.Document Type: Research article
DOI: 10.1046/j.1365-2036.16.s2.6.x
Affiliations: 1: Division of Gastroenterology, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan, 2: Beijing University, Beijing, China
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