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How is human stomach acid made?

Published in Human Physiology 3 mins read

Human stomach acid, also known as gastric acid, is primarily produced by parietal cells located in the stomach lining. This is a complex and energy-intensive process.

Parietal Cells: The Acid Producers

  • Location: Parietal cells reside within the gastric glands of the stomach lining.
  • Function: Their main function is to secrete hydrochloric acid (HCl), a key component of gastric acid, into the stomach lumen. They also produce intrinsic factor, which is important for vitamin B12 absorption.
  • Structure: These cells have a unique structure, featuring an extensive network of intracellular channels called canaliculi, which greatly increases their surface area for acid secretion.

The Acid Production Process: A Step-by-Step Overview

  1. Carbon Dioxide and Water Involvement: Inside the parietal cells, carbon dioxide (CO₂) and water (H₂O) combine to form carbonic acid (H₂CO₃) with the help of the enzyme carbonic anhydrase.

  2. Dissociation of Carbonic Acid: Carbonic acid then dissociates into hydrogen ions (H⁺) and bicarbonate ions (HCO₃⁻).

  3. Pumping Hydrogen Ions: The parietal cells use a proton pump, specifically the H⁺/K⁺ ATPase, to actively transport hydrogen ions (H⁺) into the stomach lumen (the interior space of the stomach). This pump exchanges H⁺ ions from the cell for potassium ions (K⁺) from the lumen. This process requires a significant amount of energy.

  4. Chloride Ion Transport: Chloride ions (Cl⁻) are transported into the stomach lumen through chloride channels, following the electrochemical gradient created by the hydrogen ion movement.

  5. Formation of Hydrochloric Acid: In the stomach lumen, the hydrogen ions (H⁺) and chloride ions (Cl⁻) combine to form hydrochloric acid (HCl).

  6. Bicarbonate Transport: As hydrogen ions are pumped into the stomach, bicarbonate ions (HCO₃⁻) are transported out of the parietal cell into the bloodstream in exchange for chloride ions (Cl⁻). This process is known as the "alkaline tide" and can temporarily increase the pH of the blood after a meal.

Regulation of Acid Production

Several factors regulate the secretion of gastric acid:

  • Histamine: Released by enterochromaffin-like (ECL) cells, histamine stimulates parietal cells via H2 receptors to produce acid.
  • Acetylcholine: Released by vagal nerve endings, acetylcholine stimulates parietal cells directly and also stimulates ECL cells to release histamine.
  • Gastrin: Released by G cells in the stomach antrum, gastrin stimulates parietal cells directly and also stimulates ECL cells to release histamine.
  • Somatostatin: Released by D cells, somatostatin inhibits the release of gastrin, histamine, and acid.

Why is stomach acid important?

Stomach acid serves several crucial functions:

  • Digestion: It helps to denature proteins, making them more susceptible to enzymatic breakdown.
  • Sterilization: It kills most bacteria and other microorganisms that enter the stomach with food.
  • Enzyme Activation: It activates pepsinogen into pepsin, a key enzyme for protein digestion.