<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 56-year-old woman comes to the physician because of a 2-year-history of intermittent upper abdominal pain that occurs a few hours after meals and occasionally wakes her up in the middle of the night. She reports that the pain is relieved with food intake. Physical examination shows no abnormalities. Endoscopy shows a 0.5 x 0.5 cm ulcer on the posterior wall of the duodenal bulb. A biopsy specimen obtained from the edge of the ulcer shows hyperplasia of submucosal glandular structures. Hyperplasia of these cells most likely results in an increase of which of the following?? A: Glycoprotein synthesis, B: Antigen presentation, C: Lysozyme secretion, D: Hydrochloric acid secretion, E: Bicarbonate secretion,  <response>: This is a clinical vignette describing a 56-year-old woman with a 2-year history of postprandial upper abdominal pain relieved by food intake. Endoscopy revealed a duodenal ulcer. Biopsy showed hyperplasia of duodenal submucosal glands. The question asks what secretion is increased due to the hyperplasia of these glands.Duodenal submucosal glands secrete mucus and bicarbonate to protect the duodenal epithelium from acid exposure. Hyperplasia of these glands would lead to increased bicarbonate secretion. Glycoproteins are secreted by gastric mucosa. Antigen presentation occurs in immune cells. Lysozyme is secreted by Paneth cells in the small intestine. Hydrochloric acid is secreted by parietal cells in the stomach. Therefore, increased bicarbonate secretion is the most likely result of the hyperplasia described.E: Bicarbonate secretion 