Abstract
The objective of this study was to investigate the effects of cyclooxygenase-2 (COX-2) inhibitor (celecoxib) on delayed gastric emptying and gastric dysrhythmia induced by glucagon. The study was performed in six healthy female dogs implanted with four pairs of gastric serosal electrodes, and a duodenal fistula for the assessment of gastric emptying. Each dog was studied in three randomized sessions: control, glucagon and COX-2 inhibitor (celecoxib). Gastric emptying was assessed every 15 min via a duodenal cannula by calculating the amount of collected phenol red which mixed with the test meal and gastric slow waves were recorded at the same time. We found that: (i) glucagon significantly and substantially decreased gastric emptying of liquids (P < 0.001, anova), increased blood glucose (BG) levels, and induced gastric dysrhythmias. The delayed gastric emptying was correlated with the BG level (R = -0.77, P < 0.001) and (ii) celecoxib improved glucagon-induced delayed gastric emptying at 30, 45, 60 and 75 min after feeding. Celecoxib did not blocked dysrhythmic action of glucagon (P > 0.05, anova). In conclusion, glucagon induces delayed gastric emptying partially via COX-2-derived prostaglandins. However, COX-2-derived prostaglandins are not involved in glucagon-evoked gastric dysrhythemia. Selective COX-2 inhibitors may provide a possible therapeutic option for diabetic gastroparesis.
Original language | English (US) |
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Pages (from-to) | 144-151 |
Number of pages | 8 |
Journal | Neurogastroenterology and Motility |
Volume | 19 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2007 |
Externally published | Yes |
Keywords
- Cyclooxygenase-2 inhibitor
- Gastric emptying
- Gastric slow waves
- Gastrointestinal motility
- Glucagon
ASJC Scopus subject areas
- Physiology
- Endocrine and Autonomic Systems
- Gastroenterology