Proton Pump Inhibitors Decrease Melanogenesis in Melanocytes

Total Page:16

File Type:pdf, Size:1020Kb

Proton Pump Inhibitors Decrease Melanogenesis in Melanocytes 726 BIOMEDICAL REPORTS 3: 726-730, 2015 Proton pump inhibitors decrease melanogenesis in melanocytes SEUNG-HWA BAEK1 and SANG-HAN LEE1,2 Departments of 1Food Science and Biotechnology and 2Nano-Science and Technology, Kyungpook National University, Daegu 702-701, Republic of Korea Received April 27, 2015; Accepted June 10, 2015 DOI: 10.3892/br.2015.492 Abstract. Proton pump inhibitors (PPIs) are widely used as the cells that line the stomach, regarding the reduction of acid inhibitors of gastric juice secretion for treatment of gastro- production, which is relatively well-understood (2). Recently, esophageal reflux disease. However, there are no previous however, it was reported that treatment with PPIs could worsen studies of the effects on melanogenesis resulting from PPI the symptoms of vitiligo in patients suffering from this skin treatments. Therefore, the aim of the present study was to inves- pigmentation disorder (3). In one study, the investigators tigate the effects of PPIs on melanogenesis in melan-a cells demonstrated that PPI treatment could lead to increased derived from immortalized mouse melanocytes. Tyrosinase destruction of melanocytes in vitiligo patients via the induc- activity and copper-chelating activity were measured spec- tion of apoptosis (4). Furthermore, one African-American trophotometrically. In addition, the melanin content and patient receiving PPIs proceeded to widespread vitiligo at the viability of melan-a cells treated with PPIs were assessed and same time as when the daily use of a PPI, 40 mg esomeprazole, the mRNA levels of melanogenesis-associated genes were began during the 3 years. Following the termination of esome- measured by reverse transcription-polymerase chain reaction. prazole intake, these patients were able to initiate an extremely Treatment with rabeprazole, but not the other PPIs tested, slow repigmentation (5). The effects of PPIs on melanogenesis, resulted in strong, dose-dependent inhibition of mushroom however, have rarely been recognized. tyrosinase (TYR). By contrast, each of the PPIs tested exhib- Melanogenensis is a complex process involving numerous ited copper-chelating activity. Treatment of melan-a cells with different metabolic signals and a series of enzymes. In 100 µM concentrations of the PPIs resulted in significantly human melanocytes, the melanin pigment is derived from reduced melanin synthesis and reduced expression of several hydroxylation of L-tyrosine to L-3,4-dihydroxyphenylalanine melanogenesis-associated genes, including TYR, TYR-related (L-DOPA) by tyrosinase (TYR) (EC 1.14.18.1) with two protein-1 (TRP‑1) and TRP‑2, and microphthalmia-associated copper ions at the active center (6). Overexpression of the transcription factor, but did not result in cytotoxic effects. genes involved in pigment formation was shown to result in These results suggest that PPIs inhibit melanin biosynthesis in pigmentation disorders, including lentigo senilis and urticaria melan-a cells via the downregulation of melanogenesis-asso- pigmentosa, as well as in skin discoloration issues, such as ciated genes. Furthermore, the findings indicate that PPIs in melasma, freckles and chloasma. Thus, TYR is a primary general could be utilized as skin-whitening agents and/or as target of screens designed to identify depigmentation agents. biomaterial for treating hyperpigmentation disorders. In addition to its role in pigmentation disorders, TYR has been revealed to have a role in Parkinson's disease (7) and other Introduction neurodegenerative diseases (8). Therefore, the development of anti-melanogenic agents is an important goal for the cosmetic Proton pump inhibitors (PPIs) are commonly used to treat acid and medicinal industry (9). Melanin biosynthesis is modulated reflux disease and ulcers of the stomach and the duodenum. by the expression of microphthalmia-associated transcription These compounds include