Abstract
The effect of lysophosphatidylcholine (lysoPC) on the guinea pig stomach was studied. At concentrations observed in gastric secretions of gastric ulcer patients (1 to 2 mM), lysoPC induced both functional and morphologic changes in the gastric mucosa. Two millimolar lysoPC caused back diffusion of H+ and forward diffusion of Na+, indicating impairment of the gastric mucosal barrier. In the lysoPC-treated stomachs, an increase was observed in 1) the number of mucosal erosions, 2) the intensity of inflammation, and 3) the degree of vascular congestion. Microvascular plugging by platelets, vascular stasis, and polymorphonuclear leukocyte margination were dose-responsive to lysoPC. Pretreatment of animals with aspirin (20 mg/kg) did not alter injury. These results indicate a role of lysoPC reflux in gastric mucosal injury, including mucosal erosions and ulcerations.
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- Bekemeier H., Bakathir H. A., Giessler A. J., Hirschelmann R., Nuhn P. Effect of lysolecithin on blood vessel reactivity and of some ethers and esters of glycerophosphocholine and phosphocholine, respectively, on aggregation of rat platelets. Agents Actions. 1981 Dec;11(6-7):563–565. doi: 10.1007/BF01978741. [DOI] [PubMed] [Google Scholar]
- Besterman E. M., Gillett M. P. Influence of lysolecithin on platelet aggregation initiated by 5-hydroxytryptamine. Nat New Biol. 1973 Feb 14;241(111):223–224. doi: 10.1038/newbio241223a0. [DOI] [PubMed] [Google Scholar]
- Birkett D. H., McColl I. The effect of sodium taurocholate on the permeability of antral and fundic gastric mucosa. J Surg Res. 1976 Mar;20(3):157–161. doi: 10.1016/0022-4804(76)90134-7. [DOI] [PubMed] [Google Scholar]
- Bolin T., Sjödahl R., Sundqvist T., Tagesson C. Passage of molecules through the wall of the gastrointestinal tract. Increased passive permeability in rat ileum after exposure to lysolecithin. Scand J Gastroenterol. 1981;16(7):897–901. doi: 10.3109/00365528109181820. [DOI] [PubMed] [Google Scholar]
- Boyle J. M., Neiderhiser D. H., Dworken H. J. Duodenogastric reflux in patients with gastric ulcer disease. J Lab Clin Med. 1984 Jan;103(1):14–21. [PubMed] [Google Scholar]
- Davenport H. W. Effect of lysolecithin, digitonin, and phospholipase A upon the dog's gastric mucosal barrier. Gastroenterology. 1970 Oct;59(4):505–509. [PubMed] [Google Scholar]
- GRANT R., GROSSMAN M. I., WANG K. J., IVY A. C. The cytolytic action of some gastrointestinal secretions and enzymes on epithelial cells of the gastric and duodenal mucosa. J Cell Physiol. 1951 Feb;37(1):137–161. doi: 10.1002/jcp.1030370109. [DOI] [PubMed] [Google Scholar]
- Geboes K., Rutgeerts P., Broeckaert L., Vantrappen G., Desmet V. Histologic appearances of endoscopic gastric mucosal biopsies 10--20 years after partial gastrectomy. Ann Surg. 1980 Aug;192(2):179–182. doi: 10.1097/00000658-198008000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HANAHAN D. J. The enzymatic degradation of phosphatidyl choline in diethyl ether. J Biol Chem. 1952 Mar;195(1):199–206. [PubMed] [Google Scholar]
- Harmon C. K., Neiderhiser D. H. Lipid metabolism by The gall-bladder. II. The in vitro conversion of lysophosphatidylcholine to phosphatidylcholine. Biochim Biophys Acta. 1978 Aug 25;530(2):217–226. doi: 10.1016/0005-2760(78)90007-3. [DOI] [PubMed] [Google Scholar]
- Himal H. S., Boutros M., Weiser M. The relationship between bile and hydrochloric acid in the pathogenesis of acute gastric erosions. Am J Gastroenterol. 1974 Nov;62(5):405–409. [PubMed] [Google Scholar]
- Johnson A. G., McDermott S. J. Lysolecithin: a factor in the pathogenesis of gastric ulceration? Gut. 1974 Sep;15(9):710–713. doi: 10.1136/gut.15.9.710. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kivilaakso E., Fromm D., Silen W. Effects of lysolecithin on isolated gastric mucosa. Surgery. 1978 Nov;84(5):616–621. [PubMed] [Google Scholar]
- LAWSON H. H. EFFECT OF DUODENAL CONTENTS ON THE GASTRIC MUCOSA UNDER EXPERIMENTAL CONDITIONS. Lancet. 1964 Feb 29;1(7331):469–472. doi: 10.1016/s0140-6736(64)90800-1. [DOI] [PubMed] [Google Scholar]
- Nalbone G., Lairon D., Charbonnier-Augeire M., Vigne J. L., Leonardi J., Chabert C., Hauton J. C., Verger R. Pancreatic phospholipase A2 hydrolysis of phosphatidylcholines in various physicochemical states. Biochim Biophys Acta. 1980 Dec 5;620(3):612–625. doi: 10.1016/0005-2760(80)90153-8. [DOI] [PubMed] [Google Scholar]
- Neiderhiser D. H., Morningstar W. A., Roth H. P. Absorption of lecithin and lysolecithin by the gallbladder. J Lab Clin Med. 1973 Dec;82(6):891–897. [PubMed] [Google Scholar]
- Neiderhiser D. H., Pineda F. M., Hejduk L. J., Roth H. P. Absorption of oleic acid by the guinea pig gallbladder. J Lab Clin Med. 1971 Jun;77(6):985–992. [PubMed] [Google Scholar]
- Neiderhiser D., Thornell E., Björck S., Svanvik J. The effect of lysophosphatidylcholine on gallbladder function in the cat. J Lab Clin Med. 1983 May;101(5):699–707. [PubMed] [Google Scholar]
- Orchard R., Reynolds K., Fox B., Andrews R., Parkins R. A., Johnson A. G. Effect of lysolecithin on gastric mucosal structure and potential difference. Gut. 1977 Jun;18(6):457–461. doi: 10.1136/gut.18.6.457. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rhodes J., Barnardo D. E., Phillips S. F., Rovelstad R. A., Hofmann A. F. Increased reflux of bile into the stomach in patients with gastric ulcer. Gastroenterology. 1969 Sep;57(3):241–252. [PubMed] [Google Scholar]
- Savage A., Jones S. Histological appearances of the gastric mucosa 15--27 years after partial gastrectomy. J Clin Pathol. 1979 Feb;32(2):179–186. doi: 10.1136/jcp.32.2.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weltzien H. U. Cytolytic and membrane-perturbing properties of lysophosphatidylcholine. Biochim Biophys Acta. 1979 Aug 20;559(2-3):259–287. doi: 10.1016/0304-4157(79)90004-2. [DOI] [PubMed] [Google Scholar]
- Winborn W. B., Guerrero D. L., Hodge E. E. The effects of bile on the gastric mucosa. Cytobios. 1978;20(78):99–111. [PubMed] [Google Scholar]
- Wåhlin-Boll E., Brantmark B., Hanson A., Melander A., Nilsson C. High-pressure liquid chromatographic determination of acetylsalicylic acid, salicylic acid, diflunisal, indomethacin, indoprofen and indobufen. Eur J Clin Pharmacol. 1981;20(5):375–378. doi: 10.1007/BF00615408. [DOI] [PubMed] [Google Scholar]



