PMID- 9142912 OWN - NLM STAT- MEDLINE DCOM- 19970606 LR - 20181130 IS - 0002-9513 (Print) IS - 0002-9513 (Linking) VI - 272 IP - 4 Pt 1 DP - 1997 Apr TI - TNF-alpha contributes to the pathogenesis of ethanol-induced gastric damage in cirrhotic rats. PG - G809-14 AB - Cirrhotic rats exhibit increased susceptibility to ethanol-induced gastric damage, but the underlying mechanism for this phenomenon remains unclear. Abnormalities of the gastric microcirculation have been reported that may contribute to the increased susceptibility to damage. Decreased gastric synthesis of prostaglandins also likely contributes to impaired mucosal defense in cirrhotic rats. Tumor necrosis factor-alpha (TNF-alpha) has been implicated in mucosal injury, and its synthesis can be inhibited by prostaglandins. Therefore, we hypothesized that TNF-alpha synthesis/ release is altered in cirrhotic rats and plays a role in the pathogenesis of ethanol-induced gastric damage. Cirrhosis was induced by bile duct ligation, whereas controls had sham operations. Topical application of 40% ethanol caused four times as much damage in cirrhotic rats than in controls. Basal plasma TNF-alpha levels did not differ between control and cirrhotic rats, although cirrhotic rats exhibited significantly higher levels of gastric TNF-alpha mRNA. Plasma TNF-alpha increased significantly in control and cirrhotic rats after ethanol administration. Inhibition of TNF-alpha synthesis/release with pentoxifylline, thalidomide, dexamethasone, or immunoneutralization of TNF-alpha (with anti-TNF-alpha) was found to significantly reduce the severity of ethanol-induced gastric mucosal damage in cirrhotic rats. We conclude that TNF-alpha contributes to the pathogenesis of ethanol-induced gastric damage in cirrhotic rats. FAU - Ferraz, J G AU - Ferraz JG AD - Intestinal Disease Research Unit, Faculty of Medicine, University of Calgary, Alberta, Canada. FAU - Tigley, A W AU - Tigley AW FAU - Appleyard, C B AU - Appleyard CB FAU - Wallace, J L AU - Wallace JL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Physiol JT - The American journal of physiology JID - 0370511 RN - 0 (Immune Sera) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - 3K9958V90M (Ethanol) SB - IM MH - Animals MH - *Ethanol/pharmacology MH - Gastric Mucosa/drug effects/metabolism MH - Immune Sera MH - Liver Cirrhosis, Experimental/*physiopathology MH - Male MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Stomach Diseases/*chemically induced MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/genetics/*physiology EDAT- 1997/04/01 00:00 MHDA- 1997/04/01 00:01 CRDT- 1997/04/01 00:00 PHST- 1997/04/01 00:00 [pubmed] PHST- 1997/04/01 00:01 [medline] PHST- 1997/04/01 00:00 [entrez] AID - 10.1152/ajpgi.1997.272.4.G809 [doi] PST - ppublish SO - Am J Physiol. 1997 Apr;272(4 Pt 1):G809-14. doi: 10.1152/ajpgi.1997.272.4.G809.