omeprazole, rabeprazole, esomepra- factor (MITF), which regulates the transcriptional expression zole, lansoprazole and pantoprazole, which are available under of the TYR, TYR-related protein-1 (TRP‑1) and TRP‑2 genes a variety of brand names (1). Multiple studies have examined in melanocytes (10). A previous study demonstrated that omeprazole treatment significantly reduced melanogenesis by inhibiting ATP7A gene expression and by enhancing degradation of TYR (11); however, the anti-melanogenic effects of other PPIs are yet to Correspondence to: Dr Sang-Han Lee, Department of Food Science and Biotechnology, Kyungpook National University, be examined. The objective of the present study was to assess 80 Dahak-ro, Daegu 702-701, Republic of Korea the effects of PPIs on melanogenesis in melanocytes. E-mail: [email protected] Materials and methods Key words: proton pump inhibitors, tyrosinase, anti-melanogenic effects, melanogenesis-associated genes, melanocyte Materials. Arbutin, L-DOPA, L-tyrosine, N-phenylthiourea (PTU), 12-O-tetradecanoylphorbol-13-acetate (TPA), TYR, sodium hydroxide (NaOH), thiazolyl blue tetrazolium bromide BAEK and LEE: DECREASE OF MELANOGENESIS BY PROTON PUMP INHIBITORS 727 (MTT), dimethyl sulfoxide (DMSO), rabeprazole, esome- MTT solution, 1 ml of DMSO was added to each well with prazole, lansoprazole and pantoprazole were obtained from vigorous mixing. The absorbance of each well at 470 nm was Sigma-Aldrich (St. Louis, MO, USA). All other reagents and determined using a microplate reader (PerkinElmer). chemicals were of high-grade and are commercially available. Melanization inhibition assay using melan‑a cells. Cells were Measurement of mushroom TYR activity. TYR activity was seeded in 24-well plates (BD Biosciences, Franklin Lakes, NJ, measured as described previously (6). The mushroom TYR USA) at a density of 1x105 cells/well and allowed to attach (EC 1.14.18.1) reactions were performed in 96-well micro- overnight. The supernatants were subsequently removed and plates (SPL Life Sciences Co., Ltd., Pocheon, Gyeonggi, replaced with fresh media containing various concentrations Korea) and consisted of 150 µl of 0.1 M phosphate buffer (25, 50, 100 and 200 µM) of the test compounds. Cells were (pH 6.5), 3 µl of test sample, 36 µl of 1.5 mM L-tyrosine and cultured for 72 h and further incubated for 1 day. Following 7 µl of mushroom TYR [2,100 U/ml in 0.05 M phosphate washing with PBS, the cells were lysed with 250 µl of 1 N buffer, (pH 6.5)]. The initial absorbance of each mixture NaOH and transferred to 96-well plates. The melanin content and the absorbance after incubation at 37˚C for 30 min, was was estimated by measuring the absorbance at 405 nm using a measured at 490 nm using a microplate reader (PerkinElmer, microplate reader (PerkinElmer). Arbutin was used as a posi- Waltham, MA, USA). The inhibitory activity was subsequently tive control (10). calculated using the following formula: Inhibitory activity (%) = [(A - B) - (C - D)]/(A - B) x 100; where A refers to the Reverse transcription‑polymerase chain reaction (RT‑PCR) absorbance of the control sample following the reaction, B is analysis of mRNA expression. Total RNA was extracted the absorbance of the control sample prior to the reaction, C is from melan-a cells using TRIzol reagent (Invitrogen Life the absorbance of the treated sample following the reaction Technologies, Waltham, MA, USA), according to the manufac- and D is the absorbance of the treated sample prior to the reac- turer's instructions, with slight modification (14). Total RNA tion. (2 µg) was reverse transcribed with RT (MP Biomedicals, Santa Ana, CA, USA) and oligo (dT) primers. cDNA was Measurement of copper‑chelating activity. The amplified using a PCR Thermal Cycler Dice TP600 (Takara copper-chelating activity was determined using the pyrocat- Bio, Inc., Shiga, Japan) and oligonucleotide primers specific echol violet (PV) method as described previously, and with for mouse transcripts (6). The resulting PCR products were slight modifications (12). Samples were mixed with 1 ml of visualized