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A dairy product fermented by lactobacilli cancels the adverse effects of hypochlorhydria induced by a proton pump inhibitor on bone metabolism in growing rats.

Abstract
The purpose of the present study is to investigate the effects of hypochlorhydria induced by proton pump inhibitor (PPI) administration and intake of a dairy product fermented by lactobacilli (DFL) on bone metabolism in growing rats. Male rats, aged 3 weeks, were divided into two groups: a control group fed a casein-based diet and a group fed a DFL-based diet. Each group was fed its respective experimental diets for 9 d. At day 5 of the feeding period, each group was divided into two subgroups: one that received a saline injection and one that received a PPI injection. Rats were subcutaneously administered saline or PPI for 5 d. Faecal Ca excretion was determined from day 6 to day 9. At the end of the experiment, plasma and femurs were collected. Administration of PPI significantly decreased bone mineral density (shown by X-ray computerised tomography) and bone strength (shown by a three-point bending test) in the control group. Plasma osteocalcin, type I collagen C-telopeptides, 1,25-dihydroxyvitamin D and parathyroid hormone concentrations were elevated by PPI administration in the control group. Faecal Ca excretion and urinary P excretion in the control group were remarkably increased by PPI administration. On the other hand, these adverse effects of PPI were not observed in the DFL group. These results suggest that hypochlorhydria-induced bone loss may result from high bone turnover induced by secondary hyperparathyroidism due to Ca malabsorption and that DFL intake cancels these adverse effects probably via improving Ca malabsorption in growing rats.
AuthorsSatoshi Takasugi, Kinya Ashida, Suyaka Maruyama, Yukari Komaba, Tetsuo Kaneko, Taketo Yamaji
JournalThe British journal of nutrition (Br J Nutr) Vol. 106 Issue 10 Pg. 1487-94 (Nov 2011) ISSN: 1475-2662 [Electronic] England
PMID21736787 (Publication Type: Journal Article)
Chemical References
  • Proton Pump Inhibitors
  • Phosphorus
  • Calcium
Topics
  • Achlorhydria (metabolism)
  • Animals
  • Body Weight
  • Bone Density
  • Bone and Bones (drug effects, metabolism)
  • Calcium (metabolism)
  • Dairy Products
  • Fermentation
  • Gastric Juice (metabolism)
  • Hydrogen-Ion Concentration
  • Lactobacillus (metabolism)
  • Male
  • Phosphorus (metabolism)
  • Proton Pump Inhibitors (pharmacology)
  • Rats
  • Rats, Sprague-Dawley
  • Tomography, X-Ray Computed

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