A Novel Role of Irbesartan in Gastroprotection against Indomethacin-Induced Gastric Injury in Rats: Targeting DDAH/ADMA and EGFR/ERK Signaling

The advent of angiotensin II type 1 receptor blockers (ARBs) as intriguing gastroprotective candidates and the superior pharmacokinetics and pharmacodynamics displayed by irbesartan compared to many other ARBs raised the interest to investigate its gastroprotective potential in a rat model of gastri...

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Veröffentlicht in:Scientific reports 2018-03, Vol.8 (1), p.4280-12, Article 4280
Hauptverfasser: Shahin, Nancy N., Abdelkader, Noha F., Safar, Marwa M.
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description The advent of angiotensin II type 1 receptor blockers (ARBs) as intriguing gastroprotective candidates and the superior pharmacokinetics and pharmacodynamics displayed by irbesartan compared to many other ARBs raised the interest to investigate its gastroprotective potential in a rat model of gastric injury. Irbesartan (50 mg/Kg) was orally administered to male Wistar rats once daily for 14 days; thereafter gastric injury was induced by indomethacin (60 mg/Kg, p.o). Irbesartan reduced gastric ulcer index, gastric acidity, and ameliorated indomethacin-induced gastric mucosal apoptotic and inflammatory aberrations, as demonstrated by hampering caspase-3, prostaglandin E 2 and tumor necrosis factor-alpha levels and cyclooxygenase-2 mRNA expression. This ARB increased mucosal dimethylarginine dimethylaminohydrolase-1 (DDAH-1) gene expression and decreased elevated levels of matrix metalloproteinase-9, asymmetric dimethylarginine (ADMA), epidermal growth factor receptor (EGFR) mRNA and phosphorylated extracellular signal-regulated kinase 1 and 2 (pERK1/2). Histopathological evaluation corroborated biochemical findings. Overall efficacy of irbesartan was comparable to ranitidine, the widely used H 2 receptor blocker. In conclusion, irbesartan exerts significant gastroprotection against indomethacin-induced mucosal damage via acid-inhibitory, anti-inflammatory, anti-apoptotic and extracellular matrix remodeling mechanisms that are probably mediated, at least partly, by down-regulating DDAH/ADMA and EGFR/ERK1/2 signaling.
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subjects 13/51
14/63
38/77
692/308/2778
692/4020/1503/583/1722
Acidity
Angiotensin
Angiotensin II
Apoptosis
Caspase
Caspase-3
Cyclooxygenase-2
Epidermal growth factor
Epidermal growth factor receptors
Extracellular matrix
Extracellular signal-regulated kinase
Gastric juice
Gene expression
Humanities and Social Sciences
Indomethacin
Inflammation
Kinases
Matrix metalloproteinase
Metalloproteinase
Mucosa
multidisciplinary
Oral administration
Pharmacodynamics
Pharmacokinetics
Prostaglandin E2
Ranitidine
Rodents
Science
Science (multidisciplinary)
Tumor necrosis factor-α
title A Novel Role of Irbesartan in Gastroprotection against Indomethacin-Induced Gastric Injury in Rats: Targeting DDAH/ADMA and EGFR/ERK Signaling
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