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Gastrointestinal Mucosal Defense System (Paperback)
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Gastrointestinal Mucosal Defense System (Paperback)
Series: Colloquium Series on Integrated Systems Physiology: From Molecule to Function
Expected to ship within 10 - 15 working days
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The gastrointestinal mucosal defense system serves to minimize
mucosal injury by either ingested or endogenously produced noxious
substances. The mucosal defense system is stratified into
pre-epithelial (alkaline mucus), epithelial (dynamic epithelial
lining), and post-epithelial (microcirculation) components. The
mucus lining the epithelial surface presents a diffusional barrier
to ingested material (e.g., lipids) and also serves as an unstirred
layer in which a pH gradient can be established to prevent
acid-induced injury. The epithelial lining prevents entrance of any
toxic material to the interstitium and, should it be damaged, it is
rapidly resealed by migration of adjacent viable epithelial cells
to cover the defect. Any acid or other material that has entered
the interstitium is washed out by an intense neurogenic hyperemia.
In general, the mucosal defense system is quite effective and any
adverse gastrointestinal effects associated with the normal course
of nutrient assimilation are minimal. However, there are two
situations in which the mucosal defense system is known to be
ineffective and result in gastric mucosal injury: inadvertent
ingestion of H. pylori. or intentional ingestion of NSAIDs. H.
pylori can penetrate the mucus layers and cause epithelial injury
and inflammation, while at the same time preventing its clearance
by the host immune system. NSAIDs weaken the mucus layer and cause
epithelial cell injury.
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