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Effect of luminal acidification on guinea pig gastric mucosa
Authors:Dr. Ramanathan Visvanathan BM  BCH   FRCS    FWACS  FICS
Affiliation:(1) Department of Surgery, Harvard Medical School, The Beth Israel Hospital, 02215 Boston, Massachusetts;(2) the Harvard Digestive Diseases Center, The Beth Israel Hospital, 02215 Boston, Massachusetts;(3) Department of Surgery, University of Manchester, Clinical Sciences Building, Hope Hospital, Eccles Old Road, M6 8HD Salford, UK
Abstract:H+ secretion was studied in guinea pig fundic mucosa incubated in (A) bicarbonate-Ringer's gassed with 95% O2-5% CO2, or (B) HEPES gassed with 100% O2 before and after luminal pH was lowered to 2.0 for periods up to 90 min. At pH 2.0 for 60 min, H+ secretion in group A tissues fell by 35±4% (P=0.02) from a control rate of 1.35±0.09 mgreq/cm2/hr and in group B tissues by 50±11% (P=0.01) from a control rate of 1.59±0.08 mgreq/cm2/hr. After 90 min at pH 2.0, H+ secretion in group A fell by 53±8% (P=0.02) from a control rate of 1.47±0.07 mgreq/cm2/hr and in group B fell by 44±6% (P=0.01) from a control rate of 1.38±0.07 mgreq/cm2/hr. Histamine 1×10–4 M stimulation following exposure to pH 2.0 for 90 min increased secretion in group A tissues from 0.80 ±0.14 to 1.06±0.13 mgreq/cm2/hr (P<0.05), compared with an increase in nonacidified controls from 1.15±0.22 to 1.80±0.20 mgreq/cm2/hr (P<0.05) and in group B tissues from 1.27±0.10 to 1.56±0.19 mgreq/cm2/hr (P<0.05) compared with nonacidified controls from 1.43±0.22 to 2.23±0.41 mgreq/cm2/hr (P<0.05). Secretory function and electrical characteristics were adversely affected by luminal acidification to pH 2.0 and suggested a breach in the mucosal barrier with damage to parietal cells.This study was funded by the National Institute of Health Grant No. AM 15681.
Keywords:acid secretory rate  luminal acidification  parietal cell injury  histamine stimulation
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