Comparison of Indomethacin, Diclofenac and Aspirin-Induced Gastric Damage according to Age in Rats
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Background/Aims: Aging gastric mucosa is known to have decreased mucosal defenses and increased susceptibility to injury by nonsteroidal anti-infl ammatory drugs. Depending on the type of nonsteroidal anti-infl ammatory drug (NSAID),the underlying mechanisms and the extent of damage to the stomach or intestine may differ. This study was performed to evaluate the acute gastric damage caused by different doses of indomethacin, diclofenac and aspirin in rats of various ages. Methods: For the acute models, indomethacin (10, 20 or 40 mg/kg), diclofenac (40 or 80 mg/kg) or aspirin (100 mg/kg) was given to 7- and 25-week-old and 1-year-old Sprague-Dawley rats by intragastric gavage. The gross ulcer index, damage area as assessed by imaging, histological index,myeloperoxidase (MPO) activity, and cytosolic phospholipase A2 (cPLA2) levels were measured after 24 hours. Results:The gross ulcer index and damage area increased with age in the presence of three NSAIDs (p<0.05). The increases in MPO levels induced by diclofenac and aspirin were signifi cantly higher in 1-year-old than 7-week-old rats (p<0.05). cPLA2 expression induced by indomethacin (10 and 40 mg/kg) was greater in the 1-year-old rats, compared with 7-weekold rats (p<0.05). Conclusions: NSAID-induced acute gastric damage increased in a dose- and age-dependent manner.
Abstract
Background/Aims: Aging gastric mucosa is known to have decreased mucosal defenses and increased susceptibility to injury by nonsteroidal anti-infl ammatory drugs. Depending on the type of nonsteroidal anti-infl ammatory drug (NSAID),the underlying mechanisms and the extent of damage to the stomach or intestine may differ. This study was performed to evaluate the acute gastric damage caused by different doses of indomethacin, diclofenac and aspirin in rats of various ages. Methods: For the acute models, indomethacin (10, 20 or 40 mg/kg), diclofenac (40 or 80 mg/kg) or aspirin (100 mg/kg) was given to 7- and 25-week-old and 1-year-old Sprague-Dawley rats by intragastric gavage. The gross ulcer index, damage area as assessed by imaging, histological index,myeloperoxidase (MPO) activity, and cytosolic phospholipase A2 (cPLA2) levels were measured after 24 hours. Results:The gross ulcer index and damage area increased with age in the presence of three NSAIDs (p<0.05). The increases in MPO levels induced by diclofenac and aspirin were signifi cantly higher in 1-year-old than 7-week-old rats (p<0.05). cPLA2 expression induced by indomethacin (10 and 40 mg/kg) was greater in the 1-year-old rats, compared with 7-weekold rats (p<0.05). Conclusions: NSAID-induced acute gastric damage increased in a dose- and age-dependent manner.
참고문헌 (46)
- Allen A, "Gastroduodenal mucosal protection", Physiol Rev, 73, pp.823~857 (1993)
- Flemstrom G, "Gastroduodenal HCO3(-) transport: characteristics and proposed role in acidity regulation and mucosal protection", Am J Physiol, 242, pp.G183~G193 (1982)
- Beck PL, "Mechanisms of NSAID-induced gastrointestinal injury defined using mutant mice", Gastroenterology, 119, pp.699~705 (2000)
- Yoshikawa T, "Role of active oxygen, lipid peroxidation, and antioxidants in the pathogenesis of gastric mu-cosal injury induced by indomethacin in rats", Gut, 34, pp.732~737 (1993)
- Yoshida N, "Role of neutrophilmediated inflammation in aspirin-induced gastric mucosal injury", Dig Dis Sci, 40, pp.2300~2304 (1995)
- Odashima M, "Attenuation of gastric mucosal inflammation induced by aspirin through inhibition of selective type III phospshodiesterase in rats", Dig Dis Sci, 52, pp.1355~1359 (2007)
- Nam SY, "Gastric mucosal protection via enhancement of MUC5AC and MUC6 by geranylgeranylacetone", Dig Dis Sci, 50, pp.2110~2120 (2005)
- Corfield AP, "Mucins in the gastrointestinal tract in health and disease", Front Biosci, 6, pp.D1321~D1357 (2001)
- Takeuchi K, "Functional mechanism underlying COX-2 expression following administration of indomethacin in rat stomachs: importance of gastric hypermotility", Dig Dis Sci, 49, pp.180~187 (2004)
- Del Soldato P, "Oxygen free radicals interact with indomethacin to cause gastrointestinal injury", Agents Actions, 17, pp.484~488 (1986)
- Okada A, "Rat gastric mucosal cells express ICAM-1 and proinflammatory cytokines during indomethacin-induced mucosal injury", J Lab Clin Med, 131, pp.538~547 (1998)
- Wallace JL, "Gastric ulceration induced by nonsteroidal anti-inflammatory drugs is a neutrophil-dependent process", Am J Physiol, 259(3 Pt 1), pp.G462~G467 (1990)
- Wallace JL, "Nonsteroidal anti-inflammatory drugs and gastroenteropathy: the second hundred years", Gastroenterology, 112, pp.1000~1016 (1997)
- Lee M, "Prevention and treatment of nonsteroidal anti-inflammatory drug-induced gastropathy", South Med J, 88, pp.507~513 (1995)
