1983
DOI: 10.1007/bf02176417
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Microvascular injury during gastric mucosal damage by anti-inflammatory drugs in pigs and rats

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1987
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Cited by 56 publications
(24 citation statements)
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“…On the other hand, lower dose of indomethacin (25 mg/kg) did not significantly affect the level of MPO in gastric tissues [15]. The enhanced neutrophil infiltration might be attributed to the reported increases in TNF-α and leukotriene synthesis in indomethacin-induced gastric injury [3], and these inflammatory mediators stimulate neutrophil adherence by upregulation of adhesion molecules [4]. In addition, it was reported that NO decreases the adhesive capacity of endothelial cells [5].…”
Section: Discussionmentioning
confidence: 95%
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“…On the other hand, lower dose of indomethacin (25 mg/kg) did not significantly affect the level of MPO in gastric tissues [15]. The enhanced neutrophil infiltration might be attributed to the reported increases in TNF-α and leukotriene synthesis in indomethacin-induced gastric injury [3], and these inflammatory mediators stimulate neutrophil adherence by upregulation of adhesion molecules [4]. In addition, it was reported that NO decreases the adhesive capacity of endothelial cells [5].…”
Section: Discussionmentioning
confidence: 95%
“…This leads to upregulation of tumor necrosis factor-alpha (TNF-α) and increased production of leukotrienes [3]. These inflammatory mediators stimulate the adherence of neutrophils to the vascular endothelium through upregulation of adhesion molecules [4].…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, in addition to the enhanced gastric motility, other mechanisms must be also involved in the earliest changes in the gastric mucosal cells after indomethacin treatment. Indeed, Rainsford and Willis (20) and Rainsford (21) reported that indomethacin given p.o. at 5 mg/kg to pigs induced damage of gastric mucosal capillaries within 10 to 15 min and suggested that this capillary damage develops to severe damage to sur rounding tissues.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, as a regulator of phospholipid metabolism, PLA2 catalyzes the release of free fatty acids and lysophosphatides from cellular mem branes. These free fatty acids, in the form of arachidonic acid, serve as a primary substrate for eicosanoid produc tion yielding prostaglandins, leukotrienes and lipoxins, all o f which have multiple vasoactive and cellular regulatory functions [7,9], The lysophosphatides generated by PLA2 from cellular membranes are potentially cytotoxic and lysophosphatidylcholinc is the precursor of platelet-acti vating factor, which itself has been associated with muco sal injury [10], Micrographs of the gastric mucosa exposed to necrotiz ing agents show edema, vacuolization and necrosis of the luminal epithelial cells [11]: these lesions morphologically resemble those caused by ischemic-reperfusion injury in the intestine [12], Furthermore, there is abundant evi dence that stress-and drug-induced gastrointestinal dam age is associated with mucosal microcirculatory distur bances [13,14]. Recent studies have shown that ischemic insult to intestinal mucosa is accompanied by enhanced generation of oxygen-derived free radicals (ODFR) and increased PLA2 activity [15][16][17].…”
Section: Introductionmentioning
confidence: 99%