Cellular and Glandular Mechanisms of Secretion Flashcards

1
Q

Describe the mechanisms involved in the cellular secretion of H+ in a kidney tubule cell.

A

Regulates the Acd/Base Balance.

H+ Secretion in PCT and CD

Apical Membrane: Na+ in H+ out (antiport), CO2 diffuses in (metabolic reactions)

Inside cell: CO2+H2O+CA=H2CO3 ->H+ + HCO3-

Basal membrane: HCO3- out (channel), Na+ out (active transport) CO2 in diffuse

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2
Q

Describe the mechanisms involved in the cellular secretion of K+ in a kidney tubule cell.

A

K+ Is actively reabsorbed in the PCT. Active secretion in the DCT and CD

All filtered is reabsorbed and 10-15% is excreted.

High cell [K+] favours net diffusion -> Lumen

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3
Q

What are the components of gastric juice and what is their function?

A

Gastric juice = salts, water, Oxyritic cells secrete HCl + intrinsic factor, Zymogenic cells secrete pepsinogen (pepsin), Interstital fluid, Mucous neck cells secrete mucous, Gastro-endocrine cells secrete Gastrins. Ionic composition deends on the secretion rate.

Increased secretion = Increased [H+], decreased secretion = decreased [H+] and increased [Na+}

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4
Q

Describe the morphological changes that occur in the parietal cell to ‘activate it’

A
  • Parietal cells ave elaborate system of cannaliculi (secretory villi)
  • Connected via common outlet of cells luminal surface
  • These are lined with microvilli
  • Extensive network of tubules and vesicles = Tubuloveicular system.
  • When stimuulated to secrete, TV system fuses w/ plasma membrane of secretory cannaliculi = increased surface area.
  • TV system contains Hcl secretory apparatus and fusion w/ cannaliculi = increase number of pumping sites available.
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5
Q

Describe the mechanisms involved in the cellular secretion of HCl in a parietal cell, beginning with CO2.

A

CO2 (from metabolic reactions in cell or from blood) combines with OH- (and carbonic anhydrase) -> HCO3-.

Apical Membrane: H+,K+-ATPase (H+ out, K+ in, primary proton pump.) K+ diffused down ECG back into lumen of stomach. Depends on high [K+] in stomach. (Cl- out)

When H+ is pumped out of cell, HCO3- is left behind. flows down ECG -> baso-lateral membrane in exchange for Cl-.

Cl- leaves apical membrane via electrochemical channel.

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6
Q

Briefly compare and contrast the 3 phases of gastric acid secretion.

A

Cephalic Stage (Excitatory)

  • Receptors for sight, taste, smell activated (thoughts of food)
  • Cerebal cortex->Medulla->Vagus->Submucosal Plexus= Increased Gastric Juice + Increased Gastric Peristalsis + Entero-endocrine cells secrete gastrin.

Gastric Phase (Excitatory and continuing)

  • Receptors for stretch + distention of stomach, chemorecptors detect increased ph of gastric juice
  • Sumucosal plexus-> Inc. Gastric juice, inc. entero-E secretions, inc. peristalsis -> increased gastric emptying

Intestinal Phase (Inhibitory)

  • Stretch receptors in duodenum, Chemorecptors detect glu. and FA in duo.
  • Enteroendocrine secretion. CCK-> inhibits peristalsis
  • Secretin -> inhibit peristalsis and inhibit gastric juice
  • Enterogastric reflex inhib gastric juice and peristalsis
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7
Q

Where do ACh come from, and how does it influence HCl secretion in the parietal cell?

A

Ach arises form parasypathetic nerves

Ach binds to receptor on parietal cells -> open Ca2+ channels -> increase intracellular [Ca2+] -> Increase HCl secretion

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8
Q

Where do histamine come from, and how does it influence HCl secretion in the parietal cell?

A

Histamine arises from mast cells in gastric muscosa and it diffuses to the parietal cells.

Histamne binds to H2 receptors to activate adenyl cyclase -> increase [cAMP] -> increase HC secretions.

