Energy Balance Flashcards
Energy in equals…
Energy out
*bucket theory?
What is positive energy balance?
More energy coming in than going out
 what is negative energy balance?
More energy out than coming in
energy is…
The capacity to do work
Energy is…
The capacity to do work
What is the energy currency that cells use?
Adenosine triphosphate (ATP) 
ATP provides the “fuel” to perform what three types of work?
- Mechanical work (muscle contraction, ciliary and flagellar movement)
- Transport work (moving ions and other molecules across cell membranes, absorption and secretion)
- Chemical work (building molecules)
ATP is synthesize metabolically by cellular respiration. As a result, energy balance is centered around the….
Chemical reaction to synthesize ATP
C6H12O6 + 6(H2O) + 6(O2) ——> 6(CO2) + 12(H2O) + ATP + Heat 
Note that the metabolic process generates H2O and produces heat. Not our immediate concern but these are important for later topics related to fluid balance and thermal balance
What are the physiological systems needed to provide the “inputs” for cellular respiration?
• digestice system to provide glucose and other chemical intermediates
• accessory glands to aid the digestive system and digestive process
• endocrine and nervous system to regulate
• respiratory system to provide the O2 and eliminate CO2


Metabolic processes generate ____ and produce _______
H2O, heat
What are the four major layers of the G.I. tract?
- Mucosa
-  submucosa
- Muscularis externa
- Serosa
What does the mucosa (1) include?
Mucus membrane (epithelium) Lamina propria (connective tissue) Muscularis mucosa (smooth muscle)
What kind of tissue is the submucosa (2)? What is located here?
Connective tissue, the location of most glands
What is the muscularis externa composed of? What type of tissue is it?
- Circular muscle (diameter shrinkage)
- longitudinal muscles (length shrinkage)
Smooth muscle
What are the three main serosal membranes?
- Pleura
- Pericardium
- Peritoneum
All habe a visceral peritoneum (Serosa), this is what faces the organ
And parietal peritoneum
What are the four types of epithelial membranes? 
- Cutaneous (skin)- Epidermidis is the epithelial part, and dermis the connective tissue part
- Mucous membrane- wet membrane that faces the external environment of hollow structures of the body that connect to the surface
- Serosa membrane- wet membrane that lines closed cavities not connected to surface -two layers, parietal lines outer cavity and visceral lines outside of organs
What are the four main divisions of the digestive system?
- Motility-mix or move contents along
- Digestion- Breaking the bonds mechanically and chemically
- Secretion- enzymes, mucus
- Absorption- movement outside to inside the body ex: glucose, amino acids, fatty acids, water
Where are proteins mostly digested? Begin to be digested? 
Stomach
Where does most of the chemical digestion take place? 
Small intestine.
Taken into cells for fuel or to store energy
Digestion begins in the oral cavity by what two main mechanisms? 
- mastication-grinding and chewing of food with teeth mechanically
- salivary amylase- enzyme to digest starch into glucose
What are the regions of the stomach?
What are the two sphincters of the stomach?
-Fundus (top), body, atrium (bottom)
Lower Esophageal sphincter and pyloric sphincter
How much chyme is released into the small intestine at a time in order to slowly process nutrients
Only 1 mm at a time
What are the folds of the stomach called?
Rugae 
What are the main functions of the stomach?
• Control movement of chyme (chewed food mixed with gastric juice) into small intestine
• kill bacteria by low pH
• begin protein digestion (denature proteins by acid and low pH, and protein digestion by secreted proteolytic enzymes)

What are the important cells of the gastric mucosa?
Gastric glands
What protects the lining of the stomach from hydrochloric acid?
Neck cells that secrete mucus (located in gastric pits) 
What do chief cells secrete?
What do you parietal cells secrete?
Pepsinogen 
Acid 
What do G cells secrete? 
The hormone gastrin
What is the list of important cells in the stomach? 
-  neck cells
- chief cells
- parietal cells
- G cells
- gastic glands 
Acid secretion in the stomach is regulated by….
Parietal cells
What is the function of tight junctions?
Prevents inter-paracellular movement
(Think of plastic that goes around six pack of soda)
What is the function of acid in the stomach?
To denature proteins and facilitate protein digestion and kill bacteria
Parietal cell:
apical membrane…
Basolateral membrane…
Apical membrane: portion of the membrane faces lumen, the portion that forms tight junctions
Basolateral membrane:
zymogen…
Is an enzyme precursor, the protein you have left changes the function
- partially denatured pepsinogen (by HCL) has some proteolytic activity that cleave some pepsinogen into pepsin*
This is a long-term regulator of appetite that is produced by fat 
Leptin
Protease digests _______
Peotiens
Enzyme secretion in the stomach is regulated by _____ cells 
Chief
What are the two phases in the control of enzyme and acid secretion?
- Cephalic phase
2. Gastric phase 
What is the cephalic phase? 
Thought and smell of food stimulates parasipathetic neural inputs (ACh) to G-cells and parietal cells
a. ACh directly stimulates acid secretion from parietal cell
b. ACh stimulates gastrin secretion from G cell which in turn acts hormonally on parietal cells to simulate acid secretion
What is the gastric phase?
Once food is in the stomach, mechanically distention of the stomach and presence of proteins and protein breakdown products act on mechanoreptors and chemo receptors that in turn act through the enteric nervous system to further simulate both G-cells and parietal cells.  they also feedback to autonomic to further stimulate the parasympathetic nervous system. 
Most digestion and absorption of nutrients occurs in the…
Small intestine
____________ of the small intestine is particularly important because secretions from the gallbladder and pancreas make their way into the lumen by way of common bile duct and pancreatic duct respectively
Duodenium (most digestion happens here)
What does bile digest?
Fat (triglycerides) 
Pancreatic (exocrine) secretion of ___________ rich solution helps neutralize chyme coming from the stomach so digestive enzymes from the pancreas will work to digest fats, carbohydrates, and proteins
Bicarbonate 
What does the apical membrane of the small intestines have?
Brush border composed of microvilli*
The opposite side is the basolateral membrane