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Duodenal acidification induces gastric relaxation and alters epithelial barrier function by a mast cell independent mechanism.


ABSTRACT: Duodenal hyperpermeability and low-grade inflammation in functional dyspepsia is potentially related to duodenal acid exposure. We aimed to evaluate in healthy volunteers the involvement of mast cell activation on the duodenogastric reflex and epithelial integrity during duodenal acidification. This study consisted of 2 parts: (1) Duodenal infusion of acid or saline during thirty minutes in a randomized, double-blind cross-over manner with measurement of intragastric pressure (IGP) using high resolution manometry and collection of duodenal biopsies to measure epithelial barrier function and the expression of cell-to-cell adhesion proteins. Mast cells and eosinophils were counted and activation and degranulation status were assessed. (2) Oral treatment with placebo or mast cell stabilizer disodiumcromoglycate (DSCG) prior to duodenal perfusion with acid, followed by the procedures described above. Compared with saline, acidification resulted in lower IGP (P?

SUBMITTER: Vanheel H 

PROVIDER: S-EPMC7562901 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Duodenal acidification induces gastric relaxation and alters epithelial barrier function by a mast cell independent mechanism.

Vanheel Hanne H   Vicario Maria M   Beeckmans Dorien D   Cocca Silvia S   Wauters Lucas L   Accarie Alison A   Toth Joran J   Rodewald Hans-Reimer HR   De Hertogh Gert G   Matteoli Gianluca G   Boeckxstaens Guy G   Tack Jan J   Farre Ricard R   Vanuytsel Tim T  

Scientific reports 20201015 1


Duodenal hyperpermeability and low-grade inflammation in functional dyspepsia is potentially related to duodenal acid exposure. We aimed to evaluate in healthy volunteers the involvement of mast cell activation on the duodenogastric reflex and epithelial integrity during duodenal acidification. This study consisted of 2 parts: (1) Duodenal infusion of acid or saline during thirty minutes in a randomized, double-blind cross-over manner with measurement of intragastric pressure (IGP) using high re  ...[more]

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