Skip to main content
Log in

Amifostine (Wr-2721) Prevents Indomethacin-Induced Gastric Damage in Rats: Role of Non-Protein Sulfhydryl Groups and Leukocyte Adherence

  • Original Paper
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

This study was designed to evaluate the protective effect of amifostine on indomethacin-induced gastric damage, and the role of increased gastric non-protein sulfhydryl groups (NP-SH) and decreased leukocyte adherence in this event. Wistar rats were pretreated with amifostine (10, 30, or 90 mg/kg intraperitoneal (i.p.) or subcutaneous (s.c.)) or saline. After 30 min, the rats received indomethacin (20 mg/kg, by gavage) and were then killed 3 hr later. Macroscopic and microscopic gastric damage, concentration of gastric NP-SH, prostaglandin E2 (PGE2), and mesenteric leukocyte adherence (intravital microscopy) were assessed. Amifostine prevented significantly (P < 0.05), macroscopic or microscopic, indomethacin-induced gastric damage, and increased gastric NP-SH, in a dose-dependent manner, with a maximal effect at a dose of 90 mg/kg. Subcutaneous, but not i.p., amifostine administration decreased (P < 0.05) the indomethacin-induced increase in leukocyte adherence. Indomethacin-induced PGE2 depletion was not reversed by amifostine. Amifostine has a protective effect against indomethacin-induced gastropathy by increasing gastric NP-SH and decreasing leukocyte adherence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Capizzi RL (1999) Clinical status and optimal use of amifostine. Oncology (Williston Park) 13:47–59, 63–67

    CAS  Google Scholar 

  2. Links M, Lewis C (1999) Chemoprotectants: a review of their clinical pharmacology and therapeutic efficacy. Drugs 57:293–308

    Article  PubMed  CAS  Google Scholar 

  3. Polla BS, Donati Y, Kondo M, Tochon-Dunguy HJ, Bonjour JP (1990) Protection from cellular oxidative injury and calcium intrusion by N-(2-mercaptoethyl)-1,3-propanodiamine, WR-1065. Biochem Pharmacol 40:1469–1475

    Article  PubMed  CAS  Google Scholar 

  4. Ben-Josef E, Han S, Tobi M, Vargas BJ, Stamos B, Kelly L, Biggar S, Kaplan I (2002) Intrarectal application of amifostine for the prevention of radiation-induced rectal injury. Semin Radiat Oncol 12:81–85

    Article  PubMed  Google Scholar 

  5. Wallace JL, Keenan CM, Granger DN (1990) Gastric ulceration induced by nonsteroidal anti-inflammatory drugs is a neutrophil-dependent process. Am J Physiol 259:G462–467

    PubMed  CAS  Google Scholar 

  6. Wallace JL, McKnight W, Miysaka M, Tamatani T, Paulson J, Anderson DC, Granger DN, Kubes P (1993) Role of endothelial adhesion molecules in NSAID-induced gastric mucosal injury. Am J Physiol 265:G993–G998

    PubMed  CAS  Google Scholar 

  7. Vaananen PM, Meddings JB, Wallace JL (1991) Role of oxygen-derived free radicals in indomethacin-induced gastric injury. Am J Physiol 261:G470–475

    PubMed  CAS  Google Scholar 

  8. Trevethick MA, Clayton NM, Strong P, Harman IW (1993) Do infiltrating neutrophils contribute to the pathogenesis of indomethacin induced ulceration of the gastric antrum? Gut 34:156–160

    Article  PubMed  CAS  Google Scholar 

  9. Szabo S, Nagy L, Plebani M (1992) Glutathione, protein sulfhydryls and cysteine proteases in gastric mucosal injury and protection. Clin Chim Acta 206:95–105

    Article  CAS  Google Scholar 

  10. Sedlak J, Lindsay RH (1968) Estimation of total, protein-bound, and nonprotein sulfhydryl groups in tissue with Ellman’s reagent. Anal Biochem 25:192–205

    Article  CAS  Google Scholar 

  11. Wallace JL (1997) Nonsteroidal anti-inflammatory drugs and gastroenteropathy: the second hundred years. Gastroenterology 112:1000–1016

    Article  PubMed  CAS  Google Scholar 

  12. Baez S (1969) Simultaneous measurements of radii and wall thickness of microvessels in the anesthetized rat. Circ Res 25:315–329

    PubMed  CAS  Google Scholar 

  13. Fortes ZB, Farsky MA, Oliveira J, Garcia-Leme (1991) Direct vital microscopic study of defective leukocyte-endothelial interactions in diabetes mellitus. Diabetes 40:1267–1273

