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Mucus Secretion

  • Chapter
Gastric Cytoprotection

Abstract

Mucus is the major organic secretion of the gut produced by epithelia throughout the gastrointestinal (GI) tract. It is apparent as a viscous secretion slopping over the mucosal surfaces. In histological sections, the presecreted mucus endows the gastroduodenal epithelia with its characteristic neutral [periodic acid-Schiff (PAS) stain] and acidic (Alcian blue or high iron diamine) staining characteristics. Such observations do not, however, indicate the true nature of the protective mucus barrier, which is a layer of water-insoluble gel firmly adherent to the epithelial surfaces and forming a continuous protective barrier between them and the gastric juice in the lumen. It should be emphasized that this adherent mucus layer exists as a stable gel phase that is physically quite distinct from the viscous sloppy soluble mucus mixed with the gastroduodenal luminal contents.

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Annotated Bibliography

  • Allen A: Structure and function of gastrointestinal mucus, in Johnson LR (ed): Physiology of the Gastrointestinal Tract, ed. 1. New York, Raven, 1981, pp. 617–639. Detailed review of the structure and function of mucus secretions.

    Google Scholar 

  • Allen A: Gastrointestinal mucus, in J.G. Forte (ed.): Handbook of Physiology — The Gastrointestinal System III. American Physiological Society, 1989. A recent review on most aspects of mucus.

    Google Scholar 

  • Allen A, Flemstrom G, Garner A, et al (eds): Mechanism of Mucosal Protection in the Upper Gastrointestinal Tract. New York, Raven, 1983. This volume contains a large number of original articles by leading investigators in the field.

    Google Scholar 

  • Allen A, Garner A: Gastric mucus and bicarbonate secretion and their possible role in mucosal protection. Gut 21:249–262, 1980. One of the first reviews on the mucus-bicarbonate barrier.

    Article  PubMed  CAS  Google Scholar 

  • Allen A, Hutton DA, Leonard AJ, et al: The role of mucus in protection of the gastroduodenal mucosa. Scand J Gastroenterol 21:71–77, 1986. A short review summarizing current concepts of the role of mucus in mucosal protection.

    Article  CAS  Google Scholar 

  • Bell AE, Sellers LA, Allen A, et al: Properties of gastric and duodenal mucus: effect of proteolysis, disulfide reduction, bile, acid, ethanol and hypertonicity on mucus gel structure. Gastroenter-ology 88:269–280, 1985. The application of Theological methods to gastrointestinal mucus gels.

    CAS  Google Scholar 

  • Bickel M, Kauffman GL: Gastric mucus gel thickness: effects of distension, 16, 16-dimethyl pros-taglandin E2 and carbenoxolone. Gastroenterology 80:770–775, 1981. Mucus thickness measured by a slit lamp and pachymeter.

    PubMed  CAS  Google Scholar 

  • Filipe MI: Mucins in the human gastrointestinal epithelium: A review. Invest Cell Pathol 2:195–216, 1979. A useful review of mucus histopathology.

    PubMed  CAS  Google Scholar 

  • Flemstrom G: Gastric and duodenal mucosal bicarbonate secretion, in Johnson LR (ed): Physiology of the Gastrointestinal Tract, ed 2. New York, Raven, 1987, pp. 1011–1029. An important review on mucosal bicarbonate secretion.

    Google Scholar 

  • Flemstrom G, Kivilaakso E: Demonstration of a pH gradient at the luminal surface of rat duodenum in vivo and its dependence on mucosal alkaline secretion. Gastroenterology 84:787–794, 1983. Duodenal surface pH gradients.

    PubMed  CAS  Google Scholar 

  • Flemstrom G, Turnberg LA: Gastroduodenal defence mechanisms. Clin Gastroenterol 13:327–355, 1984. A short well-written general review on mucosal protection.

    PubMed  CAS  Google Scholar 

  • Harmon JW (ed): Basic Mechanisms of Gastrointestinal Mucosal Cell Injury and Protection. Baltimore, Wilkins & Williams, 1981. A series of chapters on mucosal protection by leading workers in the field.

    Google Scholar 

  • Ito S, Lacy ER: Morphology of rat gastric mucosal damage, defense, and restitution in the presence of luminal ethanol. Gastroenterology 88:150–260, 1985. An original paper on the salient features of re-epithelialization.

    Google Scholar 

  • Kerss S, Allen A, Garner A: A simple method for measuring thickness of the mucus gel layer adherent to rat, frog and human gastric mucosa: Influence of feeding, prostaglandin, N-acetyl-cysteine and other agents. Clin Sci 63:187–195, 1982. The original paper describing measurement of mucus thickness on unfixed sections of mucosa.

    PubMed  CAS  Google Scholar 

  • Lacy ER: Gastric mucosal resistance to a repeated ethanol insult. Scand J Gastroenterol 20:63–72, 1985. A good review describing formation of the mucoid coat covering re-epithelializing mucosa.

    Article  Google Scholar 

  • Leonard A, Allen A: Gastric mucosal damage by pepsin. Gut 27:A1236–A1237, 1986. A short report on the pepsin damage model.

    Google Scholar 

  • Morris GP, Harding RJ, Wallace JL: A functional model for extracellular gastric mucus in the rat. Virchows Arch [Cell Pathol] 46:239–251, 1984. A controversial view of the mucus barrier.

