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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
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.
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.
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.
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.
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.
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.
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.
Filipe MI: Mucins in the human gastrointestinal epithelium: A review. Invest Cell Pathol 2:195–216, 1979. A useful review of mucus histopathology.
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.
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.
Flemstrom G, Turnberg LA: Gastroduodenal defence mechanisms. Clin Gastroenterol 13:327–355, 1984. A short well-written general review on mucosal protection.
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.
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.
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.
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.
Leonard A, Allen A: Gastric mucosal damage by pepsin. Gut 27:A1236–A1237, 1986. A short report on the pepsin damage model.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Taylor WH: Biochemistry and pathological physiology of pepsin 1. Adv Clin Enzymol 2:79-81, 1982. A review of pepsins in gastric juice.
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.
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.
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.
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.
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.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Plenum Publishing Corporation
About this chapter
Cite this chapter
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
Download citation
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