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Antimicrobial Agents and Chemotherapy, December 2001, p. 3451-3455, Vol. 45, No. 12
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.12.3451-3455.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Effects of Lansoprazole and Amoxicillin on Uptake of [14C]Clarithromycin into Gastric Tissue in Rats

Hiromi Endo,* Hideo Yoshida, Naoko Ohmi, and Shohei Higuchi

Department of Drug Metabolism, Research Center, Taisho Pharmaceutical Co., Ltd., 403, Saitama-shi, Saitama 330-8530, Japan

Received 24 March 2000/Returned for modification 15 November 2000/Accepted 17 September 2001

Triple therapy consisting of clarithromycin (CLR), lansoprazole (LPZ), and amoxicillin (AMZ) is effective as eradication therapy for patients with peptic ulcer disease and Helicobacter pylori infection. We evaluated the effects of LPZ and AMZ on the uptake of [14C]CLR into the gastric tissue of rats. After administration of [14C]CLR alone or in combination with LPZ and AMZ, the distributions of [14C]CLR in the main organs and gastrointestinal tissues were compared. LPZ and AMZ had no effect on the distribution of [14C]CLR in any tissue except gastric tissue. The concentration of radioactivity in gastric tissue was several times higher when [14C]CLR was administered orally together with LPZ than when it was administered alone. The gastric emptying of [14C]CLR became smaller in the case of the coadministration of LPZ. AMZ had no apparent influence on the disposition of [14C]CLR. After the intravenous administration of [14C]CLR, no effects of drug coadministration were evident. In vitro uptake of [14C]CLR into gastric tissue was enhanced in the case of a high-pH environment. The uptake was not influenced by the concurrent presence of LPZ and AMZ. These results suggest that the penetration of [14C]CLR possibly depends on elevated gastric pH, as gastric acid secretion was inhibited by LPZ, and this may be a primary factor in explaining why the concentration of [14C]CLR at the target site, gastric tissue, was enhanced by the coadministration of LPZ.


* Corresponding author. Mailing address: Department of Drug Metabolism, Research Center, Taisho Pharmaceutical Co., Ltd., 403, Yoshino-cho 1-chome, Saitama-shi, Saitama 330-8530, Japan. Phone: 81 48 663 1111. Fax: 81 48 652 7254. E-mail: hiromi.endou{at}po.rd.taisho.co.jp.


Antimicrobial Agents and Chemotherapy, December 2001, p. 3451-3455, Vol. 45, No. 12
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.12.3451-3455.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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Copyright © 2001 by the American Society for Microbiology. All rights reserved.