Membrane-bound ATP-dependent energy systems, as extra- and intracellular key signals for gastrointestinal functions and their regulations in the gastrointestinal mucosa

G. Mózsik, Imre László Szabó, József Czimmer

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Aims: Our research group has carried out various biochemical examinations in rat gastric ulcer models and in human gastrointestinal resecates obtained from patient who underwent gastric intervention due to peptic ulcer disease. Biochemical methods gave excellent possibility to approach the biochemical events taking place in tissues, cellular and subcellular regulatory levels during of ulcer development and of its prevetions. This paper gives a brief summary of these biochemical examinations conducted during this study period started from the 1960‘s up till now. Results and Conclusions: 1. The decreased action of gastric acid secretory responses is not needed for duodenal and gastric ulcer healing in patients with peptic ulcer; 2. The surgical and chemical vagotomy resulted in various biochemical changes in the rat stomach; 3. The presence of Na+-K+-dependent ATPase and adenylate cyclase can be demostrated both in the rat and human gastric fundic mucosa; 4. The mitocondrial ATP is a common substrate for these membrane-bound ATP-dependent enzymes, and a multiple feedback mechanism existing between these two membrane-bound enzymes altered by mediators, hormones and drugs; 5. This feedback mechanism exists in the GI mucosa under different pathological conditions and during certain drug actions; 6. The development of mucosal damage and prevention depends on the actual regulatory state of above mentioned feedback mechanism between the membrane-bound ATP-dependent energy systems; 7.The drug actions depend on the actual functional state of target organ; 8. Biochemical gradients exist between the biochemical structure of the fundic, antral, duodenal and jejunal mucosa in patients with gastric hyperacidity, which is gradually downregulated by the decrease of gastric acid secretory responses, and totally disappears in patients with hypacidity; 9. No biochemically proven tissue hypoxia - around the chronic ulcer, duodenal and jejunal ulcers - exists in patients with chronic peptic ulcer; 10. The cellular and tissue protection differ from each other in the gastrointestinal tract; 11. Helicobacter pylori does not produce damage at the level of cell membrane, mitochondrion and DNA - given alone or in combination with indomethacin - on freshly isolated rat gastric mucosal cells. 12. A biochemical explanation is given to ulcer development in humans and in different animal models.

Original languageEnglish
Pages (from-to)3962-3992
Number of pages31
JournalCurrent Pharmaceutical Design
Volume23
Issue number27
DOIs
Publication statusPublished - Aug 1 2017

Keywords

  • ADP
  • ATP, ADP, AMP, cAMP, lactate in GI tissues
  • Chemical agents and drugs to produce GI mucosal damage and its prevention
  • Clinical pharmacology
  • Cytoprotection in patients
  • Energetical gradients in the human fundic, antral, duodenal and jejunal mucosa patients with different gastric acid secretion
  • Gastric mucosa
  • Gastric mucosal biochemistry
  • Gastrointestinal mucosal damage and prevention vs ATP-dependent energy systems
  • Human peptic ulcer
  • Membrane-bound ATP-dependent enery systems
  • No direct damaging actions of helicobacter pylori actions on different cellular components
  • No presence of tissue hypoxia in the ulcerated gi mucosa
  • Peptic ulcer disease in patients
  • Seventeen experimental ulcer models
  • “Chemical” vs. “surgical vagotomy”

ASJC Scopus subject areas

  • Pharmacology
  • Drug Discovery

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