Reflux inhibitors - new therapy of gastroesophageal reflux disease

被引:0
作者
Jurkowska, Grazyna [1 ]
Swidnicka-Siergiejko, Agnieszka [1 ]
Dabrowski, Andrzej [1 ]
机构
[1] Uniwersytet Med Bialymstoku, Klin Gastroenterol & Chorob Wewnetrznych, PL-15276 Bialystok, Poland
来源
PRZEGLAD GASTROENTEROLOGICZNY | 2012年 / 7卷 / 02期
关键词
gastroesophageal reflux; transient lower esophageal sphincter relaxation; GABA receptors; glutamate receptors; ESOPHAGEAL SPHINCTER RELAXATIONS; NEGATIVE ALLOSTERIC MODULATOR; AGONIST BACLOFEN; SYMPTOMS; ADX10059; ACID; IMPEDANCE; EFFICACY; HERNIA;
D O I
10.5114/pg.2012.28645
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The most relevant target for the treatment of refractory gastroesophageal reflux disease (GERD) is controlling the occurrence of transient lower esophageal relaxations (TLESR), which represent the main mechanism of all types of reflux. Drugs in development that have this mechanism of action are now described as reflux inhibitors. The most promising among these appear to be mGluR5 agonists and GABA(B) receptor agonists, which reduce the number of reflux episodes and improve reflux-related symptoms. Reflux inhibitors appear to have a potential role in the management of refractory GERD as add-on therapy in combination with PPI. Future studies will establish the safety and tolerability of the new anti-reflux therapy.
引用
收藏
页码:57 / 62
页数:6
相关论文
共 31 条
[1]   A unique longitudinal muscle contraction pattern associated with transient lower esophageal sphincter relaxation [J].
Babaei, Arash ;
Bhargava, Valmik ;
Korsapati, Hariprasad ;
Zheng, Wei Hao ;
Mittal, Ravinder K. .
GASTROENTEROLOGY, 2008, 134 (05) :1322-1331
[2]   Effect of Δ9-tetrahydrocannabinol, a cannabinoid receptor agonist, on the triggering of transient lower oesophageal sphincter relaxations in dogs and humans [J].
Beaumont, H. ;
Jensen, J. ;
Carlsson, A. ;
Ruth, M. ;
Lehmann, A. ;
Boeckxstaens, G. E. .
BRITISH JOURNAL OF PHARMACOLOGY, 2009, 156 (01) :153-162
[3]   Does the Presence of a Hiatal Hernia Affect the Efficacy of the Reflux Inhibitor Baclofen During Add-On Therapy? [J].
Beaumont, Hanneke ;
Boeckxstaens, Guy E. E. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2009, 104 (07) :1764-1771
[4]   Systematic review: role of acid, weakly acidic and weakly alkaline reflux in gastro-oesophageal reflux disease [J].
Boeckxstaens, G. E. ;
Smout, A. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2010, 32 (03) :334-343
[5]   The lower oesophageal sphincter [J].
Boeckxstaens, GE .
NEUROGASTROENTEROLOGY AND MOTILITY, 2005, 17 :13-21
[6]  
Boeckxstaens GE, 2011, GUT
[7]   Effects of Lesogaberan on Reflux and Lower Esophageal Sphincter Function in Patients With Gastroesophageal Reflux Disease [J].
Boeckxstaens, Guy E. ;
Beaumont, Hanneke ;
Mertens, Veerle ;
Denison, Hans ;
Ruth, Magnus ;
Adler, John ;
Silberg, Debra G. ;
Sifrim, Daniel .
GASTROENTEROLOGY, 2010, 139 (02) :409-417
[8]   Treatment patterns and symptom control in patients with GERD: US community-based survey [J].
Chey, William D. ;
Mody, Reema R. ;
Wu, Eric Q. ;
Chen, Lei ;
Kothari, Smita ;
Persson, Bjorn ;
Beaulieu, Nicolas ;
Lu, Mei .
CURRENT MEDICAL RESEARCH AND OPINION, 2009, 25 (08) :1869-1878
[9]   Effect of acute and chronic administration of the GABAB agonist baclofen on 24 hour pH metry and symptoms in control subjects and in patients with gastro-oesophageal reflux disease [J].
Ciccaglione, AF ;
Marzio, L .
GUT, 2003, 52 (04) :464-470
[10]   Effectiveness of Proton Pump Inhibitors in Nonerosive Reflux Disease [J].
Dean, Bonnie B. ;
Gano, Anacleto D., Jr. ;
Knight, Kevin ;
Ofman, Joshua J. ;
Fass, Ronnie .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004, 2 (08) :656-664