D.2 Digestion Flashcards
Diagram of digestive system
What kind of mechanisms control the secretion of digestive juices?
-Mechanical
-Nervous
-Hormonals
What actions can trigger the secretion of saliva and gastric juice?
-Not only will the presence or smell of food stimulate the digestive system, but also thinking about it will make your body secrete saliva and gastric juice.
-This would prepare the body for the future intake of food.
The nervous control is mainly provided by the ___
Autonomic nervous system.
What is the autonomic nervous system divided into?
The sympathetic and parasympathetic systems.
What does the sympathetic system control?
Processes involved in responses to danger
What does the parasympathetic system control?
Homeostasis and processes related to rest and digestion.
What are the functions of the parasympathetic and sympathetic systems in digestion?
The parasympathetic system speeds up digestion when food is ingested, while the sympathetic slows it down when there is no food available.
Diagram showing the control of the digestive processes
What does having food in your mouth and gut induce?
The presence of food in your moth will induce the secretion of saliva and the presence of food in the gut will induce the secretion of gastric juice (especially after eating proteins), intestinal juice, pancreatic juice and bile (especially if you have eaten fats).
What are the hormones involved in the chemical control of digestion?
-Gastrin
-Secretin
-Cholecystokinin (CCK)
How are the hormones involved in the chemical control of digestion secreted and how do they travel?
They are secreted in the digestive system and travel through the blood to the target organs.
How is gastrin produced?
It is produced by special cells (called G cells) in the stomach, duodenum, and pancreas, in response to physical stimulation due to the presence of food, as well as to chemical stimulation by protein
What is stimulated when gastrin is released?
When gastrin is released, it stimulates the production of gastric juice by the parietal cells in the gastric glands.
What is gastric juice made up of?
A mixture of water, hydrochloric acid, and other inorganic ions, enzymes (pepsin, rennin), mucus, various polypeptides, and intrinsic factor.
What is intrinsic factor necessary for?
For absorbing vitamin B12.
What is the effect of gastric juice on the food content?
It changes the pH of the food content from 6.7 to 2, providing acidic conditions that will enhance digestion.
What will happen when there is sufficient gastric juice present (around 1 to 1.5 liters)?
The production of gastrin will stop and therefore so will the secretion of gastric juice.
Hormonal control of digestion
- Gastrin is secreted into the bloodstream from the gastric pits of the stomach and stimulates the release of stomach acids
- If stomach pH drops too low (becomes too acidic), gastrin secretion is inhibited by gut hormones (secretin and somatostatin)
- When digested food (chyme) passes into the small intestine, the duodenum also releases digestive hormones:
- Secretin and cholecystokinin (CCK) stimulate the pancreas and liver to release digestive juices
- Pancreatic juices contain bicarbonate ions which neutralize stomach acids, while the liver produces bile to emulsify fats
Give an example of an inhibitory hormone
Somatostatin
How is acid secretion regulated?
-By the nervous system, which causes direct stimulation of the parietal cells to secrete acid, and indirect stimulation by decreasing somatostatin secretion.
-In addition, a regulatory feedback mechanism exists whereby the presence of acid in the lumen of the stomach stimulates somatostatin secretion, which in turn slows down acid secretion.
What are exocrine glands?
They are glands that have ducts that carry their secretory product to the surface of the body or the lumen of the gut.
Give examples of exocrine glands
The sweat, sebaceous, and mammary glands and the glands that secrete digestive enzymes.
Diagram showing the development of an exocrine gland
What is the function of gastrin?
Stimulates the production of gastric juice.
Gastrin stimulates the production of gastric juice by the gastric glands, providing acidic conditions that will enhance protein digestion.
What is a function of somatostatin?
Preventing the release of gastrin.
Somatostatin directly inhibits acid-producing cells. It also acts indirectly by preventing the release of gastrin, CCK and secretin, thus reducing the digestive process.
How were the first studies into digestion in the stomach performed?
-In 1822 Alexis St Martin, an 18-year-old Canadian, was accidentally wounded by the discharge of a musket.
