Chapter 8: Digestive And Excretory Systems Flashcards

1
Q

Glucose transport protein moving glucose into enterocyte

A
  1. Sodium-glucose linked transporter (SGLT1): transports glucose and Na+ into enterocyte down the concentration gradient of Na+
    1a. to maintain Na+ gradient, Na+ is pumped back out via Na+/K+ pump
  2. Carbs are then absorbed into blood and carried by hepatic portal vein to liver
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2
Q

Protein absorption

A
  1. Di/tripeptides are absorbed into enterocyte where they are hydrolyzed into amino acids and absorbed into blood via facilitated or active transport
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3
Q

Lipid absorption

A
  1. Dietary fat is broken down into triacylglyceride which are broken down into monoglycerides and fatty acids which are then shuttled to brush border via micelles
  2. Then small fatty acids diffuse in while larger ones get shuttled in
  3. Once in enterocyte, fatty acids and monoglycerides are converted into TGs in SER and form a chylomicron
  4. Chylomicron sticks to capillaries where lipoprotein lipase hydrolyzes the TGs that can diffuse into muscle and adipose to be stored
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4
Q

GI tract: mouth / esophagus

A
  1. Digestion of starch (carbs) begins here with amylase in saliva
  2. Chewing breaks food down to become a coleus that can be pushed into esophagus
  3. Bolus moves down esophagus via peristalsis (via smooth muscles)
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5
Q

GI tract: Stomach

A
  1. Bolus moves into stomach via lower esophageal/cardiac sphincter
  2. Peristalsis allows mixing of bolus into becoming chyme
  3. Gastric pits/glands in stomach have 4 cells:
    3a. Mucous cells: secrete mucin to lubricate stomach so food can pass without damage
    3b. Chief/peptic cells: secrete pepsinogen that is cleaved via low pH which activates it to pepsin which can begin protein digestion
    3c. Parietal/oxyntic cells: secrete HCL (activated via gastrin, Ach, histamine) to acidify the stomach (alkaline tide) and intrinsic factor that helps lumen absorb vitamin B12 for RBC production
    3d. G cells: secrete gastrin which helps parietal cells secrete HCL
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6
Q

GI tract: pancreas

A
  1. Chyme is then released from stomach through pyloric sphincter into small intestine (duodenum)
  2. Pancreas secretes bicarbonate to raise duodenums pH to 6 & secretes pancreatic polypeptide (via PP cells) which regulates digestive enzymes from pancreas and slows rate chyme entered duodenum
  3. Has acinar cells that secrete digestive enzymes:
    3a. Protein digestion: trypsin, chymotrypsin and carboxypeptidase
    3b. Carb digestion: pancreatic amylase
    3c. Lipid digestion: pancreatic lipase, phospholipase
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7
Q

GI tract: Gallbladder and bile

A
  1. Bile is produced in liver and stored in gallbladder which releases it via cystic duct-> common bile duct -> pancreatic duct -> duodenum
  2. Emulsifies fats
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8
Q

GI tract: small intestine

A
  1. 90% of absorption happens here
  2. Has brush border that contains digestive enzymes which finish the job of digestion that was begun via pancreatic enzymes
  3. Within villi they have exocrine glands called crypts of leiberkuhn which have:
    3a. Planeth cells: has lysozyme to maintain bacteria in intestine
    3b. Goblet cells: secrete mucous
    3c. Runners glands: secrete mucous and bicarbonate
    3d. Stem cells
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9
Q

GI tract: Large intestine

A
  1. Main functions are water and electrolyte absorption
    1a. Vitamin K is made here
  2. Made up of colon (cecum, ascending colon, transverse colon, descending colon and sigmoid colon), rectum and anal
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10
Q

Enteric nervous system

A
  1. A network of neurons that innervate GI tract and regulate motility, secretion, blood flow etc
  2. Has 2 plexus
    2a. Myenteric (Auerbachs) plexus: motility
    2b. Submucosal (Meissner) plexus: secretion and absorption
  3. Interacts w gut microbiota
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11
Q

Enteroendocrine cells + their hormones

A
  1. G cells in stomach: gastrin which activates parietal cells to secrete HCL which activates chief cells pepsinogen into becoming pepsin
  2. I cells in duodenum: CCK increases bile secretion, pancreatic enzymes etc
  3. S cells in duodenum: Secretin is activated by low pH and increases water secretion to raise pH
  4. Ghrenlin cells secrete ghrelin: signals that we are hungry
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12
Q

Liver functions

A
  1. Storage
    1a. Blood and glucose storage
    1b. Vitamin and mineral storage: A,D,E,K,B12
  2. Filtration
    2a. Blood filtration
    2b. Erythrocyte destruction
    2c. Detoxification
  3. Metabolic
    3a. Carb, protein and fat metabolism
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13
Q

Kidney: urine path

A
  1. Urine is created by kidney and emptied in renal pelvis which is emptied into ureter which carries urine to bladder which is then drained by urethra
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14
Q

Functions of kidneys

A
  1. Filter blood and excrete waste
  2. Homeostasis of body fluids
  3. Control of blood pH
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15
Q

Nephron function

A
  1. Functional unit of kidneys
  2. Processes of nephron
    2a. Filtration: when blood plasma is filtered as it enters nephron
    2b. Reabsorption: process where water and some solutes are returned to body from filtrate
    2c. Secretion: where water and some solutes are expelled from kidney to filtrate
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16
Q

Nephron structures: Renal corpuscle

A
  1. Consists of glomerulus surrounded by Bowmans capsule
    1a. Blood flows into glomerulus via afferent arterioles and out via efferent arterioles
  2. Hydrostatic pressure forces blood plasma into bowmans capsule:
    2a. Higher arteriole pressure =high GFR
  3. Bowmans capsule : filter
17
Q

Nephron structures: Proximal convoluted tubule

A
  1. Where most reabsorption (of all glucose and most amino acids) takes place
18
Q

Nephron structures: loop of henle

A
  1. Structure: Descending loop: water gets reabsorbed & Thick/Ascending: salt gets reabsorbed
  2. Countercurrent multiplication: makes medulla salty
  3. Vasa recta: capillary beds that surround loops of henle
19
Q

Nephron structures: distal convoluted tubule

A
  1. Aldosterone acts here to increase membrane bound protein transporters: pump Na+ out and K+ in
  2. PTH: upregulates Ca2+ channels for increasing Ca2+ reabsorption
  3. ADH: acts on late DCT to reabsorb water
20
Q

Nephron: collecting duct

A
  1. ADH acts here to reabsorb water and concentrate urine