H. Gislason et al., ROLE OF PROSTAGLANDINS AND HISTAMINE IN HYPEREMIC RESPONSE TO SUPERFICIAL AND DEEP GASTRIC-MUCOSAL INJURY AND H-DIFFUSION IN CATS( BACK), Digestive diseases and sciences, 40(8), 1995, pp. 1669-1678
This study was undertaken to examine the role of prostaglandins and hi
stamine in the hyperemic response to gastric mucosal damage followed b
y H+ back-diffusion. Cat stomachs were exposed to 2 mol/liter NaCl for
10 min followed by luminal perfusion at pH 1. Hypertonic saline cause
d extensive (microscopic) damage to the surface epithelium, increased
gastric mucosal blood flow, and increased release of histamine, PGE(2)
, and 6-keto PGF(1 alpha) (prostacyclin) into portal venous blood. The
effect of indomethacin and histamine blockers (H-1 + H-2) on the hype
remic response to acid back-diffusion was related to the depth of the
mucosal injury and the region of the stomach. In the corpus, indometha
cin enhanced mucosal injury. In areas with superficial damage, the hyp
eremia was inhibited by indomethacin and antihistamines and eliminated
by the combination of both. In corpus areas with indomethacin-induced
deep lesions, the blood flow was very high, and this hyperemia was pa
rtly inhibited by antihistamines. In the antrum the hyperemic response
was reduced by antihistamines. Indomethacin increased the release of
histamine into the portal venous blood (baseline recordings) and reduc
ed basal gastric mucosal blood how.