by ethidium bromide staining following agarose gel 50 mM sodium acetate buffer (pH 6.0) and 100 µl of 2 mM electrophoresis. CuSO4. After 10 min of incubation at room temperature, 100 µl of 2 mM PV was added. Solutions were incubated Statistical analysis. Data are expressed as the means ± stan- for 20 min at room temperature and the absorbance of each dard deviation. Statistical significance was determined by the sample at 632 nm (A632) was measured. DMSO and PTU were Student's t-test for independent means using Microsoft Excel used as a negative control and as a standard metal chelator, software (Microsoft Corporation, Redmond, WA, USA). P<0.05 respectively. The copper‑chelating activity was calculated was considered to indicate a statistically significant difference. using the following formula: Copper-chelating activity (%) = [1 - (A - B)/(C - D)] x 100; where A is the A632 of the Results sample + buffer + CuSO4 + PV mixture, B is the A632 of the sample + buffer + buffer + PV mixture, C is the A632 nm of the Effect of PPIs on TYR and copper‑chelating activity. The buffer + buffer + CuSO4 + PV mixture and D is the A632 nm of effect of PPIs on the activity of TYR, a crucial enzyme for the buffer + buffer + buffer + PV mixture. melanin synthesis, was examined. As depicted in Fig. 1, rabeprazole treatment resulted in significant, dose‑dependent Cell cultures. The melan-a immortalized mouse melanocyte inhibition of TYR activity and the 50% inhibitory concentra- cell line, which was derived from B57BL6 mice (13), was tion (IC50) of this compound was 110.1 µM. The IC50 of the purchased from Bennett et al (13) (St. George's University of arbutin positive control was ~212.3 µM (Fig. 1A). By contrast, London, London, UK). The cells were cultured in RPMI-1640 the PPIs esomeprazole, lansoprazole and pantoprazole exerted medium (HyClone, Logan, UT, USA) supplemented with no inhibitory effect on TYR activity. 10% fetal bovine serum (HyClone), streptomycin-penicillin To understand the role of metal chelation in PPI TYR (100 µg/ml each; HyClone) and 200 nM TPA (a potent tumor inhibition, the copper-chelating activities of each PPI were promoter) at 37˚C in 5% CO2.
Recommended publications
  • Crystal Structures of the Gastric Proton Pump Reveal the Mechanism for Proton Extrusion
    Life Science Research Frontiers 2018 Research Frontiers 2018 Crystal structures of the gastric proton pump reveal the mechanism for proton extrusion After intaking food, the pH inside our stomach phosphorylation (P), and actuator (A) domains reaches around 1. This acidic environment, (Fig. 2(a)). The β-subunit has a single TM helix and generated by the gastric proton pump H+,K+-ATPase a large ectodomain with three of the six N-linked [1], is indispensable for food digestion and is also glycosylation sites visualized in the structure. The an important barrier to pathogen invasion via the electron density maps define the binding mode of oral route. However, excess stomach acidification vonoprazan (now available for clinical treatment) and induces ulcers, which considerably impair the health SCH28080 (a prototype of P-CAB), and the residues of those affected. Acid suppression in combination coordinating them, in a luminal-facing conduit that with antibiotics is a widely recognized treatment to extends to the cation-binding site (Figs. 2(b) and 2(c)). eradicate Helicobactor pylori, a strong risk factor for The binding sites of these P-CABs were previously gastric cancer. Proton pump inhibitors (PPIs) and a thought to overlap owing to similar inhibitory actions. recently developed class of acid suppressants called Our structures show that they do indeed partially K+-competitive acid blockers (P-CABs) are commonly overlap but are also distinct. The binding mode used for the treatment of acid-related diseases. of P-CABs determined in the crystal structure is Gastric H+,K+-ATPase therefore continues to be a consistent with mutagenesis studies, providing prominent target for the treatment of excess stomach the molecular basis for P-CAB binding to H+,K+- acidification.
