digestive secretions Flashcards

1
Q

name the 4 secretions of digestive tract

A

saliva
gastric juice
pancreatic juice
bile

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2
Q

Digestive secretions contain large volumes of

A

fluids and electrolytes

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3
Q

animals must continually _____ the fluids and electrolytes to maintain hydration

A

absorb

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4
Q

what lubricates and moistens food

A

saliva

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5
Q

what is the antibacterial activity of saliva

A
  • Antibodies
  • Lysozyme
  • Keep bacterial population under control
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6
Q

what begins digestion

A

salivary enzymes

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7
Q

what enzyme within saliva begins digestion

A
  • Salivary amylase (omnivores)
  • Lingual lipase (neonates)
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8
Q

how far do the salivary enzymes work, when do they stop working and why

A

The salivary enzymes are able to continue their digestive processes in the proximal stomach, where food is stored. They are deactivated by the lower pH of the
distal stomach.

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9
Q

what role does saliva have on thermoregulation

A

panting in sheep and dogs, as well as the application of saliva on the coat, such as we
see in some rodents

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10
Q

salivary acini secrete what 4 things

A

water
electrolytes
enzymes
mucous

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11
Q

where is saliva modified

A

salivary ducts

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12
Q

when saliva is modified in salivary ducts, what happens to it

A

electrolytes (especially sodium and chloride ions) being reabsorbed. This usually results in a hypotonic solution

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13
Q

what are afferent stimuli for salivation

A

chewing
stimulation of taste buds
anticipatory

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14
Q

can a salivary response be conditioned

A

yes ex classical conditioning, dog and bell

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15
Q

The salivary glands are largely under _____ control via what nerves

these nerves have acetylcholine (ACh) as they neurotransmitter and so they are _____

A

parasympathetic

the facial (VII) and
glossopharyngeal (IX) cranial nerves

cholinergic

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16
Q

Salivary glands also contain βadrenergic receptors, which are activated by

A

sympathetic nerves or by circulating catecholamines.

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17
Q

what explains why we see increased saliva production in dogs about to attack

A

Salivary glands also contain βadrenergic receptors, which are activated by sympathetic nerves or by circulating
catecholamines.

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18
Q

Unlike other digestive secretions, there is no ____ regulatory
component for saliva.

A

endocrine

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19
Q

is there endocrine regulation for saliva

A

no

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20
Q

what is atropine

A

anti-cholinergic drug used as anesthetic

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21
Q

since atropine is anti-cholinergic what does it do to saliva production

A

reduces saliva production; decreases risk of secretions into airways

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22
Q

is ruminant saliva ____tonic

A

isotonic

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23
Q

compared to other species ruminate saliva what a higher amount of what 2 ions

A
  • bicarbonate (HCO3-)
  • phosphate (PO4 2-)
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24
Q

does rumen saliva have high or low pH

A

high: neutralizes acids created during fermentation; maintains normal rumen microbiota

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25
Q

how much saliva do rumens produce per day

A

100-200L

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26
Q

gastric mucosa is ____ in most species

A

glandular

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27
Q

which species have non-glandular regions of gastric mucosa

A

horse and rat

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28
Q

cardiac gland secrete mainly

A

alkaline mucous

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29
Q

fundic glands aka proper gastric glands secrete mainly

A

mucous, HCl and pepsinogen

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30
Q

pyloric glands secrete mainly

A

mucous, but also gastrin

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31
Q

is gastric region surface mucosa produces

A

thick mucous to protect surface

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32
Q

parietal cells of stomach produce what

A

hydrochloric acid

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33
Q

parietal cells are what shape

A

pyramid; narrow apex and wide base

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34
Q

surface area of parietal cells increased by

A

deep infoldings in the apical surface

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35
Q

secretory part of parietal cell

A

canaliculus, subdivided into lots of little canaliculi

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36
Q

how is hydrochloric acid produced by parietal cells

long answer this is just a summary slide

A

It secretes both hydrogen and chloride ions.

water (H2O) and carbon dioxide (CO2) combine within the cytoplasm of the parietal cell to produce carbonic acid (H2CO3).

This reaction is catalysed by carbonic anhydrase, which is found in high concentrations in the gastric mucosa.

The carbonic acid then
spontaneously dissociates into a hydrogen ion (H+) and a bicarbonate ion (HCO3–)

The hydrogen ion is then transported into the stomach lumen via a H+– K+ ATPase ion
pump aka proton pump. This uses ATP as an
energy source, to exchange potassium ions from the lumen into the parietal cells of the stomach, with H+ ions being transported in the opposite direction, (from the parietal cell into the lumen.) So 1 K+ is pumped into the cell for each H+ ion that’s secreted into the lumen. In this exchange process, one molecule of ATP is hydrolysed to ADP releasing the energy required.

