Vol. 282, Issue 2, G211-G219, February 2002
The importance of mucus layers and bicarbonate transport in
preservation of gastric juxtamucosal pH
Mia
Phillipson,
Christer
Atuma,
Johanna
Henriksnäs, and
Lena
Holm
Division of Physiology, Department of Medical Cell Biology,
University of Uppsala, 751 23 Uppsala, Sweden
Mucus thickness is
suggested to be related to mucosal protection. We therefore
investigated the importance of the removable mucous layer and
epithelial bicarbonate transport in preservation of the gastric
juxtamucosal pH (pHjm) during luminal acid. Anesthetized rats were prepared for intravital microscopy of the gastric mucosa, and
pHjm was measured with pH-sensitive microelectrodes. The
mucus was either left intact (IM) or removed (MR) down to the firmly attached mucous layer, and HCl (pH 1) was applied luminally. Removal of
the loosely adherent mucous layer did not influence the
pHjm during luminal acid (pentagastrin: IM/MR 7.03 ± 0.09/6.82 ± 0.19; pentagastrin + indomethacin: IM/MR
6.89 ± 0.20/6.95 ± 0.27; ranitidine: IM/MR
2.38 ± 0.64/2.97 ± 0.62), unless prostaglandin synthesis and acid secretion were inhibited (ranitidine + indomethacin: IM/MR 2.03 ± 0.37/1.66 ± 0.18). Neutral pHjm is
maintained during endogenous acid secretion and luminal pH 1, unless
DIDS was applied luminally, which resulted in a substantially decreased
pHjm (1.37 ± 0.21). Neutral pHjm is
maintained by a DIDS-sensitive bicarbonate transport over the surface
epithelium. The loosely adherent mucous layer only contributes to
maintaining pHjm during luminal pH 1 if acid secretion and
prostaglandin synthesis are inhibited.
pH-sensitive microelectrodes; 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid; rat