AI Article Synopsis

  • A double-blind, placebo-controlled crossover study with ten healthy young males evaluated the effects of nocloprost on gastric injuries caused by aspirin.
  • Nocloprost significantly reduced gastric microbleeding and nearly eliminated mucosal injury from aspirin without affecting gastric acid or pepsin secretion.
  • The treatment also increased salivary and plasma levels of epidermal growth factor (EGF), suggesting its protective effects against gastric injury may involve EGF release.

Article Abstract

Ten healthy young male subjects took part in a double-blind, placebo-controlled crossover study to assess the effects of nocloprost on gastric microbleeding and endoscopic mucosal injury induced by the administration of aspirin (2.5 g). In addition, basal and pentagastrin-induced gastric acid and pepsin secretion and salivary and plasma contents of epidermal growth factor (EGF) were measured after placebo plus aspirin or nocloprost plus aspirin treatment in these subjects. Nocloprost (100 micrograms/dose) significantly reduced spontaneous gastric microbleeding and almost completely prevented gastric mucosal injury induced by aspirin. Nocloprost failed to affect basal and pentagastrin-stimulated gastric acid and pepsin secretion but increased significantly the salivary outputs and plasma concentrations of EGF. In conclusion, nocloprost is effective in preventing gastric injury by aspirin even at a non-antisecretory dose, and this protection may involve an excessive release of EGF.

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http://dx.doi.org/10.3109/00365529109025036DOI Listing

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Article Synopsis
  • Nocloprost, a prostaglandin E2 (PGE2) analog, was tested for its ability to protect against gastric lesions and promote ulcer healing in rats.
  • It effectively prevented gastric damage from various stressors and was more effective when combined with stomach acid, lasting about 8 hours and outperforming another similar compound, dmPGE.
  • Unlike dmPGE, nocloprost accelerated the healing of chronic gastric ulcers and enhanced mucosal growth, showing its strong local cytoprotective effects.
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