Proton pump inhibitors omeprazole, lansoprazole and pantoprazole induce relaxation in the rat lower oesophageal sphincter
A. Sencer Yurtsever
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorMehtap Pektas
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorMehtap Ozkur
Department of Pharmacology, Medical Faculty, Gaziantep University, Gaziantep
Search for more papers by this authorIsmail Un
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorAydın Erenmemisoglu
Department of Pharmacology, Medical Faculty, Erciyes University, Kayseri, Turkey
Search for more papers by this authorCorresponding Author
Kansu Buyukafsar
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Kansu Buyukafsar, Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin, Turkey. E-mail: [email protected]Search for more papers by this authorA. Sencer Yurtsever
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorMehtap Pektas
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorMehtap Ozkur
Department of Pharmacology, Medical Faculty, Gaziantep University, Gaziantep
Search for more papers by this authorIsmail Un
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Search for more papers by this authorAydın Erenmemisoglu
Department of Pharmacology, Medical Faculty, Erciyes University, Kayseri, Turkey
Search for more papers by this authorCorresponding Author
Kansu Buyukafsar
Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin
Kansu Buyukafsar, Department of Pharmacology, Medical Faculty, Mersin University Campus Yenişehir, Mersin, Turkey. E-mail: [email protected]Search for more papers by this authorAbstract
Objectives We aimed to investigate effects of the proton pump inhibitors (PPIs) omeprazole, lansoprazole and pantoprazole, which are currently used for the treatment of hyperacidity and gastro-oesophageal reflux, on the reactivity of the isolated rat lower oesophageal sphincter.
Methods Omeprazole, lansoprazole and pantoprazole (all 10–9–10–3m, cumulatively) were tested on carbachol-induced (10–6m) contraction. In addition, the effects of PPI preincubation (all 10–3m) on the contractions induced by cumulative carbachol (10−9–10−5m), angiotensin-2 (10−9–10–5m) or electrical field stimulation (EFS; 40 V, 32 Hz, 1 ms, 10 s) were assessed. Finally, the effects of PPI on the spontaneous contractile activity of the tissue were also evaluated.
Key findings PPI relaxed precontracted lower oesophageal sphincter in a concentration-dependent manner and suppressed carbachol-, angiotensin- and EFS-induced contractions. Furthermore, PPI attenuated spontaneous contractile activity of the tissue.
Conclusions Omeprazole, lansoprazole and pantoprazole had a suppressor effect on lower oesophageal sphincter contractions.
References
- 1 Moayyedi P, Talley NJ. Gastro-oesophageal reflux disease. The Lancet 2006; 367: 2086–2100.
- 2 Cheung TK, Wong BCY. Proton-pump inhibitor failure/resistance: proposed mechanisms and therapeutic algorithm. J Gastroenterol Hepatol 2006; 21: 119–124.
- 3 Hirsch DP et al. Review article: transient lower oesophageal sphincter relaxations a pharmacological target for gastro-oesophageal reflux disease? Aliment Pharmacol Ther 2002; 16: 17–26.
- 4 Aydin C et al. Relaxant effect of omeprazole and lansoprazole in guinea pig gall bladder muscle strips in vitro. J Gastroenterol 2003; 38: 765–771.
- 5 Rhoden KJ et al. H+-K+ ATPase inhibitors cause relaxation of guinea pig and human airway smooth muscle in vitro. J Pharmacol Exp Ther 1996; 276: 897–903.
- 6 Bagcivan I et al. Hydrogen–potassium ATPase inhibitors induce relaxation on rabbit prostatic strips in vitro. Int J Urol 2002; 9: 641–644.
- 7 Sarioglu Y et al. Evidence of relaxant effect of omeprazole in rabbit corpus cavernosum in vitro. Life Sci 2000; 66: 141–142.
- 8 Yenişehirli A, Onur R. Specific H+/K+-ATPase inhibitors decreased contractile responses of isolated rat vas deferens. Pharmacol Res 2006; 54: 397–405.
- 9 Yıldırım K et al. Inhibitor effect of omeprazole in isolated human myometrial smooth muscle. Life Sci 2001; 69: 435–442.
- 10 Boeckxstaens GE. Review article: the pathophysiology of gastro-oesophageal reflux disease. Aliment Pharmacol Ther 2007; 26: 149–160.