Most potent

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9
Q

Where does gastrin come from, and how does it influence HCl secretion in the parietal cell?

A

Gastrin comes from G cells of the mucosa of gastric antrum and duodenum and reaches pareital cells via the bloodstream.

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10
Q

Describe the basic process of eccrine sweat secretion.

A

Eccrine Sweat: Cholinergic innervation, sweat to reduce body core termperature.

  • Simple coiled structures.
  • Primary secretion = isotonic to blood, by the time it is at surface of skin = hypotonic.
  • Subdermal portion of gland produces primary secretion;[Na+] 142mMo; [Cl-] 104mMol.
  • Slight stimulation= almost all NaCl reabsorbed (5mMol sweat), OP falls = water reabsorbed, leaving wastes
  • Strong Stimulation = 50% reabsorption (60mMol) can = large loss of NaCl
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11
Q

Describe the cellular transport mechanisms of a salivary acinar cell.

A

Acini produce isotonic primary secretion w/ amylase. Serous acina cells have zymogen granules containing salivary amylase.

  • Na++K++2Cl- co transport mech. brings K- and Cl- into cell from ECF.
  • Na+ secreted via paracellular transport.
  • Produce primary secretion of Na+, K+, HCO3- and Cl-. increased [Cl-] in cell sets up gradient for Cl- to move through apical membrane. This electrical force brings Na+ through leaky tight junctions.
  • HCO3- secreted via electrogenic ionic channel in apical membrane.
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12
Q

Describe the cellular transport mechanisms of a salivary duct cell.

A

Reabsorbes Na+ and Cl-, secretes K+ and HCO3-.

  • Parallel transporters: Na+K+ exchange and Cl-HCO3- exchange results in uptake NaCl and secretion CL-, HCO3-
  • K brough in on baso-lateral symporter using Na+K+ ATP ase transporter.
  • As saliva flows down the ducts it progressively gets more hypotonic.
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13
Q

What contribution does each component (acinar & duct cell) make to the final secretion?

A

Acinar Portion contributes: Na+, CL-, HCO3-, K+ and H2O

Duct portion contributes: HCO3- and K+

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14
Q

Describe the structure and function of the pancreas.

A

Structure: Resembles salivary gland tissue. Acinar and islets of langerhans innervated by vagus. PostG Symp innervate BVs. Parasymp stimulates.

Function: Acts as endocrine gland exocrine gland.

Endocrine: Glucagon and Insulin secretion for regulation of blood sugar levels.

Exocrine (Digestion): Aqueous component rich in HCO3- for neutraliasation of chyme. Enzyme component for digestion of CHOs

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15
Q

What are the constituents of pancreatic juice (PJ)?

A

Enzyme component: Acinar cell secertions composed of proteases released from cells in their inacive form and contins alpha-amylases and pancreatic lipases. Stimulated by cholecystokinin. Trypsin inhibitor prevents the premature activation of proteolytic enzymes in pancreatic ducts.

Aqueous: Produced by acinar cells and modified by duct cells. Isotonic to plasma at all flowrates. [Na+] and [K+] similar to plasma; [Cl-] varies reciprocally with [HCO3-]. [HCO3] varies from60-120mMol which is dependent on secretin dn PJ secretion rates

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16
Q

What role do the enterogastrones (secretin & CCK) have on the makeup of PJ and how can it vary in both enzyme and bicarbonate content?

A

More secretin = Higher bicarbonate content of PJ. Cl- and bicarbonate have inverse relationship.

17
Q

What influence do the phases of gastric acid secretion have on pancreatic secretion?

A

Cephalic Phase:

  • PJ als producd in response to vagal stimulation.
  • Gastrin released from stomach mucosa increases PJ

Gastric phase:

  • Further release of gastrin enhanced PJ secretion

Intestinal phase:

  • Acid in duod. and jeju. induces the release of large volumes of aqeous PJ through action of secretin, which itself is stiulated thruogh a pH of <4.5
  • Presence of amino acids and peptides and FAAs (>8C) -> Increased cholecystokinin -> Increased PJ rich in enzymes.