D.2: Digestion Flashcards

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1
Q

Regulation of gastric secretions

A
  • sight/smell of food results in the brain sending nerve impulse via the vagus nerve from the medulla
  • gland cells are stimulated and secrete components of gastric juice
  • if peptides are detected by chemoreceptors (food is in stomach), the brain sends impulse via vagus nerve to endocrine cells in duodenum and part of the stomach nearest to the duodenum, stimulating them to secrete gastrin (hormone)
  • gastrin stimulates two types of endocrine glands (in stomach wall) to secrete acid or pepsinogen
  • hormones secretin and somatostatin inhibit gastrin if pH levels become too low
  • When digested food (chyme) passes into the small intestine, the duodenum also releases digestive hormones:
    Secretin and cholecystokinin (CCK) which stimulates the pancreas and liver to release digestive juices
  • Pancreatic juices contain bicarbonate ions which neutralise stomach acids, while the liver produces bile to emulsify fats
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2
Q

Exocrine glands produce and secrete substances via a duct onto an epithelial surface: either:

(note: exocrine glands secrete into ducts, unlike endocrine glands, which secrete into the bloodstream)

A
  • The surface of the body (e.g. sweat glands, sebaceous glands)
  • The lumen of the digestive tract / gut (e.g. digestive glands)
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3
Q

Examples of exocrine glands

A
  • Salivary glands – secrete saliva which contains amylase (breaks down starch) (composed of water, electrolytes, salivary amylase, mucus, lysozyme)
  • Gastric glands – secretes gastric juices which includes hydrochloric acid and proteases (breaks down protein) (composed of water, mucus, enzymes such as pepsin or rennin ( both types of protease), hydrochloric acid)
  • Pancreatic glands – secretes pancreatic juices which include lipase, protease and amylase (composed of water, bicarbonate, enzymes including: amylase, lipase, carboxypeptidase, trypsinogen)
  • Intestinal glands – secretes intestinal juices via crypts of Lieberkuhn in the intestinal wall
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4
Q

Where do exocrine glands secrete into?

A

Exocrine glands secrete into ducts, unlike endocrine glands, which secrete directly into the bloodstream

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5
Q

Structure of an exocrine gland
(mention: acini, basement membrane (etc.), tight junctions, organelles, how exocrine gland functions, ductules)

A

exocrine glands are composed of a cluster of secretory cells which collectively form an acinus (plural = acini)
(acini surround duct branch)

The acini are surrounded by a basement membrane and are held together by tight junctions between secretory cells
The secretory cells possess a highly developed ER and golgi network for material secretion and are rich in mitochondria (to provide ATP for protein synthesis or other cell activities)

Exocrine products are released (via secretory vesicles) into a duct, which connects to an epithelial surface

These ducts may arise from a convergence of smaller ductules (each connected to an acinus) in order to enhance secretion

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6
Q

Stomach acid pH

A

around 1.5 – 2.0

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7
Q

What functions do the acid conditions in the stomach serve?

A
  • 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)
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8
Q

Stomach structure and neutralization in the stomach

A

The stomach wall is lined by a layer of mucus, which protects the stomach lining from being damaged by the acid conditions

The pancreas releases bicarbonate ions into the duodenum which neutralises the stomach pH (intestinal pH ~7.0 – 8.0)
Certain foods (e.g. antacids) may also neutralise stomach acids, impairing digestion and increasing chances of infection

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9
Q

Where is stomach acid secreted from?
(hint: NOT exocrine glands)

A

Acid is secreted by the parietal cells of the stomach

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10
Q

Maintenance of the pH environment of the stomach, and PPIs

A
  • The low pH environmentis maintained by proton pumps in the parietal cells of the gastric pits
  • proton pumps secrete H+ ions (via active transport), which combine with Cl– ions to form hydrochloric acid (HCl)
  • Certain medications and disease conditions can increase the secretion of H+ ions, lowering the pH in the stomach
  • Proton pump inhibitors (PPIs) are drugs which 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
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11
Q

Structural features of intestinal villi which facilitate the absorption of digestive products: MR SLIM

A
  • Microvilli – Ruffling of epithelial membrane further increases surface area
  • Rich blood supply – Dense capillary network rapidly transports absorbed products
  • Single layer epithelium – Minimises diffusion distance between lumen and blood
  • Lacteals – Absorbs lipids from the intestine into the lymphatic system
  • Intestinal glands – Exocrine pits (crypts of Lieberkuhn) release digestive juices
  • Membrane proteins – Facilitates transport of digested materials into epithelial cells
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12
Q

structural features of the epithelial lining of villi

A
  • tight junctions
  • microvilli
  • mitochondria
  • pinocytotic cells
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13
Q

