title: Expression of the gastric H+/K(+)-ATPase and histidine decarboxylase during omeprazole treatment.
abstract: The gastric proton pump H+/K(+)-ATPase in the parietal cell is central to acid secretion into the stomach. We performed the following experiment to examine the pattern of expression of the alpha- and beta-subunits of the H+/K(+)-ATPase at the transcriptional level during 7 days' application of the proton pump inhibitor omeprazole, in relation to the expression of gastrin and histamine, two stimuli of gastric acid secretion. Serum gastrin concentrations and mRNA levels of antral gastrin, fundic histidine decarboxylase (HDC) and H+/K(+)-ATPase alpha- and beta-subunits were determined after 8 h, 1, 3 and 7 days. Omeprazole treatment rapidly caused an increase in the serum gastrin concentration and the antral gastrin mRNA level after 3 days. HDC mRNA expression showed a steady increase with a 5-fold induction after 1 week. However, mRNA levels of the alpha- and beta-subunits of the H+/K(+)-ATPase were unchanged during the course of omeprazole treatment. These results suggest that omeprazole inhibition of the gastric proton pump does not result in feedback activation of H+/K(+)-ATPase gene expression despite adaptive changes of the endocrine stomach.
authors.affiliation: Department of Internal Medicine, Philipp University, Marburg, FRG.
authors.forename: B
authors.initials: B
authors.lastname: Swarovsky
authors.forename: R
authors.initials: R
authors.lastname: Eissele
authors.forename: M
authors.initials: M
authors.lastname: Gross
authors.forename: G
authors.initials: G
authors.lastname: Körtner
authors.forename: H
authors.initials: H
authors.lastname: Koop
authors.forename: R
authors.initials: R
authors.lastname: Arnold
authors.forename: B
authors.initials: B
authors.lastname: Simon
mesh_terms: D000818:Animals; D005260:Female; D005753:Gastric Mucosa / Q000166:cytology / Q000201:enzymology*; D005755:Gastrins / Q000097:blood; D015971:Gene Expression Regulation, Enzymologic; D017506:H(+)-K(+)-Exchanging ATPase / Q000235:genetics / Q000378:metabolism*; D006640:Histidine Decarboxylase / Q000235:genetics / Q000378:metabolism*; D009853:Omeprazole / Q000494:pharmacology*; D012333:RNA, Messenger / Q000378:metabolism; D051381:Rats; D017207:Rats, Sprague-Dawley; D014158:Transcription, Genetic
chemical_list: D005755:Gastrins; D012333:RNA, Messenger; D017506:H(+)-K(+)-Exchanging ATPase; D006640:Histidine Decarboxylase; D009853:Omeprazole