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Role of proton pump inhibitor on esophageal carcinogenesis and pancreatic acinar cell metaplasia development: an experimental in vivo study

Chronic gastro-duodenal reflux in the esophagus is a major risk for intestinal metaplasia and Barrett's adenocarcinoma. A role for chronic use of proton pump inhibitor (PPI) in the increased incidence of esophageal adenocarcinoma in Western countries has been previously suggested. The aim of th...

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Published in:PloS one 2014-11, Vol.9 (11), p.e112862
Main Authors: Dall'Olmo, Luigi, Fassan, Matteo, Dassie, Elisa, Scarpa, Marco, Realdon, Stefano, Cavallin, Francesco, Cagol, Matteo, Battaglia, Giorgio, Pizzi, Marco, Guzzardo, Vincenza, Franceschinis, Erica, Pasut, Gianfranco, Rugge, Massimo, Zaninotto, Giovanni, Realdon, Nicola, Castoro, Carlo
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cited_by cdi_FETCH-LOGICAL-c758t-f2d3c0d385e67fc3a3ce7db3c39dc6cbec12f6b5e5522a3a68b6ee1cb61e2f33
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container_title PloS one
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creator Dall'Olmo, Luigi
Fassan, Matteo
Dassie, Elisa
Scarpa, Marco
Realdon, Stefano
Cavallin, Francesco
Cagol, Matteo
Battaglia, Giorgio
Pizzi, Marco
Guzzardo, Vincenza
Franceschinis, Erica
Pasut, Gianfranco
Rugge, Massimo
Zaninotto, Giovanni
Realdon, Nicola
Castoro, Carlo
description Chronic gastro-duodenal reflux in the esophagus is a major risk for intestinal metaplasia and Barrett's adenocarcinoma. A role for chronic use of proton pump inhibitor (PPI) in the increased incidence of esophageal adenocarcinoma in Western countries has been previously suggested. The aim of this work was to study the effect of chronic administration of omeprazole (a proton pump inhibitor) per os in a model of reflux induced esophageal carcinogenesis. One week after esophago-gastro-jejunostomy, 115 Sprague-Dawley rats were randomized to receive 10 mg/Kg per day of omeprazole or placebo, 5 days per week. The esophago-gastric specimens were collected 28 ± 2 weeks after randomization and analyzed in a blinded fashion. Mortality and esophageal metaplasia rates did not differ between the two groups (p = 0.99 for mortality, p = 0.36 for intestinal metaplasia and p = 0.66 for multi-layered epithelium). Gastric pancreatic acinar cell metaplasia (PACM) was more frequently observed in PPI-treated rats (p = 0.003). Severe ulcer lesions significantly prevailed in the placebo group (p = 0.03). Locally invasive esophageal epithelial neoplasia were observed in 23/39 PPI-treated versus 14/42 placebo-animals (p = 0.03). In conclusion, chronic omeprazole treatment improved the healing of esophageal ulcerative lesions. Locally invasive neoplastic lesions and PACM prevailed among PPI-treated animals. However, neither an effect on the overall mortality nor on the incidence of pre-neoplastic lesions was observed in this work.
doi_str_mv 10.1371/journal.pone.0112862
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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest advanced technologies &amp; aerospace journals</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dall'Olmo, Luigi</au><au>Fassan, Matteo</au><au>Dassie, Elisa</au><au>Scarpa, Marco</au><au>Realdon, Stefano</au><au>Cavallin, Francesco</au><au>Cagol, Matteo</au><au>Battaglia, Giorgio</au><au>Pizzi, Marco</au><au>Guzzardo, Vincenza</au><au>Franceschinis, Erica</au><au>Pasut, Gianfranco</au><au>Rugge, Massimo</au><au>Zaninotto, Giovanni</au><au>Realdon, Nicola</au><au>Castoro, Carlo</au><au>Mukaisho, Ken-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of proton pump inhibitor on esophageal carcinogenesis and pancreatic acinar cell metaplasia development: an experimental in vivo study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-21</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e112862</spage><pages>e112862-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Chronic gastro-duodenal reflux in the esophagus is a major risk for intestinal metaplasia and Barrett's adenocarcinoma. A role for chronic use of proton pump inhibitor (PPI) in the increased incidence of esophageal adenocarcinoma in Western countries has been previously suggested. The aim of this work was to study the effect of chronic administration of omeprazole (a proton pump inhibitor) per os in a model of reflux induced esophageal carcinogenesis. One week after esophago-gastro-jejunostomy, 115 Sprague-Dawley rats were randomized to receive 10 mg/Kg per day of omeprazole or placebo, 5 days per week. The esophago-gastric specimens were collected 28 ± 2 weeks after randomization and analyzed in a blinded fashion. Mortality and esophageal metaplasia rates did not differ between the two groups (p = 0.99 for mortality, p = 0.36 for intestinal metaplasia and p = 0.66 for multi-layered epithelium). Gastric pancreatic acinar cell metaplasia (PACM) was more frequently observed in PPI-treated rats (p = 0.003). Severe ulcer lesions significantly prevailed in the placebo group (p = 0.03). Locally invasive esophageal epithelial neoplasia were observed in 23/39 PPI-treated versus 14/42 placebo-animals (p = 0.03). In conclusion, chronic omeprazole treatment improved the healing of esophageal ulcerative lesions. Locally invasive neoplastic lesions and PACM prevailed among PPI-treated animals. However, neither an effect on the overall mortality nor on the incidence of pre-neoplastic lesions was observed in this work.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25415190</pmid><doi>10.1371/journal.pone.0112862</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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source PMC (PubMed Central); Publicly Available Content (ProQuest)
subjects Acids
Adenocarcinoma
Analgesics
Animals
Biology and Life Sciences
Cancer
Carcinogenesis
Carcinogens
Cell Transformation, Neoplastic
Drug dosages
Endoscopy
Epithelium
Esophageal cancer
Esophageal Neoplasms - pathology
Esophagus
Gastroenterology
Health aspects
In vivo methods and tests
Incidence
Inhibitors
Intestine
Invasiveness
Laboratories
Lesions
Male
Medicine
Medicine and Health Sciences
Metaplasia
Mortality
Multilayers
Omeprazole
Oncology
Pancreas
Pancreas - pathology
Pathology
Pharmaceuticals
Pharmacology
Proton pump inhibitors
Proton Pump Inhibitors - pharmacology
Protons
Randomization
Rats
Rats, Sprague-Dawley
Research and Analysis Methods
Rodents
Surgery
title Role of proton pump inhibitor on esophageal carcinogenesis and pancreatic acinar cell metaplasia development: an experimental in vivo study
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