Gastroduodenal HCO3(-) transport: characteristics and proposed role in acidity regulation and mucosal protection

Am J Physiol. 1982 Mar;242(3):G183-93. doi: 10.1152/ajpgi.1982.242.3.G183.

Abstract

Gastric HCO3(-) transport (basal) studied in isolated amphibian mucosa and mammalian stomach in vivo amounts to 2-10% of maximal H+ secretion. Duodenal mucosa, devoid of Brunner's glands, transports HCO3(-) at a greater rate (per unit surface area) than either stomach or jejunum in vitro and in vivo. Gastric (but not duodenal) HCO3(-) transport is stimulated by dibutyryl cGMP, carbachol, and cholecystokinin and duodenal (but not gastric) transport by dibutyryl cAMP and gastric inhibitory peptide. Glucagon and E- and F-type prostaglandins stimulate, whereas histamine, gastrin, and secretin are without effect in both stomach and duodenum. Gastric transport very probably occurs by Cl--HCO3(-) exchange at the luminal membranes of the surface epithelial cells. In addition to this mechanism, the duodenum also transports HCO3(-) electrogenically. Lowering the luminal pH increases transport in both the stomach and duodenum. This response, probably mediated via both local production of prostaglandins and tissue-specific humoral agents, may be important in mucosal protection against acid. Metabolism-dependent transport of HCO3(-), stimulated by acid, seems quantitatively sufficient to account for all of the duodenal and most of the gastric mucosa's ability to remove luminal acid.

Publication types

  • Review

MeSH terms

  • Acid-Base Equilibrium
  • Animals
  • Anura / physiology
  • Bicarbonates / metabolism*
  • Biological Transport, Active
  • Dibutyryl Cyclic GMP / pharmacology
  • Digestive System Physiological Phenomena
  • Dogs
  • Duodenum / metabolism
  • Gastric Acid
  • Gastric Mucosa / metabolism*
  • Gastric Mucosa / physiology
  • Guinea Pigs
  • Humans
  • Hydrogen-Ion Concentration
  • In Vitro Techniques
  • Intestinal Mucosa / metabolism*
  • Intestinal Mucosa / physiology
  • Jejunum / metabolism

Substances

  • Bicarbonates
  • Dibutyryl Cyclic GMP