Skip to main content
Log in

Effect of chronic cimetidine ingestion on fundic and antral epithelial proliferation in the rat

  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

Recent reports of the association of cimetidine treatment with the development of gastric carcinoma stimulated us to study the effect of chronic cimetidine ingestion on epithelial proliferation in the stomach of male Wistar/Lewis rats. One group of rats received cimetidine in the drinking water to deliver 150–200 mg/kg/day. Control rats received plain water. To label proliferating cells, the rats were injected by tail vein with tritiated thymidine 1 hr before sacrifice at 1, 6, and 12 months. Sections of fundus and antrum were processed for light autoradiography. We found no histological evidence for malignant change and no effect on the measurements of epithelial proliferation by cimetidine in either fundus or antrum at any of the times studied, with the possible exception of an upward shift in the distribution of labeled cells within the proliferative zone of the fundus after 6 months. Thus, under the conditions of our experiments we have been unable to identify an effect of cimetidine on epithelial proliferation which would implicate it as a chemical carcinogen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Elder JB, Ganguli PC, Gillespie IE: Cimetidine and gastric cancer. Lancet 1:1005–1006, 1979

    PubMed  Google Scholar 

  2. Reed PI, Cassell PG, Walters CL: Gastric cancer in patients who have taken cimetidine. Lancet 1:1234–1235, 1979

    Google Scholar 

  3. Taylor TV, Lee D, Howatson AG, Anderson J, MacLeod IB: Gastric cancer in patients who have taken cimetidine. Lancet 1:1235–1236, 1979

    PubMed  Google Scholar 

  4. Hawker PC, Muscroft TJ, Keighley MRB: Gastric cancer after cimetidine in patients with two negative pre-treatment biopsies. Lancet 1:709–710, 1980

    Google Scholar 

  5. Quimby GF, Eastwood GL: Effect ofN-methyl-N′-nitro-N-nitrosoguanidine on gastroduodenal epithelial proliferation in Wistar/Lewis rats. J Natl Cancer Inst 66:331–337, 1981

    PubMed  Google Scholar 

  6. Bavin PMG, Durant GJ, Miles PD, Mitchell RC, Pepper ES: Nitrosation of cimetidine [N″-cyano-N-methyl-N′-(2-[(5-methyl-imidazol-4-yl)methylthio] ethyl)guanidine]. J Chem Res (S):212–213, 1980

  7. Foster AB, Jarman H, Manson D, Schulten HR: Structure and reactivity of nitrosocimetidine. Cancer Lett 9:47–52, 1980

    PubMed  Google Scholar 

  8. Pool BL, Eisenbrand G, Schmahl D: Biological activity of nitrosated cimetidine. Toxicology 15:69–72, 1979

    PubMed  Google Scholar 

  9. Jensen DE, Magee PN: Methylation of DNA by nitrosocimetidinein vitro. Cancer Res 41:230–236, 1979

    Google Scholar 

  10. Henderson EE, Basilio M: Evidence forin vivo damage of DNA by nitrosocimetidine. Proc Am Assoc Cancer Res 21:85, 1980 (abstract)

    Google Scholar 

  11. DeFlora S, Picciotto A: Mutagenicity of cimetidine in nitriteenriched human gastric juice. Carcinogenesis 1:925–930, 1980

    PubMed  Google Scholar 

  12. Ruddell WSJ, Bone ES, Hill MJ, Walters CL: Pathogenesis of gastric cancer in pernicious anemia. Lancet 1:521–523, 1978

    PubMed  Google Scholar 

  13. Domellof L, Reddy BS, Weisburger JH: Microflora and deconjugation of bile acids in alkaline reflux after partial gastrectomy. Am J Surg 140:291–295, 1980

    PubMed  Google Scholar 

  14. Ruddell WSJ, Axon ATR Findlay JM, Bartholomew BA, Hill MJ: Effect of cimetidine on the gastric bacterial flora. Lancet 1:672–674, 1980

    PubMed  Google Scholar 

  15. Deane SA, Youngs D, Poxon V, Keighley MRB, Alexander-Williams J, Burdon DW: Cimetidine and gastric microflora. Br J Surg 67:371, 1980

    Google Scholar 

  16. Muscroft TJ, Youngs DJ, Burdon DW, Keighley MRB: Cimetidine is unlikely to increase formation of intragastricN-nitroso-compounds in patients taking a normal diet. Lancet 1:408–410, 1981

    PubMed  Google Scholar 

  17. Domellof L, Eriksson S, Janunger K-G: Carcinoma and possible precancerous changes of the gastric stump after Billroth II resection. Gastroenterology 73:462–468, 1977

    PubMed  Google Scholar 

  18. Schlag P, Bockler R, Ulrich H, Peter M, Merkle P, Herfarth C: Are nitrite andN-nitroso compounds in gastric juice risk factors for carcinoma in the operated stomach? Lancet 1:727–729, 1980

    PubMed  Google Scholar 

  19. Hanson OH, Larsen JK, Svendsen LB: Changes in gastric mucosal cell proliferation after antrectomy or vagotomy in man. Scand J Gastroenterol 13:947–952, 1978

    PubMed  Google Scholar 

  20. Assad RT, Eastwood GL: Epithelial proliferation in human fundic mucosa after antrectomy and vagotomy. Gastroenterology 79:807–811, 1980

    PubMed  Google Scholar 

  21. Bell B, Almy TP, Lipkin M: Cell proliferation kinetics in the gastrointestinal tract of man. III. Cell renewal in esophagus, stomach and jejunum of a patient with treated pernicious anemia. J Natl Cancer Inst 38:615–628, 1967

    PubMed  Google Scholar 

  22. Winawer SJ, Lipkin M: Cell proliferation kinetics in the gastrointestinal tract of man. IV. Cell renewal in the intestinalized gastric mucosa. J Natl Cancer Inst 42:9–17, 1969

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This study was supported by research grant R01 AM 21951 from the National Institute of Arthritis, Metabolism, and Digestive Diseases.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eastwood, G.L., Quimby, G.F. Effect of chronic cimetidine ingestion on fundic and antral epithelial proliferation in the rat. Digest Dis Sci 28, 61–64 (1983). https://doi.org/10.1007/BF01393362

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01393362

Keywords

Navigation