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. 1973 Mar;229(2):349–360. doi: 10.1113/jphysiol.1973.sp010142

Prostaglandin E2 and gastric acid secretion in man

A Bennett, I F Stamford, W G Unger
PMCID: PMC1350311  PMID: 4198992

Abstract

1. Extracts of human stomach homogenized in Krebs solution had more PGE2-like activity than tissue homogenized in acid/ethanol or in the presence of indomethacin, indicating that the tissue can synthesize PGE2.

2. The distribution and synthesis of PGE2-like substance in human stomach was determined by extracting frozen sections cut parallel to the mucosal surface. Peak levels usually occurred at a depth of 0-600 μm in the mucosa.

3. Small amounts of a PGE2-like substance were present in basal gastric juice, and its concentration was usually even lower in secretion stimulated by pentagastrin or histamine.

4. Submaximal acid secretion produced by I.V. infusion of pentagastrin generally fell slightly when indomethacin was administered rectally to inhibit PG synthesis.

5. These experiments, together with the findings that orally administered PGE compounds do not inhibit human gastric acid secretion, seem to argue against a possible inhibitory role for PGE2 in gastric acid secretion in man.

6. If this is so, it would follow that gastric bleeding caused by aspirin-like drugs is not due to increased acid secretion. A hypothesis is presented that tissue damage following vasoconstriction and ischaemia, due to inhibition of PG synthesis in blood vessels, contributes to the bleeding.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BATESON P. R. A comparative in vitro evaluation of a new bismuth salt bismuth aluminate. J Pharm Pharmacol. 1958 Feb;10(2):123–131. doi: 10.1111/j.2042-7158.1958.tb10281.x. [DOI] [PubMed] [Google Scholar]
  2. Bennett A., Friedmann C. A., Vane J. R. Release of prostaglandin E-1 from the rat stomach. Nature. 1967 Dec 2;216(5118):873–876. doi: 10.1038/216873a0. [DOI] [PubMed] [Google Scholar]
  3. Bennett A., Murray J. G., Wyllie J. H. Occurrence of prostaglandin E2 in the human stomach, and a study of its effects on human isolated gastric muscle. Br J Pharmacol Chemother. 1968 Feb;32(2):339–349. [PubMed] [Google Scholar]
  4. Bennett A., Posner J. Studies on prostaglandin antagonists. Br J Pharmacol. 1971 Aug;42(4):584–594. doi: 10.1111/j.1476-5381.1971.tb07142.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Classen M., Koch H., Deyhle P., Weidenhiller S., Demling L. Wirkung von Prostaglandin E 1 auf die basale Magensekretion des Menschen. Klin Wochenschr. 1970 Jul 15;48(14):876–878. doi: 10.1007/BF01583910. [DOI] [PubMed] [Google Scholar]
  6. DAVENPORT H. W. DAMAGE TO THE GASTRIC MUCOSA: EFFECTS OF SALICYLATES AND STIMULATION. Gastroenterology. 1965 Aug;49:189–196. [PubMed] [Google Scholar]
  7. Eckenfels A., Vane J. R. Prostaglandins, oxygen tension and smooth muscle tone. Br J Pharmacol. 1972 Jul;45(3):451–462. doi: 10.1111/j.1476-5381.1972.tb08101.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ferreira S. H., Herman A., Vane J. R. Proceedings: Prostaglandin generation maintains the smooth muscle tone of the rabbit isolated jejunum. Br J Pharmacol. 1972 Feb;44(2):328P–329P. [PMC free article] [PubMed] [Google Scholar]
  9. GREEN K., SAMUELSSON B. PROSTAGLANDINS AND RELATED FACTORS: XIX. THIN-LAYER CHROMATOGRAPHY OF PROSTAGLANDINS. J Lipid Res. 1964 Jan;5:117–120. [PubMed] [Google Scholar]
  10. HOLT L. P., HAWKINS C. F. INDOMETHACIN: STUDIES OF ABSORPTION AND OF THE USE OF INDOMETHACIN SUPPOSITORIES. Br Med J. 1965 May 22;1(5446):1354–1356. doi: 10.1136/bmj.1.5446.1354. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Horton E. W., Main I. H., Thompson C. J., Wright P. M. Effect of orally administered prostaglandin E1 on gastric secretion and gastrointestinal motility in man. Gut. 1968 Dec;9(6):655–658. doi: 10.1136/gut.9.6.655. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
  13. McGiff J. C., Crowshaw K., Terragno N. A., Lonigro A. J., Strand J. C., Williaon M. A., Lee J. B., Ng K. K. Prostaglandin-like substances appearing in canine renal venous blood during renal ischemia. Their patial characterization by pharmacologic and chromatographic procedures. Circ Res. 1970 Nov;27(5):765–782. doi: 10.1161/01.res.27.5.765. [DOI] [PubMed] [Google Scholar]
  14. Posner J. The action of prostaglandins on the bovine sphincter pupillae. J Physiol. 1971;217 (Suppl):25P–26P. [PubMed] [Google Scholar]
  15. Ramwell P. W., Shaw J. E. Prostaglandin inhibition of gastric secretion. J Physiol. 1968 Mar;195(2):34P–36P. [PubMed] [Google Scholar]
  16. SICUTERI F., MICHELACCI S., ANSELMI B. TERMINATION OF MIGRAINE HEADACHE BY A NEW ANTI-INFLAMMATORY VASOCONSTRICTOR AGENT. Clin Pharmacol Ther. 1965 May-Jun;6:336–344. doi: 10.1002/cpt196563336. [DOI] [PubMed] [Google Scholar]
  17. Unger W. G., Stamford I. F., Bennett A. Extraction of prostaglandins from human blood. Nature. 1971 Oct 1;233(5318):336–337. doi: 10.1038/233336b0. [DOI] [PubMed] [Google Scholar]
  18. VANE J. R. A sensitive method for the assay of 5-hydroxytryptamine. Br J Pharmacol Chemother. 1957 Sep;12(3):344–349. doi: 10.1111/j.1476-5381.1957.tb00146.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Vane J. R. Inhibition of prostaglandin synthesis as a mechanism of action for aspirin-like drugs. Nat New Biol. 1971 Jun 23;231(25):232–235. doi: 10.1038/newbio231232a0. [DOI] [PubMed] [Google Scholar]
  20. Wada T., Ishizawa M. [Effects of prostaglandin on the function of the gastric secretion]. Nihon Rinsho. 1970 Oct;28(10):2465–2468. [PubMed] [Google Scholar]
  21. Way L., Durbin R. P. Inhibition of gastric acid secretion in vitro by prostaglandin E1. Nature. 1969 Mar 1;221(5183):874–875. doi: 10.1038/221874a0. [DOI] [PubMed] [Google Scholar]
  22. Winship D. H., Bernhard G. C. Basal and histamine-stimulated human gastric acid secretion. Lack of effect of indomethacin in therapeutic doses. Gastroenterology. 1970 Jun;58(6):762–765. [PubMed] [Google Scholar]

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