block 3 lecture 3 drugs in the gut Flashcards
what is an antagonist?
interferes with a physiological process
what is an agonist?
binds to a receptor to enhance or make something happen
what is a peptic ulcer?
damage to the mucosal layer, stomach acid comes into contact with the epithelium, creating disruption to the underlying tissue
what type of ulcer is caused by quick pain after eating?
stomach ulcer
what type of ulcer is caused by delayed pain?
digestive tract ulcer
symptoms of a stomach ulcer?
pain, bleeding, indegestion, heartburn, vomitting
where are the secretons required by the stomach produced?
gastric glands
process of HCL secretion?
H2 receptor are stimulated, which activates adeny cyclase to produce CAMP, this activates a protein kinase signalling cascade, the proton pump is recruited to the surface, protens are pumped into the lumen and potassium is pumped into the cell
what does carbonic anhydrase do in the process of HCL secretion?
combines carbon dioxide and water to produce carbonic acid
how are protons produced for HCL?
a hydrogen is removed from carbonic acid to produce bicarbonte ons
what is the alkaline tide?
build up of bicarbonat ions in the blood due to HCL secretion
what is the bacteria that causes stomach ulcers?
helicobacter pilori
what is the other cause of stomach ulcers other than bacterial?
NSAIDs
how do the bacteria cause peptic ulcers?
they induce inflammation which damages the stomach lining
what are the pharmacological targets of stomach ulcers?
bacterium, prostoglandin secretion, histamine secretion, HCL secretion