10 Regulation Of Function Flashcards

1
Q

What are the effector cells of autonomic nervous innervation

A

Smooth muscle cells
Secretary cells
Blood vessels
Endocrine cells

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2
Q

What are the functions of GI endocrine system

A
  • Regulation of the mechanical processes (Contraction of smooth muscle cells, gall bladder and sphincters)
  • Regulation of chemical and enzymatic processes (Secretions from cells or glands)
  • Post absorptive processes to prepare body for glucose regulation and food intake (GIP stimulates insulin release; PYY3-36 suppress appetite)
  • Effects on growth and developments (GLP-2 promotes growth)
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3
Q

Give examples of paracrine molecules

A

Somatostatin

Histamine

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4
Q

What is the effect of high concentrations of secretin

A

Delays gastric emptying and gastric acid release

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5
Q

What are the effects of CCK

A

Release of pancreatic enzymes/zymogens
Contraction of gall bladder
Delays gastric emptying
Decreases food intake and meal size

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6
Q

What is GIP and its function and where is it secreted

A

Glucose-dependent insulinotropic peptide and it ismsecreted by K cells in response to a meal
It stimulates the release insulin
Released predominantly in duodenum and jejunum

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7
Q

What is PYY and its functions and where is it secreted

A

It is secreted from ileum, colon and rectum
Released by L cells post-pradially
It reduces GI motility, gall bladder contraction and pancreatic enzyme release. It also inhibits intestinal fluid and electrolyte secretions
PYY is truncated into PYY3-36 to inhibit food intake

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8
Q

Name the 3 plexuses in the GI wall and what they regulate

A

Myenteric (Auerbach’s) plexus is found between circular and longitudinal muscles which control gut motility

Submuscosal (Messiner’s) plexus is found in submucosa and mainly involves in sensing lumen environment to regulate blood flow and endocrine secretion

Minor plexus: includes deep muscular plexus (inside circular muscle), and the ganglia supplying biliary tree and pancreas

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9
Q

What sympathetic nerve innervates foregut, midgut and hindgut. What is the neurotransmitte and what does it do

A

Foregut and midgut are innervated by thoracic splanchnic nerve and the rest by lumbar splanchnic nerve

Noradrenaline

Usually inhibit GI function

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10
Q

What parasympathetic nerve innervates the gut and what neurotransmitter is used.

A

Foregut and midgut by vagus and the rest by pelvic nerves

Acetylcholine

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11
Q

What functions of the GI tract do extrinsic neuronal activation regulate

A

Smooth muscle
Secretly cell
Endocrine cell
Blood vessels

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12
Q

Name an analogue of somatostatin

A

Octreotide

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13
Q

What are the functions of ENS

A
Blood flow
Motility
Transport
Secretion
Absorption
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