Review文献Acid suppression therapy where do we go from here.pdfVIP

Review文献Acid suppression therapy where do we go from here.pdf

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Review Article Dig Dis 2006;24:11-46 DOI: 10.1159/000091298 Acid Suppression Therapy: Where Do We Go from Here? Carmelo Scarpignatoa Iva Pelosini a Francesco Di Mario b a Laboratory of Clinical Pharmacology, Department of Anatomy, Pharmacology and Forensic Sciences, and b Department of Clinical Sciences, Section of Gastroenterology, School of Medicine and Dentistry, University of Parma, Parma, Italy Key Words of them (namely potassium-competitive acid blockers Gastric acid secretion Acid inhibition Antisecretory (P-CABs) and CCK2-receptor antagonists) have already drugs H2-receptor antagonists Ebrotidine reached clinical testing while some others (like the anti- Lafutidine Proton pump inhibitors Ilaprazole- gastrin vaccine, H3-receptor ligands or gastrin-releasing Tenatoprazole Potassium-competitive acid blockers peptide receptor antagonists) are still in preclinical de- CCK2-receptor antagonists Antigastrin vaccine velopment and need the proof of concept in human be- ings. Of the current approaches to reduce acid secretion, P-CABs and CCK2-receptor antagonists hold the greatest Abstract promise, with several compounds already in clinical tri- The dramatic success of pharmacological acid suppres-

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