    [Show full text]
  • A Model of Mitochonrial Calcium Induced Calcium
    A MODEL OF MITOCHONRIAL CALCIUM INDUCED CALCIUM RELEASE DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Balbir Thomas, The Ohio State University 2007 Dissertation Committee: Approved by David Terman, Adviser Douglas R. Pfeiffer Adviser Edward Overman Biophysics Graduate Program Christopher P. Fall ABSTRACT Cytoplasmic calcium plays a dual role in cellular physiology. On one hand it acts as a second messenger in intra-cellular signalling, and on the other hand it is also the trigger for calcium dependent apopotosis. A mechanistic explanation of this dual role of cytoplasmic calcium was proposed by Ichas and Mazat. Their hypothesis involved the permeability transition pore was based on the observation that the permeability transition pore can exist in multiple conductance states. Specifically there exist a persistent high conductance state and a transitory low conductance state. Ichas et.al. also observed that the low conductance state is opened by a rise in mitochondrial matrix pH, in contrast to what was already know about the high conductance state, which opens in response to prolonged elevation of mitochondrial calcium. In this dissertation we build a detailed, physiological model of the mitochondrial switch between calcium signalling and cell death based on a simple three state model of the permeability transition pore. This model agrees with the substance of the Ichas and Mazat hypothesis and provides a substrate for further modeling to study the spatial and temporal dynamics of mitochondrial involvement in intracellular calcium signalling, and the interaction of mitochondria and endoplasmic reticulum during this process.
    [Show full text]
  • Molecular Cloning and Sequence of Cdna Encoding the Plasma
    Proc. Nad. Acad. Sci. USA Vol. 86, 1234-1238, February 1989 Botany Molecular cloning and sequence of cDNA encoding the plasma membrane proton pump (H+-ATPase) of Arabidopsis thaliana (cation pumps/nucleotide sequence/amino add homology/oligonucleotide screening/transmembrane segments) JEFFREY F. HARPER, TERRY K. SUROWY*, AND MICHAEL R. SUSSMAN Department of Horticulture, University of Wisconsin, 1575 Linden Drive, Madison, WI 53706 Communicated by Luis Sequeira, November 14, 1988 ABSTRACT In plants, the transport of solutes across the synthesized an oligonucleotide probe to screen an oat cDNA plasma membrane is driven by a proton pump (H -ATPase) library and then used a purified oat clone to isolate a that produces an electric potential and pH gradient. We have full-length A. thaliana cDNA clone. Here we provide evi- isolated and sequenced a full-length cDNA clone that encodes dence for the presence of at least two genes encoding plasma this enzyme inArabidopsis thaiana. The protein predicted from membrane proton pumps in A. thaliana and report the its nucleotide sequence encodes 959 amino acids and has a predicted amino acid sequence from one. molecular mass of 104,207 Da. The plant protein shows structural features common to a family of cation-translocating MATERIALS AND METHODS ATPases found in the plasma membrane of prokaryotic and eukaryotic cells, with the greatest overall identity in amino acid Plants. A. thaliana L. cv. Columbia and Avena sativa L. sequence (36%) to the H+-ATPase observed in the plasma cv. Gary (oat) were plant materials used in this study. Unless membrane of fungi. The structure predicted from a hydropa- otherwise noted, standard molecular techniques were per- thy plot contains at least eight transmembrane segments, with formed according to Maniatis et al.