The K+ ions that accumulate within the cell are released back into the lumen with Cl ions. This allows the potassium ions to be recycled, with little net movement of K+
ions.

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

The bicarbonate ion is transported out of the cell into the blood. It does this via a transporter protein called an anion exchanger. This anion exchanger transports the bicarbonate ion out the cell
in exchange for a chloride ion (Cl–). This makes additional chloride available for
secretion into the glandular lumen.

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37
Q

during the process of parietal cells making Hydrochloric acid, bicarb ions are released into blood. This secretion of
bicarb ions across the basolateral membranes of the parietal cells produces what is called an _____ in the bloodstream.

A

“alkaline tide”

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38
Q

when is an “alkaline tide” normally seen

A

after a meal

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39
Q

how is the bicarb being released into blood (during process of parietal cells making hydrochloric acid) neutralized?

A

Normally this slight increase in blood HCO3- is neutralised by a secretion of hydrogen ions by the pancreas, when bicarbonate ions are secreted. This happens
when the gastric acid reaches the duodenum

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40
Q

how could alkalosis occur when bicarb ions are released into blood

A

can occur if something (a blockage or vomiting) prevents gastric acid
from reaching the duodenum (gastric acid neutralizes the bicarb ions)

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41
Q

peptic cells aka chief cells secrete

A

zymogens (inactive proenzymes) which are a type of pepsinogens (protein-digesting enzymes)

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42
Q

pepsinogen

A

protein-digesting enzyme

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43
Q

When pepsinogens are exposed to acid in the stomach lumen, what happens

A

a small portion is cleaved off and the enzymes become active pepsin.

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44
Q

this pattern of deactivated to active zymogen formation (by chief cells/ aka peptic cells) prevents what

A

digestive enzymes from digesting the cells that are making them

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45
Q

Parietal cell membrane is dynamic meaning

A

number of canaliculi rise and fall according to secretory need

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46
Q

_____ aka (“tubulovesicles“) fuse with the parietal cell membrane to increase surface area

A

Canalicular precursors

47
Q

what decreases the surface area of the parietal cell membrane

A

Endocytosis of canaliculi (reforming the tubulovesicles) to decrease surface area

48
Q

describe how SA of parietal cell membrane is increased and decreased

A

Canalicular precursors (“tubulovesicles“) fuse with the membrane to increase surface area

Endocytosis of canaliculi (reforming the tubulovesicles) to decrease surface area

49
Q

at rest, what happens to the number of proton pumps within parietal cell membrane

A

number of proton pumps in minimal

the others are sequestered
within the tubulovesicles in the parietal cell

50
Q

what happens when the parietal cells is stimulated

A

the vesicles fuse with the cell membrane. This leads to increased numbers of proton pumps in the parietal cell membrane. With more proton pumps, this allows increased movement of hydrogen ions into the stomach thus increasing acid production.

51
Q

name the 3 ways in which parietal cells can be stimulated

A

histamine, acetylcholine or gastrin

52
Q

how acetylcholine stimulates parietal cells

A

cephalic phase
- released via stimulation of vagus nerve, during cephalic phase of digestion when food is seen or chewed (anticipatory)
- signal sent to CNS –> vagus nerve –> ENS –> released ACh
- stimulates G cells (gastrin) and parietal cells (HCl)
- gastrin (endocrine) stimulates parietal cells (HCl)

gastric phase
- food entering stomach enters stomach –> gastric distension
- stimulates stretch receptors
- stimulates sensory stimulation of ENS
- ENS produces ACh
- same as above
- stimulates G cells (gastrin) and parietal cells (HCl)
- gastrin (endocrine) stimulates parietal cells (HCl)

53
Q

Gastrin is secreted by

what are these activated by

A

G cells in stomach

vagus nerve, gastrin related peptide and by peptides in stomach lumen produced via protein digestion

54
Q

what does activation of G cells lead to

(ie how does gastrin stimulate parietal cells)

A

production of gastrin which is released into blood, reaches parietal cells, binds to CCK, elevates calcium levels, increases fusion tubulovesicles within parietal cell membrane, more proton pumps, more H ions into stomach, increases acid production

55
Q

histamine is secreted by

when do they secrete histamine

A

mast cells and enterochromaffin like cells in stomach mucosa

they secrete histamine is response to presence of gastrin and ACh

56
Q

how does histamine stimulate parietal cells

A

The histamine binds to H2 receptors on the parietal cells. This leads to increased fusion of
tubulovesicles with the parietal cell membrane. The mechanism of action is a bit different, rather than elevating calcium levels, it works via the secondary messenger cAMP.

