Recent advances on polaprezinc for medical use (Review)
- Authors:
- Mingru Li
- Zhen Sun
- Hong Zhang
- Zhaoyang Liu
-
Affiliations: Jilin Broadwell Pharmaceutical Co., Ltd., Liaoyuan, Jilin 136200, P.R. China, Department of Gastroenterology, Jilin People's Hospital, Jilin City, Jilin 132000, P.R. China, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P.R. China - Published online on: October 14, 2021 https://doi.org/10.3892/etm.2021.10880
- Article Number: 1445
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Abstract
Seiki M, Ueki S, Tanaka Y, Soeda M, Hori Y, Aita H, Yoneta T, Morita H, Tagashira E and Okabe S: Studies on anti-ulcer effects of a new compound, zinc l-carnosine (z-103). Nihon Yakurigaku Zasshi. 95:257–269. 1990.PubMed/NCBI View Article : Google Scholar : (In Japanese). | |
Tan B, Luo HQ, Xu H, Lv NH, Shi RH, Luo HS, Li JS, Ren JL, Zou YY, Li YQ, et al: Polaprezinc combined with clarithromycin-based triple therapy for Helicobacter pylori-associated gastritis: A prospective, multicenter, randomized clinical trial. PLoS One. 12(e0175625)2017.PubMed/NCBI View Article : Google Scholar | |
Wada I, Otaka M, Jin M, Odashima M, Komatsu K, Konishi N, Matsuhashi T, Horikawa Y, Ohba R, Itoh H and Watanabe S: Expression of HSP72 in the gastric mucosa is regulated by gastric acid in rats-Correlation of HSP72 expression with mucosal protection. Biochem Biophys Res Commun. 349:611–618. 2006.PubMed/NCBI View Article : Google Scholar | |
Qin Y, Naito Y, Handa O, Hayashi N, Kuki A, Mizushima K, Omatsu T, Tanimura Y, Morita M, Adachi S, et al: Heat shock protein 70-dependent protective effect of polaprezinc on acetylsalicylic acid-induced apoptosis of rat intestinal epithelial cells. J Clin Biochem Nutr. 49:174–181. 2011.PubMed/NCBI View Article : Google Scholar | |
Ohkawara T, Nishihira J, Nagashima R, Takeda H and Asaka M: Polaprezinc protects human colon cells from oxidative injury induced by hydrogen peroxide: Relevant to cytoprotective heat shock proteins. World J Gastroenterol. 12:6178–6181. 2006.PubMed/NCBI View Article : Google Scholar | |
Ueda K, Ueyama T, Oka M, Ito T, Tsuruo Y and Ichinose M: Polaprezinc (Zinc L-Carnosine) is a potent inducer of anti-oxidative stress enzyme, Heme Oxygenase (HO)-1-a new mechanism of gastric mucosal protection. Pharmacol Sci. 110:285–294. 2009.PubMed/NCBI View Article : Google Scholar | |
Omatsu T, Naito Y, Handa O, Mizushima K, Hayashi N, Qin Y, Harusato A, Hirata I, Kishimoto E, Okada H, et al: Reactive oxygen species-quenching and anti-apoptotic effect of polaprezinc on indomethacin-induced small intestinal epithelial cell injury. J Gastroenterol. 45:692–702. 2010.PubMed/NCBI View Article : Google Scholar | |
Shimada T, Watanabe N, Ohtsuka Y, Endoh M, Kojima K, Hiraishi H and Terano A: Polaprezinc Down-regulates proinflammatory cytokine-induced nuclear Factor-kappaB activation and Interleukin-8 expression in gastric epithelial cells. J Pharmacol Exp Ther. 291:345–352. 1999.PubMed/NCBI | |
Handa O, Yoshida N, Tanaka Y, Ueda M and Yoshikawa T: Inhibitory effect of polaprezinc on the inflammatory response to Helicobacter pylori. Can J Gastroenterol. 16:785–789. 2002.PubMed/NCBI View Article : Google Scholar | |
Ohata S, Moriyama C, Yamashita A, Nishida T, Kusumoto C, Mochida S, Minami Y, Nakada J, Shomori K, Inagaki Y, et al: Polaprezinc protects mice against endotoxin shock. J Clin Biochem Nutr. 46:234–243. 2010.PubMed/NCBI View Article : Google Scholar | |
Watanabe S, Wang XE, Hirose M, Kivilioto T, Osada T, Miwa H, Oide H, Kitamura T, Yoneta T and Seto K: Insulin-like growth factor I Plays a role in gastric wound healing: Evidence using a zinc derivative, polaprezinc, and an in vitro rabbit wound repair model. Aliment Pharmacol Ther. 12:1131–1138. 1998.PubMed/NCBI View Article : Google Scholar | |
