“…The model offers explanations for the following observations: 1) increased pump rate increases parietal cell secretion, even though equal exchange of H ϩ for K ϩ (46) is not, in itself, a net ion flux in either direction; 2) inhibition of stimulated H ϩ /K ϩ exchange by proton-pump inhibitors (PPIs), without decreased ion conductance, greatly decreases total secretion, rather than converting secretion from high HCl to high KCl (23,26); 3) intact gastric mucosae seemed to display electrogenic proton pumping (39,45), although the H-K-ATPase exhibited electroneutral H ϩ /K ϩ exchange in isolated membrane vesicles (46); 4) in secreting mucosae at open circuit, H ϩ secretion Ϸ Cl Ϫ secretion, deemed "acidic" Cl Ϫ , but in shortcircuited resting mucosae Cl Ϫ ϾϾ H ϩ , the excess deemed "active, nonacidic" Cl Ϫ secretion, with the two Cl Ϫ pathways displaying different anion selectivity (20,29); 5) NKCC is prominently located in parietal cell basolateral membranes (32), but its inhibition by bumetanide or elimination by gene knockout leaves H ϩ secretion near normal (33); and 6) clamping of transmucosal voltage or current causes initial changes in current or voltage far too large and slow to be due to capacitance (7,22).…”