- Lee M, "Age-related reductions in gastric mucosal prostaglandin levels increase susceptibility to aspirin-induced injury in rats", Gastroenterology, 107, pp.1746~1750 (1994)
- Lee M, "Age-related changes in gastric mucosal repair and proliferative activities in rats exposed acutely to aspirin", Gerontology, 44, pp.198~203 (1998)
- Kang JM, "Effect of aging on gastric mucosal defense mechanisms: ROS, apoptosis, angiogenesis, and sensory neurons", AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 299, pp.G1147~G1153, American Physiological Society
- Kim SW, "Effects of aging on duodenal bicarbonate secretion", Ann Surg, 212, pp.332~337 (1990)
- Hinsull SM, "Effect of colloidal bismuth subcitrate on age related gastric lesions in the rat", Gut, 32, pp.355~360 (1991)
- Vogiagis D, "Cyclooxygenase-1 and an alternatively spliced mRNA in the rat stomach: effects of aging and ulcers", Am J Physiol Gastrointest Liver Physiol, 278, pp.G820~G827 (2000)
- Cryer B, "Effect of aging on gastric and duodenal mucosal prostaglandin concentrations in humans", Gastroenterology, 102(4 Pt 1), pp.1118~1123 (1992)
- Grønbech JE, "Role of gastric blood flow in impaired defense and repair of aged rat stomachs", Am J Physiol, 269(5Pt 1), pp.G737~G744 (1995)
- Tarnawski A, "Aging gastropathy-novel mechanisms: hypoxia, up-regulation of multifunctional phosphatase PTEN, and proapoptotic factors", Gastroenterology, 133, pp.1938~1947 (2007)
- Goto H, "Exacerbatory mechanism responsible for water immersion stress-induced gastric lesions in aged rats compared with young rats", Clin Exp Pharmacol Physiol, 28, pp.659~662 (2001)
- Lee M, "The aging stomach: implications for NSAID gastropathy", Gut, 41, pp.425~426 (1997)
- Singh G, "Recent considerations in nonsteroidal anti-inflammatory drug gastropathy", Am J Med, 105(1B), pp.31S~38S (1998)
- Tsukimi Y, "Changes in gastric function and healing of chronic gastric ulcers in aged rats", Jpn J Pharmacol, 68, pp.103~110 (1995)
- Beck WS, "Gastrointestinal ulcerations induced by anti-inflammatory drugs in rats. Physicochemical and biochemical factors involved", Arch Toxicol, 64, pp.210~217 (1990)
- Pandit S, "Anti-ulcer effect of Shankha bhasma in rats: a preliminary study", Indian J Pharmacol, 32, pp.378~380 (2000)
- Lacy ER, "Microscopic analysis of ethanol damage to rat gastric mucosa after treatment with a prostaglandin", Gastroenterology, 83, pp.619~625 (1982)
- Bradley PP, "Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker", J Invest Dermatol, 78, pp.206~209 (1982)
- Grisham MB, "Assessment of leukocyte involvement during ischemia and reperfusion of intestine", Methods Enzymol, 186, pp.729~742 (1990)
- Kim JH, "SKI306X, an oriental herbal mixture, suppresses gastric leukotriene B4 synthesis without causing mucosal injury and the diclofenac-induced gastric lesions", Life Sci, 77, pp.1181~1193 (2005)
- Zhang X, "Irsogladine maleate suppresses indomethacin-induced elevation of proinflammatory cytokines and gastric injury in rats", World J Gastroenterol, 14, pp.4784~4790 (2008)
- Uchida M, "Healing of acetic acid-induced gastric ulcer and gastric mucosal PGI2 level in rats", Dig Dis Sci, 35, pp.80~85 (1990)
- Atchison CR, "Aging enhances susceptibility of diclofenac-treated rats to gastric ulceration, while attenuating enteropathy", Dig Dis Sci, 45, pp.614~620 (2000)
- Gambero A, "Effect of different cyclooxygenase inhibitors on gastric adaptive cytoprotection induced by 20% ethanol", Dig Dis Sci, 52, pp.425~433 (2007)
- 강정묵, "Gastroprotective Action of Cochinchina Momordica Seed Extract Is Mediated by Activation of CGRP and Inhibition of cPLA(2)", 5-LOX Pathway, 200912, pp.54, 2549~2560[DOI]
- Anthony A, "Gastric mucosal contraction and vascular injury induced by indomethacin precede neutrophil infiltration in the rat", Gut, 39, pp.363~368 (1996)
- Yoshida N, "Effect of Helicobacter pylori-mediated inflammation on nonsteroidal anti-inflammatory drugs-induced gastric mucosal injury", Keio J Med, 51(Suppl 2), pp.45~50 (2002)
- Asako H, "Indomethacin-induced leukocyte adhesion in mesenteric venules: role of lipoxygenase products", Am J Physiol, 262(5 Pt 1), pp.G903~G908 (1992)
- Yoshida N, "Mechanisms involved in Helicobacter pylori-induced inflammation", Gastroenterology, 105, pp.1431~1440 (1993)
- Kvietys PR, "Ethanol-induced injury to the rat gastric mucosa. Role of neutrophils and xanthine oxidase-derived radicals", Gastroenterology, 98, pp.909~920 (1990)
- Takeuchi K, "Importance of gastric motility in the pathogenesis of indomethacin-induced gastric lesions in rats", Dig Dis Sci, 31, pp.1114~1122 (1986)
- Komoike Y, "Prevention by parenteral aspirin of indomethacin-induced gastric lesions in rats: mediation by salicylic acid", Dig Dis Sci, 47, pp.1538~1545 (2002)
- Sánchez S, "Effects of dipyrone on inflammatory infiltration and oxidative metabolism in gastric mucosa: comparison with acetaminophen and diclofenac", Dig Dis Sci, 47, pp.1389~1398 (2002)
