The Proton Pump Inhibitor Lansoprazole Has Hepatoprotective Effects in In Vitro and In Vivo Rat Models of Acute Liver Injury

Background/Aims The proton pump inhibitor lansoprazole (LPZ) is clinically used to reduce gastric acid secretion, but little is known about its possible hepatoprotective effects. This study aimed to investigate the hepatoprotective effects of LPZ and its potential mechanisms using in vitro and in vi...

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Veröffentlicht in:Digestive diseases and sciences 2019-10, Vol.64 (10), p.2854-2866
Hauptverfasser: Nakatake, Richi, Hishikawa, Hidehiko, Kotsuka, Masaya, Ishizaki, Morihiko, Matsui, Kosuke, Nishizawa, Mikio, Yoshizawa, Katsuhiko, Kaibori, Masaki, Okumura, Tadayoshi
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container_issue 10
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container_title Digestive diseases and sciences
container_volume 64
creator Nakatake, Richi
Hishikawa, Hidehiko
Kotsuka, Masaya
Ishizaki, Morihiko
Matsui, Kosuke
Nishizawa, Mikio
Yoshizawa, Katsuhiko
Kaibori, Masaki
Okumura, Tadayoshi
description Background/Aims The proton pump inhibitor lansoprazole (LPZ) is clinically used to reduce gastric acid secretion, but little is known about its possible hepatoprotective effects. This study aimed to investigate the hepatoprotective effects of LPZ and its potential mechanisms using in vitro and in vivo rat models of liver injury. Methods For the in vitro model of liver injury, primary cultured rat hepatocytes were treated with interleukin-1β in the presence or absence of LPZ. The influence of LPZ on inducible nitric oxide synthase (iNOS) induction and nitric oxide (NO) production and on the associated signaling pathways was analyzed. For the in vivo model, rats were treated with D-galactosamine (GalN) and lipopolysaccharide (LPS). The effects of LPZ on survival and proinflammatory mediator expression (including iNOS and tumor necrosis factor-α) in these rats were examined. Results LPZ inhibited iNOS induction partially through suppression of the nuclear factor-kappa B signaling pathway in hepatocytes, thereby reducing potential liver injury from excessive NO levels. Additionally, LPZ increased survival by 50% and decreased iNOS, tumor necrosis factor-α, and cytokine-induced neutrophil chemoattractant-1 mRNA expression in the livers of GalN/LPS-treated rats. LPZ also inhibited nuclear factor-kappa B activation by GalN/LPS. Conclusions LPZ inhibits the induction of several inflammatory mediators (including cytokines, chemokines, and NO) partially through suppression of nuclear factor-kappa B, resulting in the prevention of fulminant liver failure. The therapeutic potential of LPZ for liver injuries warrants further investigation.
doi_str_mv 10.1007/s10620-019-05622-6
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This study aimed to investigate the hepatoprotective effects of LPZ and its potential mechanisms using in vitro and in vivo rat models of liver injury. Methods For the in vitro model of liver injury, primary cultured rat hepatocytes were treated with interleukin-1β in the presence or absence of LPZ. The influence of LPZ on inducible nitric oxide synthase (iNOS) induction and nitric oxide (NO) production and on the associated signaling pathways was analyzed. For the in vivo model, rats were treated with D-galactosamine (GalN) and lipopolysaccharide (LPS). The effects of LPZ on survival and proinflammatory mediator expression (including iNOS and tumor necrosis factor-α) in these rats were examined. Results LPZ inhibited iNOS induction partially through suppression of the nuclear factor-kappa B signaling pathway in hepatocytes, thereby reducing potential liver injury from excessive NO levels. Additionally, LPZ increased survival by 50% and decreased iNOS, tumor necrosis factor-α, and cytokine-induced neutrophil chemoattractant-1 mRNA expression in the livers of GalN/LPS-treated rats. LPZ also inhibited nuclear factor-kappa B activation by GalN/LPS. Conclusions LPZ inhibits the induction of several inflammatory mediators (including cytokines, chemokines, and NO) partially through suppression of nuclear factor-kappa B, resulting in the prevention of fulminant liver failure. The therapeutic potential of LPZ for liver injuries warrants further investigation.