Understanding the Stomach Mucosal Barrier: Key Protective Factors

The stomach’s defense against its own acid (HCl) is the gastric mucus layer—a thick, bicarbonate‑rich gel secreted by surface mucous cells and neck cells.

This barrier:

  • Physically shields epithelium from acid/pepsin
  • Creates a pH gradient (luminal pH ~1–2 → epithelial surface pH ~7)
  • Contains trefoil factors, prostaglandins, growth factors for rapid restitution

Disruption (NSAIDs, H. pylori, alcohol, stress) leads to gastritis/ulcers.

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