The effect of ethanol on the constituents of the gastric mucous barrier

The effect of ethanol on the gastric 'mucous barrier' and gastric mucosal constituents was investigated. Deranged gastric secretions were obtained by perfusion in vivo of Ghosh-Lai rat stomachs with 10%, 15% and 20% ethanol in saline. The content of protein, immunoreactive albumin and haemoglobin were determined on native perfusates. Lipids were extracted from dialysed and lyophilized samples of ethanol perfusates and saline controls, separated into individual components by means of two-dimensional thin-layer chromatography, and compared. The content and composition of protein bound carbohydrates was determined on the insoluble residues after lipid extraction. Significant increments in the level of glycolipids (glyceroglucolipids), cholesterol esters, glycerides, protein, immunoreactive albumin, and protein bound carbohydrates were found in the ethanol perfusates. Six times greater quantities of glycolipids, proteins and immunoreactive albumins were found in 20% ethanol perfusates as compared to saline controls. Also, a ten fold increase of protein bound carbohydrates and neutral glycerides, and an 18 fold increase of cholesterol esters in 20% ethanol perfusates were detected. The glycolipid fractions consisted of neutral and sulphated glyceroglucolipids. The saline and 10%, 15% and 20% ethanol perfusates were devoid of phospholipids and glycosphingolipids. The data shown indicate that the presence of ethanol in the stomach causes depletion of the mucous barrier and leakage of serum proteins into the gastric lumen. From the absence of phospholipids and glycosphingolipids in the perfusates one may infer that the gastric epithelial membranes and vascular membranes remained intact. Also, the data presented indicate that the mucous barrier contains glycoproteins and considerable quantities of lipids of which glyceroglucolipids are the most prominent components, but in which phospholipids and glycosphingolipids are not present.