Autofluorescence observations enable scientists to sensitively identify var
ious lesions. Non-steroidal anti-inflammatory drugs such as aspirin and ind
omethacin are well known to induce gastric mucosal injuries. Our purpose wa
s to clarify whether the observation of mucosal autofluorescence could help
us to recognize indomethacin-induced gastric lesion formation. Gastric muc
osal fluorescence intensity and gastric lesion scores were time-sequentiall
y measured after indomethacin treatment in rats. To identify the localizati
on of autofluorescent substances, stomach cryosections were observed with a
n epifluorescence microscope. Fluorescent substances from damaged tissue we
re also analyzed by high-performance liquid chromatography. In addition, to
elucidate whether oxidative stress directly generates fluorescent substanc
es from heme, we investigated the reaction between hydrogen peroxide and he
moglobin in a cell-free system. Treatment with indomethacin induced gastric
lesions by tissue peroxidation, with mucosal fluorescence intensity increa
sing time-dependently. The fluorescence products were mesoporphyrin and pro
toporphyrin, and they were localized in disrupted mucosal tissue. In the ce
ll-free system, porphyrins were directly generated by hydrogen peroxide fro
m hemoglobin. These findings indicate that indomethacin treatment increased
the intensity of porphyrin fluorescence. Gastric mucosal lesion formation
can be sensitively detected with fluorescence observations.