D2 - Digestion Flashcards

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1
Q

Exocrine glands + examples

A

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

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

Examples of digestive glands include:

Salivary glands – secrete saliva which contains amylase (breaks down starch)
Gastric glands – secretes gastric juices which includes hydrochloric acid and proteases (breaks down protein)
Pancreatic glands – secretes pancreatic juices which include lipase, protease and amylase
Intestinal glands – secretes intestinal juices via crypts of Lieberkuhn in the intestinal wall
Goblet cells – secrete mucus to form a protective layer around the stomach lining
Parietal cells – secrete hydrochloric acid which is responsible for creating a low pH environment in the stomach
G cells – secrete gastrin (stimulates release of stomach acids to increase stomach acidity)
D cells – secrete somatostatin (inhibits release of stomach acids to reduce stomach acidity)
Chief cells – secrete pepsinogen (inactive protease precursor which is activated by acidity to form active pepsin)

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2
Q

Exocrine gland structure

A

Exocrine glands are composed of a cluster of secretory cells which collectively form an acinus (plural = acini)

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

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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3
Q

Gastric secretion control

A

The secretion of digestive juices is controlled by both nervous and hormonal mechanisms

These mechanisms control both the volume of secretions produced and the specific content (e.g. enzymes, acids, etc.)

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4
Q

Gastric secretion - nervous mechanism

A

The sight and smell of food triggers an immediate response by which gastric juice is secreted by the stomach pre-ingestion
When food enters the stomach it causes distension, which is detected by stretch receptors in the stomach lining
Signals are sent to the brain, which triggers the release of digestive hormones to achieve sustained gastric stimulation

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5
Q

Gastric secretion - hormonal mechanism

A

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 neutralise stomach acids, while the liver produces bile to emulsify fats

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6
Q

Stomach acid

A

The gastric glands that line the stomach wall secrete an acidic solution that creates a low pH environment within the stomach

The normal pH of the stomach is roughly 1.5 – 2.0, which is the optimum pH for hydrolysis reactions by stomach enzymes

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7
Q

Stomach acid functions

A

The acid conditions in the stomach serve a number of functions:

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 acid - neutralisation & protection

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

Proton Pumps

A

The low pH environment of the stomach is maintained by proton pumps in the parietal cells of the gastric pits

These proton pumps secrete H+ ions (via active transport), which combine with Cl– ions to form hydrochloric acid
Certain medications and disease conditions can increase the secretion of H+ ions, lowering the pH in the stomach

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10
Q

PPIs

A

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

Absorption in small intestine

A

Once digested food has passed through the stomach, it enters the small intestine for absorption into the blood

The small intestine also releases digestive enzymes to ensure the complete hydrolysis of food molecules

The inner epithelial lining of the small intestine is highly folded into finger-like projections called villi (singular: villus)

Many villi will protrude into the intestinal lumen, greatly increasing the available surface area for material absorption

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12
Q

Features of villi

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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13
Q

Features of epithelial lining to optimise absorption

A

Tight Junctions

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

Microvilli

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

Mitochondria

Epithelial cells of intestinal villi will possess 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) or pinocytosis

Pinocytotic Vesicles

Pinocytosis (‘cell-drinking’) is the non-specific uptake of fluids and dissolved solutes (a quick way to translocate in bulk)
These materials will be ingested via the breaking and reforming of the membrane and hence contained within a vesicle

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14
Q

Dietary fibre

A

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

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

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15
Q

Dietary fibre - transit

A

The rate of transit of materials through the large intestine is positively correlated with their fibre content:

Roughage provides bulk in the intestines to help keep materials moving through the gut
Roughage also absorbs water, which keeps bowel movements soft and easy to pass

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16
Q

Dietary fibre - health benefits

A

There are several health benefits associated with diets rich in dietary fibre:

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)
It aids in weight management (contributes few calories despite consisting of a large volume of ingested material)

17
Q

Egestion

A

Materials that are not absorbed by the small and large intestines are ultimately egested from the body as faeces

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)
belch

Summary of egested materials:

Bile pigments
Epithelial cells
Lignin
Cellulose
Human flora (bacteria)

18
Q

Stomach ulcers

A

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

19
Q

H. pylori & stomach ulcers

A

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

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)

20
Q

Vibrio cholerae & cholera

A

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

The associated disease – cholera – can kill within hours unless treated with oral rehydration therapies

V. cholerae releases a toxin that binds to ganglioside receptors on the surface of intestinal epithelium cells

This toxin is internalised 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 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

21
Q
A