4.1 Article

Gastroduodenal mucosal defense

Journal

CURRENT OPINION IN GASTROENTEROLOGY
Volume 24, Issue 6, Pages 665-673

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOG.0b013e328311cd93

Keywords

bicarbonate; cyclooxygenase inhibitors; duodenum; leptin; matrix metalloproteinase; orexins; stomach; survivin

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Purpose of review The gastrointestinal tract has developed multi le mechanisms of protection intrinsic and extrinsic sources of injury, including but not limited to drugs, ischemic/reperfusion injuries, and infections such as Helicobacter pylori. We review recent developments in host defense against Helicobacter pylori, duodenal bicarbonate secretion, protection from nonsteroidal anti-inflammatory drug induced gastrointestinal injury, and apoptosis, as well as newer therapies. Recent findings Leptin and survivin confer protection against ethanol and indomethacin induced injury. Mucin-1, a cell surface mucin, is an important barrier to gastrointestinal infection. Prostaglandin E-2, Escherichia coli heat-stable enterotoxin, orexins, and carbonated beverages stimulate duodenal bicarbonate secretion. Summary Gastroduodenal mucosal defense is a dynamic process, and further insights into these defense mechanisms have and will lead to safer and more effective treatments.

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