    Article  CAS  Google Scholar 

  • Morris GP, Wallace JL: The roles of ethanol and of acid in the production of gastric mucosal erosion in rats. Virchows Arch [Cell Pathol] 38:23–38, 1981. A key paper describing re-epithelialization and formation of mucoid coat following ethanol damage.

    Article  CAS  Google Scholar 

  • Neutra MR, Forstner JF: Gastrointestinal mucus: Synthesis, secretion, function, in Johnson LR (ed): Physiology of the Gastrointestinal Tract, ed. 2. New York, Raven, 1987, pp. 975–1009. A comprehensive, well-written up-to-date review of the cell biology and structure of gastrointestinal mucus.

    Google Scholar 

  • Pearson JP, Ward R, Allen A, et al: Mucus degradation by pepsin: comparison of mucolytic activity of human pepsin 1 and pepsin 3: Implications in peptic ulceration. Gut 27:243–248, 1986. The original paper on increased mucolytic activity of pepsin 1 in peptic ulceration.

    Article  PubMed  CAS  Google Scholar 

  • Rathbone BJ, Wyatt JI, Heatley RV: Campylobacter pyloridis — A new factor in peptic ulcer disease? Gut 27:635–641, 1986. A short review summarizing current knowledge.

    Article  PubMed  CAS  Google Scholar 

  • Robert A, Bottcher W, Golanska E, et al: Lack of correlation between mucus gel thickness and gastric cytoprotection in rats. Gastroenterology 86:670–674, 1984. An original paper showing changes in mucus thickness are not responsible for cytoprotection against ethanol damage.

    PubMed  CAS  Google Scholar 

  • Rozee KR, Cooper D, Lam K, et al: Microbial flora of the mouse ileium mucus layer and epithelial surface. Appl Environ Microbiol 43:1451–1463, 1982. An original paper showing continuity of the mucus layer under the electron microscope.

    PubMed  CAS  Google Scholar 

  • Sanders MJ, Ayalon A, Roll M, et al: The apical surface of canine chief cell monolayers resists H + back diffusion. Nature (Lond) 313:82–84, 1985. A paper demonstrating resistance of the apical cell surfaces of gastric glands to acid and pepsin.

    Article  Google Scholar 

  • Sellers LA, Allen A, Bennett MK: Formation of a fibrin based gelatinous coat over repairing rat gastric epithelium following acute ethanol damage: Interaction with adherent mucus. Gut 28: 839–843, 1987. The most recent studies on the mucoid coat, formed following acute ethanol damage, showing it is primarily fibrin and necrotic cells.

    Article  Google Scholar 

  • Sellers LA, Carroll NJH, Allen A: Misoprostil-induced increases in adherent gastric mucus thickness and luminal mucus output. Dig Dis Sci 31:91S–95S, 1986. An original paper showing prostaglandin-induced increased mucus thickness.

    Article  PubMed  CAS  Google Scholar 

  • Silen W, Ito S: Mechanisms for rapid re-epithelialization of the gastric mucosal surface. Annu Rev Physiol 47:217–229, 1985. A good review on re-epithelialization and formation of mucoid coat.

    Article  PubMed  CAS  Google Scholar 

  • Taylor WH: Biochemistry and pathological physiology of pepsin 1. Adv Clin Enzymol 2:79-81, 1982. A review of pepsins in gastric juice.

    Google Scholar 

  • Wallace JL: Increased resistance of the rat gastric mucosa to hemorrhagic damage after exposure to an irritant. Gastroenterology 94:22–32, 1988. An original paper showing protection against hemorrhagic lesions in the absence of the mucoid coat.

    PubMed  CAS  Google Scholar 

  • Wallace JL, Whittle BJR: Role of mucus in the repair of gastric epithelial damage in the rat. Inhibition of epithelial recovery by mucolytic agents. Gastroenterology 91:603–611, 1986. An interesting paper on the mucoid coat.

    PubMed  CAS  Google Scholar 

  • Williams SE, Turnberg LA: Retardation of acid diffusion by pig gastric mucus: A potential role in mucosal protection. Gastroenterology 79:299–304, 1980. An example of studies on H+ diffusion through mucus.

    PubMed  CAS  Google Scholar 

  • Williams SE, Turnberg LA: Studies of the “protective” properties of gastric mucus: Evidence for a mucus-bicarbonate barrier. Gut 22:94–96, 1981. The original paper on the pH gradient at the gastric mucosal surface.

    Article  PubMed  CAS  Google Scholar 

  • Younan F, Pearson JP, Allen A, et al: Changes in the structure of the mucous gel on the mucosal surface of the stomach in association with peptic ulcer disease. Gastroenterology 82:827–831, 1982. The original paper showing a breakdown in mucus polymeric structure in peptic ulcer disease.

    PubMed  CAS  Google Scholar 

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© 1989 Plenum Publishing Corporation

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Allen, A., Hunter, A.C., Mall, A.H. (1989). Mucus Secretion. In: Hollander, D., Tarnawski, A.S. (eds) Gastric Cytoprotection. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5697-4_5

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  • DOI: https://doi.org/10.1007/978-1-4684-5697-4_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5699-8

  • Online ISBN: 978-1-4684-5697-4

  • eBook Packages: Springer Book Archive

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