SUMMARY The eflect of orally administered prostaglandin 15(R)15 methyl-E2 methyl ester on aspirin and taurocholic acid-induced gastric mucosal haemorrhage has been studied in rats. The incidence of haemorrhage induced by aspirin (26-7 mM), 64 mg/kg, together with taurocholic acid (2.5 mM), was significantly reduced from 53l6% to 19l5% by the addition of the prostaglandin (9-9 ,uM), P < 0 01. The incidence of haemorrhage induced by aspirin alone (53-3 mM), 128 mg/kg, was significantly reduced from 80% to 20% by the addition of prostaglandin (9-9 ,tM), P < 0-002.These results indicate the possible use of synthetic prostaglandins in the prevention of aspirininduced gastric pathology.It has long been known that aspirin ingestion in man produces gastric irritation which, on occasion, may progress to severe gastric erosions with haemorrhage. Semple and Russell (1975) have shown that the incidence of gastric mucosal bleeding induced by aspirin in rats is significantly increased by the addition of conjugated bile acids, especially taurocholic acid.Aspirin, in addition to other anti-inflammatory agents, has been shown to inhibit the synthesis of prostaglandins in vitro (Ferreira et al., 1971;Smith and Willis, 1971;Vane, 1971). Naturally occurring prostaglandins, especially El, E2, and A1, when given systemically, markedly inhibit gastric acid secretion in animals (Robert et al., 1967;Wilson and Levine, 1969) and in man (Classen et al., 1970;Wilson et al., 1971). Prostaglandin El has also been shown to inhibit the production of gastric ulceration in rats induced by stress after pyloric ligation (Robert et al., 1968). However, naturally occurring prostaglandins are rapidly degraded in the stomach when given orally and are largely ineffective by this route. In recent years, resistant synthetic analogues have been produced and can therefore be given orally with effect. Various workers have shown that certain of these analogues have an even greater 'Address for correspondence: Dr R. 1. Russell, Royal Infirmary, Glasgow, G4 OSF. Received for publication 20 October 1975 inhibitory effect on gastric secretion than the naturally occurring prostaglandins; this has been demonstrated in animals (Robert and Magerlein, 1973) and in man (Carter et al., 1973;Lippmann, 1974b). A more marked inhibitory effect has also been shown on gastric ulcer formation in the rat induced by indomethacin (Lippmann, 1974a) and by stress due to pyloric ligation (Carter et al., 1974).We have studied the effects of the synthetic analogue prostaglandin 15(R)15 methyl-E2 methyl ester on aspirin and taurocholic acid-induced gastric mucosal bleeding in rats.