Modulations in extracellular calcium lead to H+-ATPase-dependent acid secretion: a clarification of PPI failure

The H+,K+-ATPase was identified as the primary proton secretory pathway in the gastric parietal cell and is the pharmacological target of agents suppressing acid secretion. Recently, we identified a second acid secretory protein expressed in the parietal cell; the vacuolar H+-ATPase (V-type ATPase). The aim of the present study was to further characterize the H+-ATPase activation by modulations in extracellular calcium via the calcium sensing receptor (CaSR). Isolated gastric glands were loaded with the pH indicator dye BCECF [2', 7'-bis-(2- carboxyethyl)-5-(and-6)-carboxyfluorescein, acetoxymethyl ester to measure intracellular pH. Experiments were conducted in the absence of sodium and potassium to monitor H+-ATPase specific transport activity. CaSR was activated with either the calcimimetic R568 (400nM) and/or by modulations in extracellular Ca2+. Elevation in calcium concentrations increased proton extrusion from the gastric parietal cell. Allosteric modification of the CaSR via R568 and calcium incre...