Abstract
Intraperitoneal administration of methotrexate in a single dose of 40 mg/kg induces fluid accumulation in the small intestine of rats, significantly increasing jejunal PGE2 formation and simultaneously the amounts of PGE2 in the intestinal contents in vivo. Concomitantly, jejunal PGD2 and 6-keto-PGF1α generation and the amounts of these prostaglandins in the intestinal contents were significantly lowered. However, PGD2 and 6-keto-PGFα jejunal release, and the amounts of these prostaglandins found in the intestinal contents, were already low after a subletal dose (4 mg/kg) of methotrexate, whereas the jejunal release as well as the amounts in the intestinal contents of PGE2 were not altered. Fluid accumulation, the amounts of prostaglandins in the intestinal contents and jejunal release of prostaglandins are siginificantly inhibited by indomethacin. The increased jejunal synthesis of PGE2, with its enteropooling effect, may play a significant role in methotrexate-induced diarrhea in rats.
Key words: Methotrexate, diarrhea, Small intestine, Prostaglandin, rat
Abbreviation
- PGE2, PGD2, PGI2
prostaglandins E2, D2, I2
References
- Blakely RL (1969) The biochemistry of folic acid and related pteridine. Wiley, New York [Google Scholar]
- Burchenal JH, Karnofsky DA, Kingsley-Pillers EM, Southam CM, Laird-Myers WP, Escher GC, Craver LF, Dargeon NW, Rhoads CP (1951) The effect of the folic acid antagonists and 2,6-diaminopurine on neuroplastic diseases with special reference to leukemia. Cancer 4:549–569 [DOI] [PubMed] [Google Scholar]
- Condit PT (1960) Studies on the folic acid vitamins. II. The acute toxicity of amethopterin in man. Cancer 13:222–228 [DOI] [PubMed] [Google Scholar]
- Farber S, Diamond LK, Mercer RD, Silvester RF, Wolf JA (1948) Temporary remission in acute leukemia in children produced by folic acid antagonist 4-amino-pteroyl glutamine acid (aminopterin). N Engl J Med 238:787–793 [DOI] [PubMed] [Google Scholar]
- Ferguson FC, Thiersch JB, Philips FS (1950) The action of 4-amino-N-methyl-pteroyl glutamic acid in mice, rats and dogs. J. Pharmacol 98:293–299 [PubMed] [Google Scholar]
- Jaffe BM, Behrman HR, Parker CW (1973) Radioimmunoassay measurement of prostaglandin E, A and F in human plasma. J Clin Invest 52:398–405 [DOI] [PMC free article] [PubMed] [Google Scholar]
-
Knapp HR, Oelz O, Sweetman BJ, Oates JA (1978) Synthesis and metabolism of prostaglandin E2,
, and D2 by the rat gastrointestinal tract. Stimulation by a hypertonic environment in vitro. Prostaglandins 15:751–757
[DOI] [PubMed] [Google Scholar] - Li M, Hertz R, Spencer DB (1956) Effects of methotrexate therapy upon chorion-carcinoma and chorion-adenoma. Proc Soc Exp Biol Med 93:361–366 [DOI] [PubMed] [Google Scholar]
- Peskar BM, Weiler H, Kröner EE (1982a) Freisetzung von Prostaglandinen durch Jejunum von Mensch und Ratte von bakteriellem Endotoxin. Verh Dt Ges Inn Med 88:597–603 [Google Scholar]
- Peskar BM, Weiler H, Peskar BM (1982b) Effect of BW 755C on prostaglandin synthesis in the rat stomach. Biochem Pharmacol 31:1652–1653 [DOI] [PubMed] [Google Scholar]
- Philips FS, Thiersch JB (1949) Studies of the action of 4-amino-petroyl glutamic acid in rats and mice. J Pharm 95:303–311 [PubMed] [Google Scholar]
- Robert A, Nezamis JE, Lancaster C, Hanchar AJ, Klepper MS (1976) Enteropooling assay. A test for diarrhea produced by prostaglandins. Prostaglandins 11:809–828 [DOI] [PubMed] [Google Scholar]
- Robert A, Hanchar AJ, Lancaster C, Nezamis JE (1979) Prostaglandin inhibits enteropooling and diarrhea. In: Vane JR, Bergström S (eds) Prostacyclin. Raven Press, New York, pp 147–158 [Google Scholar]
- Robert A (1981) Cytoprotection and enteropooling by prostaglandins. In: Beri F, Velo GP (eds) The prostaglandin system. Plenum Press, New York, pp 393–400 [Google Scholar]
- Robinson JWL, Antonioli JA, Vannotti A (1966) The effect of oral methotrexate on the rat intestine. Biochem Pharmacol 15:1479–1489 [DOI] [PubMed] [Google Scholar]
- Schoenbach EB, Colsky J, Greenspan EM (1952) Observation of the effects of the folic acid antagonists aminopterin and amethopterin in patients with advanced neoplasms. Cancer 5:1201–1220 [DOI] [PubMed] [Google Scholar]
- Van Scott EJ, Shaw RK, Crounse RG, Condit PT (1960) Effects of methotrexate on basal-cell carcinomas. American Medical Association Archives of Dermatology 82:762–771 [DOI] [PubMed] [Google Scholar]
- Werkheiser WC (1963) The biochemical, cellular, and pharmacological action and effects of the folic acid antagonists. Cancer Res 23:1277–1285 [PubMed] [Google Scholar]