57
Q

stimulation of gastric secretion

full picture summary

A

What happens to gastric secretions when an animal eats food?
The food acts as a buffer, raising the stomach pH.
This removes the inhibiting effect of acid on G-cell secretion, increasing gastrin secretion.
As gastric digestion and secretion proceed, and the parietal cells produce hydrochloric acid, the pH in the stomach decreases.
When the pH falls to about 2, gastrin secretion is suppressed, and at a pH of 1, it stops completely.
This removes the gastrin stimulus to the parietal cells, and acid secretion is reduced.
As the acid contents move from the stomach into the
duodenum and the pH of the duodenum is reduced, gastric acid production is
suppressed.
might involve the hormone secretin (which is produced in the duodenum) or reflexes acting through the enteric nervous system.

58
Q

treating gastric ulcers is based on inhibiting ______ with target of increasing gastric pH to:

A

gastric acid secretion
above 4

59
Q

what are 3 treatments of gastric ulcers

A
  • omezaprole: proton pump inhibitor
  • antihistamines (H2 receptor antagonists) sich as cimetidine and ranitidine
  • line mucosa (like a band aid) with sucralfate
60
Q

pancreatic exocrine secretions are essential for digestion of complex nutrients such as (3)

A
  • proteins
  • starches
  • triglycerides
61
Q

acinar cells secrete enzymes in the form of

A

zymogens

62
Q

centroacinar cells and duct cells secrete

A

sodium bicarbonate solution

63
Q

pancreatic cells have surface receptors which are stimulated by: (3)

A
  • acetylcholine
  • cholecystokinin
  • secretin
64
Q

______ pancreatic secretes hormones into bloodstream

A

endocrine

65
Q

_____ pancreas secretes zymogens which helps digest proteins, starches and triglycerides in small intestine

A

exocrine

66
Q

centroacinar cells and duct cells modify the

A

pancreatic juice

67
Q

centroacinar cells have an exchange protein that transport bicarb ions ___ of cells in exchange for ____

does this exchange protein need ATP?

A

out
chloride ions

no, driven by high intracellular bicarb concentration

68
Q

so centroacinar cells hsve proteins that push bicarb out in exchange for CL- in, and so the pancreatic juice is higher pH (more basic) due to the bicarb concentration, so alkaline pancreatic juice, what does it do?

A

alkaline pancreatic juice helps to neutralise the acidic contents of the
GI tract, coming from the stomach

69
Q

where does the high bicarb concentration in acinar cells come from

A

1) electrolyte transport proteins on basolateral surface of cell which include Na+-Hco3- co-transporter; sodium and bicarb ions cotransported into cell

2) carbonic anhydrase present in cell which generates bicarb within cell

3) chloride-bicarb exchanger at luminal membrane

70
Q

H+ ions produced from carbonic anhydrase reaction, these are removed from acinar cells at basolateral membrane by a sodium/ H+ exchanger, what does this do

A

acts to balance the “alkaline tide” that was generated by the secretion of gastric acid.

71
Q

acinar, centroacinar and duct cells have 3 different type of receptors which bind to

A

acerylcholine, cholecystokinin and secretin

72
Q

Acetylcholine is released from _____ near the cells, to stimulate pancreatic secretion

A

nerve endings

73
Q

Acetylcholine is released from nerve endings near the cells, to stimulate pancreatic secretion

These nerve fibres have their cell bodies in the ______, and then travel outside the gut wall and into the pancreas.

A

enteric nervous system

74
Q

what is the main hormonal stimulus for acinar cells

A

cholecystokinin (CCK)

75
Q

what is the main hormonal stimulus for centroacinar and duct cells

A

secretin

76
Q

acinar cells secrete macimallyt when

A

Ach, CCK and secretin are bound. Secretin is therefore said to potentiate – or increase – the action of CCK on acinar cells, and CCK potentiates the action of secretin on centroacinar and duct cells

77
Q

pancreatic stimulation divided into 3 phases

A

1) cephalic phase: sight and smell of food

2) gastric phase: stomach distension –> vasovagal reflex

3) intetsinal phase: duodenal distension –> ENS stimulation

fats and peptides in duodenum –> CCK released

low pH in duodenum –> secretin released

78
Q

what produces bile

A

hepatocytes

79
Q

order of bile secretion

A

hepatocytes –> bile –> canaliculi –> bile ductules

80
Q

bile ductule epithelium modifies bile by adding

A

H2O, electrolytes, HCO3-

81
Q

cholesterol is ____ in H2O

A

insoluble

82
Q

hepatocytes form bile acids from

A

cholesterol

83
Q

are bile acids hydrophobic or hydrophilic

A

Bile acids have hydrophilic
(water-soluble) and hydrophobic (lipid-soluble) side

84
Q

bile acids make lipids ____ in H2O

A

soluble

  • Emulsify dietary lipids
  • Makes products of fat digestion soluble
85
Q

what do bile acids do to some cell membrane constituents (like cholesterol and phospholipids) as they secreted

