case 10 Flashcards

1
Q

long reflex in CNS

A

classix reflex begins with stimulus transmitted along a sensory neuron to CNS, where the stimulus is integrated + acted on.
disgestive reflexes integrated into CNS are long reflexes.

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2
Q

cephalic reflexes

A

outside of digestive system (emotional, reflexes –> sight, smell)
originate in the brain

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3
Q

short reflexes in enteric nervous system

A

enteric nerve plexus in gut act as little brain. reflexes begin and integrate and end completely in GI tract.
reflexes that originate in enteric system and integrated without outside input are short reflexes.
ENS can work in isolation, also coordinates with ANS bringing signals from CNS.
processes: motility, secretion, growth.
ENS integrates sensory information obtained by submucosal plexus in lumen of gut, and initiates responses through submucosal neurons that control secretion by GI epithelial cells. ENS works through neurons in myenteric plexus to influence motility.

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4
Q

reflexes with GI peptides

A

peptides may act as hormones/paracrine signals. secreted into blood and act on GI tract/brain.
paracrine molecules in ECF act locally.
peptides excite/ inhibit motility + secretion.

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5
Q

enteric nervous system

A

main divisions of ANS and consists of mesh-like system of neurons that governs function of GI tract. ENS functions autonomously, independent of efferent signals from CNS. shares many features with CNS

  • intrinsic neurons
  • neurotransmitters + neuromodulators
  • glial support cells
  • diffusion barrier
  • integrating center
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6
Q

intrinsic neurons

A

of the two nerve plexuses of GI tract are those that lie within the wall of the gut. interneurons are completely contained within CNS. 3 types: sensory, inter + motor

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7
Q

extrinsic neurons

A

autonomic neurons that bring singals from CNS to digestive system

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8
Q

neurotransmitters + neuromodulators

A

ENS neurons release these. somtimes called: nonadrenergic, noncholinergic to distinguish them from norepinephrine and acetylcholine

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9
Q

glial support cells

A

glial cells of neurons within ENS are similar to astroglia than Schwann cells

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10
Q

diffusion barrier

A

capillaries that surround ganglia in ENS not very permeable and create diffusion barrier similar to blood-brain barrier of cerebral blood vessels

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11
Q

integrating center

A

reflexes that originate in GI tract can be integrated and acted on without neural signals leaving ENS. neuron network of ENS is its own integrating center

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12
Q

ENS plexuses

A
  • submucosal nerve plexus: ascending + descending connected to mucosa + circular muscle. sense and secretes
  • myenteric nerve plexus: ascending + descending connected to cirular + longitudinal smooth muscle, controls motility of intestines.
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13
Q

noradrenergic

A

parts of body that produce/are effected by norepinephrine. function is to mobilize the brain and body for action. inhibits voiding of bladder and gastrointestinal motility.

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14
Q

cholinergic

A

abbreviated term of referring to acetylcholine. parasympathetic nervous system, which uses ACh almost exclusively to send its messages, is said to be almost entirely cholinergic.

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15
Q

Auerbach/myenteric plexus

A

located between inner circular and outer longitudinal smooth muscle layer. regulate peristaltic waves that move digestive products. control local muscular contractions that are responsible for stationary mixing + churning.

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16
Q

Meissner/submucosal plexus

A

innermost group of neurons. regulates configuration of luminal surface, controls glandular secretions, alters electrolyte and water transport + regulates local blood flow

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17
Q

sympathetic nervous system

A

inhibits digestion activity, originates in spinal cord, fibers pass from lateral of spinal cord and separate into ganglia + postganglionic neurons, mainly secretes norepinephrine.

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18
Q

parasympathetic stimulation

A

increases activity of ENS. divided into:

  • cranial
  • sacral divisions
  • post-ganglionic neurons
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19
Q

cranial

A

almost entirely in vagus nerves. provide extensive innervation to esophagus, stomach + pancreas and less to intestines

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20
Q

sacral divisions

A

originate in 2, 3 + 4 sacral segments of spine and pass through pelvic nerves to distal halve of large intestine to anus. sigmoidal, rectal and anal regions better supplied with parasympathetic fibers than other areas.

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21
Q

post-ganglionic neurons

A

part of GI parasympathetic nervous system.

locations: myenteric + submucosal plexuses. stimulation causes increase activity of entire ENS.

22
Q

sympathetic stimulation

A

inhibits GI.
originate in spinal cord
after leaving spinal cord enters sympathetic chains –> lateral to spinal column, many pass through cains outlying ganglia –> celiac ganglion + mesenteric ganglia. most bodies are in these ganglia and postganglionic fibers spread through sympathetic nerves to all parts of gut
- secrete norepinephrine
- inhibits effects opposite to parasympathetic:
–> direct effect norepinephrine inhibits intestinal smooth muscle
–> major exten inhibitory effect norepinephrine on neurons on ENS
- stimulation can inhibit motor movements.

23
Q

Cajal

A

pacemaker cells. beat rhythmically when stimulated.
location: wall of gut
facilitate communication between nervous system + smooth muscle
when food arrives they begin beating. –> peristalsis.

