Gastric mucosal blood flow response to stress in streptozotocin diabetic rats: Regulatory role of nitric oxide

Hitoshi Suzuki, Tooru Shimosegawa, Akihiko Satoh, Kenji Kimura, Shuichi Ohara, Shigeru Asaki, Takayoshi Toyota

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

To investigate cytoprotection against mucosal injuries of the stomach in patients with diabetes, we investigated gastric mucosal blood flow (GMBF), its response to a burn stress, and the involvement of nitric oxide (NO) in streptozotocin (STZ) diabetic rats. GMBF was measured by laser-Doppler velocimetry (LDV) and by the hydrogen gas clearance technique (HGC). The steady-state GMBF of STZ rats decreased according to the duration of diabetes, and insulin treatment blocked this decrease. Burn stress caused a rapid decrease in the GMBF. Reduction of the GMBF and gastric mucosal leakage of Evans blue (EB) after the burn stress were greater in the STZ rats than in the controls, but insulin treatment completely blocked this increase in EB leakage in the STZ rats. There was a significant negative correlation between the percent GMBF 3 h after the burn stress and EB leakage at the same time point. In the controls and the insulin-treated STZ rats, N-nitro-L-arginine (L-NNA), an NO synthase inhibitor, enhanced the decrease in postburn GMBF and EB leakage, but was without effect in the STZ rats. These results suggest that NO may be involved in the regulation of GMBF, and that persistent hyperglycemia may impair this regulation. These findings suggest that patients with diabetes have reduced cytoprotection against a variety of gastric mucosal injuries.

Original languageEnglish
Pages (from-to)726-733
Number of pages8
JournalJournal of gastroenterology
Volume32
Issue number6
DOIs
Publication statusPublished - 1997 Dec

Keywords

  • Burn stress
  • Diabetes mellitus
  • Gastric mucosal blood flow
  • Nitric oxide
  • Streptozotocin

ASJC Scopus subject areas

  • Gastroenterology

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