    [Show full text]
  • Targeting Oncogenic Notch Signaling with SERCA Inhibitors Luca Pagliaro, Matteo Marchesini and Giovanni Roti*
    Pagliaro et al. J Hematol Oncol (2021) 14:8 https://doi.org/10.1186/s13045-020-01015-9 REVIEW Open Access Targeting oncogenic Notch signaling with SERCA inhibitors Luca Pagliaro, Matteo Marchesini and Giovanni Roti* Abstract P-type ATPase inhibitors are among the most successful and widely prescribed therapeutics in modern pharmacol- ogy. Clinical transition has been safely achieved for H+/K+ ATPase inhibitors such as omeprazole and Na+/K+-ATPase 2 inhibitors like digoxin. However, this is more challenging for Ca +-ATPase modulators due to the physiological role of 2 2 Ca + in cardiac dynamics. Over the past two decades, sarco-endoplasmic reticulum Ca +-ATPase (SERCA) modula- 2 tors have been studied as potential chemotherapy agents because of their Ca +-mediated pan-cancer lethal efects. Instead, recent evidence suggests that SERCA inhibition suppresses oncogenic Notch1 signaling emerging as an alternative to γ-secretase modulators that showed limited clinical activity due to severe side efects. In this review, we focus on how SERCA inhibitors alter Notch1 signaling and show that Notch on-target-mediated antileukemia proper- 2 ties of these molecules can be achieved without causing overt Ca + cellular overload. Keywords: SERCA , T cell acute lymphoblastic leukemia, Thapsigargin, Notch signaling, NOTCH1, CAD204520, T-ALL Background metalloprotease (ADAM-10 or TACE/ADAM-17). Te NOTCH receptors are transmembrane cell-surface pro- resulting short-lived protein fragments are substrates teins that control cell to cell communication, embryo-
    [Show full text]
  • Clinical Significance of P‑Class Pumps in Cancer (Review)
    ONCOLOGY LETTERS 22: 658, 2021 Clinical significance of P‑class pumps in cancer (Review) SOPHIA C. THEMISTOCLEOUS1*, ANDREAS YIALLOURIS1*, CONSTANTINOS TSIOUTIS1, APOSTOLOS ZARAVINOS2,3, ELIZABETH O. JOHNSON1 and IOANNIS PATRIKIOS1 1Department of Medicine, School of Medicine; 2Department of Life Sciences, School of Sciences, European University Cyprus, 2404 Nicosia, Cyprus; 3College of Medicine, Member of Qatar University Health, Qatar University, 2713 Doha, Qatar Received January 25, 2021; Accepted Apri 12, 2021 DOI: 10.3892/ol.2021.12919 Abstract. P‑class pumps are specific ion transporters involved Contents in maintaining intracellular/extracellular ion homeostasis, gene transcription, and cell proliferation and migration in all 1. Introduction eukaryotic cells. The present review aimed to evaluate the 2. Methodology role of P‑type pumps [Na+/K+ ATPase (NKA), H+/K+ ATPase 3. NKA (HKA) and Ca2+‑ATPase] in cancer cells across three fronts, 4. SERCA pump namely structure, function and genetic expression. It has 5. HKA been shown that administration of specific P‑class pumps 6. Clinical studies of P‑class pump modulators inhibitors can have different effects by: i) Altering pump func‑ 7. Concluding remarks and future perspectives tion; ii) inhibiting cell proliferation; iii) inducing apoptosis; iv) modifying metabolic pathways; and v) induce sensitivity to chemotherapy and lead to antitumor effects. For example, 1. Introduction the NKA β2 subunit can be downregulated by gemcitabine, resulting in increased apoptosis of cancer cells. The sarco‑ The movement of ions across a biological membrane is a endoplasmic reticulum calcium ATPase can be inhibited by crucial physiological process necessary for maintaining thapsigargin resulting in decreased prostate tumor volume, cellular homeostasis.
    [Show full text]
  • ATP Synthase: Structure,Abstract: Functionlet F Denote a Eld and and Let Inhibitionv Denote a Vector Space Over F with Nite Positive Dimension
    Spec. Matrices 2019; 7:1–19 Research Article Open Access Kazumasa Nomura* and Paul Terwilliger BioMol Concepts 2019; 10: 1–10 Self-dual Leonard pairs Research Article Open Access https://doi.org/10.1515/spma-2019-0001 Prashant Neupane*, Sudina Bhuju, Nita Thapa,Received Hitesh May 8, 2018; Kumar accepted Bhattarai September 22, 2018 ATP Synthase: Structure,Abstract: FunctionLet F denote a eld and and let InhibitionV denote a vector space over F with nite positive dimension. Consider a pair A, A∗ of diagonalizable F-linear maps on V, each of which acts on an eigenbasis for the other one in an irreducible tridiagonal fashion. Such a pair is called a Leonard pair. We consider the self-dual case in which https://doi.org/10.1515/bmc-2019-0001 there exists an automorphism of the endomorphism algebra of V that swaps A and A∗. Such an automorphism phosphate (Pi), along with considerable release of energy. received September 18, 2018; accepted December 21, 2018. is unique, and called the duality A A∗. In the present paper we give a comprehensive description of this ADP can absorb energy and regain↔ the group to regenerate duality. In particular, we display an invertible F-linear map T on V such that the map X TXT− is the duality Abstract: Oxidative phosphorylation is carried out by an ATP molecule to maintain constant ATP concentration. → A A∗. We express T as a polynomial in A and A∗. We describe how T acts on ags, decompositions, five complexes, which are the sites for electron transport↔ Other than supporting almost all the cellular and ATP synthesis.
