Inhibition of gastric acid secretion by proton pump inhibitors like omeprazole increases the synthesis and secretion of the pyloric antral hormone gastrin. We report here how omeprazole influences the conversion of the gastrin precursor to its final products, and the abundance of mRNAs encoding proteins associated with progastrin processing in rat antral mucosa.
Progastrin processing was studied using a pulseâchase protocol in antral mucosa, incubated in vitro, from rats treated with omeprazole for up to 5 days. Labelled peptides were detected by onâline scintillation counting after immunoprecipitation and HPLC. The mRNAs encoding prohormoneâprocessing enzymes were identified by Northern blot, polymerase chain reaction or ribonuclease protection assay, and their cellular origins identified by immunocytochemistry.
Cleavage of [3H]â and [35S]âlabelled progastrins at Argâ94â95 or Argâ57â58, and amidation at Pheâ92 were not influenced by pretreatment with omeprazole. In contrast, cleavage of G34 (the thirtyâfour amino acid amidated gastrin) at Lysâ74â75 to give G17 (the seventeen amino acid amidated gastrin), and of G34âGly to Gl7âGly (G34 and G17 with COOHâterminal glycine), was increased 3âfold after treatment with omeprazole for either 1 or 5 days.
Approximately 20% of newly synthesized amidated and Glyâextended gastrins were secreted within 240 min of the labelling period in omeprazoleâtreated samples, but secretion of labelled gastrins from control tissue was undetectable over a comparable period.
The amidating enzyme, peptidylglycine αâamidating monoâoxygenase (PAM), the prohormone convertases PC1/3, PC2, PC5 and the PC2 chaperone 7B2 were localized to rat antral gastrin cells by immunocytochemistry. The relative abundance of mRNA species encoding 7B2, PC5 and PAM were unchanged after treatment with omeprazole for 5 days, whereas gastrin, PC1/3 and PC2 mRNAs are known to increase at this time.
The main consequence of increased cleavage at Lysâ74â75 is the production of G17 and G17âGly at the expense of G34 and G34âGly, respectively. The latter have longer plasma halfâlives, and so their increased cleavage may serve to limit the rise in plasma gastrin concentration after inhibition of acid secretion. Changes in the abundance of mRNAs encoding prohormoneâprocessing enzymes cannot account for the rapidity of the changes in cleavage of progastrin at Lys residues after omeprazole.