title: Role of salivary mucin in the protection of rat esophageal mucosa from acid and pepsin-induced injury.
abstract: The mucosal defensive mechanisms of the esophagus against acid and pepsin remain to be elucidated. In the present study, we investigated the contribution of the salivary mucin in maintaining the integrity of the esophageal mucosa. When an everted esophageal sac, isolated from normal rat, was treated with N-acetyl-L-cysteine, a mucolytic agent, the amount of glycoprotein in the gel layer adherent to the epithelium was completely depleted and the susceptibility of the mucosa against acidified pepsin-induced digestion increased. In sialoadenectomized rats, 7 days after extirpation, the amount of glycoprotein adherent to the esophageal epithelium was definitely reduced, and the esophageal mucosa was significantly vulnerable to acidified pepsin-induced digestion compared with the sham-operated rats. Induction of regurgitation of the gastric juices into the esophagus resulted in the development of severe hemorrhagic esophageal lesions only in the sialoadenectomized rats but not in the sham-operated rats. In conclusion, the glycoprotein in the adherent gel layer in rat esophagus, which mainly derives from salivary glands, plays an important role in the preepithelial defense to maintain the integrity of the esophageal mucosa against acid and pepsin.
authors.affiliation: Tanabe Seiyaku Company, Ltd., Discovery Research Laboratory, Toda, Saitama 335-8505, Japan. mine-k@tanabe.co.jp
authors.forename: M
authors.initials: M
authors.lastname: Kinoshita
authors.forename: E
authors.initials: E
authors.lastname: Kume
authors.forename: S
authors.initials: S
authors.lastname: Igarashi
authors.forename: N
authors.initials: N
authors.lastname: Saito
authors.forename: H
authors.initials: H
authors.lastname: Narita
mesh_terms: D000111:Acetylcysteine / Q000494:pharmacology; D000143:Acids; D000818:Animals; D004815:Epidermal Growth Factor / Q000494:pharmacology; D004935:Esophageal Diseases / Q000139:chemically induced* / Q000517:prevention & control*; D004947:Esophagus / Q000502:physiology*; D008297:Male; D009077:Mucins / Q000502:physiology*; D009092:Mucous Membrane / Q000502:physiology; D010434:Pepsin A / Q000037:antagonists & inhibitors; D051381:Rats; D017207:Rats, Sprague-Dawley; D012469:Salivary Glands / Q000378:metabolism* / Q000502:physiology
chemical_list: D000143:Acids; D009077:Mucins; D004815:Epidermal Growth Factor; D010434:Pepsin A; D000111:Acetylcysteine