Abstract
The effect of orally administered ornoprostil, 17S,20-dimethyl-6-oxoprostaglandin E1 methyl ester, on gastric emptying and on pancreatic polypeptide (PP) release after solid meal ingestion, was investigated in man. A radionuclide technique was used to measure gastric emptying of eight healthy volunteers. In addition, four parameters [SI (starting index): the lag time in the start of emptying;K value: the emptying rate;T1/2: the half emptying time; 120 min RR: the percent retention at 120 min] were determined for evaluation. Also, the PP response was analyzed according to two parameters: IPPRSI, the integrated PP response for periods up to SI, and IPPR120, the integrated PP response for 120 min. The results demonstrated that 5 μg of orally administered ornoprostil significantly reduced the gastric emptying rate of solid meal (T1/2 and 120 min RR,P<0.05). However, ornoprostil affected neither the basal PP concentrations nor the cephalic phase of PP secretion which was determined as IPPRSI. This thus suggests that ornoprostil affects the gastric motor function without interfering with the vagal-cholinergic pathway to the stomach.
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Robert A, Nezamis JE, Phillips JP: Inhibition of gastric secretion by prostaglandins. Am J Dig Dis 12:1073–1076, 1967
Wilson DE, Phillips C, Levine RA: Inhibition of gastric secretion in man by prostaglandin A1. Gastroenterology 61:201–206, 1971
Classen M, Koch H, Bickhardt J, Topf G, Demling L: The effect of prostaglandin E1 on the pentagastrin-stimulated gastric secretion in man. Digestion 4:333–334, 1971
Robert A, Nezamis JE, Lancaster C, Hanchar AJ: Cytoprotection by prostaglandins in rats. Gastroenterology 77:433–443, 1979
Robert A, Lancaster C, Davis JP, Field SO, Wickrema SAJ, Thornburgh BA: Cytoprotection by prostaglandin occurs in spite of penetration of absolute ethanol into the gastric mucosa. Gastroenterology 88:328–333, 1985
Peterson W, Feldman M, Taylor I, Bremer M: The effect of 15(R),15-methyl-prostaglandin E2 on meal-stimulated gastric acid secretion, serum gastrin, and pancreatic polypeptide in duodenal ulcer patients. Dig Dis Sci 24:381–384, 1979
Kawai Y, Saeki S, Okano H, Miyamoto M, Oh T, Takata A, Onoyama Y, Mitooka H, Tomofuji Y, Yasuda T, Baba S: A new preparation of solid meal for gastric emptying measurement. Jpn J Gastroenterol 84:130, 1987
Mizuno N, Ishida M, Okada K, Baba S: Studies on the radioimmunoassay of human pancreatic polypeptide (hPP) and basal levels of plasma hPP in healthy subjects and diabetic patients. J Jpn Diab Soc 22:895–905, 1979
Inui A, Mizuno N, Oya M, Suenaga K, Morioka H, Ogawa T, Ishida M, Baba S: Cross-reactivities of neuropetide Y and peptide YY with pancreatic polypeptide antisera; evidence for the existence of pancreatic polypeptide in the brain. Brain Res 330:386–389, 1985
Ruwart MJ, Rush BD: Prostacyclin inhibits gastric emptying and small-intestinal transit in rats and dogs. Gastroenterology 87:392–395, 1984
Nompleggi D, Myers L, Castell DO, Dubois A: Effect of a prostaglandin E2 analog on gastric emptying and secretion in rhesus monkeys. J Pharmacol Exp Ther 212:491–495, 1980
Shea-Donohue PT, Nompleggi D, Dubois A: Effect of a prostaglandin F2α analog on gastric emptying and secretion in rhesus monkeys. J Pharmacol Exp Ther 219:287–289, 1981
Nylander B, Mattsson O: Effect of 16,16-dimethyl prostaglandin E2 on gastric emptying and intestinal transit of barium-food test meal in man. Scand J Gastroenterol 10:289–292, 1975
Robert A, Nezamis JE, Lancaster C: The effect of 16,16-dimethyl prostaglandin E2 on gastric emptying.In Advances in Prostaglandin and Thromboxane Research. B Samuelsson (eds). New York, Raven Press, 1976, pp 507–520
Gilbert DA, Surawicz CM, Silverstein FE, Weinberg CR, Saunders DR, Feld AD, Sanford RL, Bergman D, Washington P: Prevention of acute aspirin-induced gastric mucosal injury by 15-R-15 methyl prostaglandin E2: An endoscopic study. Gastroenterology 86:339–345, 1984
Moore JG, Alazraki N, Clay GD: Effect of synthetic prostaglandin E1 analog on gastric emptying of meals in man. Dig Dis Sci 31:16–20, 1986
Milenov K, Golenhofen K: Contractile responses of longitudinal and circular smooth muscle of the canine stomach to prostaglandins E and F2α. Prostaglandins Leukotriens Med 8:287–300, 1982
Andersson KE, Andersson R, Hedner P, Persson CGA: Parallelism between mechanical and metabolic responses to cholecystokinin and prostaglandin E2 in extrahepatic biliary tract. Acta Physiol Scand 89:571–579, 1973
Thornell E, Svanvik J, Wood JR: Effects of intraarterial prostaglandin E2 on gallbladder fluid transport, motility, and hepatic bile flow in the cat. Scand J Gastroenterol 16:1083–1088, 1981
Jivegård L, Svanvik J: The influence of morphine, loperamide and naloxone on gallbladder response to prostaglandin E2 in the anaesthetized cat. Cata Physiol Scand 127:275–279, 1986
Nakata K, Kurahashi K: Effect of C-terminal octapeptide of cholecystokinin and prostaglandins on adrenergic functions in the guinea-pig gallbladder and sphincter of Oddi. Jpn J Pharmacol 31:77–83, 1981
Sakaki H: Pharmacological studies on terminal biliary duct with particular reference to effects of prostaglandins and a few other drugs. Jpn J Smooth Muscle Res 11:95–107, 1975
Jivegård L, Thornell E, Svanvik J: Intraluminal prostaglandin E2 by activation of nerves reduces fluid absorption and contracts the gallbladder. Gastroenterology 88:1668, 1985
Okano H, Saeki S, Nakashima T, Miyamoto M, Oh T, Takata A, Kawai Y, Onoyama Y, Mitooka H, Tomofuji Y, Yasuda T, Inui A, Baba S: The derangement of gastric, gallbladder emptying and human pancreatic polypeptide release after a test meal ingestion in patients with anorexia nervosa. Gastroenterology 96:A376, 1989
Schwartz TW: Pancreatic polypeptide: a hormone under vagal control. Gastroenterology 85:1411–1425, 1983
Schwartz TW, Stenquist B, Olbe L, Stadil F: Synchronous oscillations in the basal secretion of pancreatic polypeptide and gastric acid. Depression by cholinergic blockade of pancreatic-polypeptide concentrations in plasma. Gastroenterology 76:14–19, 1979
Inui A, Mizuno N, Ogawa T, Ishida M, Baba S: The effects of the physical state of food on postprandial pancreatic polypeptide release in canine. Biomed Res 4(suppl):245–250, 1983
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Okano, H., Saeki, S., Inui, A. et al. Effect of synthetic prostaglandin E1 analog (ornoprostil) on gastric emptying and pancreatic polypeptide release after solid-meal ingestion in man. Digest Dis Sci 36, 47–51 (1991). https://doi.org/10.1007/BF01300086
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DOI: https://doi.org/10.1007/BF01300086