Evidence map›Paper›PMID 11748264›Full record

ArticleThe Journal of clinical investigation2001

Cellular bicarbonate protects rat duodenal mucosa from acid-induced injury.

Y Akiba, O Furukawa, P H Guth, E Engel, I Nastaskin, P Sassani, R Dukkipatis, A Pushkin, I Kurtz, J D Kaunitz

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 51 citations in OpenAlex.

  1. TolCV1 inhibition by NPPB rendersAntimicrobial agents and chemotherapy · 2025
    Article
  2. Enteric Tuft Cells in Host-Parasite Interactions.Pathogens (Basel, Switzerland) · 2021
    Review
  3. The Role of pHFrontiers in cell and developmental biology · 2021
    Review
  4. Review
  5. Wireless telemetry and cystic fibrosis: just the pHacts.Digestive diseases and sciences · 2013
    Article
  6. Article
  7. Article
  8. Article
  9. Role for ion transport in porcine vocal fold epithelial defense to acid challenge.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2012
    Article
  10. Article
  11. Luminal chemosensing in the duodenal mucosa.Acta physiologica (Oxford, England) · 2011
    Review
  12. Article
  13. Article
  14. Luminal L-glutamate enhances duodenal mucosal defense mechanisms via multiple glutamate receptors in rats.American journal of physiology. Gastrointestinal and liver physiology · 2009
    Article
  15. Luminal chemosensing and upper gastrointestinal mucosal defenses.The American journal of clinical nutrition · 2009
    Article
  16. Duodenal acidity "sensing" but not epithelial HCO3- supply is critically dependent on carbonic anhydrase II expression.Proceedings of the National Academy of Sciences of the United States of America · 2009
    Article
  17. Article
  18. Article
  19. Choosing sides in the battle against gastric acid.The Journal of clinical investigation · 2001
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Y AkibaGreater Los Angeles Veterans Affairs Healthcare System, University of California, Los Angeles, Los Angeles, California 90073, USA.
O Furukawa
P H Guth
E Engel
I Nastaskin
P Sassani
R Dukkipatis
A Pushkin
I Kurtz
J D Kaunitz
Pediatric Nephrology of Alabama · USUniversity of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USCentre For Digestive Diseases · AU

Funding

Duodenal Muscosal Defense MechanismsR01DK054221 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KAUNITZ, JONATHAN D. · 1999 to 2016
$4.4M
NEPHROLOGY SCIENTIST TRAINING GRANTT32DK007789 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KURTZ, IRA · 2000 to 2017
$1.5M
NIDDK NIH HHS DK07789NIDDK NIH HHS DK85863NIDDK NIH HHS R01 DK054221NIDDK NIH HHS R01-DK54221NIDDK NIH HHS T32 DK007789
6 · The paper itself

Abstract

Secretion of bicarbonate from epithelial cells is considered to be the primary mechanism by which the duodenal mucosa is protected from acid-related injury. Against this view is the finding that patients with cystic fibrosis, who have impaired duodenal bicarbonate secretion, are paradoxically protected from developing duodenal ulcers. Therefore, we hypothesized that epithelial cell intracellular pH regulation, rather than secreted extracellular bicarbonate, was the principal means by which duodenal epithelial cells are protected from acidification and injury. Using a novel in vivo microscopic method, we have measured bicarbonate secretion and epithelial cell intracellular pH (pH(i)), and we have followed cell injury in the presence of the anion transport inhibitor DIDS and the Cl(-) channel inhibitor, 5-nitro-2-(3-phenylpropylamino) benzoic acid (NPPB). DIDS and NPPB abolished the increase of duodenal bicarbonate secretion following luminal acid perfusion. DIDS decreased basal pH(i), whereas NPPB increased pH(i); DIDS further decreased pH(i) during acid challenge and abolished the pH(i) overshoot over baseline observed after acid challenge, whereas NPPB attenuated the fall of pH(i) and exaggerated the overshoot. Finally, acid-induced epithelial injury was enhanced by DIDS and decreased by NPPB. The results support the role of intracellular bicarbonate in the protection of duodenal epithelial cells from luminal gastric acid.

Indexed as

Cytoprotection4,4'-Diisothiocyanostilbene-2,2'-Disulfonic AcidAnimalsBicarbonatesCystic Fibrosis Transmembrane Conductance RegulatorDuodenumGastric AcidHydrogen-Ion ConcentrationIntestinal MucosaNitrobenzoatesRatsRats, Sprague-DawleySodium-Bicarbonate SymportersStaining and Labeling4,4'-Diisothiocyanostilbene-2,2'-Disulfonic Acid5-nitro-2-(3-phenylpropylamino)benzoic acidBicarbonatesCystic Fibrosis Transmembrane Conductance RegulatorNitrobenzoatesSodium-Bicarbonate Symporters

Identifiers

PMID11748264
PMCPMC209463
OpenAlexW2146661031

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.