Influence of prednisolone on gastric alkaline response in rat stomach. A possible explanation for steroid-induced gastric lesion

Dig Dis Sci. 1985 Dec;30(12):1166-73. doi: 10.1007/BF01314052.

Abstract

Exposure of the rat stomach for 10 min to 1 M NaCl produced an increase of luminal pH (alkaline response) with a concomitant reduction of the transmucosal potential difference (PD) and an increased generation of mucosal prostaglandins of E2 and 6-keto F1 alpha. Prednisolone (3-50 mg/kg), given subcutaneously 4 hr before exposure to 1 M NaCl, dose-dependently inhibited alkaline response without affecting the PD reduction, and at 50 mg/kg completely prevented the increased production of mucosal prostaglandins after exposure to 1 M NaCl. The inhibitory effect of prednisolone on alkaline response was significantly antagonized by pretreatment with 16,16-dimethyl prostaglandin E2 (16,16-dmPGE2) (3 micrograms/kg) or cycloheximide (1.5 mg/kg). A repeated administration of prednisolone (3-50 mg/kg), once daily for 4 days, produced gastric lesions dose-dependently. At 50 mg/kg, gastric lesions appeared after administration of this drug for more than 2 days, and the inhibition of alkaline response caused by 1 M NaCl became more potent as the days of treatment increased. Either 16,16-dmPGE2 (10-100 micrograms/kg) or cycloheximide (1 or 3 mg/kg), given daily in two divided doses for 4 days, dose-dependently inhibited formation of gastric lesions in response to prednisolone (50 mg/kg). These results indicate that prednisolone inhibits gastric alkaline response caused by 1 M NaCl by reducing generation of endogenous prostaglandins. The weakened self-defense mechanisms caused by prednisolone may be involved in the pathogenesis of steroid-induced gastric lesions.

MeSH terms

  • 16,16-Dimethylprostaglandin E2 / pharmacology
  • 6-Ketoprostaglandin F1 alpha / metabolism
  • Animals
  • Cycloheximide / pharmacology
  • Dinoprostone
  • Gastric Acid / metabolism*
  • Gastric Mucosa / drug effects*
  • Gastric Mucosa / metabolism
  • Gastric Mucosa / pathology
  • Hydrogen-Ion Concentration
  • Male
  • Membrane Potentials / drug effects
  • Perfusion
  • Prednisolone / adverse effects
  • Prednisolone / antagonists & inhibitors
  • Prednisolone / pharmacology*
  • Prostaglandins E / metabolism
  • Rats
  • Rats, Inbred Strains
  • Sodium Chloride / metabolism
  • Stomach Diseases / chemically induced*

Substances

  • Prostaglandins E
  • Sodium Chloride
  • 6-Ketoprostaglandin F1 alpha
  • Cycloheximide
  • Prednisolone
  • Dinoprostone
  • 16,16-Dimethylprostaglandin E2