Abstract
To investigate the relation of the serum group I pepsinogen (PG I) concentration to the location of gastric ulcers and chronicity of peptic ulcers, ulcer patients (n = 322) were compared with endoscopically normal subjects (n = 174). The mean PG I concentration was significantly higher in male control subjects (n = 90) than in female control subjects (n = 84). In male patients with ulcers in the duodenum (n = 69), antrum (n = 34), or angulus portion (the lower third of the body; n = 83), the mean serum PG I concentration was significantly higher than in the control subjects but in patients with an ulcer in the upper body (n = 49) it was similar to control values. Men with active or healing ulcers (n = 149) showed a significantly higher serum PG I concentration than those with scarred lesions (n = 86) when the abnormality was located in either the upper body or in the angulus portion. For female patients (n = 87), the results were similar. These results suggest that serum PG I concentrations reflect the stages of activity of peptic ulcer.
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- Battaglia G., Farini R., Di Mario F., Piccoli A., Plebani M., Vianello F., Burlina A., Naccarato R. Recurrence of duodenal ulcer under continuous antisecretory treatment: an approach to the detection of predictive markers. Am J Gastroenterol. 1984 Nov;79(11):831–834. [PubMed] [Google Scholar]
- Feldman M., Blair A. J., 3rd, Richardson C. T., Samloff I. M. Effect of proximal gastric vagotomy on serum pepsinogen I and II concentrations and acid secretion in duodenal ulcer patients. Dig Dis Sci. 1988 Jul;33(7):824–827. doi: 10.1007/BF01550970. [DOI] [PubMed] [Google Scholar]
- Feldman M., Richardson C. T., Lam S. K., Samloff I. M. Comparison of gastric acid secretion rates and serum pepsinogen I and II concentrations in Occidental and Oriental duodenal ulcer patients. Gastroenterology. 1988 Sep;95(3):630–635. doi: 10.1016/s0016-5085(88)80008-8. [DOI] [PubMed] [Google Scholar]
- Habibullah C. M., Mujahid Ali M., Ishaq M., Prasad R., Pratap B., Saleem Y. Study of duodenal ulcer disease in 100 families using total serum pepsinogen as a genetic marker. Gut. 1984 Dec;25(12):1380–1383. doi: 10.1136/gut.25.12.1380. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Haukland H. H., Waldum H. L., Johnson J. A. Effect of proximal gastric vagotomy on insulin- induced gastric H+ and pepsin secretion and serum group I pepsinogens. Scand J Gastroenterol. 1982 Jun;17(4):555–559. doi: 10.3109/00365528209182249. [DOI] [PubMed] [Google Scholar]
- Johnson H. D. Gastric ulcer: classification, blood group characteristics, secretion patterns and pathogenesis. Ann Surg. 1965 Dec;162(6):996–1004. doi: 10.1097/00000658-196512000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kimura K. Chronological transition of the fundic-pyloric border determined by stepwise biopsy of the lesser and greater curvatures of the stomach. Gastroenterology. 1972 Oct;63(4):584–592. [PubMed] [Google Scholar]
- Lalla M., Paimela H., Räsänen V. Serum group I pepsinogens in unoperated duodenal ulcer patients and in duodenal ulcer patients after proximal gastric vagotomy. Scand J Gastroenterol. 1983 May;18(3):397–399. doi: 10.3109/00365528309181613. [DOI] [PubMed] [Google Scholar]
- MIRSKY A., FUTTERMAN P., KAPLAN S. Blood plasma pepsinogen. II. The activity of the plasma from normal subjects, patients with duodenal ulcer, and patients with pernicious anemia. J Lab Clin Med. 1952 Aug;40(2):188–199. [PubMed] [Google Scholar]
- Miyake T., Suzaki T., Oishi M. Correlation of gastric ulcer healing features by endoscopy, stereoscopic microscopy, and histology, and a reclassification of the epithelial regenerative process. Dig Dis Sci. 1980 Jan;25(1):8–14. doi: 10.1007/BF01312726. [DOI] [PubMed] [Google Scholar]
- Nakanome C., Yamazaki H., Tanno N., Sasaki M., Sato W., Hanada M., Moriai N., Komatsu K. Serum group I pepsinogen (PG I) levels and their changes in the healing process of the ulcer in patients with and without unoperated recurrent ulcer. Tohoku J Exp Med. 1984 Jun;143(2):239–248. doi: 10.1620/tjem.143.239. [DOI] [PubMed] [Google Scholar]
- OI M., OSHIDA K., SUGIMURA S. The location of gastric ulcer. Gastroenterology. 1959 Jan;36(1):45–56. [PubMed] [Google Scholar]
- Oi M., Ito Y., Kumagai F., Yoshida K., Tanaka Y., Yoshikawa K., Miho O., Kijima M. A possible dual control mechanism in the origin of peptic ulcer. A study on ulcer location as affected by mucosa and musculature. Gastroenterology. 1969 Sep;57(3):280–293. [PubMed] [Google Scholar]