    [Show full text]
  • Improved Model of Proton Pump Crystal Structure Obtained By
    ORIGINAL RESEARCH published: 11 April 2017 doi: 10.3389/fphys.2017.00202 Improved Model of Proton Pump Crystal Structure Obtained by Interactive Molecular Dynamics Flexible Fitting Expands the Mechanistic Model for Proton Translocation in P-Type ATPases Dorota Focht 1, 2, 3, Tristan I. Croll 4*, Bjorn P. Pedersen 1, 3, 5 and Poul Nissen 1, 2, 3* Edited by: Sigrid A. Langhans, 1 Department of Molecular Biology and Genetics, Aarhus University, Aarhus, Denmark, 2 DANDRITE, Nordic-EMBL Alfred I. duPont Hospital for Children, Partnership for Molecular Medicine, Aarhus University, Aarhus, Denmark, 3 PUMPkin, Danish National Research Foundation, USA Aarhus University, Aarhus, Denmark, 4 Institute of Health Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia, 5 Aarhus Institute of Advanced Studies, Aarhus University, Aarhus, Denmark Reviewed by: Dimitrios Stamou, University of Copenhagen, Denmark The plasma membrane H+-ATPase is a proton pump of the P-type ATPase family and Clifford Slayman, Yale University, USA essential in plants and fungi. It extrudes protons to regulate pH and maintains a strong *Correspondence: proton-motive force that energizes e.g., secondary uptake of nutrients. The only crystal Tristan I. Croll structure of a H+-ATPase (AHA2 from Arabidopsis thaliana) was reported in 2007. Here, [email protected] Poul Nissen we present an improved atomic model of AHA2, obtained by a combination of model [email protected] rebuilding through interactive molecular dynamics flexible fitting (iMDFF) and structural refinement based on the original data, but using up-to-date refinement methods. More Specialty section: This article was submitted to detailed map features prompted local corrections of the transmembrane domain, in Membrane Physiology and Membrane particular rearrangement of transmembrane helices 7 and 8, and the cytoplasmic N- and Biophysics, P-domains, and the new model shows improved overall quality and reliability scores.
    [Show full text]
  • 1 Chapter I Introduction to the Role of P4-Atpases And
    CHAPTER I INTRODUCTION TO THE ROLE OF P4-ATPASES AND OXYSTEROL BINDING PROTEIN HOMOLOGUES IN PROTEIN TRANSPORT The plasma membrane and membranes of organelles compartmentalize eukaryotic cells to allow formation of specialized microenvironments in the cytosol and organelle lumens. Specific reactions including glycosylation, proteolytic cleavage and degradation take place in the organellar compartments. The functional identity of each organelle is conferred by their unique set of proteins and lipids which must be transported from common site of synthesis to multiple destinations (Owen et al., 2004). Proteins are transported between organelles of the secretory and endocytic pathways by transport vesicles. Vesicles are often identified by the cytosolic coat proteins help form them, with the best characterized examples being COPI, COPII and clathrin. Clathrin is required to bud vesicles from the trans-Golgi network (TGN), endosomes, and plasma membrane for receptor mediated endocytosis. Several years ago our lab disvoered that a budding yeast protein called Drs2 is required for budding of specific class of exocytic vesicles from the TGN (Chen et al., 1999) and clathrin coated vesicles mediating vesicle transport between the TGN and early endosomes (Liu et al., 2008b). Drs2 is a type IV P-type ATPase (P4-ATPase) and lipid flippase that helps generate membrane asymmetry in biological membranes by flipping specific lipids from one leaflet to the other. Moreover DRS2 is an essential gene at low temperature (Ripmaster et al., 1993). Yeast strains harboring a distruption of DRS2 (drs2∆) grow well from 23C to 37C, but cannot grow at temperatures below 23C. My research is focused on 1 understanding why drs2∆ cells exhibit this unusually strong cold-sensitive growth defect.
