Question:medium

Which of the following drugs irreversibly inhibits the \(H^+/K^+\)-ATPase pump in gastric parietal cells used to treat peptic ulcer disease?

Show Hint

Omeprazole is a proton pump inhibitor and blocks the final step of gastric acid secretion.
  • Misoprostol
  • Ranitidine
  • Sucralfate
  • Omeprazole
Show Solution

The Correct Option is D

Solution and Explanation

Step 1: Understanding the Concept:
Gastric acid secretion is controlled at the final step by the "proton pump" (\(H^+/K^+\)-ATPase). Drugs that block this pump are the most potent acid-suppressing agents.
Step 2: Detailed Explanation:
1. Omeprazole: It is a Proton Pump Inhibitor (PPI). It is a prodrug that is activated in the acidic environment of the parietal cell. The active form binds covalently and irreversibly to the sulfhydryl groups of the \(H^+/K^+\)-ATPase enzyme.
2. Ranitidine: It is an \(H_2\) receptor antagonist. It blocks histamine receptors reversibly.
3. Misoprostol: A prostaglandin (PGE1) analog that increases mucus production and provides some acid suppression.
4. Sucralfate: A cytoprotective agent that forms a physical barrier over the ulcer crater.
Step 3: Final Answer:
Omeprazole is the classic example of an irreversible inhibitor of the gastric proton pump.
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