Gastric Antisecretory Effect of 15(R)-15-Methyl PGE2, Methyl Ester and of 15(S)-15-Methyl PGE2, Methyl Ester

Abstract

Summary Gastric juice was collected from gastric pouches in dogs stimulated with histamine. 15(R)-15-methyl PGE₂, methyl ester inhibited gastric secretion in dogs when given orally, but was almost inactive when given intravenously, whereas 15(5)-15-methyl PGE₂ methyl ester was active by both routes. When given directly into the small intestine (intrajejunally), the 15(5) was active and the 15(R) was inactive. The 15(R), diluted in acid and administered intrajejunally, became active in inhibiting gastric secretion. When the 15(5) was diluted in acid and administered intrajejunally, it lost half of its activity. When each analog was incubated in an acid medium, each was epimerized to give approximately a 1:1 mixture of both 15 (R) and 15(5). Incubation of the 15(R) in pH 3 buffer resulted in only a trace of formation of 15(5). These results explain why the 15(R) is active orally but not intrajejunally. When given orally, the low pH of gastric secretion epimerizes much of the 15(R) into the 15(5), which is active by any route. The degree of acidity of gastric contents may determine whether the 15(R) will exert an antisecretory effect.