1983
DOI: 10.1159/000198954
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The Possible Role of Bicarbonate in Mucosal Protection and Peptic Ulceration

Abstract: The surface epithelial cells of the gastroduodenal mucosa are thought to be protected from the damaging effects of acid by a covering layer of mucus into which is secreted bicarbonate. It is proposed here that mucus acts as a true barrier to hydrogen ion diffusion, and that the role played by bicarbonate is to adjust mucus pH to a range at which this barrier property is optimized. It is further proposed that a high content of luminal bicarbonate will promote the transfer of protons across mucus by a buffer shu… Show more

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Cited by 12 publications
(5 citation statements)
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References 15 publications
(17 reference statements)
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“…In addition, the prostaglandin would inhibit the movement of acid and pepsin into the mucus layer. To prevent the diffusion of hydrogen ions into the gastric mucosa, bicarbonate is required to regulate mucus pH to an optimized acidity of the stomach that served as barrier for acid component [47]. A study in humans showed that acute alcohol ingestion at concentration of 12.5% has reduced the PGE 2 production in gastric juice [48].…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the prostaglandin would inhibit the movement of acid and pepsin into the mucus layer. To prevent the diffusion of hydrogen ions into the gastric mucosa, bicarbonate is required to regulate mucus pH to an optimized acidity of the stomach that served as barrier for acid component [47]. A study in humans showed that acute alcohol ingestion at concentration of 12.5% has reduced the PGE 2 production in gastric juice [48].…”
Section: Discussionmentioning
confidence: 99%
“…The gastroduodenal mucosa’s surface epithelial cells are shielded from acid-induced harm through a protective layer of mucus and bicarbonate. The mucus acts as an effective hindrance to the diffusion of hydrogen ions [ 12 ]. Bicarbonate is produced by the gastric and duodenal mucosal cells and regulates the pH of the mucus, ensuring an optimal range for enhancing its barrier properties and acting as an important mucosal defense mechanism [ 13 ].…”
Section: Introductionmentioning
confidence: 99%
“…4a, b) which show D hci to increase in the vicinity of HCO3 and NH3 pKa. The general effect of a diffusible buffer in solution, such as HCO3, is established as a mechanism for aug menting proton transfer by means of a buffer shuttle, when a pH gradient exists [28], The basic principles of such facilitated proton transfer have been described pre viously [27][28][29], These predict that buffer systems operate in a concentration-dependent manner and also to have maximal effect at a pH close to the pKa of the buffer. The close pKa values for NH3 and HCO3 have a general addi tive effect from pH 6-9.…”
Section: Discussionmentioning
confidence: 99%
“…Remarkably, it appears that H+ diffusion through water films show a parallel pH dependence, with a minimum at ~p H 7. giving an effective Du-at pH 7, only ~ 10% of Du-at pH 1 [26], the Du -for mucus at pH 7 being reduced even further down to 2%. During these studies, we con firmed enhanced proton fluxes due to H+ transport me diated by diffusible buffers [27,28], particularly when buffer pH was ~p K a [29].…”
mentioning
confidence: 89%