Seto K, Yoneta T, Suda H and Tamaki H: Effect of polaprezinc (N-(3-aminopropionyl)-L-histidinato zinc), a novel antiulcer agent containing zinc, on cellular proliferation: Role of insulin-like growth factor I. Biochem Pharmacol. 58:245–250. 1999.PubMed/NCBI View Article : Google Scholar | |
Jung DH, Park JC, Lee YC, Lee SK, Shin SK, Chung H, Park JJ, Kim JH, Youn YH and Park H: Comparison of the efficacy of Polaprezinc plus proton pump inhibitor and rebamipide plus proton pump inhibitor treatments for endoscopic submucosal dissection-induced ulcers. Clin Gastroenterol. 55:233–238. 2021.PubMed/NCBI View Article : Google Scholar | |
Kono T, Asama T, Chisato N, Ebisawa Y, Okayama T, Imai K, Karasaki H, Furukawa H and Yoneda M: Polaprezinc prevents ongoing thioacetamide-induced liver fibrosis in rats. Life Sci. 90:122–130. 2012.PubMed/NCBI View Article : Google Scholar | |
Katayama S, Nishizawa K, Hirano M, Yamamura S and Momose Y: Effect of polaprezinc on healing of acetic acid-induced stomatitis in hamsters. J Pharm Pharm Sci. 3:114–117. 2000.PubMed/NCBI | |
Liu Z, Xie W, Li M, Teng N, Liang X, Zhang Z, Yang Z and Wang X: Oral administration of polaprezinc attenuates fluorouracil induced intestinal mucositis in a mouse model. Basic Clin Pharmacol Toxicol. 121:480–486. 2017.PubMed/NCBI View Article : Google Scholar | |
Liu ZY, Xie WB, Li MR, Teng N, Liang X and Zhang ZQ: Effects of polaprezinc on gastric mucosal damage and neurotransmitters in a rat model of chemotherapy-induced vomiting. Int Med Res. 46:2436–2444. 2018.PubMed/NCBI View Article : Google Scholar | |
Liu ZY, Xie WB, Li MR, Liu J, Liang X and Li T: Intrarectally administered polaprezinc attenuates the development of dextran sodium sulfate-induced ulcerative colitis in mice. Exp Ther Med. 18:4927–4934. 2019.PubMed/NCBI View Article : Google Scholar | |
Kashimura H, Suzuki K, Hassan M, Ikezawa K, Sawahata T, Watanabe T, Nakahara A, Mutoh H and Tanaka N: Polaprezinc, a mucosal protective agent, in combination with lansoprazole, amoxicillin and clarithromycin increases the cure rate of Helicobacter pylori infection. Aliment Pharmacol Ther. 13:483–487. 1999.PubMed/NCBI View Article : Google Scholar | |
Nishizawa T, Suzuki H, Kanai T and Yahagi N: Proton pump inhibitor alone vs proton pump inhibitor plus mucosal protective agents for endoscopic submucosal dissection-induced ulcer: A systematic review and meta-analysis. J Clin Biochem Nutr. 56:85–90. 2015.PubMed/NCBI View Article : Google Scholar | |
Matsukura T and Tanaka H: Applicability of zinc complex of L-carnosine for medical use. Biochemistry (Mosc). 65:817–823. 2000.PubMed/NCBI | |
Matsuda K, Mera Y, Wada H, Aruga H, Saik Y and Taniguchi Y: Repeated dose toxicity studies on catena-(S)-[mu-[N alpha-(3-aminopropionyl) histidinato(2-)-N1,N2,O:N tau]-zinc] in rats. Arzneimittelforschung. 41(1036)1991.PubMed/NCBI | |
Furuta S, Toyama S, Miwa M and Sano H: Disposition of polaprezinc (zinc L-carnosine complex) in rat gastrointestinal tract and effect of cimetidine on its adhesion to gastric tissues. J Pharm Pharmacol. 47:632–636. 1995.PubMed/NCBI View Article : Google Scholar | |
Choi HS, Lim JY, Chun HJ, Lee M, Kim ES, Keum B, Seo YS, Jeen YT, Um SH, Lee HS, et al: The effect of polaprezinc on gastric mucosal protection in rats with ethanol induced gastric mucosal damage: Comparison study with rebamipide. Life Sci. 93:69–77. 2013.PubMed/NCBI View Article : Google Scholar | |
Fujii Y, Matsura T, Kai M, Kawasaki H and Yamada K: Protection by polaprezinc, an anti-ulcer drug, against indomethacin-induced apoptosis in rat gastric mucosal cells. Jpn J Pharmacol. 84:63–70. 2000.PubMed/NCBI View Article : Google Scholar | |
