Document Detail


Modulation of salivary secretion by acid infusion in the distal esophagus in humans.
MedLine Citation:
PMID:  1451977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To examine the relationship between esophageal acid exposure and development of salivation and heartburn, 15 healthy subjects underwent perfusion of the distal esophagus with varying concentrations of hydrochloric acid, different-osmolality saline solutions, and deionized water. In five study subjects, hydrochloric acid was infused in the body of the stomach only. During the study, timed samples of whole and parotid saliva were collected and analyzed for flow rate and bicarbonate concentration. Only hydrochloric acid concentrations of 20 mmol/L or greater (pH 1.8 or lower) induced a rapid (within 2 minutes) and significant (P < 0.05) increase in salivation. The hydrochloric acid-induced salivation was associated with significant (P < 0.05) increase in bicarbonate secretion in both parotid and whole saliva samples. Intravenous atropine administration completely inhibited hydrochloric acid-induced salivary secretion in all six subjects. Changes in osmolality of saline solution infused in the esophagus and hydrochloric acid infused in the stomach did not significantly alter parotid and whole saliva flow rates. These data suggest that in humans, rapid salivation in response to esophageal mucosal exposure to intraluminal hydrochloric acid is a pH-dependent and osmolality-independent phenomenon that is most likely mediated by pH-sensitive chemoreceptors located in the esophageal mucosa.
Authors:
S K Dutta; H B Matossian; R F Meirowitz; J Vaeth
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Gastroenterology     Volume:  103     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-07     Completed Date:  1993-01-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1833-41     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, VA Medical Center, Baltimore, Maryland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bicarbonates / metabolism
Esophagitis / etiology
Esophagus / drug effects*,  physiology
Heartburn / etiology
Humans
Hydrochloric Acid / pharmacology*
Hydrogen-Ion Concentration
Male
Middle Aged
Salivation / drug effects*
Chemical
Reg. No./Substance:
0/Bicarbonates; 7647-01-0/Hydrochloric Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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