Mechanisms of acid damage to oesophageal epithelium: role of the paracellular pathway
作者:
R. C. ORLANDO,
期刊:
Journal of Internal Medicine
(WILEY Available online 1990)
卷期:
Volume 228,
issue S732
页码: 53-57
ISSN:0954-6820
年代: 1990
DOI:10.1111/j.1365-2796.1990.tb01472.x
出版商: Blackwell Publishing Ltd
关键词: cytoprotection;acetazolamide;gastroesophageal reflux;HEPES;oesophageal epithelium;oesophagitis;restitution;SITS
数据来源: WILEY
摘要:
Abstract.The mechanisms of acid damage to oesophageal epithelium are incompletely understood. In particular, it is unclear whether luminal acid enters and damages the oesophageal epithelium by traversing the paracellular and/or transcellular route. The present paper describes studies of the role of serosal bicarbonate ions (HCO3−) in oesophageal protection against acid damage, the results of which have direct implications regarding the route of H+entry. The results indicate that HCO3−protects by buffering H+within the intercellular compartment of the extracellular space, and that this protection can be mimicked almost completely by replacement of serosal HCO3−with HEPES (N‐2‐hydroxyethylpiperazine‐N′‐2‐ethane sulphonic acid), a buffer that cannot permeate cells. These findings support the hypothesis that luminal acid damages oesophageal epithelium primarily by H+diffusion through the par
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