title: Ecabet sodium raises plasma levels of calcitonin generelated peptide and substance P in healthy humans.
abstract: Ecabet sodium (ecabet), a cytoprotective drug, produces an increase in mucosal blood flow. One of the gastrointestinal motility regulatory factors has been assumed to be the induction of changes in the levels of peptides (gastrin, somatostatin and motilin) in plasma. On the other hand, recently, capsaicinsensitive afferent nerves were shown to play an important role in gastric mucosal defensive mechanism. Capsaicin stimulates afferent nerves and enhances the release of calcitonin gene-related peptide (CGRP) and substance P in the stomach. We studied the effect of ecabet on human plasma gastrin-, somatostatin-, motilin-, CGRP- and substance P-like immunoreactive substance (IS) in healthy subjects. Ecabet sodium at a dose of 3.0 g, or placebo, was orally administered in five healthy males. The blood samples were taken before and at 20, 40, 60, 90, 120, 180 and 240 min after administration, subjected to extracting procedures, and submitted to a highly sensitive enzyme immunoassay system. Single administration of ecabet caused significant (P<0.05) increases in plasma CGRP-, substance P- and somatostatin-IS concentration compared with placebo. Ecabet significantly decreased plasma gastrin-IS levels compared with placebo. In this study, we hypothesized that ecabet might stimulate capsaicin-sensitive afferent nerves indirectly and improve mucosal blood flow; this might be a key mechanism underlying its gastroprotective action.
authors.affiliation: Department of Clinical Pharmacy, Oita University Hospital, Hasama-machi, Oita 879-5593, Japan. FKATA@med.oita-u.ac.jp
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Katagiri
authors.forename: Shin
authors.initials: S
authors.lastname: Inoue
authors.forename: Yuhki
authors.initials: Y
authors.lastname: Sato
authors.forename: Hiroki
authors.initials: H
authors.lastname: Itoh
authors.forename: Masaharu
authors.initials: M
authors.lastname: Takeyama
mesh_terms: D045784:Abietanes / Q000494:pharmacology*; D000328:Adult; D015740:Calcitonin Gene-Related Peptide / Q000097:blood*; D002851:Chromatography, High Pressure Liquid; D002940:Circadian Rhythm; D019610:Cytoprotection; D005755:Gastrins / Q000097:blood; D006801:Humans; D007124:Immunoenzyme Techniques; D008297:Male; D009037:Motilin / Q000097:blood; D013004:Somatostatin / Q000097:blood; D013373:Substance P / Q000097:blood*
chemical_list: D045784:Abietanes; D005755:Gastrins; C061681:ecabet; D013373:Substance P; D013004:Somatostatin; D009037:Motilin; D015740:Calcitonin Gene-Related Peptide