Recent reports characterizing the physiological properties of normal human
labial acini are reviewed with particular emphasis on mechanisms related to
fluid secretion. In contrast to the salivary glands of several experimenta
l animals, human labial acinar cells do not appear to have al-adrenergic re
ceptors, substance P peptidergic receptors, or significant levels of Cl-/HC
O3- exchange. Nor do they appear to secrete HCO3- in response to Ca2+ mobil
izing stimuli. The data presently available indicates that fluid secretion
by these glands is mainly under muscarinic control and is due to acinar Cl-
secretion driven by a basolateral Na+-K+-2Cl(-) cotransporter.