Gastric secretion growth factors

Prostaglandins, one of the most important epithelial growth factors, inhibit gastric acid secretion and have numerous mucosal protective effects, the most important of which include the stimulation of both mucus and phospholipid production, promotion of bicarbonate secretion, and increased mucosal cell turnover. Damage to the mucosal defense system is the primary method by which HP or NSAIDs cause peptic ulcers. 

Two peptides that have received attention for their potential role in barrier maintenance are epidermal growth factor (EOF) and transforming growth factor-alpha (TGF-alpha). EGF is secreted in saliva and from duodenal glands, while TGF-alpha is produced by gastric epithelial cells. Both peptides bind to a common receptor and stimulate epithelial ceh proliferation. In the stomach they also enhance mucus secretion and inhibit acid production. 

Prostaglandins, through their effects on mucous cell secretion, basal bicarbonate secretion, and mucosal growth, are important factors in gastric healing and protection. Inhibition of prostaglandin production by NSAIDs compromises these important protective mechanisms. Finally, the antiplatelet effects of NSAIDs may worsen bleeding complications associated with PUD. 

Gastrins stimulate the secretion of gastric acid, pepsinogen, intrinsic factor, and secretin stimulate intestinal mucosal growth increase gastric and intestinal motility... 

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