-Although the wound was serious and left a hole in his body, he survived.
-His doctor, William Beaumont, made thorough observation of what occurred in the stomach and recorded his observations between the years 1825 and 1833.
-He was able to extract gastric juice by introducing an elastic tube into the stomach through the wound. He then observed which foods were digested and under which conditions.
How is acid in the stomach produced?
-By the combination of hydrogen ions (H+) and chloride ions (Cl-) produced by the epithelial cells (known as parietal cells) of the stomach lining.
-The release of hydrogen ions through protein carriers is coupled to the intake of potassium ions (K+) from the lumen of the stomach.
-This process requires energy in the form of ATP.
Diagram of the production of acid in the stomach
What does gastric juice contain?
Hydrochloric acid and pepsin
What is pepsin?
-A protease that hydrolyses proteins to peptides.
-Pepsin is found in the stomach in an inactive form as the pro-enzyme pepsinogen.
How is pepsinogen released?
It is released by the chief cells in the lining of the stomach and is activated into pepsin by the presence of acid.
What functions do the acidic conditions in the stomach serve?
- Assists in the digestion of food (by dissolving chemical bonds within food molecules)
- Activates stomach proteases (e.g. pepsin is activated when pepsinogen is proteolytically cleaved in acid conditions)
- Prevents pathogenic infection (stomach acids destroy microorganisms in ingested food)
Acid conditions in the stomach also favour the ___
Hydrolysis reactions by pepsin.
Diagram showing the effect of pH on pepsin activity
.
How do acidic conditions affect bacteria and other pathogens?
-Acidic conditions help to control pathogens in ingested food.
-The bacteria present in food cannot survive such acid conditions.
Explain how stomach ulcers form and how they can be treated
- Helicobacter pylori is a bacterium that can survive the acid conditions of the stomach by penetrating the mucus lining
- H. pylori anchors to the epithelial lining of the stomach, underneath the mucus lining
- An inflammatory immune response damages the epithelial cells of the stomach – including the mucus-secreting goblet cells
- This results in the degradation of the protective mucus lining, exposing the stomach wall to gastric acids and causing ulcers
- The prolonged presence of stomach ulcers may lead to the development of stomach cancer over many years (20 – 30 years)
- H. pylori infections can be treated by antibiotics (previously, stomach ulcers were considered stress related and not treatable)
What is a stomach ulcer?
This is when the lining of the stomach is disrupted.
What are the main symptoms of a stomach ulcer?
Stomach pain, heartburn, nausea and in some cases presence of blood in the stools.
What can cause a stomach ulcer?
-In some cases (either because the patient has eaten spicy foods or excess proteins, or is very stressed) the stomach will produce an excess of gastric acid.
-This can damage the mucus layer, producing gastric problems which might develop into a gastric ulcer.
-Another cause of gastric ulcers is the presence of the bacterium Helicobacter pylori in the stomach.
How can H. pylori cause a stomach ulcer?
-It produces toxins that cause continuous gastric inflammation.
-The inflammatory response by the immune system damages the stomach lining.
What medications are used to treat ulcers due to H. pylori
-Amoxicillin
-Clarithromycin
-Proton Pump Inhibitors (PPIs)
What is amoxicillin?
An antibiotic that directly inhibits the synthesis of bacterial cell walls.
What is clarithromycin?
An antibiotic that prevents bacteria from growing by inhibiting the translation of peptides in the ribosome, thus inhibiting their protein synthesis.
What are proton pump inhibitors (PPIs)?
These inhibit the acidification of the stomach.
Explain how PPIs work
- Proton pump inhibitors (PPIs) are drugs that irreversibly bind to the proton pumps and prevent H+ ion secretion
- This effectively raises the pH in the stomach to prevent gastric discomfort caused by high acidity (e.g. acid reflux)
- Individuals taking PPIs may have increased susceptibility to gastric infections due to the reduction of acid secretion
Diagram showing the effect of a proton pump inhibitor
What causes the stomach to be acidic?
Release of hydrogen ions.