Document Detail


Ameliorative effects of telmisartan in diabetic rats with indomethacin-induced gastric ulceration.
MedLine Citation:
PMID:  20399771     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The protective effects of telmisartan, the angiotensin II-receptor antagonist, were investigated in rats with type 2 diabetes mellitus exposed to acute gastric ulceration. Following successful induction of diabetes, telmisartan treatment (1 mg/kg/day, orally) was started and continued for 8 weeks, after which acute gastric ulceration was induced by indomethacin. Telmisartan significantly attenuated the hyperglycemia and hypoinsulinemia in diabetic rats. Also, telmisartan significantly reduced the elevations of total gastric acid output, pepsin activity, gastric ulcer index and gastric mucosal tumor necrosis factor-alpha, nitric oxide, malondialdehyde and caspase-3 activity, and restored the depleted antioxidant defenses (reduced glutathione level, and superoxide dismutase and catalase activities) caused by indomethacin administration in diabetic rats. Histopathological gastric tissue damage induced by indomethacin in diabetic rats was ameliorated by telmisartan treatment. Immunohistochemical analysis revealed that telmisartan markedly attenuated the reduction in insulin content of pancreatic islet beta-cells, and prevented the indomethacin-induced overexpression of inducible nitric oxide synthase and nuclear factor-kappaB in gastric mucosa of diabetic rats. It was concluded that telmisartan represents a potential therapeutic option to reduce the risk of gastric ulceration induced by nonsteroidal anti-inflammatory drugs in type 2 diabetic patients.
Authors:
Amr A Fouad; Ali Ibrahim Al-Sultan; Mohamed T Yacoubi; Wafaey Gomaa
Publication Detail:
Type:  Journal Article     Date:  2010-04-23
Journal Detail:
Title:  European journal of pharmacology     Volume:  637     ISSN:  1879-0712     ISO Abbreviation:  Eur. J. Pharmacol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254354     Medline TA:  Eur J Pharmacol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  162-70     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Biomedical Sciences, Pharmacology Division, College of Medicine, Al-Ahsa, King Faisal University, Saudi Arabia. amrfouad65@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Angiotensin II Type 1 Receptor Blockers / pharmacology*
Animals
Antioxidants / metabolism
Benzimidazoles / pharmacology*
Benzoates / pharmacology*
Blood Glucose / metabolism
Caspase 3 / metabolism
Diabetes Mellitus, Type 2 / complications*,  drug therapy*
Gastric Acid / secretion
Gastric Mucosa / drug effects,  metabolism,  pathology
Humans
Immunohistochemistry
Indomethacin*
Insulin / metabolism
Male
Malondialdehyde / metabolism
Nitric Oxide / metabolism
Rats
Rats, Sprague-Dawley
Stomach Ulcer / chemically induced*,  complications,  drug therapy*,  metabolism
Tumor Necrosis Factor-alpha / metabolism
Chemical
Reg. No./Substance:
0/Angiotensin II Type 1 Receptor Blockers; 0/Antioxidants; 0/Benzimidazoles; 0/Benzoates; 0/Blood Glucose; 0/Tumor Necrosis Factor-alpha; 10102-43-9/Nitric Oxide; 11061-68-0/Insulin; 144701-48-4/telmisartan; 53-86-1/Indomethacin; 542-78-9/Malondialdehyde; EC 3.4.22.-/Caspase 3

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