[Compensatory gastroprotective role of glucocorticoid hormones].

Prostaglandings (PGs), nitric oxide (NO) and capsaicin-sensitive afferent neurons play a pivotal role in the defensive mechanisms against gastric mucosal injury. Glucocorticoid hormones released in response to ulcerogenic stimuli are naturally occurring gastroprotective factors and exert many of the same actions in the stomach as PGs, NO and capsaicin-sensitive afferent neurons. The results reviewed suggest that glucocorticoids exert a pivotal compensatory role in the maintenance of gastric mucosal integrity in the case of impaired gastroprotective mechanisms provided by PGs, NO and capsaicin-sensitive afferent neurons. The compensatory protective action of glucocorticoids may be provided by their maintenance of glucose homeostasis and gastric microcirculation.