Johansson M, Synnerstad I, Holm L
Department of Physiology, Uppsala University, Uppsala, Sweden.
Gastroenterology. 2000 Nov;119(5):1297-304. doi: 10.1053/gast.2000.19455.
BACKGROUND & AIMS: We have reported previously that secreted acid moves through the mucous layer in restricted areas above the gastric crypts. The aim of this study was to visualize and study the dynamics of this event.
Anesthetized rats prepared for intravital microscopy of the gastric mucosa were divided in the following groups with respect to acid secretion: spontaneous; stimulated (pentagastrin, 40 microg. kg(-1). h(-1)); transiently inhibited (omeprazole, 400 micromol. kg(-1) for 7 days); and totally inhibited (omeprazole, 3 x 200 micromol. kg(-1) for 7 days). The mucus was stained with Congo red (blue, pH < 3; red, pH > 5.2), and photographs were taken through a stereomicroscope.
During acid secretion, blue-colored crypt openings with attached thread-like (5-7 microm wide) structures (designated channels) were seen passing from the crypt openings through the mucus to the lumen. Red-colored channels and crypt openings were observed when acid secretion was transiently inhibited. Red-colored crypt openings but no channels were found after total inhibition of acid secretion for a week.
The results suggest that secreted acid is transported through channels within the mucus. These channels are probably created by the high intraglandular pressure pushing acid and glandular mucus into the gel.
我们之前曾报道,分泌的酸在胃小凹上方的受限区域穿过黏液层。本研究的目的是观察并研究这一过程的动态变化。
为进行胃黏膜活体显微镜检查而麻醉的大鼠,根据酸分泌情况分为以下几组:自发分泌组;刺激分泌组(五肽胃泌素,40微克·千克⁻¹·小时⁻¹);短暂抑制分泌组(奥美拉唑,400微摩尔·千克⁻¹,持续7天);完全抑制分泌组(奥美拉唑,3×200微摩尔·千克⁻¹,持续7天)。用刚果红对黏液进行染色(pH<3时呈蓝色;pH>5.2时呈红色),并通过体视显微镜拍照。
在酸分泌过程中,可见蓝色的小凹开口处附着有丝状结构(称为通道,宽5 - 7微米),这些通道从小凹开口穿过黏液通向管腔。短暂抑制酸分泌时,观察到红色的通道和小凹开口。完全抑制酸分泌一周后,发现红色的小凹开口,但没有通道。
结果表明,分泌的酸通过黏液中的通道运输。这些通道可能是由腺体内的高压将酸和腺性黏液推入凝胶中形成的。