Recent concepts of the mechanism of hydrochloric acid secretion.
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The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the persistence in the quiescent state of the physiopathological behaviour found in the active duodenal ulcer.
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I.v. administration of somatostatin (1.5 micrograms/kg/g) reduced the gastric secretion induced by pentagastrin and histamine. Microapplication of somatostatin to globus pallidus (10 micrograms in 3 ml) increased the acid secretion in the dog stomach. The serum gastrin level was decreased both in the i.v. administration of somatostatin and in its cerebral application.
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The effect of the thiamine deficiency on the H+ secretion in an isolated gastric mucosa and also on the functional properties of the mitochondria was investigated. The thiamine deficiency was called forth through introduction of oxythiamine or by exclusion of thiamine from the ration. It is shown that the thiamine deficiency in an isolated gastric mucosa of the frog produced inhibition of the H+ secretion and in the gastric mitochondria of rats--a higher activity of succinate-dehydrogenase and a diminution of the exogenous cytochrome oxidation rate.
The immersion of freshly collected Ostertagia ostertagi adults into saline solution (NaCl, 0.9%; pH 1.0) resulted in 100% mortality of worms within a 10-minute period. At pH 7.0, mortality was 58% after 270 minutes. At pH 2.2, which approximates the usual abomasal pH, 100% mortality resulted within 60 minutes. In the stomach of rats injected with an extract of O ostertagi (from the abomasum of cattle), there were decreased total secretion of hydrogen ions and volume of secretion (P less than 0.05) and increased mean pH of gastric secretion (P less than 0.05). These effects were similar to those found in stomach of rats treated with cimetidine. Results indicated that the pH of the abomasum was detrimental to parasitic survival and that hypochlorhydria found during ostertagiosis may be mediated partially by a chemical released from the parasite.
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