Dose‐related effects of motilin on proximal gastrointestinal motility

Aim: To assess non‐invasively the dose–response relations for the effects of exogenous motilin on antrum contraction frequency, gall‐bladder volume and gastric myoelectrical activity. Methods: In a double‐blind, randomized, placebo‐controlled, five‐way crossover study, 10 fasted healthy volunteers w...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2002-01, Vol.16 (1), p.129-135
Hauptverfasser: Kamerling, I. M. C., Van Haarst, A. D., Burggraaf, J., Schoemaker, H. C., Biemond, I., Jones, R., Cohen, A. F., Masclee, A. A. M.
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container_end_page 135
container_issue 1
container_start_page 129
container_title Alimentary pharmacology & therapeutics
container_volume 16
creator Kamerling, I. M. C.
Van Haarst, A. D.
Burggraaf, J.
Schoemaker, H. C.
Biemond, I.
Jones, R.
Cohen, A. F.
Masclee, A. A. M.
description Aim: To assess non‐invasively the dose–response relations for the effects of exogenous motilin on antrum contraction frequency, gall‐bladder volume and gastric myoelectrical activity. Methods: In a double‐blind, randomized, placebo‐controlled, five‐way crossover study, 10 fasted healthy volunteers were infused intravenously with synthetic human motilin (0.5, 1, 2 and 4 pmol.min/kg) or placebo for 60 min. Gall‐bladder volume and antrum contractions were assessed by ultrasonography and gastric myoelectrical activity by electrogastrography. Motilin concentrations were measured using a radioimmunoassay. Results: Baseline plasma motilin levels (60 pmol/L) were similar for all treatments. Motilin levels increased upon the start of infusion and rapidly returned to baseline after cessation of the infusion. At motilin doses of 2 and 4 pmol.min/kg, the antrum contraction frequency was significantly augmented, with maximum differences of two contractions per 2‐min interval compared to placebo, while no changes in gastric myoelectrical activity were observed. Changes in gall‐bladder volume were not significantly different for any of the motilin doses compared to placebo. Conclusions: Motilin increased antrum contraction frequency, whereas no effect on gastric myoelectrical activity was observed. Antrum contraction frequency appears to be a useful biomarker for motilin efficacy, and motilin doses of 2 and 4 pmol.min/kg were equally effective.
doi_str_mv 10.1046/j.1365-2036.2002.01142.x
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M. C. ; Van Haarst, A. D. ; Burggraaf, J. ; Schoemaker, H. C. ; Biemond, I. ; Jones, R. ; Cohen, A. F. ; Masclee, A. A. M.</creator><creatorcontrib>Kamerling, I. M. C. ; Van Haarst, A. D. ; Burggraaf, J. ; Schoemaker, H. C. ; Biemond, I. ; Jones, R. ; Cohen, A. F. ; Masclee, A. A. M.</creatorcontrib><description>Aim: To assess non‐invasively the dose–response relations for the effects of exogenous motilin on antrum contraction frequency, gall‐bladder volume and gastric myoelectrical activity. Methods: In a double‐blind, randomized, placebo‐controlled, five‐way crossover study, 10 fasted healthy volunteers were infused intravenously with synthetic human motilin (0.5, 1, 2 and 4 pmol.min/kg) or placebo for 60 min. Gall‐bladder volume and antrum contractions were assessed by ultrasonography and gastric myoelectrical activity by electrogastrography. Motilin concentrations were measured using a radioimmunoassay. Results: Baseline plasma motilin levels (60 pmol/L) were similar for all treatments. Motilin levels increased upon the start of infusion and rapidly returned to baseline after cessation of the infusion. At motilin doses of 2 and 4 pmol.min/kg, the antrum contraction frequency was significantly augmented, with maximum differences of two contractions per 2‐min interval compared to placebo, while no changes in gastric myoelectrical activity were observed. Changes in gall‐bladder volume were not significantly different for any of the motilin doses compared to placebo. Conclusions: Motilin increased antrum contraction frequency, whereas no effect on gastric myoelectrical activity was observed. Antrum contraction frequency appears to be a useful biomarker for motilin efficacy, and motilin doses of 2 and 4 pmol.min/kg were equally effective.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1046/j.1365-2036.2002.01142.x</identifier><identifier>PMID: 11856087</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cross-Over Studies ; Digestive system ; Dose-Response Relationship, Drug ; Double-Blind Method ; Electrophysiology ; Female ; Gallbladder - anatomy &amp; histology ; Gallbladder - drug effects ; Gastrointestinal Agents - pharmacology ; Gastrointestinal Motility - drug effects ; Humans ; Male ; Medical sciences ; Motilin - pharmacology ; Muscle, Smooth - drug effects ; Muscle, Smooth - physiology ; Pharmacology. 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M. C.</creatorcontrib><creatorcontrib>Van Haarst, A. D.</creatorcontrib><creatorcontrib>Burggraaf, J.