It is generally believed that H. pylori cannot colonize the stomachs of normal rats. We examined the potential H. pylori colonization in the stomachs of rats with or without chronic ulcers and the effects of antibiotic drugs and acid pump inhibitors on H. pylori viability and ulcer healing. [Methods] Ulcers were produced by acetic acid (20%, 0.04ml) injection into the stomachs of male Donryu rats (7-wk-old). All rats were orally inoculated once with H. pylori (ATCC43504, 3 X 108CFU/rat). 2, 4, 6, 8 and 10 wk after the inoculation, the animals were killed and then H. pylori viability, ulcerated area, and rnyeloperoxidase (MPO) activity in the gastric mucosa were determined. Clarithromycin (CAM, 20, 40, 80mg/kg), amoxiciUin (AMX, 1, 3, 5mg/kg), metronidazole (MTR, 5 mg/kg), omeprazole (OME, 30mg/kg), leminoprazole (LEM, 80mg/kg), CAM+OME or CAM+LEM was orally administered for 1 or 2 wk. [Results] A single inoculation of 1-1, pylori could not colonize the intact rat stomach, ie., no ulcers. Even under complete suppression of gastric acid with omeprazole, no colonizatin was observed in the normal rats. In contrast, H. pylori did colonize the ulcerated stomach for up to 10 wk at an incidence > 80%; 1.2 x 105CFU/rat. MPO activity was significantly elevated in the gastric mucosa with ulcer (608.1 +-81.0 vs. 364.9 +46.4 pMH202/min in the 1-1. pylori non-infected group). CAM (2wk), AMX and MTR (lwk) significantly and dose-dependently eradicated H. pylori. While AMX and MTR had insignificant effect on ulcer healing, CAM at > 40mgkg significantly delayed ulcer healing. In contrast, OME and LEM tended to enhance ulcer healing. However, they significantly prevented the delay in ulcer healing caused by CAM. [Conclusion] H. pylori was unable to colonize the intact stomach of rats, but did colonize the stomach with ulcers. CAM significantly eradicated H. pylori, but delayed ulcer healing which was significantly prevented with acid pump inhibitors.
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