    Article  PubMed  CAS  Google Scholar 

  14. Rhodin JAG (1986) Architecture of the vessel way. In: Bohr DF, Somlyo AP, Sparks HV (eds). Handbook of physiology, vol. II: the cardiovascular system.1st edn. (December 15, 2001). An American Physiological Society Book, Bethesda, MD, pp 1–13

    Google Scholar 

  15. Granger DN, Benoit JN, Suzuki M, Grisham MB (1989) Leukocyte adherence to venular endothelium during ischemia-reperfusion. Am J Physiol 257:G683–688

    PubMed  CAS  Google Scholar 

  16. Ryan SV, Carrithers SL, Parkinson SJ, Skurk C, Nuss C, Pooler PM, Owen CS, Lefer AM, Waldman SA (1996) Hypotensive mechanisms of amifostine. J Clin Pharmacol 36:365–373

    PubMed  CAS  Google Scholar 

  17. Koukourakis MI, Kyrias G, Kakolyris S, Kouroussis C, Frangiadaki C, Giatromanolaki A, Retalis G, Georgoulias V (2000) Subcutaneous administration of amifostine during fractionated radiotherapy: a randomized phase II study. J Clin Oncol 18:2226–2233

    PubMed  CAS  Google Scholar 

  18. Bachy CM, Fazenbaker CA, Kifle G, McCarthy MP, Cassatt DR (2004) Tissue levels of WR-1065, the active metabolite of amifostine (Ethyol), are equivalent following intravenous or subcutaneous administration in cynomolgus monkeys. Oncology 67:187–193

    Article  PubMed  CAS  Google Scholar 

  19. Cassatt DR, Fazenbaker CA, Kifle G, Bachy CM (2003) Subcutaneous administration of amifostine (ethyol) is equivalent to intravenous administration in a rat mucositis model. Int J Radiat Oncol Biol Phys 57:794–802

    Article  CAS  Google Scholar 

  20. Szabo S (1978) Duodenal ulcer disease. Animal model: cysteamine-induced acute and chronic duodenal ulcer in the rat. Am J Pathol 93:273–236

    PubMed  CAS  Google Scholar 

  21. Ueshima K, Takeuchi K, Okabe S (1992) Effects of sulfhydryl-related compounds on indomethacin-induced gastric lesions in rats: role of endogenous sulfhydryls in the pathogenesis. Jpn J Pharmacol 58:157–165

    PubMed  CAS  Google Scholar 

  22. Szabo S (1981) Sulfhydryl compounds may mediate gastric cytoprotection. Science 214:200–202

    Article  PubMed  CAS  Google Scholar 

  23. Morise Z, Granger DN, Fuseler JW, Anderson DC, Grisham MB (1999) Indomethacin induced gastropathy in CD18, intercellular adhesion molecule 1, or P-selectin deficient mice. Gut 45:523–528

    Article  PubMed  CAS  Google Scholar 

  24. Wang SZ, Chen ZC, McNamar JP, Wang SY, Cheng QF (2005) The relationship between the protective effect of amifostine and decreased intercellular adhesion molecule 1 expression. Am J Otolaryngol 26:118–122

    Article  CAS  Google Scholar 

  25. Batista CK, Mota JM, Souza ML, Leitão BT, Souza MH, Brito GA, Cunha FQ, Ribeiro RA (2006) Amifostine and glutathione prevent ifosfamide- and acrolein- induced hemorrhagic cystitis. Cancer Chemother Pharmacol [Epub ahead of print]

  26. Santos CL, Souza MH, Gomes AS, Lemos HP, Santos AA, Cunha FQ, Wallace JL (2005) Sildenafil prevents indomethacin-induced gastropathy in rats: role of leukocyte adherence and gastric blood flow. Br J Pharmacol 146:481–486

    Article  PubMed  CAS  Google Scholar 

  27. Peskar BM, Ehrlich K, Peskar BA (2002) Role of ATP-sensitive potassium channels in prostaglandin-mediated gastroprotection in the rat. J Pharmacol Exp Ther 301:969–974

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful for the technical assistance of Maria Silvandira Freire and José Ivan Rodrigues of the Federal University of Ceará. We also thank Dr. Albert Leyva for assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marcellus H. L. P. de Souza.

Additional information

Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mota, J.M.S.C., Soares, P.M.G., Menezes, Á.A.J. et al. Amifostine (Wr-2721) Prevents Indomethacin-Induced Gastric Damage in Rats: Role of Non-Protein Sulfhydryl Groups and Leukocyte Adherence. Dig Dis Sci 52, 119–125 (2007). https://doi.org/10.1007/s10620-006-9496-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-006-9496-3

Keywords

Navigation