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Departments of 1 Applied Pharmacology and 2 Biopharmaceutics, Kyoto Pharmaceutical University, Kyoto 607-8414, Japan
Cyclooxygenase (COX)-2
expression is induced in the gastric mucosa of Helicobacter
pylori-infected patients, but its role remains unclear. We
examined the effects of NS-398 and indomethacin on gastric pathology in
H. pylori-infected Mongolian gerbils. COX-1 was detected in
both normal and H. pylori-infected mucosa, whereas COX-2 was
expressed only in the infected mucosa. PGE2 production was
elevated by H. pylori infection, and the increased production was reduced by NS-398, which did not affect PGE2
production in normal mucosa. Indomethacin inhibited PGE2
production in both normal and infected mucosa. Hemorrhagic erosions,
neutrophil infiltration, lymphoid follicles, and epithelium damage were
induced by H. pylori infection. NS-398 and indomethacin
aggravated these pathological changes but did not increase viable
H. pylori number. H. pylori-increased production
of neutrophil chemokine and interferon-
was potentiated by NS-398
and indomethacin. Neither NS-398 nor indomethacin caused any
pathological changes or cytokine production in normal animals. These
results indicate that COX-2 as well as COX-1 might play anti-inflammatory roles in H. pylori-induced gastritis.
prostaglandin; nonsteroidal anti-inflammatory drug; infection
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