ELI5: Explain Like I'm 5

Discovery and development of proton pump inhibitors

Do you know where your food goes after you eat it? It goes into your stomach! Your stomach is like a big sack that helps break down the food into tiny pieces so your body can use it for energy. But did you know that there is something inside your stomach that helps with the process of breaking down food? It's called stomach acid!

When you eat, the cells in the lining of your stomach release acid, which helps break down the food. But sometimes, the acid can be too much and can cause a lot of pain and discomfort. That's when doctors use a type of medicine called proton pump inhibitors (PPIs) to help.

Scientists first discovered PPIs in the 1970s while studying how the stomach produces acid. They found that there is a tiny molecule called a proton pump that helps make stomach acid. Proton pumps are like little machines that pump acid into the stomach.

Scientists realized that if they could stop this pump from working, they could reduce the amount of acid in the stomach! By blocking the proton pump, they could make stomach acid less strong, which is what PPIs do.

After discovering PPIs, scientists spent years working on developing drugs that could safely and effectively block the proton pump. They tested different molecules and formulations to find the best ones that would work without causing harmful side effects.

In the 1980s, the first PPI, omeprazole, was approved for use in humans. Since then, many other PPIs have been developed, including lansoprazole, esomeprazole, rabeprazole, and pantoprazole.

Today, PPIs are widely used to treat conditions like gastroesophageal reflux disease (GERD), ulcers, and other problems caused by too much stomach acid. They are available as prescription drugs and over-the-counter medications.

So, in simple words, scientists discovered that there is a molecule in our stomach named proton pump that helps in producing stomach acid. Then they figured out how to stop this pump from working to reduce the amount of acid in the stomach. They created PPIs for this purpose that are used to reduce stomach problems like GERD and ulcers.