Digestion 2 Flashcards

1
Q

What accessory digestive organs does the digestive system consists of?

A

Accessory digestive organs​
-Salivary glands​
-Exocrine pancreas ​
-Biliary system​

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2
Q

What are the 3 Classes of Energy-Rich Nutrients ​

A

-Dietary carbohydrates ​
-Dietary proteins ​
-Dietary fats​
Hydrolysis plays an important role in the chemical digestion of polymeric nutrients ​

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3
Q

Secretion – the mouth/buccal cavity ​
Name the salivary glands
What is saliva used for?
What is in saliva

A

Salivary glands ​
- parotid​
- submandibular / submaxillary​
- sublingual​

Extrinsic glands, ducts open into​ oral cavity. Neural stim. saliva​

Saliva ​
- speech​
- dental health​
- lubricate food​
- dissolve food ​
- initiate chemical breakdown ​

-Mucus​
-Lysozyme​ (breaks down walls of bacteria) protective
-Salivary amylase​- digestion of carbohydrates ​(Starch converted to maltose)​

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4
Q

The Stomach​
What are the regions of the stomach?
Different parts of the stomach have different cells

A

cardia, fundus and pylorus

Cardiac Glands Contain mainly mucus-producing cells​
Pyloric Glands Mucosubstances, electrolytes (Cl-, HCO3-,​
PO42-), pyloric protease, Gastrin, Gastrone.​

Principal (corpus-fundic) Glands​
Glandular tubule consists of a deep body, intermediary neck and an upper isthmus​

​4 secretory cell types: ​
chief cells ​
Parietal cells​
Mucous neck cells​
Endocrine cells​

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5
Q

Describe gastric glands

A

top to bottom of pit

mucous surface cells
mucous neck cells
parietal cells (secretes HCL and intrinsic factor)
chief cells (secrete pepsinogens (inactive form of pepsin))
hormone-producing G-cells (secretes gastrin)

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6
Q

Name and describe the secretions of the Stomach ​

A

*Chief cells (Zymogenic or peptic cells)​ = produce pepsinogen, a precursor of​ proteolytic NZM, pepsin (it is activated at pH optimum 2.0)​ We need it to release pepsinogen and not pepsin because we don’t want to autodigest)

*Parietal cells (Oxyntic cells)​ secrete HCl of gastric juice; activating​ pepsinogen & sterilising stomach contents​.
secrete intrinsic factor for Vit B12 resorption​

*Mucous neck cells (produce acid mucopolysaccharides sugar modified mucus containing carbohydrates)​
Found in neck of gland between parietal cells​

*Endocrine cells (Gastroenteropancreatic endocrine system)​
- G cells – gastrin-producing cells​ stimulate acid & pepsinogen secretion​
- D cells – somatostatin-producing cells​ inhibit G cells hence acid production​ (negative regulatory component)
- D1 cells – VIP(vasointestinal peptide)-producing cells ​Enterochomaffin cells – Histamine/serotonin -containing ​ Cells - Contraction of lower oesophageal sphincter, increases GI motility, relaxes pyloric sphincter​

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7
Q

Describe the process of producing hydrochloric acid

A

HCl is produced by the parietal cells of the stomach. To begin with, water (H2O) and carbon dioxide (CO2) combine within the parietal cell cytoplasm to produce carbonic acid (H2CO3), which is catalysed by carbonic anhydrase. Carbonic acid then spontaneously dissociates into a hydrogen ion (H+) and a bicarbonate ion (HCO3–).

The hydrogen ion that is formed is transported into the stomach lumen via the H+– K+ ATPase ion pump. This pump uses ATP as an energy source to exchange potassium ions into the parietal cells of the stomach with H+ ions.

The bicarbonate ion is transported out of the cell into the blood via a transporter protein called anion exchanger which transports the bicarbonate ion out the cell in exchange for a chloride ion (Cl–). This chloride ion is then transported into the stomach lumen via a chloride channel.

This results in both hydrogen and chloride ions being present within the stomach lumen. Their opposing charges leads to them associating with each other to form hydrochloric acid (HCl).

