Mechanisms of bicarbonate secretion in the pancreatic duct

MC Steward, H Ishiguro, RM Case - Annu. Rev. Physiol., 2005 - annualreviews.org
MC Steward, H Ishiguro, RM Case
Annu. Rev. Physiol., 2005annualreviews.org
▪ Abstract In many species the pancreatic duct epithelium secretes HCO3− ions at a
concentration of around 140 mM by a mechanism that is only partially understood. We know
that HCO3− uptake at the basolateral membrane is achieved by Na+-HCO3− cotransport
and also by a H+-ATPase and Na+/H+ exchanger operating together with carbonic
anhydrase. At the apical membrane, the secretion of moderate concentrations of HCO3− can
be explained by the parallel activity of a Cl−/HCO3− exchanger and a Cl− conductance …
▪ Abstract 
In many species the pancreatic duct epithelium secretes HCO3 ions at a concentration of around 140 mM by a mechanism that is only partially understood. We know that HCO3 uptake at the basolateral membrane is achieved by Na+-HCO3 cotransport and also by a H+-ATPase and Na+/H+ exchanger operating together with carbonic anhydrase. At the apical membrane, the secretion of moderate concentrations of HCO3 can be explained by the parallel activity of a Cl/HCO3 exchanger and a Cl conductance, either the cystic fibrosis transmembrane conductance regulator (CFTR) or a Ca2+-activated Cl channel (CaCC). However, the sustained secretion of HCO3 into a HCO3-rich luminal fluid cannot be explained by conventional Cl/HCO3 exchange. HCO3 efflux across the apical membrane is an electrogenic process that is facilitated by the depletion of intracellular Cl, but it remains to be seen whether it is mediated predominantly by CFTR or by an electrogenic SLC26 anion exchanger.
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