Yakoob J, Abbas Z, Jafri W, Usman MW and Awan S: Zinc chloride inhibits Helicobacter pylori growth and reduces expression of interleukin-1beta by gastric epithelial cells. Br J Biomed Sci. 71:43–45. 2014.PubMed/NCBI View Article : Google Scholar | |
Ishihara R, Iishi H, Sakai N, Yano H, Uedo N, Narahara H, Iseki K, Mikuni T, Ishiguro S and Tatsuta M: Polaprezinc attenuates Helicobacter pylori-associated gastritis in Mongolian gerbils. Helicobacter. 7:384–389. 2010.PubMed/NCBI View Article : Google Scholar | |
Naito Y, Yoshikawa T, Yagi N, Matsuyama K, Yoshida N, Seto K and Yoneta T: Effects of polaprezinc on lipid peroxidation, neutrophil accumulation, and TNF-alpha expression in rats with aspirin-induced gastric mucosal injury. Dig Dis Sci. 46:845–851. 2001.PubMed/NCBI View Article : Google Scholar | |
Aita H, Yoneta T, Seto K, Morit H, Hori Y, Takemasa T, Chaki K, Yamada H, Seiki M and Tagashira E: Studies on the healing promoting action of Z-103 in chronic gastric ulcer models of rats. Nihon Yakurigaku Zasshi. 99:345–352. 1992.PubMed/NCBI View Article : Google Scholar : (In Japanese). | |
Odashima M, Otaka M, Jin M, Wada I, Horikawa Y, Matsuhashi T, Ohba R, Hatakeyama N, Oyake J and Watanabe S: Zinc L-carnosine protects colonic mucosal injury through induction of heat shock protein 72 and suppression of NF-kappaB activation. Life Sci. 79:2245–2250. 2006.PubMed/NCBI View Article : Google Scholar | |
Ko JK and Leung CC: Ginger extract and polaprezinc exert gastroprotective actions by anti-oxidant and growth factor modulating effects in rats. J Gastroenterol Hepatol. 25:1861–1869. 2010.PubMed/NCBI View Article : Google Scholar | |
Matsuoka S, Matsumura H, Nakamura H, Oshiro S, Arakawa Y, Hayashi J, Sekine N, Nirei K, Yamagami H, Ogawa M, et al: Zinc supplementation improves the outcome of chronic hepatitis C and liver cirrhosis. J Clin Biochem Nutr. 45:292–303. 2009.PubMed/NCBI View Article : Google Scholar | |
Ye J, Zhang ZS, Zhu L, Lu FM, Li Y, Zhou JJ, Lu XL and Du Q: Polaprezinc inhibits liver fibrosis and proliferation in hepatocellular carcinoma. Mol Med Rep. 16:5523–5528. 2017.PubMed/NCBI View Article : Google Scholar | |
Matsumura H, Nirei K, Nakamura H, Arakawa Y, Higuchi T, Hayashi J, Yamagami H, Matsuoka S, Ogawa M, Nakajima N, et al: Zinc supplementation therapy improves the outcome of patients with chronic hepatitis C. J Clin Biochem Nutr. 51:178–184. 2012.PubMed/NCBI View Article : Google Scholar | |
Amin M, Iqbal MS, Hughes RW, Khan SA, Reynolds PA, Enne VI, Sajjad-ur-Rahman and Mirza AS: Mechanochemical synthesis and in vitro anti-Helicobacter pylori and uresase inhibitory activities of novel zinc(II)-famotidine complex. J Enzyme Inhib Med Chem. 25:383–390. 2010.PubMed/NCBI View Article : Google Scholar | |
Nishizawa T and Yahagi N: Endoscopic mucosal resection and endoscopic submucosal dissection: Technique and new directions. Curr Opin Gastroenterol. 33:315–319. 2017.PubMed/NCBI View Article : Google Scholar | |
Inaba T, Ishikawa S, Toyokawa T, Ishikawa H, Miyahara K, Wato M, Kawai K, Okada H and Yamamoto K: Basal protrusion of ulcers induced by endoscopic submucosal dissection (ESD) during treatment with proton pump inhibitors, and the suppressive effects of polaprezinc. Hepatogastroenterology. 57:678–684. 2010.PubMed/NCBI | |
Watari I, Oka S, Tanaka S, Aoyama T, Imagawa H, Shishido T, Yoshida S and Chayama K: Effectiveness of polaprezinc for low-dose aspirin-induced small-bowel mucosal injuries as evaluated by capsule endoscopy: A pilot randomized controlled study. Gastroenterology. 13(108)2013.PubMed/NCBI View Article : Google Scholar | |
Doi H, Fujiwara M, Suzuki H, Niwa Y, Nakayama M, Shikata T, Odawara S, Takada Y, Kimura T, Kamikonya N and Hirota S: Polaprezinc reduces the severity of radiation-induced mucositis in head and neck cancer patients. Mol Clin Oncol. 3:381–386. 2015.PubMed/NCBI View Article : Google Scholar | |
