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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 |
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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. |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0112862</identifier><identifier>PMID: 25415190</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2014-11, Vol.9 (11), p.e112862</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Dall'Olmo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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.</description><subject>Acids</subject><subject>Adenocarcinoma</subject><subject>Analgesics</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Carcinogenesis</subject><subject>Carcinogens</subject><subject>Cell Transformation, Neoplastic</subject><subject>Drug dosages</subject><subject>Endoscopy</subject><subject>Epithelium</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Health aspects</subject><subject>In vivo methods and tests</subject><subject>Incidence</subject><subject>Inhibitors</subject><subject>Intestine</subject><subject>Invasiveness</subject><subject>Laboratories</subject><subject>Lesions</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Metaplasia</subject><subject>Mortality</subject><subject>Multilayers</subject><subject>Omeprazole</subject><subject>Oncology</subject><subject>Pancreas</subject><subject>Pancreas - pathology</subject><subject>Pathology</subject><subject>Pharmaceuticals</subject><subject>Pharmacology</subject><subject>Proton pump inhibitors</subject><subject>Proton Pump Inhibitors - pharmacology</subject><subject>Protons</subject><subject>Randomization</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Research and Analysis Methods</subject><subject>Rodents</subject><subject>Surgery</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tq3DAQhk1padK0b1BaQaHQi93qYGntXBRC6GEhEEhDb4Usj7xabMmV7CV5hr50tV0nrKGFogtLo-__PRpmsuw1wUvCVuTj1o_BqXbZewdLTAgtBH2SnZKS0YWgmD092p9kL2LcYsxZIcTz7ITynHBS4tPs141vAXmD-uAH71A_dj2ybmMrO_iAUgSi7zeqAdUirYK2zjfgINqIlKtRr5wOoAarkUp3KiANbYs6GFTfqmgVqmEHre87cMN5kiC46yHY_TE5Wod2dudRHMb6_mX2zKg2wqvpe5bdfvl8e_ltcXX9dX15cbXQK14MC0NrpnHNCg5iZTRTTMOqrphmZa2FrkATakTFgXNKFVOiqAQA0ZUgQA1jZ9nbg23f-iinMkZJBBUFpbzYE-sDUXu1lX3KVoV76ZWVfwI-NFKF9OQWpClKwgtc8qJguWZarWqjMaWAS2a4qZPXp-lvY9VBrdO7g2pnpvMbZzey8TuZ0xzzlUgG7yaD4H-OEId_pDxRjUpZWWd8MtOdjVpe5KQgrMQkT9TyL1RaNXRWp0YyNsVngg8zQWIGuBsaNcYo199v_p-9_jFn3x-xm9Rcwyb6dhysd3EO5gdQBx9jAPNYOYLlfg4eqiH3cyCnOUiyN8dVfxQ9ND77DR8MBs8</recordid><startdate>20141121</startdate><enddate>20141121</enddate><creator>Dall'Olmo, Luigi</creator><creator>Fassan, Matteo</creator><creator>Dassie, Elisa</creator><creator>Scarpa, Marco</creator><creator>Realdon, Stefano</creator><creator>Cavallin, Francesco</creator><creator>Cagol, Matteo</creator><creator>Battaglia, Giorgio</creator><creator>Pizzi, Marco</creator><creator>Guzzardo, Vincenza</creator><creator>Franceschinis, Erica</creator><creator>Pasut, Gianfranco</creator><creator>Rugge, Massimo</creator><creator>Zaninotto, Giovanni</creator><creator>Realdon, Nicola</creator><creator>Castoro, Carlo</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20141121</creationdate><title>Role of proton pump inhibitor on esophageal carcinogenesis and pancreatic acinar cell metaplasia development: an experimental in vivo study</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-f2d3c0d385e67fc3a3ce7db3c39dc6cbec12f6b5e5522a3a68b6ee1cb61e2f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acids</topic><topic>Adenocarcinoma</topic><topic>Analgesics</topic><topic>Animals</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Carcinogenesis</topic><topic>Carcinogens</topic><topic>Cell Transformation, Neoplastic</topic><topic>Drug dosages</topic><topic>Endoscopy</topic><topic>Epithelium</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - 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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 |
ispartof | PloS one, 2014-11, Vol.9 (11), p.e112862 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_1626822583 |
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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