Digestion & Absorption of Carbs and Proteins Flashcards
What are enterocytes?
Enterocytes are specialized cells lining the inner surface of the small intestine, where they play a crucial role in the absorption of nutrients and water from digested food.
These cells are a type of epithelial cell with unique structural features that facilitate their functions in nutrient absorption and barrier maintenance.
What types of gland is the pancreas?
Both exo- and endocrine
Exocrine = enzymes, electrolytes & mucin
Endocrine = insulin, glucagon, pancreatic polypeptides & somatostatin
What are acinar cells?
Specialized cells found in exocrine glands throughout the body, including the pancreas, salivary glands, lacrimal glands, and sweat glands. These cells are responsible for the production and secretion of various substances, including enzymes, hormones, and fluids, into ducts or directly into the external environment.
What do pancreatic acinar cells do?
Secrete peptidases, lipases, alpha-amylases & nucleases
What happens if acinar cells don’t work?
Malabsorption sydromes occur
What are ductal cells?
These cells line the ducts of exocrine glands and are responsible for modifying and transporting the secretions produced by the glandular cells (such as acinar cells) to their final destination.
What do ductal cells secrete?
Pancreatic juice with high concentration of HCO3-
What is the role of HCO3- in pancreatic juice?
Regulate the pH of upper intestine
What happens if there is a failure in pancreatic juice secretion?
Duodenal ulcers
Acinar cells vs duct cells
Acinar cells = CCK, ACh causing enzyme and Cl- secretion
Duct cells = secretin = HCO3- secretion
Why does the concentration of HCO3- increase as the rate of pancreatic juice secretion increase?
Primarily due to the action of ductal cells in the pancreas, which actively secrete bicarbonate ions into the pancreatic ducts.
This process is regulated by various signalling pathways and mechanisms to maintain the optimal pH environment for pancreatic enzyme activity and digestion in the small intestine.
Where does the HCO3- secreted into pancreatic juice come from?
Plasma
When secretion of HCO3- in pancreatic juice is high = acid tide in the plasma
What enzymes are found in pancreatic juice?
Pancreatic alpha-amylase, lipases & proteases
Role of pancreatic alpha-amylase
Hydrolyzes, glycogen, starch, complex CH2O
NOT cellulose
Describe pancreatic lipases
All secrete in their active form
Water-insoluble esters require bile salts to work
Name water-soluble esters and their properties
Short chain fatty acids
Do not require bile salts to be digested
Name some pancreatic proteases
Trypsin
Chymotrypsin
Carboxypeptidase A & B
Secreted in inactive zymogen form
What generally stimulates pancreatic secretion?
Parasympathetic system
What generally inhibits pancreatic secretion?
Sympathetic system
Partially mediated by vasoconstriction
What are the phases of pancreatic secretion?
Cephalic phase
Gastric phase
Intestinal phase
What is the most important phase of pancreatic secretion?
Intestinal phase
How is the cephalic phase of pancreatic secretion activated?
This phase is primarily under neural control and is initiated by the central nervous system in anticipation of food ingestion
Activated through sight, smell or taste of food
Enhanced by vagal stimulation
Secrete substantial amounts of enzymes & HCO3-