A

dissolve away

86
Q

bile contains what 3 components

A

bile acids, cholesterol and phospholipids

also has other things such as bile pigments and drugs and toxins

87
Q

what are the components of bile: bile acids, cholesterol and phospholipids, all important for

A

digestion and absorption of fats in diet

88
Q

liver serves as excretory organ for _____ compounds

A

lipid soluble

89
Q

bile pigments are breakdown products of

A

hemoglobin from RBCs

90
Q

what gives bile is green colour and later gives poo brown colour

A

bilirubin

91
Q

when no/little food in duodenum the ______ closes and bile is diverted to gall bladder

A

sphincter of Oddi

92
Q

sphincter of Oddi

A

where common bile duct enters into the duodenum

93
Q

the epithelium of gall bladder does what to bile

A

absorbs sodium, chloride and bicarb from bile; concentrates the bile and volume is reduced

94
Q

what happens to bile in species with no gall bladder like horse and rat

A

sphincter of oddi is non-functional and bile secretion is continous

95
Q

bile acids aid in digestion and absorption of fats in ____ but are not absorbed themselves until they reach ____

A

jejunum
ileum

96
Q

when bile acids are absorbed in ileum, they travel back to liver in

A

hepatic portal vein, reabsorbed in liver, back into bile (enterohepatic circulation)

97
Q

some drugs and toxins are recycled by _____

what does this do to them

A

enterohepatic circulation

extends duration of action

98
Q

what is secreted in repsonse to fat in duodenum

A

CCK

99
Q

CCK is secreted when fat is in duodenum,

what does CCK do to sphincter of oddi and gall bladder

A

relaxes sphincter of oddi and contracts gall bladder

100
Q

bile acids returning in enterohepatic circulation stimulates

A

bile production

101
Q

bile acids returning in enterohepatic circulation stimulates bile production

what kind of feedback is this

A

positive

102
Q

what is secreted in response to acid in duodenum

A

secretin

103
Q

secretin is secreted in response to acid in duodenum, what does this stimulate from bile ductules

A

stimulates H2O HCO3- secretion from bile ductules

ie bile also acts to help neutralize stomach acid

104
Q

when fat is digested in SI what happens to CCK, and what is the result of this

A
  • CCK no longer released
  • Sphincter of oddi closed
  • bile no longer secreted into SI
  • no bile acids in enterohepatic circulation
  • bile production decreases
105
Q

In monogastric animals, saliva produced during periods of rapid secretion has a higher electrolyte concentration than saliva produced during periods of slow salivary secretion. From your understanding of salivary gland physiology, which of the following appears to be the MOST LIKELY explanation?

A

During rapid secretion, fluid produced by the acinar cells is exposed to the actions of the duct cells for a shorter time than during slow rates of secretion

106
Q

Some nutritionists are researching a drug that increases the secretion of saliva in cattle. What effect do you think this would have on the pH of the rumen?

A

Increase rumen pH

107
Q

If the enzyme carbonic anhydrase is inhibited, what effect is this likely to have on gastric pH?

A

Increase gastric pH

108
Q

Which of the following is NOT a stimulus for gastric acid secretion?

A.
Norepinephrine secretion arising from stimulation of sympathetic nerves

B.
Vagal nerve activity associated with an animal seeing food

C.
The presence of undigested protein in the pyloric antrum

D.
Acetylcholine release stimulated by the gastric stretch receptors sensing the presence of food in the stomach, acting on the enteric nervous system

E.
Histamine release from cells in the gastric mucosa

A

A.
Norepinephrine secretion arising from stimulation of sympathetic nerves

109
Q

Fundic glands contain 4 types of secretory cells: mucous neck cells, chief cells, parietal cells, and enteroendocrine cells. Pepsinogen and prorenin are zymogens, which are converted to the active enzymes pepsin and renin in the gastric lumen, where they help to break down protein. Pepsinogen and prorenin are secreted by which of the following types of cells?

A

Chief cells

110
Q

There are 5 major gastrointestinal hormones that are part of the intrinsic endocrine system. Which of the following hormones is produced in the distal stomach and stimulates parietal cells to secrete hydrochloric acid?

A

Gastrin

111
Q

Which of the following is NOT a natural ligand for pancreatic receptors?

A.
Cholecystokinin

B.
Acetylcholine

C.
Gastrin

D.
Secretin

A

C. Gastrin

112
Q

During which phase of pancreatic secretion is secretin released?

A

Intestinal phase

113
Q

Bile secretion is initiated by the presence of food in the __________ and stimulated by the return of __________ to the liver.

A

Duodenum; bile acids

114
Q

When an animal with a gall bladder ingests food that contains some fat, the gallbladder is signalled to contract. The presence of fat in the proximal __________ stimulates __________ in the mucosa to produce __________, which signals the gall bladder to contract.

A

Duodenum; enteroendocrine cells; cholecystokinin