Omeprazole Histamine

Omeprazole-histamine pharmacology describes how the proton-pump inhibitor omeprazole suppresses gastric acid secretion despite histamine-driven stimulation of parietal cells. Histamine normally activates H2 receptors on these cells, increasing cAMP and activating the gastric H+/K+-ATPase, whereas omeprazole is converted to an active form in acidic secretory canaliculi and irreversibly inhibits this final proton-secretion step. This distinction explains why omeprazole can reduce acid production triggered by histamine and other secretagogues, supporting its use in acid-related disorders and making the pathway useful for studying receptor signaling, drug mechanism, therapeutic efficacy, and changes in gastric physiology.

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JoVE Core - Pharmacology

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Histamine H2 receptors, which are intricately located on the basolateral membrane of parietal cells, play a crucial role in modulating gastric acid secretion. When released from enterochromaffin-like cells, histamine engages H2 receptors, initiating the cyclic AMP (cAMP) pathway. In this pathway, adenylyl cyclase converts ATP into cAMP, elevating intracellular cAMP levels. The activation of protein kinase A follows, stimulating the proton pump. This stimulation prompts the secretion of hydrogen...

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JoVE Journal - Biology
Free Sample

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2025

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JoVE Journal - Chemistry
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