B4 Regulation of Parietal Cells Flashcards

1
Q

Draw the diagram

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Explain parasympathetic control of the parietal cells

  • agonist or antagonist?
  • what NT and where from?
  • what kind of receptor?
  • what activates the proton pump?
A

Acetylcholine released by vagus nerve
ACh acts on muscarinic M3 receptor as an agonist
The M3 receptor is a G protein coupled receptor (GPCR)
Calcium dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What type of mediator is histamine and what is it responsible for?

A

Endogenous mediator

Responsible for skin rashes and gastric acid secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What kind of receptor is a histamine receptor?

What are the two types and how do they differ?

A

GPRCs
Histamine H1 receptor: allergy
Histamine H2 receptor: gastric acid secretion - antagonists used to treat dyspepsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Revisit the diagram for H2 receptors

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is gastrin?
What phase does it regulate?
Released by what?

A

Peptide hormone released by antral cells to mediate gastric phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Gastrin is an agonist acting on what?

A

Choleystokinin CCK2 receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What activates the proton pump when induced by gastrin?

A

Calcium dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What activates the proton pump when induced by histamine?

A

cAMP (adenylyl cyclase)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where are prostanoids derived from?

A

Arachidonic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is arachidonic acid located and what releases it?

A

Held in cell membranes and released by phospholipase A2 (PLA2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What do cycloocygenase pathways lead to?

A

Prostanoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the function of prostanoids and parietal cells?

A

Inhibit increase in cAMP
Supress proton pump activity
Cytoprotection: release mucous and bicarbonate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do NSAIDs inhibit?

A

Cyclooxygenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the function of the proton pump?

A

H+ out of cell
K+ in to cell
Activated by phosphorylation (cAMP) and calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is treatment pitched in non - H. pyloric dyspepsia?

A

Stepping up and down treatment from antacid to H2 antagonist to PPI