Abstract
1. The effect of the intravenous administration of lipopolysaccharide from Salmonella typhosa endotoxin on arterial blood pressure (BP), gastric mucosal blood flow (GMBF) and gastric damage was studied in anaesthetized rats. The effect of the inhibition of endogenous prostaglandin generation by indomethacin on these parameters was also investigated in this model of endotoxin shock. 2. A similar and dose-dependent percentage of reduction in BP and GMBF was observed 5 min after a bolus injection of 20 or 30 mg kg-1 endotoxin. A transient recovery in GMBF at 15 min was observed followed by a second fall at 30 min, at a time when BP was slowly increasing. 3. Pretreatment with indomethacin (5 mg kg-1, s.c.) one hour before the administration of 30 mg kg-1 endotoxin, significantly augmented the reduction in GMBF without affecting the reduction in BP. 4. The gastric damage, assessed histologically, was similar and confined to the superficial mucosa 30 min after the administration of 20 or 30 mg kg-1 endotoxin. The histologically-assessed damage was significantly greater in indomethacin pretreated rats injected with 30 mg kg-1 endotoxin. 5. These findings suggest that endogenous prostaglandin generation plays a protective role in endotoxin-induced gastric mucosal microcirculatory disturbances and mucosal damage.
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- Anderson F. L., Jubiz W., Tsagaris T. J., Kuida H. Endotoxin-induced prostaglandin E and F release in dogs. Am J Physiol. 1975 Feb;228(2):410–414. doi: 10.1152/ajplegacy.1975.228.2.410. [DOI] [PubMed] [Google Scholar]
- Cheung L. Y., Reese R. S., Moody F. G. Direct effect of endotoxin on the gastric mucosal microcirculation and electrical gradient. Surgery. 1976 May;79(5):564–568. [PubMed] [Google Scholar]
- Cheung L. Y., Sonnenschein L. A. Measurement of regional gastric mucosal blood flow by hydrogen gas clearance. Am J Surg. 1984 Jan;147(1):32–37. doi: 10.1016/0002-9610(84)90030-8. [DOI] [PubMed] [Google Scholar]
- Cheung L. Y., Stephenson L. W., Moody F. G., Torma M. J., Zalewsky C. Direct effects of endotoxin on canine gastric mucosal permeability and morphology. J Surg Res. 1975 Apr;18(4):417–425. doi: 10.1016/0022-4804(75)90103-1. [DOI] [PubMed] [Google Scholar]
- Cook J. A., Wise W. C., Halushka P. V. Elevated thromboxane levels in the rat during endotoxic shock: protective effects of imidazole, 13-azaprostanoic acid, or essential fatty acid deficiency. J Clin Invest. 1980 Jan;65(1):227–230. doi: 10.1172/JCI109655. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Demling R. H., Smith M., Gunther R., Gee M., Flynn J. The effect of prostacyclin infusion on endotoxin-induced lung injury. Surgery. 1981 Feb;89(2):257–263. [PubMed] [Google Scholar]
- Fletcher J. R., Ramwell P. W. Indomethacin treatment following baboon endotoxin shock improves survival. Adv Shock Res. 1980;4:103–111. [PubMed] [Google Scholar]
- Fletcher J. R., Ramwell P. W. Prostaglandins in shock: to give or to block? Adv Shock Res. 1980;3:57–66. [PubMed] [Google Scholar]
- Genter B., Stone A. M., Stein T. A., Wise L. Gastric mucosal blood flow and Escherichia coli bacteremia. Am J Surg. 1983 Mar;145(3):364–368. doi: 10.1016/0002-9610(83)90201-5. [DOI] [PubMed] [Google Scholar]
- Guth P. H., Moler T. L. The role of endogenous prostanoids in the response of the rat gastric microcirculation to vasoactive agents. Microvasc Res. 1982 May;23(3):336–346. doi: 10.1016/s0026-2862(82)80006-x. [DOI] [PubMed] [Google Scholar]
- Guth P. H., Rosenberg A. In vivo microscopy of the gastric microcirculation. Am J Dig Dis. 1972 May;17(5):391–398. doi: 10.1007/BF02231290. [DOI] [PubMed] [Google Scholar]
- Itoh M., Paulsen G., Guth P. H. Hemorrhagic shock and acid gastric injury in the rat. Comparison of gross and histologic findings. Gastroenterology. 1986 May;90(5 Pt 1):1103–1110. doi: 10.1016/0016-5085(86)90374-4. [DOI] [PubMed] [Google Scholar]
- Lacy E. R., Ito S. Microscopic analysis of ethanol damage to rat gastric mucosa after treatment with a prostaglandin. Gastroenterology. 1982 Sep;83(3):619–625. [PubMed] [Google Scholar]
- Leung F. W., Guth P. H., Scremin O. U., Golanska E. M., Kauffman G. L., Jr Regional gastric mucosal blood flow measurements by hydrogen gas clearance in the anesthetized rat and rabbit. Gastroenterology. 1984 Jul;87(1):28–36. [PubMed] [Google Scholar]
- Leung F. W., Itoh M., Hirabayashi K., Guth P. H. Role of blood flow in gastric and duodenal mucosal injury in the rat. Gastroenterology. 1985 Jan;88(1 Pt 2):281–289. doi: 10.1016/s0016-5085(85)80181-5. [DOI] [PubMed] [Google Scholar]
- Nilsson L. O., Stone A. M., Stein T. A., Wise L. Indomethacin and the gastric mucosal blood flow changes of sepsis. Ann Surg. 1983 Nov;198(5):592–595. doi: 10.1097/00000658-198311000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosam A. C., Wallace J. L., Whittle B. J. Potent ulcerogenic actions of platelet-activating factor on the stomach. Nature. 1986 Jan 2;319(6048):54–56. doi: 10.1038/319054a0. [DOI] [PubMed] [Google Scholar]
- Silen W., Merhav A., Simson J. N. The pathophysiology of stress ulcer disease. World J Surg. 1981 Mar;5(2):165–174. doi: 10.1007/BF01658279. [DOI] [PubMed] [Google Scholar]
- Starlinger M., Jakesz R., Matthews J. B., Yoon C., Schiessel R. The relative importance of HCO3- and blood flow in the protection of rat gastric mucosa during shock. Gastroenterology. 1981 Oct;81(4):732–735. [PubMed] [Google Scholar]
- Wallace J. L., Whittle B. J. Prevention of endotoxin-induced gastrointestinal damage by CV-3988, an antagonist of platelet-activating factor. Eur J Pharmacol. 1986 May 13;124(1-2):209–210. doi: 10.1016/0014-2999(86)90148-2. [DOI] [PubMed] [Google Scholar]
- Whittle B. J., Boughton-Smith N. K., Hutcheson I. R., Esplugues J. V., Wallace J. L. Increased intestinal formation of Paf in endotoxin-induced damage in the rat. Br J Pharmacol. 1987 Sep;92(1):3–4. doi: 10.1111/j.1476-5381.1987.tb11287.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whittle B. J., Morishita T., Ohya Y., Leung F. W., Guth P. H. Microvascular actions of platelet-activating factor on rat gastric mucosa and submucosa. Am J Physiol. 1986 Dec;251(6 Pt 1):G772–G778. doi: 10.1152/ajpgi.1986.251.6.G772. [DOI] [PubMed] [Google Scholar]