The control of gastric acid and Helicobacter pylori eradication

作者: G. Sachs , J. M. Shin , K. Munson , O. Vagin , N. Lambrecht

DOI: 10.1046/J.1365-2036.2000.00837.X

关键词:

摘要: This review focuses on the gastric acid pump as a therapeutic target for control of secretion in peptic ulcer and gastro-oesophageal reflux disease. The mechanism proton inhibitors is discussed well their clinical use. biology Helicobacter pylori denizen then discussed, with special regard to its mechanisms resistance. Here properties products urease gene clusters, ureA, B ureI, E, F, G H are explored order explain unique location this pathogen. dominant requirement resistance presence gated urea transporter, UreI, which increases access juice intrabacterial 300-fold. enables rapid continuous buffering bacterial periplasm approximately pH 6.0, allowing growth at acidic 1 mM urea. A hypothesis basis combination therapy eradication also presented.

参考文章(57)
Erik De Koster, Adverse events of HP eradication: Long term negative consequences of HP eradication Acta Gastro-enterologica Belgica. ,vol. 61, pp. 350- 351 ,(1998)
Atherton Jc, Blaser Mj, Tham Kt, Peek Rm, Miller Gg, Donahue Jp, Thompson Sa, Adherence to gastric epithelial cells induces expression of a Helicobacter pylori gene, iceA, that is associated with clinical outcome Proceedings of the Association of American Physicians. ,vol. 110, pp. 531- 544 ,(1998)
Per Lindberg, Peter Nordberg, Tomas Alminger, Arne Braendstroem, Bjoern Wallmark, The mechanism of action of the gastric acid secretion inhibitor omeprazole. Journal of Medicinal Chemistry. ,vol. 29, pp. 1327- 1329 ,(1986) , 10.1021/JM00158A001
J.M. Shin, G. Sachs, Identification of a region of the H,K-ATPase alpha subunit associated with the beta subunit. Journal of Biological Chemistry. ,vol. 269, pp. 8642- 8646 ,(1994) , 10.1016/S0021-9258(17)37015-1
G Sachs, H H Chang, E Rabon, R Schackman, M Lewin, G Saccomani, A nonelectrogenic H+ pump in plasma membranes of hog stomach. Journal of Biological Chemistry. ,vol. 251, pp. 7690- 7698 ,(1976) , 10.1016/S0021-9258(17)32907-1
B. Wallmark, C. Briving, J. Fryklund, K. Munson, R. Jackson, J. Mendlein, E. Rabon, G. Sachs, Inhibition of gastric H+,K+-ATPase and acid secretion by SCH 28080, a substituted pyridyl(1,2a)imidazole. Journal of Biological Chemistry. ,vol. 262, pp. 2077- 2084 ,(1987) , 10.1016/S0021-9258(18)61620-5
B. Wallmark, H.B. Stewart, E. Rabon, G. Saccomani, G. Sachs, The catalytic cycle of gastric (H+ + K+)-ATPase. Journal of Biological Chemistry. ,vol. 255, pp. 5313- 5319 ,(1980) , 10.1016/S0021-9258(19)70788-1
Manfred Auer, Gene A. Scarborough, Werner Kühlbrandt, Three dimensional map of the plasma membrane H+-ATPase in the open conformation Nature. ,vol. 392, pp. 840- 843 ,(1998) , 10.1038/33967
Peijun Zhang, Chikashi Toyoshima, Koji Yonekura, N. Michael Green, David L. Stokes, Structure of the calcium pump from sarcoplasmic reticulum at 8-Å resolution Nature. ,vol. 392, pp. 835- 839 ,(1998) , 10.1038/33959