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2020 ; 26
(11
): 1142-1155
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Effect of prolonged omeprazole administration on segmental intestinal Mg(2+)
absorption in male Sprague-Dawley rats
#MMPMID32231419
Suksridechacin N
; Kulwong P
; Chamniansawat S
; Thongon N
World J Gastroenterol
2020[Mar]; 26
(11
): 1142-1155
PMID32231419
show ga
BACKGROUND: The exact mechanism of proton pump inhibitors (PPIs)-induced
hypomagnesemia (PPIH) is largely unknown. Previous studies proposed that PPIH is
a consequence of intestinal Mg(2+) malabsorption. However, the mechanism of
PPIs-suppressed intestinal Mg(2+) absorption is under debate. AIM: To investigate
the effect of 12-wk and 24-wk omeprazole injection on the total, transcellular,
and paracellular Mg(2+) absorption in the duodenum, jejunum, ileum, and colon of
male Sprague-Dawley rats. METHODS: The rats received 20 mg/kg?d subcutaneous
omeprazole injection for 12 or 24 wk. Plasma and urinary Mg(2+), Ca(2+), and
PO(4) (3-) levels were measured. The plasma concentrations of
1?,25-dihydroxyvitamin D(3) (1?,25(OH)(2)D(3)), parathyroid hormone (PTH),
fibroblast growth factor 23 (FGF-23), epidermal growth factor (EGF), and insulin
were also observed. The duodenum, jejunum, ileum, and colon of each rat were
mounted onto individual modified Using chamber setups to study the rates of
total, transcellular, and paracellular Mg(2+) absorption simultaneously. The
expression of transient receptor potential melastatin 6 (TRPM6) and cyclin M4
(CNNM4) in the entire intestinal tract was also measured. RESULTS: Single-dose
omeprazole injection significantly increased the intraluminal pH of the stomach,
duodenum, and jejunum. Omeprazole injection for 12 and 24 wk induced
hypomagnesemia with reduced urinary Mg(2+) excretion. The plasma Ca(2+) was
normal but the urinary Ca(2+) excretion was reduced in rats with PPIH. The plasma
and urinary PO(4) (3-) levels increased in PPIH rats. The levels of
1?,25(OH)(2)D(3) and FGF-23 increased, whereas that of plasma EGF decreased in
the omeprazole-treated rats. The rates of the total, transcellular, and
paracellular Mg(2+) absorption was significantly lower in the duodenum, jejunum,
ileum, and colon of the rats with PPIH than in those of the control rats. The
percent suppression of Mg(2+) absorption in the duodenum, jejunum, ileum, and
colon of the rats with PPIH compared with the control rats was 81.86%, 70.59%,
69.45%, and 39.25%, respectively. Compared with the control rats, the rats with
PPIH had significantly higher TRPM6 and CNNM4 expression levels throughout the
intestinal tract. CONCLUSION: Intestinal Mg(2+) malabsorption was observed
throughout the intestinal tract of rats with PPIH. PPIs mainly suppressed small
intestinal Mg(2+) absorption. Omeprazole exerted no effect on the intraluminal
acidic pH in the colon. Thus, the lowest percent suppression of total Mg(2+)
absorption was found in the colon. The expression levels of TRPM6 and CNNM4
increased, indicating the presence of a compensatory response to Mg(2+)
malabsorption in rats with PPIH. Therefore, the small intestine is an appropriate
segment that should be modulated to counteract PPIH.
|Animals
[MESH]
|Cation Transport Proteins/analysis/metabolism
[MESH]