PMID- 17406807 OWN - NLM STAT- MEDLINE DCOM- 20071109 LR - 20181201 IS - 1023-3830 (Print) IS - 1023-3830 (Linking) VI - 56 IP - 3 DP - 2007 Mar TI - The inhibitory effects of H+ K+ ATPase inhibitors on human neutrophils in vitro: restoration by a K+ ionophore. PG - 105-11 AB - OBJECTIVE: This study investigated the ability of proton pump inhibitors (PPI), such as omeprazole and pantoprazole, to inhibit neutrophil migration, calcium mobilization and the mechanisms involved in this inhibition. METHODS: Neutrophils were incubated with different concentrations of omeprazole and pantoprazole for 30 min and stimulated to migrate with fMLP and IL-8. Treatment toxicity was assessed by MTT assay. The intracellular calcium levels were analyzed in neutrophils pre-treated with omeprazole and pre-loaded with FURA-2AM, when stimulated with fMLP. The activity of p38 MAP Kinase was evaluated by Western blot after treatment with omeprazole. RESULTS: Omeprazole is able to inhibit neutrophil chemotaxis to fMLP and IL-8. Pantoprazole demonstrated the same ability. This inhibitory effect was not due to a toxic effect of the proton pump inhibitors. Inhibition of v-ATPase by bafilomycin did not modify the ability of fMLP or IL-8 to induce neutrophil migration. Omeprazole was also able to decrease intracellular calcium availability. The addition of a potassium ionophore, nigericin, restored the migratory ability, as well as the intracellular calcium levels. The activity of p38 MAP Kinase was decreased in neutrophils pretreated with omeprazole. CONCLUSION: Proton pump inhibitors promote inhibition of H+ K+ ATPase in neutrophils, resulting in cationic flow disturbances through the cellular membrane that, consequently, inhibit migratory and intracellular events such as calcium influx and p38 MAP Kinase activation. FAU - Martins de Oliveira, R AU - Martins de Oliveira R AD - Clinical Pharmacology and Gastroenterology Unit, Sao Francisco University Medical School, Av. Sao Francisco de Assis 218, 12916-900, Braganca Paulista, SP, Brazil. FAU - Antunes, E AU - Antunes E FAU - Pedrazzoli, J Jr AU - Pedrazzoli J Jr FAU - Gambero, A AU - Gambero A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Switzerland TA - Inflamm Res JT - Inflammation research : official journal of the European Histamine Research Society ... [et al.] JID - 9508160 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Interleukin-8) RN - 0 (Ionophores) RN - 0 (Macrolides) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proton Pump Inhibitors) RN - 116764-51-3 (bafilomycin A) RN - 59880-97-6 (N-Formylmethionine Leucyl-Phenylalanine) RN - D8TST4O562 (Pantoprazole) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) RN - EC 3.6.3.10 (H(+)-K(+)-Exchanging ATPase) RN - KG60484QX9 (Omeprazole) RN - RRU6GY95IS (Nigericin) RN - RWP5GA015D (Potassium) RN - SY7Q814VUP (Calcium) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/pharmacology MH - Apoptosis/drug effects MH - Calcium/metabolism MH - Cell Movement/drug effects MH - Cells, Cultured MH - Gastric Acid/metabolism MH - H(+)-K(+)-Exchanging ATPase/metabolism MH - Humans MH - Interleukin-8/pharmacology MH - Ionophores/*pharmacology MH - Macrolides/pharmacology MH - N-Formylmethionine Leucyl-Phenylalanine/pharmacology MH - Neutrophils/cytology/*drug effects/*enzymology MH - Nigericin/*pharmacology MH - Omeprazole/pharmacology MH - Pantoprazole MH - Potassium/*metabolism MH - Protein Kinase Inhibitors/pharmacology MH - *Proton Pump Inhibitors MH - p38 Mitogen-Activated Protein Kinases/metabolism EDAT- 2007/04/05 09:00 MHDA- 2007/11/10 09:00 CRDT- 2007/04/05 09:00 PHST- 2007/04/05 09:00 [pubmed] PHST- 2007/11/10 09:00 [medline] PHST- 2007/04/05 09:00 [entrez] AID - 10.1007/s00011-006-6127-6 [doi] PST - ppublish SO - Inflamm Res. 2007 Mar;56(3):105-11. doi: 10.1007/s00011-006-6127-6.