Page 256 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
P. 256

A.  HCl secretion by parietal cells
                                               Anion exchanger
                            –
                     3     Cl  channel
              Cl –                                         Cl –
                                         –         2     –
                                      HCO 3           HCO 3
                                         CA
         Lumen of gland           OH –  + CO 2       CO 2
                                                           Blood side
                   +
                     +
                  H /K  ATPase  H 2 O
                                                      Na /H  exchanger
                                                         +
                                                       +
              H +                  H +
                          ATP
               1                                    Na +
                          +
                         K  channel         ATP                        Gastric Juice
                 K +           K +
                                                        +
                                                      +
                                                    Na /K  ATPase
                                  Parietal cell
                                                                       Plate 10.9
         B.  Regulation of gastric acid secretion
                                     2  Fundus  Vagus nerve
        Vagus nerve
                                                        CGRP
                                                    ACh       D cell
                                                  M 3
          Food         Mechanical                               SIH
                       stimulus
                                                  H 2   H cell
                                          Parietal cell
          1                          HCl            Histamine
                                                  CCK B
                          HCl        Lumen                Gastrin
                                                       Systemic
           Chemical                                    circulation
           stimulus        Pepsin
                                       3  Antrum  Vagus nerve
                        pH < 3          Amino
                                        acids,            ACh
                                        etc.  pH < 3
                            Gastrin
                                                     D cell  CGRP
                                                          SIH
                            Secretin,
                             GIP
                                                    G cell  GRP

                                                           Gastrin    243

       Despopoulos, Color Atlas of Physiology © 2003 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
   251   252   253   254   255   256   257   258   259   260   261