    [Show full text]
  • Drug Class Review on Proton Pump Inhibitors
    Final Report Drug Effectiveness Review Project Drug Class Review on Proton Pump Inhibitors FINAL REPORT April 2004 Marian S. McDonagh, PharmD Susan Carson, MPH Oregon Evidence-based Practice Center Oregon Health & Science University Proton Pump Inhibitors Page 1 of 13 9 Update #2 Final Report Drug Effectiveness Review Project TABLE OF CONTENTS Introduction 4 Scope and Key Questions 4 Methods 7 Literature Search 7 Study Selection 7 Data Abstraction 7 Validity Assessment 8 Data Synthesis 8 Results 9 Overview 9 Question 1a. GERD: PPI vs PPI 9 Question 1b. GERD: PPI vs H2-RA 14 Question 2a. Duodenal ulcer: PPI vs PPI 15 Question 2b. Duodenal ulcer: PPI vs H2-RA 16 Question 2c. Gastric ulcer: PPI vs PPI 17 Question 2d. Gastric ulcer: PPI vs H2-RA 17 Question 2e. NSAID-induced ulcer: PPI vs PPI 18 Question 2f. NSAID-induced ulcer: PPI vs H2-RA 18 Question 2g. Prevention of NSAID-induced ulcer: PPI vs PPI 19 Question 2h. Prevention of NSAID-induced ulcer: PPI vs H2-RA 19 Question 2i. Helicobacter pylori eradication: PPI vs PPI 20 Question 2j. H. pylori eradication: PPI vs H2-RA 21 Question 3. Complications 22 Question 4. Subgroups 25 Summary and Discussion 26 References 31 Figures, Tables, Appendices Tables (in text) Table 1. Drug interactions 24 Table 2. Summary of evidence 29 Figures Figure 1. Esophagitis healing: PPI vs PPI 46 Figure 2. Esophagitis healing: PPI vs H2-RA 48 Figure 3. Duodenal ulcer healing:PPI vs PPI 49 Figure 4. Duodenal ulcer healing: PPI vs H2-RA 50 Figure 5.
    [Show full text]
  • Protons and How They Are Transported by Proton Pumps
    Pflugers Arch - Eur J Physiol (2009) 457:573–579 DOI 10.1007/s00424-008-0503-8 ION CHANNELS, RECEPTORS AND TRANSPORTERS Protons and how they are transported by proton pumps M. J. Buch-Pedersen & B. P. Pedersen & B. Veierskov & P. Nissen & M. G. Palmgren Received: 28 January 2008 /Revised: 17 March 2008 /Accepted: 21 March 2008 / Published online: 6 May 2008 # Springer-Verlag 2008 Abstract The very high mobility of protons in aqueous proton acceptor/donor, and bound water molecules to solutions demands special features of membrane proton facilitate rapid proton transport along proton wires. transporters to sustain efficient yet regulated proton transport across biological membranes. By the use of the Keywords Proton transport . P-type pumps . chemical energy of ATP, plasma-membrane-embedded Membrane potential . Membrane protein structure . ATPases extrude protons from cells of plants and fungi to Membrane transport . Proton current . Topical review. generate electrochemical proton gradients. The recently Protons . ATP published crystal structure of a plasma membrane H+- ATPase contributes to our knowledge about the mechanism of these essential enzymes. Taking the biochemical and Proton transport across biological membranes structural data together, we are now able to describe the basic molecular components that allow the plasma mem- Compared to other ions, protons have an extremely high brane proton H+-ATPase to carry out proton transport mobility in aqueous solution. Protons in aqueous solution against large membrane potentials. When divergent proton do not exist as naked protons, but are instead found as + 2+ pumps such as the plasma membrane H -ATPase, bacter- hydrated proton molecules, either as a H5O dihydronium + iorhodopsin, and FOF1 ATP synthase are compared, ion complex or as a H9O4 complex (with a hydronium ion, + unifying mechanistic premises for biological proton pumps H3O , hydrogen bonded to three water molecules) [3, 10, emerge.