</creatorcontrib><creatorcontrib>Schoemaker, H. C.</creatorcontrib><creatorcontrib>Biemond, I.</creatorcontrib><creatorcontrib>Jones, R.</creatorcontrib><creatorcontrib>Cohen, A. F.</creatorcontrib><creatorcontrib>Masclee, A. A. M.</creatorcontrib><title>Dose‐related effects of motilin on proximal gastrointestinal motility</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Aim: To assess non‐invasively the dose–response relations for the effects of exogenous motilin on antrum contraction frequency, gall‐bladder volume and gastric myoelectrical activity. Methods: In a double‐blind, randomized, placebo‐controlled, five‐way crossover study, 10 fasted healthy volunteers were infused intravenously with synthetic human motilin (0.5, 1, 2 and 4 pmol.min/kg) or placebo for 60 min. Gall‐bladder volume and antrum contractions were assessed by ultrasonography and gastric myoelectrical activity by electrogastrography. Motilin concentrations were measured using a radioimmunoassay. Results: Baseline plasma motilin levels (60 pmol/L) were similar for all treatments. Motilin levels increased upon the start of infusion and rapidly returned to baseline after cessation of the infusion. At motilin doses of 2 and 4 pmol.min/kg, the antrum contraction frequency was significantly augmented, with maximum differences of two contractions per 2‐min interval compared to placebo, while no changes in gastric myoelectrical activity were observed. Changes in gall‐bladder volume were not significantly different for any of the motilin doses compared to placebo. Conclusions: Motilin increased antrum contraction frequency, whereas no effect on gastric myoelectrical activity was observed. Antrum contraction frequency appears to be a useful biomarker for motilin efficacy, and motilin doses of 2 and 4 pmol.min/kg were equally effective.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cross-Over Studies</subject><subject>Digestive system</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>Electrophysiology</subject><subject>Female</subject><subject>Gallbladder - anatomy &amp; histology</subject><subject>Gallbladder - drug effects</subject><subject>Gastrointestinal Agents - pharmacology</subject><subject>Gastrointestinal Motility - drug effects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Motilin - pharmacology</subject><subject>Muscle, Smooth - drug effects</subject><subject>Muscle, Smooth - physiology</subject><subject>Pharmacology. 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dose‐related effects of motilin on proximal gastrointestinal motility</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2002-01</date><risdate>2002</risdate><volume>16</volume><issue>1</issue><spage>129</spage><epage>135</epage><pages>129-135</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Aim: To assess non‐invasively the dose–response relations for the effects of exogenous motilin on antrum contraction frequency, gall‐bladder volume and gastric myoelectrical activity. Methods: In a double‐blind, randomized, placebo‐controlled, five‐way crossover study, 10 fasted healthy volunteers were infused intravenously with synthetic human motilin (0.5, 1, 2 and 4 pmol.min/kg) or placebo for 60 min. Gall‐bladder volume and antrum contractions were assessed by ultrasonography and gastric myoelectrical activity by electrogastrography. Motilin concentrations were measured using a radioimmunoassay. Results: Baseline plasma motilin levels (60 pmol/L) were similar for all treatments. Motilin levels increased upon the start of infusion and rapidly returned to baseline after cessation of the infusion. At motilin doses of 2 and 4 pmol.min/kg, the antrum contraction frequency was significantly augmented, with maximum differences of two contractions per 2‐min interval compared to placebo, while no changes in gastric myoelectrical activity were observed. Changes in gall‐bladder volume were not significantly different for any of the motilin doses compared to placebo. Conclusions: Motilin increased antrum contraction frequency, whereas no effect on gastric myoelectrical activity was observed. Antrum contraction frequency appears to be a useful biomarker for motilin efficacy, and motilin doses of 2 and 4 pmol.min/kg were equally effective.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11856087</pmid><doi>10.1046/j.1365-2036.2002.01142.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Cross-Over Studies
Digestive system
Dose-Response Relationship, Drug
Double-Blind Method
Electrophysiology
Female
Gallbladder - anatomy & histology
Gallbladder - drug effects
Gastrointestinal Agents - pharmacology
Gastrointestinal Motility - drug effects
Humans
Male
Medical sciences
Motilin - pharmacology
Muscle, Smooth - drug effects
Muscle, Smooth - physiology
Pharmacology. Drug treatments
Pyloric Antrum - drug effects
Pyloric Antrum - physiology
title Dose‐related effects of motilin on proximal gastrointestinal motility
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