Hayashi H, Kobayashi R, Suzuki A, Ishihara M, Nakamura N, Kitagawa J, Kanemura N, Kasahara S, Kitaichi K, Hara T, et al: Polaprezinc prevents oral mucositis in patients treated with high-dose chemotherapy followed by hematopoietic stem cell transplantation. Anticancer Res. 34:7271–7277. 2014.PubMed/NCBI | |
Ishihama H, Sayo S, Yokoyama T, Ueno M, Ebihara N, Doi Y, Asano K, Kawamata H, Imai H and Ueki K: P1-032preventive and therapeutic effects of Polaprezinc suspension on oral mucosal injury. Ann Oncol. 24:ix66–ix99. 2013. | |
Hayashi H, Kobayashi R, Suzuki A, Yamada Y, Ishida M, Shakui T, Kitagawa J, Hayashi H, Sugiyama T, Takeuchi H, et al: Preparation and clinical evaluation of a novel lozenge containing polaprezinc, a zinc-L-carnosine, for prevention of oral mucositis in patients with hematological cancer who received high-dose chemotherapy. Med Oncol. 33(91)2016.PubMed/NCBI View Article : Google Scholar | |
Masayuki F, Norihiko K, Keita T, Miwa I, Masayuki I, Toshihiko I, Hiromi F, Chikaaki M and Norio N: Efficacy and safety of polaprezinc as a preventive drug for radiation-induced stomatitis. Nihon Igaku Hoshasen Gakkai Zasshi. 62:144–150. 2002.PubMed/NCBI(In Japanese). | |
Doi H, Kamikonya N, Takada Y, Fujiwara M, Tsuboi K, Inoue H, Tanooka M, Nakamura T, Shikata T, Tsujimura T and Hirota S: Efficacy of Polaprezinc for acute radiation Proctitis in a rat model. Int J Radiat Oncol Biol Phys. 80:877–884. 2011.PubMed/NCBI View Article : Google Scholar | |
Odawara S, Doi H, Shikata T, Kitajima K, Suzuki H, Niwa Y, Kosaka K, Tarutani K, Tsujimura T, Kamikonya N and Hirota S: Polaprezinc protects normal intestinal epithelium against exposure to ionizing radiation in mice. Mol Clin Oncol. 5:337–381. 2016.PubMed/NCBI View Article : Google Scholar | |
Itagaki M, Saruta M, Saijo H, Mitobe J, Arihiro S, Matsuoka M, Kato T, Ikegami M and Tajiri H: Efficacy of zinc-carnosine chelate compound, Polaprezinc, enemas in patients with ulcerative colitis. Scand J Gastroenterol. 49:164–172. 2014.PubMed/NCBI View Article : Google Scholar | |
Zhang Y, Okamura S, Kudo T, Masuo T and Mori M: Calcineurin inhibition by polaprezinc in rats with experimentally-induced colitis. Life Sci. 88:432–439. 2011.PubMed/NCBI View Article : Google Scholar | |
Hewlings S and Kalman D: A review of Zinc-L-Carnosine and its positive effects on oral Mucositis, taste disorders, and gastrointestinal disorders. Nutrients. 12(665)2020.PubMed/NCBI View Article : Google Scholar | |
Takaoka T, Sarukura N, Ueda C, Kitamura Y, Kalubi B, Toda N, Abe K, Yamamoto S and Takeda N: Effects of zinc supplementation on serum zinc concentration and ratio of apo/holo-activities of angiotensin converting enzyme in patients with taste impairment. Auris Nasus Larynx. 37:190–194. 2010.PubMed/NCBI View Article : Google Scholar | |
Mizukami Y, Sato J, Nihei S, Kashiwaba M, Kudo K, Okuyama H and Tamura K: The effectiveness of Polaprezinc preparation for taste alteration in cancer chemotherapy. Gan To Kagaku Ryoho. 43:979–983. 2016.PubMed/NCBI(In Japanese). | |
Sakagami M, Ikeda M, Tomita H, Ikui A, Aiba T, Takeda N, Inokuchi A, Kurono Y, Nakashima M, Shibasaki Y and Yotsuya O: A zinc-containing compound, Polaprezinc, is effective for patients with taste disorders: Randomized, double-blind, placebo-controlled, multi-center study. Acta Otolaryngol. 129:1115–1120. 2009.PubMed/NCBI View Article : Google Scholar | |
Kimura K, Nakano Y, Sugizaki T, Shimoda M, Kobayashi N, Kawahara M and Tanaka KI: Protective effect of polaprezinc on cadmium-induced injury of lung epithelium. Metallomics. 11:1310–1320. 2019.PubMed/NCBI View Article : Google Scholar | |
Japan standard commodity classification No. 872329: 11, 2009. https://www.pmda.go.jp/PmdaSearch/iyakuDetail/GeneralList/2329027. |