Tight Junctions (epithelial lining of villi)

A
  • Occluding associations between the plasma membrane of two adjacent cells, creating an impermeable barrier
  • They keep digestive fluids separated from tissues and maintain a concentration gradient by ensuring one-way movement
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14
Q

Microvilli (epithelial lining of villi)

A
  • Microvilli borders significantly increase surface area of the plasma membrane (>100×), allowing for more absorption to occur
  • The membrane will be embedded with immobilised digestive enzymes and channel proteins to assist in material uptake
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15
Q

(Large number of) Mitochondria (epithelial lining of villi)

A

large numbers of mitochondria to provide ATP for active transport mechanisms
ATP may be required for:
- primary active transport (against gradient)
- secondary active transport (co-transport)
- pinocytosis

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16
Q

Pinocytotic Vesicles (epithelial lining of villi)

A
  • pinocytosis (‘cell-drinking’) is the non-specific uptake of fluids and dissolved solutes (a quick way to translocate in bulk)
  • needed for absorption of some foods by endocytosis
17
Q

surface of the villi facing the lumen of the intestine is called:

A

apical surface

18
Q

surface facing the blood vessels is called:

A

basal surface

19
Q

function of the small and large intestine

A
  • The small intestine absorbs usable food substances (i.e. nutrients – monosaccharides, amino acids, fatty acids, vitamins, etc.)
  • The large intestine absorbs water and dissolved minerals (i.e. ions) from the indigestible food residues
20
Q

What is dietary fibre?

A
  • Dietary fibre, or roughage, is the indigestible portion of food derived principally from plants and fungi (cellulose, chitin, lignin etc.)
21
Q

digestion and plant matter/fungi (dietary fibre)

A
  • Humans lack the necessary enzymes to break down certain plant matter (e.g. lack cellulase required to digest cellulose)
  • Certain herbivores (ruminants) possess helpful bacteria in the digestive tract that can break down indigestible plant matter
22
Q

dietary role in intestine

A
  • The rate of transit of materials through the large intestine is positively correlated with their fibre content:
  • Dietary fibre provides bulk in the intestines to help keep materials moving through the gut
  • Dietary fibre also absorbs water, which keeps bowel movements soft and easy to pass, preventing constipation (the higher the water content of the intestine, the faster the movement of feral matter)
23
Q

health benefits associated with diets rich in dietary fibre:

A
  • It reduces the frequency of constipation and lowers the risk of colon and rectal cancer
  • It lowers blood cholesterol and regulates blood sugar levels (by slowing the rate of absorption) (prevents type 2 diabetes)
  • It reduces risk of obesity, as it may increase feelings of satiety (contributes few calories despite consisting of a large volume of ingested material)
24
Q

BELCH

Summary of egested materials:

A

Bile pigments
Epithelial cells
Lignin
Cellulose
Human flora (bacteria)

  • A large portion of human faeces consists of dietary fibre, such as cellulose and lignin
  • Also present in faeces are the remains of intestinal epithelial cells, bile pigments and human flora (intestinal bacteria)
25
Q

What are stomach ulcers?

A

Stomach ulcers are inflammed and damaged areas in the stomach wall, typically caused by exposure to gastric acids

26
Q

What causes stomach ulcers?

A

There is a strong positive correlation between bacterium Helicobacter pylori infection and the development of stomach ulcers

H. pylori also seems to be assocaited with stomach cancer

27
Q

How H. pylori causes stomach ulcers

A
  • H. pylori 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)
28
Q

Vibrio cholerae

A

Vibrio cholerae is a bacterial pathogen that infects the intestines and causes acute diarrhoea and dehydration

29
Q

What is cholera?

A

A disease caused by the infection of the bacterium Vibrio cholerae

30
Q

How does Vibrio cholerae cause cholera?

A
  • V. cholerae releases a toxin that binds to ganglioside receptors on the surface of intestinal epithelium cells
  • This toxin is internalized by endocytosis and triggers the production of cyclic AMP (a second messenger) within the cell
  • Cyclic AMP (cAMP) activates specific ion channels within the cell membrane, causing an efflux of ions (Cl- and (bicarbonate)HCO3-, Na+, K+ ions) from the cell
  • The build up of ions in the intestinal lumen draws water from cells and tissues via osmosis – causing acute diarrhoea
  • As water is being removed from body tissues, dehydration will result if left untreated