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8
Q

What are the Phases of Gastric Secretion​

A

Cephalic phase​= short phase (prepare stomach to receive food) sight, smell, taste or thought of food to get digestion ready. Nervous control, vagus nerve allows for a positive stimulation, stimulating mucous cells to produce mucus, parietal cells to produce HCL and Chief cells to produce pepsinogen and G cell to produce gastrin (switching on stomach and secretion)

Gastric phase= digestion, long phase lasting 3-4 hours, helps perpetuate secretion but also motile forces to mix food with secretions. There is a hormonal influence and secretion cells switch on. These have a positive feedback influence and gastrin specifically helps facilitate excitation of mucosa creating mass peristalsis waves to mix digesta and secretions and break down food

intestinal phase=Switching off the stomach and preparing it to release food into duodenum, it is long lasting (hours), it has neuronal and hormonal influences for secretion. These secretions some obtained from pancreas such as, CCK, GIP and secretin are negative regulatory switch off secretion of chief cells, parietal cells and G-cells ultimately they also switch off contractibility of mucosa, switching off peristalsis. They switch off positive neuronal influence and secretive influences.

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9
Q

Quick summary of digestion in stomach (secretions)

A

Protein digestion
pepsinogen (zymogen proenzyme) +HCL–>pepsin (active enzyme)
carboxyl protease (endopeptidase) starts to make
protein–>peptides

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10
Q

The Gallbladder​ and The Pancreas​

A

gallbladder
Hollow, pear-shaped organ​
Stores, modifies and concentrates bile​. It emulsifies fats

pancreas
Endocrine functions​
Insulin and glucagons​
Exocrine functions​
Majority of pancreatic secretions (alkaline to help buffer stomach acid)​
Pancreatic juice secreted into small intestine​
Carbohydrases (carbohydrate digestion)​
Lipases (fat digestion)​
Nucleases​
Proteolytic enzymes (protein digestion): Trypsinogen​ these further digest proteins into peptides

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11
Q

Secretions
Pancreatic and Biliary systems

Name the proteolytic NZMs?
What degrades starch and complex carbohydrates, disaccharides and triglycerides?
What neutralises acid from the stomach?

A

Pancreas
Digestive NZMs (acinar cells)​
Proteolytic NZMs: Trypsinogen, Chymotrypsinogen​
Procarboxypeptidase, proaminopeptidase and ​
proelastase​. All zymogens have to be converted to active enzyme first.
Pancreatic amylase (degrades starch and complex carbohydrates to simpler carbohydrates)​
Carbohydrases (sucrase, lactase, maltase these digest disaccharides to monosaccharides)​
Pancreatic lipase (hydrolyses TriG to fa’s+glycerol)​
aqueous NaHCO3 (produced by duct cells, neutralises acid from stomach)​

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12
Q

liver/ gall bladder

Whatdoes bile do?
Why is the liver important?

A

Liver / gall-bladder: an alkaline secretion!​
Bile (containing bile salts (for emulsification) and phospholipids)​
Emulsify fats (large droplets to small particles)​

Liver: important in metabolism of protein, ​lipid, CHO’s, Vits, minerals, pigments and haem products ​

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13
Q

The Small Intestine ​

Name secretions
What helps buffer acids?

A

Moisten chyme​
Help buffer acids​
Maintain digestive material in solution​ to facilitate absorption

Juice secreted does not contain digestive NZMs.​

Intracellular activity of NZMs in Brush-border ​of epithelial cells:​ (these stay there, they aren’t secreted)

a-dextrinase, maltase, sucrase, lactase, enterokinase​
aminopeptidase, dipeptidase​ nucleosidases, phosphatases.​

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14
Q

Intestinal secretion (succus entericus)​

What does it do?
Name extracellular enzymes
Name intracellular enzymes

A

Succus entericus is an acid secretion produced by glands in the duodenum wall that consists of water, biological attributes, and hydrogen carbonate ions. It protects the duodenum by offsetting the acidic environment and proteolytic mucus that tries to enter the small intestine from the stomach.

Consists of: Enzymes​
Intestinal mucus ​
Electrolytes (Cl-, HCO3-, PO42-)​

Extracellular enzymes​
intestinal alpha amylase ​
enterokinase (Trypsinogen activator) ​

Intracellular enzymes​
Located within epithelial cells on surface of villi ​
Peptidases lipases disaccharidases, nucleotidase​
Nucleosidase prolinase ​

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15
Q

Digestion – pancreas/small intestine ​

How is Trypsin formed?
What cascade does this lead to?

A

trypsinogen +enterokinase–> Trypsin (endoprotease protein-peptide)
This then cause a cascade of all other zymogens to activated forms as trypsin converts
1) chymotrypsinogen–>chymotrypsin
2)procarboxypeptidase–>carboxypeptidase
3) proelastase–>elastase

OTHERS (fats)
1)triglycerides+lipase (lipolytic NZM)–>fatty acids+glycerol
2)starch glycogen dextrins+amyase–> maltose (disaccharide)

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16
Q

secretion in the Large Intestine ​

A

Alkaline mucus – protective.​
alkaline secretion (buffering capacity)
no digestion in the large intestine