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How is Acid Produced in the Stomach?

Published in Gastric Acid Production 2 mins read

Acid production in the stomach, specifically hydrochloric acid (HCl), occurs through a sophisticated process involving specialized cells.

Parietal Cells: The Key Players

The primary production site for stomach acid is within parietal cells located in the gastric glands. These cells are responsible for secreting the hydrogen (H+) and chloride (Cl-) ions that combine to form HCl.

The Mechanism of Acid Secretion

Here’s a breakdown of how acid is produced:

  1. Separate Secretion of H+ and Cl-: Parietal cells do not directly secrete HCl. Instead, they secrete the hydrogen and chloride ions separately.

    • Hydrogen Ion (H+) Secretion: Hydrogen ions are transported out of the parietal cells and into the stomach lumen by hydrogen/potassium ATPase pumps, often called proton pumps.
    • Chloride Ion (Cl-) Secretion: Chloride ions are transported into the stomach lumen through chloride channels.
  2. Formation of HCl: Once both H+ and Cl- are in the stomach lumen, they combine to form hydrochloric acid (HCl).

Role of Other Cells

While parietal cells produce the acid, other cells contribute to the overall gastric environment:

  • Chief Cells: These cells secrete pepsinogen, a proenzyme that is converted to pepsin in the acidic environment of the stomach, aiding in protein digestion.

Table Summary

Cell Type Secretion Role
Parietal Cells H+ and Cl- ions Forms HCl (stomach acid)
Chief Cells Pepsinogen Precursor to pepsin for protein digestion

Practical Insights

Understanding the acid production mechanism has led to the development of medications such as proton pump inhibitors (PPIs), which reduce acid secretion by targeting the hydrogen/potassium ATPase pumps in parietal cells. These drugs are commonly used to treat conditions like acid reflux and ulcers.

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