- Paimela H., Lalla M., Räsänen V. Serum group I pepsinogens after consecutive stimulations with insulin and pentagastrin in unoperated duodenal ulcer patients and in duodenal ulcer patients after proximal gastric vagotomy. Scand J Gastroenterol. 1984 Jan;19(1):52–55. [PubMed] [Google Scholar]
- Peyre S., Di Napoli A., Pelissero A., Sategna-Guidetti C. Diagnostic usefulness of serum group I pepsinogen determination. Gastroenterol Clin Biol. 1983 Oct;7(10):793–798. [PubMed] [Google Scholar]
- Plebani M., Di Mario F., Vianello F., Farini R., Piccoli A., Lazzaretto L., Perobelli L., Naccarato R., Burlina A. Actual role of pepsinogen group I in the study of upper gastrointestinal diseases. Clin Biochem. 1983 Oct;16(5):310–312. doi: 10.1016/s0009-9120(83)94151-6. [DOI] [PubMed] [Google Scholar]
- Rhodes J. Etiology of gastric ulcer. Gastroenterology. 1972 Jul;63(1):171–182. [PubMed] [Google Scholar]
- Rotter J. I., Petersen G., Samloff I. M., McConnell R. B., Ellis A., Spence M. A., Rimoin D. L. Genetic heterogeneity of hyperpepsinogenemic I and normopepsinogenemic I duodenal ulcer disease. Ann Intern Med. 1979 Sep;91(3):372–377. doi: 10.7326/0003-4819-91-3-372. [DOI] [PubMed] [Google Scholar]
- Rotter J. I., Sones J. Q., Samloff I. M., Richardson C. T., Gursky J. M., Walsh J. H., Rimoin D. L. Duodenal-ulcer disease associated with elevated serum pepsinogen I: an inherited autosomal dominant disorder. N Engl J Med. 1979 Jan 11;300(2):63–66. doi: 10.1056/NEJM197901113000203. [DOI] [PubMed] [Google Scholar]
- Samloff I. M. Cellular localization of group I pepsinogens in human gastric mucosa by immunofluorescence. Gastroenterology. 1971 Aug;61(2):185–188. [PubMed] [Google Scholar]
- Samloff I. M., Liebman W. M., Panitch N. M. Serum group I pepsinogens by radioimmunoassay in control subjects and patients with peptic ulcer. Gastroenterology. 1975 Jul;69(1):83–90. [PubMed] [Google Scholar]
- Samloff I. M. Pepsinogens I and II: purification from gastric mucosa and radioimmunoassay in serum. Gastroenterology. 1982 Jan;82(1):26–33. [PubMed] [Google Scholar]
- Samloff I. M., Secrist D. M., Passaro E., Jr A study of the relationship between serum group I pepsinogen levels and gastric acid secretion. Gastroenterology. 1975 Dec;69(6):1196–1200. [PubMed] [Google Scholar]
- Samloff I. M., Stemmermann G. N., Heilbrun L. K., Nomura A. Elevated serum pepsinogen I and II levels differ as risk factors for duodenal ulcer and gastric ulcer. Gastroenterology. 1986 Mar;90(3):570–576. doi: 10.1016/0016-5085(86)91110-8. [DOI] [PubMed] [Google Scholar]
- Samloff I. M., Stemmermann G. N., Heilbrun L. K., Nomura A. Elevated serum pepsinogen I and II levels differ as risk factors for duodenal ulcer and gastric ulcer. Gastroenterology. 1986 Mar;90(3):570–576. doi: 10.1016/0016-5085(86)91110-8. [DOI] [PubMed] [Google Scholar]
- Sutton D. R., Donaldson M., Jr Synthesis and secretion of protein and pepsinogen by rabbit gastric mucosa in organ culture. Gastroenterology. 1975 Jul;69(1):166–174. [PubMed] [Google Scholar]
- Tatsuta M., Okuda S. Gastric ulcers in the fundic gland area. Gastroenterology. 1976 Jul;71(1):16–18. [PubMed] [Google Scholar]
- Taylor I. L., Calam J., Rotter J. I., Vaillant C., Samloff I. M., Cook A., Simkin E., Dockray G. J. Family studies of hypergastrinemic, hyperpepsinogenemic I duodenal ulcer. Ann Intern Med. 1981 Oct;95(4):421–425. doi: 10.7326/0003-4819-95-4-421. [DOI] [PubMed] [Google Scholar]
- Varis K., Isokoski M. Screening of type A gastritis. Ann Clin Res. 1981 Jun;13(3):133–138. [PubMed] [Google Scholar]
- Vianello F., Plebani M., Piccoli A., Tessaro P., Di Mario F., Naccarato R., Burlina A. Role of serum pepsinogen in detecting ulcer disease. Clin Chim Acta. 1988 Mar 15;172(2-3):335–339. doi: 10.1016/0009-8981(88)90339-7. [DOI] [PubMed] [Google Scholar]
- Waldum H. L., Burhol P. G., Straume B. K. Serum group I pepsinogens and gastrin in relation to gastric H+ and pepsin outputs before and after subcutaneous injection of pentagastrin. Scand J Gastroenterol. 1978;13(8):943–946. doi: 10.3109/00365527809181373. [DOI] [PubMed] [Google Scholar]
- Waldum H. L., Straume B. K., Burhol P. G. Radioimmunoassay of group I pepsinogens (PGI) and the effect of food on serum PGI. Scand J Gastroenterol. 1979;14(2):241–247. doi: 10.3109/00365527909179877. [DOI] [PubMed] [Google Scholar]
- Wormsley K. G., Grossman M. I. Maximal histalog test in control subjects and patients with peptic ulcer. Gut. 1965 Oct;6(5):427–435. doi: 10.1136/gut.6.5.427. [DOI] [PMC free article] [PubMed] [Google Scholar]