    [Show full text]
  • 1 Insights Into Transporter Classifications: an Outline Of
    1 1 Insights into Transporter Classifications: an Outline of Transporters as Drug Targets Michael Viereck,1 Anna Gaulton,2 and Daniela Digles1 1University of Vienna, Department of Pharmaceutical Chemistry, Althanstrasse 14, 1090 Vienna, Austria 2EMBL – European Bioinformatics Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, CB10 1SD, UK 1.1 Introduction Classifications are a useful tool to get an overview of a topic. They show instan- ces grouped together that share common properties according to the creator of the classification, and as in the case of hierarchical classifications, they allow to draw conclusions on the relation of different classes. In the case of the identifica- tion of drug targets (including transporters as the main drug target), several pub- lications show classifications as a helpful tool. Imming et al. [1] categorized drugs according to their targets, to get an esti- mate on the number of known drug targets, including channels and transporters. Drugs on the market were connected to a target only if it was described as the main target in the literature. For transport proteins (including uniporters, sym- porters, and antiporters), this identified six different types of transporter groups that are relevant as drug targets. These are the cation-chloride cotransporter + + + + (CCC) family (SLC 12), Na /H antiporters (SLC 9), proton pumps, Na /K ATPases, the eukaryotic (putative) sterol transporter (EST) family, and the neu- + rotransmitter/Na symporter (NSS) family (SLC 6). These families mainly belong to either ATPases or solute carriers (SLC). Whether the EST family is treated as transport protein or not depends on the classification used. Rask-Andersen et al.
    [Show full text]
  • Proton Pump Inhibitors: an Update BRUCE T
    CLINICAL PHARMACOLOGY Proton Pump Inhibitors: An Update BRUCE T. VANDERHOFF, M.D., and RUNDSARAH M. TAHBOUB, M.D. Grant Medical Center, Columbus, Ohio Since their introduction in the late 1980s, proton pump inhibitors have demonstrated gastric acid suppression superior to that of histamine H2-receptor blockers. Proton pump inhibitors have enabled improved treatment of various acid-peptic disorders, including gastroesophageal reflux disease, peptic ulcer disease, and nonsteroidal anti- inflammatory drug–induced gastropathy. Proton pump inhibitors have minimal side effects and few significant drug interactions, and they are generally considered safe for long-term treatment. The proton pump inhibitors omeprazole, lansoprazole, rabepra- zole, and the recently approved esomeprazole appear to have similar efficacy. (Am Fam Physician 2002;66:273-80. Copyright© 2002 American Academy of Family Physicians.) Richard W. Sloan, roton pump inhibitors (PPIs) are of the drug that binds covalently with the M.D., R.PH., one of the most commonly pre- H+/K+ ATPase enzyme that results in irre- coordinator of this scribed classes of medications in versible inhibition of acid secretion by the pro- series, is chairman 1-3 of the Department the primary care setting and are ton pump. The parietal cell must then pro- of Family Medicine at considered a major advance in duce new proton pumps or activate resting York (Pa.) Hospital and Pthe treatment of acid-peptic diseases. Since pumps to resume its acid secretion.1,2 clinical associate pro- the introduction of omeprazole (Prilosec) in In contrast to the other PPIs, rabeprazole fessor in family and 1989, several other PPIs have become available (Aciphex) forms a partially reversible bond community medicine at the in the United States.
    [Show full text]