Efficacy of Sucralfate-Combined Quadruple Therapy on Gastric Mucosal Injury Induced by Helicobacter pylori and Its Effect on Gastrointestinal Flora.

Background. This study explored the therapeutic efficacy of standard triple therapy combined with sucralfate suspension gel as well as the mechanisms of action in mouse models of H. pylori infection. Materials and Methods. C57BL/6J mice were randomly divided into 5 groups: NC (natural control), HP (...

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Publicado en:BioMed Research International pp. 1 - 15
Autores principales: Teng, Guigen, Liu, Yun, Wu, Ting, Wang, Weihong, Wang, Huahong, Hu, Fulian
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 8/31/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/31/2020
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/4936318
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        atl: Efficacy of Sucralfate-Combined Quadruple Therapy on Gastric Mucosal Injury Induced by Helicobacter pylori and Its Effect on Gastrointestinal Flora.
      aug:
        au:
          Teng, Guigen
          Liu, Yun
          Wu, Ting
          Wang, Weihong
          Wang, Huahong
          Hu, Fulian
        affil: Departments of Gastroenterology, Peking University First Hospital, Beijing, China
      sug:
        subj:
          Gastric Mucosa Injuries
          Helicobacter Infections Drug Therapy
          Sucralfate Pharmacodynamics
          Drug Therapy, Combination Methods
          Gut Microbiota Drug Effects
          Treatment Outcomes
          Animal Studies
          Mice
          Staining and Labeling
          Microscopy, Electron
          Interleukins
          Tumor Necrosis Factor
          Immunohistochemistry
          Reverse Transcriptase Polymerase Chain Reaction
          Membrane Proteins
          Citrates Administration and Dosage
          Bismuth Administration and Dosage
          Sucralfate Administration and Dosage
          Clarithromycin Administration and Dosage
          Rabeprazole Sodium Administration and Dosage
          Amoxicillin Administration and Dosage
      ab: Background. This study explored the therapeutic efficacy of standard triple therapy combined with sucralfate suspension gel as well as the mechanisms of action in mouse models of H. pylori infection. Materials and Methods. C57BL/6J mice were randomly divided into 5 groups: NC (natural control), HP (H. pylori infection), RAC (rabeprazole, amoxicillin, and clarithromycin), RACS (RAC and sucralfate suspension gel), and RACB (RAC and bismuth potassium citrate). HE staining and electron microscopy were performed to estimate histological and ultrastructural damages. The IL-8, IL-10, and TNF-α of gastric antrum tissues were measured by immunohistochemistry and qRT-PCR. ZO-1 and Occludin were also detected with immunohistochemistry. The genomes of gastric and fecal microbiota were sequenced. Results. The eradication rate of H. pylori in the RACS group was higher than the RAC group. RACS therapy had protective effects on H. pylori-induced histological and ultrastructural damages, which were superior to the RAC group. RACS therapy reduced the protein and mRNA levels of IL-8 compared with the RAC group. The expression of Occludin in the RACS group was significantly higher than that of the RAC group. The composition of gastric and fecal microbiota for RACS was similar to the RACB group according to PCA. Conclusions. The RACS regimen eradicated H. pylori infection effectively and showed RACS had protective effects against H. pylori-induced histological and ultrastructural damage. The mechanisms of RACS effects included decreasing IL-8, enhancing Occludin, and transforming gastric microbiota. Moreover, RACS and RACB have a similar effect on gastrointestinal flora.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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