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Pharmacology Gastrointestinal tract 8c6db2f9

Despite their sho half lives(2hrs) proton pump inhibitors cause a prolonged suppresion of acid secretiin(upto 48hr) because:

A
They are prodrugs and undergo activation gradually
B
They exit from the palsma and enter acid secretory canaliculi and stay there blocking the secretion of acid for a long time
C
They irreversibly inhibit the proton pump molecule and hence,acid secretion requires synthesis of new proton pumps
D
They are available as enteric coated capsules,from which drug is gradually released
High-Yield Explanation
They irreversibly inhibit the proton pump molecule and hence,acid secretion requires synthesis of new proton pumps(ref Rang and Dale 5/e p370-371, goidman gilman 12/e p1311-1312) The activated form of PPI binds covalently with sulfahydryl groups of cysteine in the H+ K+ atpase ,irreversbly inacativating the pump molecule.acid secretion resumes only after new pump molecules are synthesized and inseed into the luminal membranes ptoviding a prolonged suppresion of acid secretion despite the much shoer pladma half lives of the parent compounds.

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