RT Journal Article SR Electronic T1 Effect of bismuth subcitrate on amphibian gastroduodenal bicarbonate secretion. JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 917 OP 921 DO 10.1136/gut.30.7.917 VO 30 IS 7 A1 Shorrock, C J A1 Crampton, J R A1 Gibbons, L C A1 Rees, W D YR 1989 UL http://gut.bmj.com/content/30/7/917.abstract AB The ulcer healing and cytoprotective properties of colloidal bismuth (De-Nol) are well established although its mode of action is unclear. We have examined the action of bismuth subcitrate, the active ingredient of De-Nol, on gastroduodenal bicarbonate secretion by isolated amphibian mucosa. Addition of bismuth subcitrate (10(-6) to 10(-4) M) to the luminal solution produced a dose dependent increase in bicarbonate secretion from both gastric and duodenal mucosae without a change in transmucosal potential difference. The magnitude of this stimulation was greater for gastric than duodenal mucosae at all dose ranges. A second bismuth salt, bismuth oxynitrate, produced similar increases in bicarbonate secretion from gastric mucosae. Pretreatment of gastric mucosa with the cyclooxygenase inhibitor, indomethacin (10(-5) and 10(-4) M), did not abolish the secretory response to bismuth subcitrate. Similar treatment with the chloride transport inhibitor, 4-acetamido-4'-isothiocyanatostilbene-2,2'-disulfonic acid (SITS) (10(-3) M) prevented the secretory response to bismuth subcitrate.