The effects of
esaprazole, a novel antiulcer
drug, on gastric acid secretion and plasma
gastrin levels were investigated in dogs provided with a
gastric fistula or Heidenhain pouch.
Esaprazole affected in a different extent the tests performed on dogs with a
gastric fistula. The greatest inhibitory effect was obtained against 2-deoxy-D-glucose-induced
acid output and
gastrin release. An intermediate inhibition by
esaprazole was detected on
bethanechol-evoked secretion, and the lowest activity was found versus
histamine-stimulated secretion. All these responses were strongly inhibited by the
antimuscarinic drug pirenzepine used as reference
drug. Moreover, both
esaprazole and
pirenzepine prevented the
acid secretory response to a test meal in dogs with a Heidenhain pouch, without significantly affecting plasma
gastrin levels. The present results suggest that the depressant action of
esaprazole on gastric secretion depends on its peripheral
anticholinergic activity, consisting of a partial blockade of
acid output and a main reduction of vagally mediated
gastrin release. On the basis of these findings, the antiulcer activity of
esaprazole might be in part ascribed to its inhibitory effects on gastric secretion.