“…Figure 2 B shows the possible causes of the lowering of ASL pH depending on endogenous or exogenous acidity. Extracellular and ASL acidification may be caused in four different ways: - H + derived from the physiological process of restoring prestimulus conditions, carried out by all cells through the expulsion of excess protons, generated by acidifying enzymes, to return to the steady state; cells can use acid extruders as exchangers and channels to transfer H + externally; the Na + -H + exchanger (NHE) in some cells is the major acid-extruder, also the Cystic fibrosis transmembrane conductance regulator (CFTR) plays an important role in the acidification of the ASL [ 117 ]; in addition, the excess protons in the cytosol may exit the cell via voltage-gated proton channels (Hv1), TRP channels, plasma membrane vacuolar V-type H + -ATPase [ 126 , 132 , 133 , 134 , 135 , 136 ], and diffusion [ 125 ];
- The degranulation of phagocytes, such as macrophages and granulocyte neutrophils and eosinophils [ 69 , 135 , 137 , 138 ], produced as a defensive inflammatory action [ 24 , 126 ] in response to the stimulus. This acidifying action may be significant and long lasting, and is therefore the basis for chronic disease;
- The degranulation of mast cells and basophils, caused by the stimulus, the basis of the acute allergic response [ 77 , 78 , 80 , 84 , 138 ], as described above in Figure 1 .
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