AIM To examine whether nizatidine stimulates duodenal HCO 3 -secretion in rats by inhibiting AChE activity. METHODS Under pentobarbital anesthesia, a proximal duodenal loop was perfused with saline, and the HCO 3 -secretion was measured at pH 7.0 using a pH-stat method and by adding 10mM HCl. Nizatidine, neostigmine, carbachol or famotidine was administered i.v. as a single injection.
RESULTSIntravenous administration of nizatidine (3 -30mg/kg) dose-dependently increased duodenal HCO 3 -secretion, and the effect at 10mg/kg was equivalent to that obtained by carbachol at 0.01mg/kg. This nizatidine action was observed at the same dose range that inhibited acid secretion and enhanced gastric motility, mimicked by i.v. injection of neostigmine (0.03mg/kg), and significantly attenuated by bilateral vagotomy and prior s.c. administration of atropine but not by indomethacin, a cyclooxygenase inhibitor, or N G -nitro -L-arginine methyl ester, a NO synthase inhibitor. The HCO 3 -secretory response to acetylcholine (0.001mg/kg) was significantly potentiated by the concurrent administration of nizatidine (3mg/kg, i.v.). The IC 50 of nizatidine for AChE of rat erythrocytes was 1.4×10-6 M, about 12 times higher than that of neostigmine. Neither famotidine (>10 -3