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-019-05622-6</identifier><identifier>PMID: 30989463</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Animals ; Aprotinin ; Biochemistry ; Cells, Cultured ; Disease Models, Animal ; Gastroenterology ; Hepatocytes - drug effects ; Hepatocytes - metabolism ; Hepatology ; Inhibitor drugs ; Interleukins ; Lansoprazole ; Lansoprazole - pharmacology ; Liver ; Liver - drug effects ; Liver diseases ; Liver Failure, Acute - chemically induced ; Liver Failure, Acute - metabolism ; Liver Failure, Acute - prevention &amp; control ; Mediation ; Medicine ; Medicine &amp; Public Health ; NF-kappa B - metabolism ; Nitric oxide ; Nitric Oxide - metabolism ; Nitric Oxide Synthase Type II - metabolism ; Oncology ; Original Article ; Protective Agents - pharmacology ; Proton Pump Inhibitors - pharmacology ; Rats ; Rodents ; Transplant Surgery ; Treatment Outcome ; Tumor Necrosis Factor-alpha - metabolism ; Tumor necrosis factor-TNF</subject><ispartof>Digestive diseases and sciences, 2019-10, Vol.64 (10), p.2854-2866</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Digestive Diseases and Sciences is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-5e7252ed46ec44a387f8f50936fc6633f0c31b88454dac686f7fafd566255b9e3</citedby><cites>FETCH-LOGICAL-c508t-5e7252ed46ec44a387f8f50936fc6633f0c31b88454dac686f7fafd566255b9e3</cites><orcidid>0000-0002-7909-9570</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-019-05622-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-019-05622-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30989463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakatake, Richi</creatorcontrib><creatorcontrib>Hishikawa, Hidehiko</creatorcontrib><creatorcontrib>Kotsuka, Masaya</creatorcontrib><creatorcontrib>Ishizaki, Morihiko</creatorcontrib><creatorcontrib>Matsui, Kosuke</creatorcontrib><creatorcontrib>Nishizawa, Mikio</creatorcontrib><creatorcontrib>Yoshizawa, Katsuhiko</creatorcontrib><creatorcontrib>Kaibori, Masaki</creatorcontrib><creatorcontrib>Okumura, Tadayoshi</creatorcontrib><title>The Proton Pump Inhibitor Lansoprazole Has Hepatoprotective Effects in In Vitro and In Vivo Rat Models of Acute Liver Injury</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background/Aims The proton pump inhibitor lansoprazole (LPZ) is clinically used to reduce gastric acid secretion, but little is known about its possible hepatoprotective effects. This study aimed to investigate the hepatoprotective effects of LPZ and its potential mechanisms using in vitro and in vivo rat models of liver injury. Methods For the in vitro model of liver injury, primary cultured rat hepatocytes were treated with interleukin-1β in the presence or absence of LPZ. The influence of LPZ on inducible nitric oxide synthase (iNOS) induction and nitric oxide (NO) production and on the associated signaling pathways was analyzed. For the in vivo model, rats were treated with D-galactosamine (GalN) and lipopolysaccharide (LPS). The effects of LPZ on survival and proinflammatory mediator expression (including iNOS and tumor necrosis factor-α) in these rats were examined. Results LPZ inhibited iNOS induction partially through suppression of the nuclear factor-kappa B signaling pathway in hepatocytes, thereby reducing potential liver injury from excessive NO levels. Additionally, LPZ increased survival by 50% and decreased iNOS, tumor necrosis factor-α, and cytokine-induced neutrophil chemoattractant-1 mRNA expression in the livers of GalN/LPS-treated rats. LPZ also inhibited nuclear factor-kappa B activation by GalN/LPS. Conclusions LPZ inhibits the induction of several inflammatory mediators (including cytokines, chemokines, and NO) partially through suppression of nuclear factor-kappa B, resulting in the prevention of fulminant liver failure. The therapeutic potential of LPZ for liver injuries warrants further investigation.</description><subject>Animals</subject><subject>Aprotinin</subject><subject>Biochemistry</subject><subject>Cells, Cultured</subject><subject>Disease Models, Animal</subject><subject>Gastroenterology</subject><subject>Hepatocytes - drug effects</subject><subject>Hepatocytes - metabolism</subject><subject>Hepatology</subject><subject>Inhibitor drugs</subject><subject>Interleukins</subject><subject>Lansoprazole</subject><subject>Lansoprazole - pharmacology</subject><subject>Liver</subject><subject>Liver - drug effects</subject><subject>Liver diseases</subject><subject>Liver Failure, Acute - chemically induced</subject><subject>Liver Failure, Acute - metabolism</subject><subject>Liver Failure, Acute - prevention &amp; control</subject><subject>Mediation</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>NF-kappa B - metabolism</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - metabolism</subject><subject>Nitric Oxide Synthase Type II - metabolism</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Protective Agents - pharmacology</subject><subject>Proton Pump Inhibitors - pharmacology</subject><subject>Rats</subject><subject>Rodents</subject><subject>Transplant Surgery</subject><subject>Treatment Outcome</subject><subject>Tumor Necrosis Factor-alpha - metabolism</subject><subject>Tumor necrosis factor-TNF</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kV9vFCEUxYnR2HX1C_hgSHzxZVr-DMzM46apbpM1bZrqK2GZS8tmBlZgmtT44WWdaqMxhQcu8Ds3Bw5Cbyk5poQ0J4kSyUhFaFcRIRmr5DO0oKLhFROyfY4WhMpSUyqP0KuUdoSQrqHyJTripGu7WvIF-nF9C_gyhhw8vpzGPT73t27rcoh4o30K-6i_hwHwWie8hr3O5SRkMNndAT6ztlQJO19k-KvLMWDt-3lzF_CVzvhz6GFIOFi8MlMGvCnCWIjdFO9foxdWDwnePKxL9OXj2fXputpcfDo_XW0qI0ibKwENEwz6WoKpa83bxrZWkI5La6Tk3BLD6bZta1H32shW2sZq2wspmRDbDvgSfZj7Fu_fJkhZjS4ZGAbtIUxJMUYJE21Xei3R-3_QXZiiL-4KVb6vo5TVj9SNHkA5b0OO2hyaqlVDWXFWRqGO_0OV2cPoTPBgXTn_S8BmgYkhpQhW7aMbdbxXlKhD5GqOXJXI1a_I1UH07sHxtB2h_yP5nXEB-AykcuVvID4-6Ym2PwFWc7Rc</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Nakatake, Richi</creator><creator>Hishikawa, Hidehiko</creator><creator>Kotsuka, Masaya</creator><creator>Ishizaki, Morihiko</creator><creator>Matsui, Kosuke</creator><creator>Nishizawa, Mikio</creator><creator>Yoshizawa, Katsuhiko</creator><creator>Kaibori, Masaki</creator><creator>Okumura, Tadayoshi</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7909-9570</orcidid></search><sort><creationdate>20191001</creationdate><title>The Proton Pump Inhibitor Lansoprazole Has Hepatoprotective Effects in In Vitro and In Vivo Rat Models of Acute Liver Injury</title><author>Nakatake, Richi ; 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This study aimed to investigate the hepatoprotective effects of LPZ and its potential mechanisms using in vitro and in vivo rat models of liver injury. Methods For the in vitro model of liver injury, primary cultured rat hepatocytes were treated with interleukin-1β in the presence or absence of LPZ. The influence of LPZ on inducible nitric oxide synthase (iNOS) induction and nitric oxide (NO) production and on the associated signaling pathways was analyzed. For the in vivo model, rats were treated with D-galactosamine (GalN) and lipopolysaccharide (LPS). The effects of LPZ on survival and proinflammatory mediator expression (including iNOS and tumor necrosis factor-α) in these rats were examined. Results LPZ inhibited iNOS induction partially through suppression of the nuclear factor-kappa B signaling pathway in hepatocytes, thereby reducing potential liver injury from excessive NO levels. Additionally, LPZ increased survival by 50% and decreased iNOS, tumor necrosis factor-α, and cytokine-induced neutrophil chemoattractant-1 mRNA expression in the livers of GalN/LPS-treated rats. LPZ also inhibited nuclear factor-kappa B activation by GalN/LPS. Conclusions LPZ inhibits the induction of several inflammatory mediators (including cytokines, chemokines, and NO) partially through suppression of nuclear factor-kappa B, resulting in the prevention of fulminant liver failure. The therapeutic potential of LPZ for liver injuries warrants further investigation.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30989463</pmid><doi>10.1007/s10620-019-05622-6</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-7909-9570</orcidid></addata></record>
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subjects Animals
Aprotinin
Biochemistry
Cells, Cultured
Disease Models, Animal
Gastroenterology
Hepatocytes - drug effects
Hepatocytes - metabolism
Hepatology
Inhibitor drugs
Interleukins
Lansoprazole
Lansoprazole - pharmacology
Liver
Liver - drug effects
Liver diseases
Liver Failure, Acute - chemically induced
Liver Failure, Acute - metabolism
Liver Failure, Acute - prevention & control
Mediation
Medicine
Medicine & Public Health
NF-kappa B - metabolism
Nitric oxide
Nitric Oxide - metabolism
Nitric Oxide Synthase Type II - metabolism
Oncology
Original Article
Protective Agents - pharmacology
Proton Pump Inhibitors - pharmacology
Rats
Rodents
Transplant Surgery
Treatment Outcome
Tumor Necrosis Factor-alpha - metabolism
Tumor necrosis factor-TNF
title The Proton Pump Inhibitor Lansoprazole Has Hepatoprotective Effects in In Vitro and In Vivo Rat Models of Acute Liver Injury
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