Gastric epithelial cell turnover, mucus production, and healing of gastric ulcers with carbenoxolone.

Abstract:

:Nineteen healthy subjects were studied and 17 patients with gastric ulcer before and after ulcer healing with carbenoxolone. Gastric deoxytibonucleic acid (DNA) loss was measured as an index of epithelial cell turnover, and N-acetylneuraminic acid (NANA) content of gastric juice as an index of mucus secretion. In normal subjects there was a negative correlation (p less that 0-025) between gastric DNA loss and NANA secretion; the lower the cell turnover the higher the NANA production. In gastric ulcer patients DNA loss or turnover was significantly (p less than 0-01) higher than normal, and fell significantly (p less than 0-01) after four weeks' treatment with carbenoxolone when 16 of the 17 ulcers had healed. At the same time NANA output increased significantly (p less than 0-01). It is suggested that patients with gastric ulcer lose cells at a high rate, a state of affairs which is returned towards normal by carbenoxolone, thus allowing the epithelial cells to mature within the mucosa and produce more mucus.

journal_name

Gut

journal_title

Gut

authors

Domschke W,Domschke S,Hagel J,Demling L,Croft DN

doi

10.1136/gut.18.10.817

subject

Has Abstract

pub_date

1977-10-01 00:00:00

pages

817-20

issue

10

eissn

0017-5749

issn

1468-3288

journal_volume

18

pub_type

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