- 11 Sonnenberg A, El-Serag HB. Clinical epidemiology and natural history of gastroesophageal reflux disease. Yale J Biol Med 1999; 72: 81–92.
- 12 Dent J et al. Mechanisms of gastroesophageal reflux in recumbent asymptomatic human subjects. J Clin Invest 1980; 65: 256–267.
- 13 Dodds WJ et al. Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med 1982; 307: 1547–1552.
- 14 Mitre MC, Katzka DA. Pathophysiology of GERD: lower esophageal sphincter defects. Pract Gastroenterol 2004; 28: 44–58.
- 15 Fass R et al. Systematic review: proton-pump inhibitor failure in gastro-oesophageal reflux disease – where next? Aliment Pharmacol Ther 2005; 22: 79–94.
- 16 Kahrilas JE. GERD pathogenesis, pathophysiology, and clinical manifestations. Clev Clin J Med 2003; 70: S4–S19.
- 17 Naseri E, Yenisehirli A. Proton pump inhibitors omeprazole and lansoprazole induce relaxation of isolated human arteries. Eur J Pharmacol 2006; 531: 226–231.
- 18 Kelicen P et al. Uma S. Omeprazole-induced relaxation in rat aorta is partly dependent on endothelium. Pharmacol Res 2002; 46: 321- 323.
- 19 Robinson M, Horn J. Clinical pharmacology of proton pump inhibitors: what the practising physician needs to know. Drugs 2003; 63: 2739–2754.
- 20 Keeling Dj et al. Studies on the mechanism of action of omeprazole. Biochem Pharmacol 1985; 34: 2967–2973.
- 21 Keeling DJ et al. SK&F 96067 is a reversible, lumenally acting inhibitor of the gastric (H+ + K+)-ATPase. Biochem Pharmacol 1991; 42: 123–130.
- 22 Ayan S et al. Relaxation induced by omeprazole does not change in diabetic rabbit corpus cavernosum. BJU Int 2001; 87: 265–268.
- 23 Somlyo AP, Somlyo AV. Signal transduction by G-proteins, rho-kinase and protein phosphatase to smooth muscle and non-muscle myosin II. J Physiol 2000; 522: 177–185.
- 24 Büyükafşar K, Ün İ. Effects of Rho-kinase inhibitors, Y-27632 and fasudil on the corpus cavernosum from diabetic mice. Eur J Pharmacol 2003; 472: 235–238.
- 25 Büyükafşar K, Levent A. Involvement of Rho/Rho-kinase signaling in the contractile activity and acetylcholine release in the mouse gastric fundus. Biochem Biophys Res Commun 2003; 303: 777–781.
- 26 Büyükafşar K et al. Expression of Rho-Kinase and its functional role in the contractile activity of the mouse vas deferens. Br J Pharmacol 2003; 140: 743–749.
- 27 Wibberley A et al. Expression and functional role of Rho-kinase in rat urinary bladder smooth muscle. Br J Pharmacol 2003; 138: 757–766.
- 28 Levent A, Büyükafşar K. Expression of Rho-kinase (ROCK-1 and ROCK-2) and its substantial role in the contractile activity of the sheep ureter. Br J Pharmacol 2004; 143: 431–437.
- 29 Lartey J, Bernal A. Rho protein regulation of contraction in the human uterus. Reproduction 2009; 138: 407–424.
- 30 Rattan S, Patel CA. Spontaneously tonic smooth muscle has characteristically higher levels of RhoA/ROK compared with the phasic smooth muscle. Am J Physiol Gastrointest Liver Physiol 2006; 291: G830–G837.
- 31 Park SY et al. Regulators involved in the electrically stimulated response of feline esophageal smooth muscle. Pharmacology 2009; 84: 346–355.
- 32 Sims SM et al. Calcium sensitization in human esophageal muscle: role for RhoA kinase in maintenance of lower esophageal sphincter tone. J Pharmacol Exp Ther 2008; 327: 178–186.
- 33 Rattan S et al. Involvement of Rho and Rho-Associated Kinase in sphincteric smooth muscle contraction by angiotensin II. Exp Biol Med 2003; 228: 972–981.