24
Q

GI hormones

A

secreted by isolated endocrine cells among mucosal epithelium. usually divided into three families:

  • gastrin
  • secretin
  • third
25
Q

gastrin

A

gastrin and CCK can bind to and activate CCKB receptor on parietal cells

  • Gastrin: stomach
    stimulus: peptides + AA
    target: ECL + parietal
    effect: gastric acid secretion + mucosal growth
    other: somatostatin inhibits its release
  • cholecystokinin CCK: intestine I cells
    stimulus: fatty acids + AA
    target: gallbladder, pancreas, stomach
    effects: gallbladder contraction + pancreatic secretion. inhibits gastric emptying and acid secretion
    other: promotes satiety.
26
Q

secretin

A
  • secretin: small intestine S cells
    stimulus: acid
    Target: pancreas + stomach
    effect: stimulates HCO3- secretion + inhibits gastric emptying + acid secretion
  • vasoactive intestinal peptide VIP: small intestine. neurocrine. regulates circadian rhythm.
  • glucose-dependent insulinotropic peptide GIP: small intestine K cells
    stimulus: glucose, fatty acids + AA
    target: beta cells pancreas
    effects: insulin release + inhibits gastric emptying + acid secretion
  • glucagon-like peptide-1 (GLP-1): small intestine
    stimulus: meal + carbohydrates/fats
    target: endocrine pancreas
    effects: insulin release + inhibits glucagon release + gastric function
    other: promotes satiety
27
Q

third family

A

contains peptides that don’t fit into other 2

  • motilin: increases motilin secretion are associated with motor complex: small intestine
    stimulus: periodic release
    target: gastric + smooth muscle
    effect: migrating motor complex, waves of electrical activity.
    other: inhibited by eating.
  • histamine: small intestine. induces secretion by stimulating production of prostaglandins, acitvate secretory process
28
Q

cephalic phase

A

long reflexes create this part of digestion. activates neurons in medulla oblongata –> sends efferent signal through autonomic neruons to salivary glands and vagus nerve in ENS. response to these signals, stomach, intestine, glandular organs begin secreation + increase motility

29
Q

chemical digestion steps

A

mouth: secretion salivary amylase –> starch, lubricates food and protective function
- contains lysozyme, antibacterial, and immunoglobulins, disables bacteria + viruses

30
Q

mechanical digestion begin

A

oral cavity with chewing.

31
Q

deglutition/swallowing

A

relfex that puses food into esophagus. stimulus: pressure of tongue. activates sensory neurons and results in contraction of skeletal + smooth muscle . soft palate elavates and closes of nasopharynx. muscles move the larynx up and forward.
epiglottis closes.

32
Q

gastroesophageal reflux

A

heartburn.

33
Q

gastric phase

A

3 functions

  • storage: stomach stores food
  • digestion: stomach chamically + mechanically digests
  • protection: stomach protects body by destroying many bacteria + pathogens
34
Q

vagal reflex

A

before digestion. cephalic phase. stimuli in gastric lumen intiates short reflexes. constitue gastric phase.

35
Q

receptive relaxation

A

food arrives in stomach. relaxes + expands. upper half remains quiet holding food until ready.
lower half busy with digestion.

36
Q

parietal cells

A

secrete gastric acid. activates pepsinogen + denaturates proteins. make peptie bonds accessible to pepsin. helps kill bacteria and other. inactivates salivary amylase.

37
Q

chief cells

A

secrete pepsinogen. cleaved to active peptin by aciton of H+. endopeptidase carries out intial digestion of proteins. praticulary active on collagen. meat digestion.
secrete gastic lipase.

38
Q

enterochromaffin-like cells ECL cells

A

secrete histamine, paracrine signal promotes acid secretion

39
Q

D cells

A

secrete somatostatin, shuts down acid secretion directly + indirechtly + inhibits pepsinogen

40
Q

G cells

A

secrete gastrin

41
Q

mucous cells

A

neck of gastric glands, secrete mucus + bicarbonate.

42
Q

intestinal phase

A

sensors in intestine trigger series of reflexes. activates ENS slows gastric motility + secretion. 3 hormones reinforce: secretin, CCK + GIP
mixture of acid, enzymes + food usually forms hyperosmotic solution. high osmolarity: receptors inhibit gastric emptying in a relfex.

43
Q

promotion intestinal motility

A

parasympathetic innervation, gastrin + CCK

44
Q

duodenum

A

Bile released occurs when CCK stimulates gallbladder contraciton.
in ileum fats are taken back into circulation. return to liver –> hepatocytes. recirculation is essential.
digestive enzymes are produced by epithelium and acinar cells.
enzymes: peptidases, disaccheridases, enteropeptidase –> anchored to luminal entorocyte membrane swept out of small intestine as chyme is propelled forward.

45
Q

pancreatic enzyme release small intestine

A

enter in watery fluid contains bicarbonate. most enzymes secreted as zymogens. must be activated in intestine.

46
Q

enteropeptidase

A

trypsinogen –> trypsin

47
Q

haptic portal system

A

specialized region. 2 capillary beds:
1. picks up absorbed nutrients at intestine
2. delivers nutrients to liever.
digested fat go into lymphatic system rather than blood

48
Q

large intestine

A

concentrates water, chyme enters through ileocecal vale. narrows opening between ileum and cecum.

49
Q

tenia coli

A

inner cicular layer but discontinuous longitudinal muscle layer concentrated into 3 bands.

50
Q

haustra

A

contraction of tenia pull wall into bulging pockets

mucosa has 2 regions.

51
Q

the defecation reflex

A

chyme in colon moved via mass movement. . removes undigested feces from body

52
Q

gastral-ileal reflex

A

stomach relaes when food leaves stomach