T. Kiviluoto et al., REGULATION OF INTRACELLULAR PH IN ISOLATED NECTURUS GASTRIC-MUCOSA DURING SHORT-TERM EXPOSURE TO LUMINAL ACID, Gastroenterology, 108(4), 1995, pp. 999-1004
Background/Aims: Continuous exposure to gastric acid implies efficient
control mechanisms of intracellular pH (pH(i)) in the gastric epithel
ium. This study assessed the roles of Na+, H+, and HCO3- transport mec
hanisms in controlling pH(i) during short-term exposure of the gastric
epithelium to luminal acid. Methods: pH(i) and Na+ activity (a(Na)(i)
) were measured with liquid sensor microelectrodes in isolated Necturu
s antral mucosa, modulating ion transport mechanisms by ion removal an
d pharmacological inhibition. Results: Shortterm exposure to luminal a
cid (pH 2.3) acidified pH(i) by 0.3 pH units, whereafter pH(i) stabili
zed. This was associated with transient increase in a(Na)(i). Blocking
of Na+/H+ exchange (in the presence of HCO3-/CO2) by removal of Na+ o
r addition of amiloride eliminated the increase in a(Na)(i) and result
ed in uncontrolled acidification of pH(i). Similarly, blocking of HCO3
- transport (in the presence of Na+) by removal of HCO3-/CO2 or additi
on of -acetamido-4-isothiocyanatostilbene-2,2-disulfonic acid resulted
in uncontrolled acidification of pH(i) despite increase in a(Na)(i).
Blocking of Na+/K+ exchange with ouabain eliminated the recovery of a(
Na)(i) and also resulted in uncontrolled acidification of pH(i). Concl
usions: The data indicate that during short-term exposure of the gastr
ic mucosa to luminal acid, both Na+/H+ antiport and HCO3- transport ar
e needed to control pH(i) and maintain it within physiological ranges.