Cellular mechanisms of acid secretion.

Current ideas about the parietal cell are presented in the model shown in Figure 6; the cell is illustrated both in resting and stimulated states. The basal-lateral surface contains three major receptor classes mediated by either cyclic AMP responses or Ca2+ changes, Ca2+ channels and a Ca2+ pump, and a variety of ion transport pathways such as Na+:H+ and Cl-:HCO-3 exchange, a K+ conductance, a postulated NaKCl2 cotransport and the (Na+ + K+)ATPase. At rest, the tubulovesicles contain the (H+ + K+)ATPase. In the stimulated state, the apical (secretory canalicular) membrane contains a K+ and Cl- conductance as well as the (H+ + K+)ATPase. There is also a change in cytoskeletal arrangement associated with stimulation.