PMID- 16094717 OWN - NLM STAT- MEDLINE DCOM- 20051102 LR - 20190430 IS - 1007-9327 (Print) IS - 2219-2840 (Electronic) IS - 1007-9327 (Linking) VI - 11 IP - 30 DP - 2005 Aug 14 TI - Long-term omeprazole and esomeprazole treatment does not significantly increase gastric epithelial cell proliferation and epithelial growth factor receptor expression and has no effect on apoptosis and p53 expression. PG - 4721-6 AB - AIM: To study the effect of proton pump inhibitor (PPI) treatment on patients with reflux esophagitis and its in vivo effect on apoptosis, p53- and epidermal growth factor receptor (EGFR) expression. METHODS: After informed consent was obtained, gastric biopsies of the antrum were taken from patients with reflux oesophagitis prior to and after 6 mo of 20 mg omeprazole (n = 14) or 40 mg esomeprazole (n = 12) therapy. Patients did not take any other medications known to affect the gastric mucosa. All patients were Helicobacter pylori negative as confirmed by rapid urease test and histology, respectively. Cell proliferation, apoptosis, EGFR, and p53 expression were measured by immunohistochemical techniques. At least 600 glandular epithelial cells were encountered and results were expressed as percentage of total cells counted. Was considered statistically significant. RESULTS: Although there was a trend towards increase of cell proliferation and EGFR expression both in omeprazole and esomeprazole treated group, the difference was not statistically significant. Neither apoptosis nor p53 expression was affected. CONCLUSION: Long-term PPI treatment does not significantly increase gastric epithelial cell proliferation and EGFR expression and has no effect on apoptosis and p53 expression. FAU - Hritz, Istvan AU - Hritz I AD - 2nd Dept Medicine, Semmelweis University, Budapest, Hungary. hritz.istvan@freemail.hu FAU - Herszenyi, Laszlo AU - Herszenyi L FAU - Molnar, Bela AU - Molnar B FAU - Tulassay, Zsolt AU - Tulassay Z FAU - Pronai, Laszlo AU - Pronai L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Proton Pump Inhibitors) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (ErbB Receptors) RN - KG60484QX9 (Omeprazole) RN - N3PA6559FT (Esomeprazole) SB - IM MH - Adult MH - Apoptosis/drug effects MH - Cell Proliferation/drug effects MH - Epithelial Cells/drug effects MH - ErbB Receptors/metabolism MH - Esomeprazole MH - Female MH - Gastric Mucosa/*drug effects/metabolism/pathology MH - Gastroesophageal Reflux/drug therapy MH - Humans MH - Male MH - Middle Aged MH - Omeprazole/administration & dosage/*adverse effects MH - Proton Pump Inhibitors MH - Tumor Suppressor Protein p53/metabolism PMC - PMC4615418 EDAT- 2005/08/12 09:00 MHDA- 2005/11/03 09:00 PMCR- 2005/08/14 CRDT- 2005/08/12 09:00 PHST- 2005/08/12 09:00 [pubmed] PHST- 2005/11/03 09:00 [medline] PHST- 2005/08/12 09:00 [entrez] PHST- 2005/08/14 00:00 [pmc-release] AID - 10.3748/wjg.v11.i30.4721 [doi] PST - ppublish SO - World J Gastroenterol. 2005 Aug 14;11(30):4721-6. doi: 10.3748/wjg.v11.i30.4721.