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Irvin M. Modlin, MD; David E. Schafer, PhD; Mikhail Tyshkov, MD; Garth H. Ballantyne, MD; Gary R. Fratesi, MD; J. Robert Roberts, MD; Michael J. Zdon, MD

Arch Surg. 1986;121(3):330-337.

Abstract
• Improved management of peptic ulcer disease requires elucidation of cellular processes underlying gastric secretion. The intracellular execution of regulatory commands to secretory cells involves protein phosphorylation. We studied cyclic adenosine monophosphate (cAMP)-dependent phosphorylation in isolated gastric glands (IGGs) using forskolin, which directly stimulates adenylate cyclase. Forskolin stimulated secretion by both parietal and chief cells. In a separate set of studies, IGGs were incubated for 45,90, and 105 minutes in modified Ham's F-10 medium containing orthophosphate labeled with phosphorus 32. The forskolin (10-4M) was added to some IGG preparations at 90 minutes. The reaction was terminated with sodium dodecyl sulfate and boiling. The proteins were resolved on sodium dodecyl sulfate—polyacrylamide gels, stained with Coomassie blue, and autoradiographed. Incorporation of phosphorus 32 increased progressively at 45, 90, and 105 minutes. Forskolin enhanced phosphorylated bands around 92 kilodaltons. These results are consistent with the major role of cAMP in the regulation of gastric cellular function. The study of cAMP-stimulated phosphorylation may be an important tool in the elucidation of intracellular regulatory mechanisms of gastric secretion. Modulation of these mechanisms may be the ideal therapeutic modality for treatment of acid-secretory disorders.

(Arch Surg 1986;121:330-337)

Author Affiliations
From the Departments of Surgery, Yale University School of Medicine, New Haven, Conn, and Veterans Administration Medical Center, West Haven, Conn.

Footnotes
Accepted for publication Oct 17, 1985.

Reprint requests to Surgical Service, Veterans Administration Medical Center, West Spring Street, West Haven, CT 06516 (Dr Modlin).

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