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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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