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What factors protect stomach from gastric acid?

Published in Gastrointestinal Physiology 2 mins read

The stomach is protected from the corrosive effects of gastric acid primarily by the mucosal barrier. This barrier is composed of several key factors working together to neutralize acid and prevent damage.

Here's a breakdown of the protective mechanisms:

  • Mucus Layer: A thick, viscous layer of mucus lines the stomach wall. This acts as a physical barrier, preventing direct contact between the gastric acid and the epithelial cells of the stomach lining. The mucus is secreted by specialized cells in the stomach lining called mucus-secreting cells.

  • Bicarbonate Secretion: The epithelial cells also secrete bicarbonate ions (HCO3-) into the mucus layer. Bicarbonate is a base that neutralizes the hydrochloric acid (HCl) produced by parietal cells. This creates a pH gradient within the mucus layer, with a near-neutral pH near the epithelial surface and a highly acidic pH closer to the stomach lumen.

  • Epithelial Cell Tight Junctions: The epithelial cells of the stomach lining are tightly connected to each other by tight junctions. These junctions prevent acid from seeping between the cells and damaging the underlying tissues.

  • Rapid Epithelial Cell Turnover: The cells lining the stomach are constantly being replaced through cell division. This rapid turnover rate allows the stomach lining to quickly repair any damage caused by acid. Damaged or dead cells are shed and replaced with new, healthy cells.

  • Prostaglandins: Prostaglandins are lipid compounds that play a crucial role in protecting the stomach lining. They stimulate mucus and bicarbonate secretion, promote blood flow to the stomach lining (which aids in repair), and inhibit acid secretion.

In summary, the stomach protects itself from its own gastric acid through a combination of physical barriers (mucus layer), chemical neutralization (bicarbonate secretion), cellular connections (tight junctions), rapid repair (epithelial cell turnover), and regulatory substances (prostaglandins). Damage to any of these protective mechanisms can lead to conditions such as ulcers and gastritis.

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