Exam 2: Digestion and Metabolism Flashcards
What are the 4 functions of the digestive system?
-take in food
-break down food into smaller molecules
-absorb molecules into bloodstream
-get rid of waste
What is the anatomy of the digestive system and how does food pass through?
-Alimentary canal (gastrointestinal tract)-> tube from mouth to anus
mouth -> pharynx -> esophagus -> stomach -> small intestine -> large intestine -> anal canal
What are the accessory organs of the digestive system?
-teeth and tongue
-gall bladder
-digestive glands (salivary glands, gall bladder, pancreas)
What are the 6 steps of the digestive process?
- ingestion -eating
2.Propulsion - movement (swallowing, peristalsis)
3.Mechanical breakdown - chewing, mixing, churning, segmentation - Digestion - catabolism
- Absorption - GI -> blood or lymph
- Deification - elimination
What is occurring in each organ of the digestive system during the digestive process?
Mouth- mechanical breakdown and digestion
esophagus - propulsion
stomach - mechanical breakdown and digestion
small intestine - digestion and absorption
large intestine - water absorption
How does the mouth perform mechanical breakdown?
the teeth and tongue break food into smaller pieces to increase the surface area available for digestion
How does the mouth perform chemical digestion?
Saliva!
Mostly water
Dissolves food -> taste
Moistens food -> eases swallowing (bolus)
contains enzymes (amylase, lipase)
defense against microorganisms (antibodies, lysozyme, defensins)
What stimulates salivation?
-tasting food: taste buds and chemoreceptors
-smelling food: chemoreceptors in nose
-thinking about food: cerebral cortex
Parasympathetic innervation: receptors send signals to medulla oblongata (facial and glossopharyngeal nerves) = salivation
What inhibits salivation?
-Strong activation of sympathetic division -> constricts blood vessels to salivary glands, causes dry mouth (xerostomia)
-Dehydration -> low blood volume reduces filtration pressure in capillaries
What are the 2 phases of swallowing/ deglutition?
- Buccal phase: voluntary, contractions of tongue force bolus into oropharynx
- Pharyngeal-esophageal phase: involuntary, controlled by swallowing center in medulla and lower pons. Muscles of the pharynx and esophagus force food into esophagus
Describe the gastrointestinal wall:
Includes smooth muscle laters that are responsible for motility through the AC. Circular layer goes around AC and longitudinal muscle runs down AC.
Describe smooth muscle and what are the two types:
spindle shaped cells, 1 central nucleus, no striations, 2 types; multiunit and unitary
What is multiunit smooth muscle?
discrete, separate smooth muscle fibers that operate independently, each fiber can contract independently, controlled by nerve signals
What is unitary smooth muscle?
100s-1000s of smooth muscle fibers that contract as a single unit, arranged in sheets or bundles
What are the cellular components smooth muscle cells:
-No T-tubules
-less developed SR than skeletal muscle
-Caveolae; pouch like inholdings that hold calcium
How is smooth muscle similar to skeletal muscle?
-actin and myosin interacting by sliding filaments
-sliding process energized by ATP
How is smooth muscle different than skeletal muscle?
-thin and thick filaments are not organized into sarcomeres
thin filaments (actin) has tropomyosin but no troponin
thick filaments (myosin)- myosin heads present along entire length
what are dense bodies?
similar to Z-discs, anchor actin fibers, found attached to sarcolemma and scattered through sarcoplasm
what are intermediate filaments?
non-contractile fibers that resist tension (pulling)
What are the 4 steps of smooth muscle contraction?
- Ca2+ bonds to calmodulin -> activates it
- Activated calmodulin activates myosin kinase
3.Activated myosin kinase catalyzes transfer of phosphate from ATP to myosin
4.Phosphorylated myosin forms cross-bridge with actin
What are unique aspects of smooth muscle contraction?
-takes 30x longer than skeletal but uses less than 1% of energy
-can contract for days without fatiguing
-exhibits relatively constant tension “smooth muscle tone”
-relaxes once intracellular Ca2+ levels deplete, slower reuptake of Ca2+ into SR than skeletal
How is skeletal vs smooth muscle regulated?
skeletal muscle is stimulated only by nervous system
smooth muscle is stimulated by nervous system, hormones, and local factors
What are smooth muscle fibers?
arranged in bundles of parallel fibers that are connected through gap juctions. The muscle layers function as a syncytium -> when AP occurs, it travels in all directions in the muscle, similar to cardiac
What are the two types of electrical activity in the AC?
-slow waves
-spikes
hyperpolarization and depolarization can occur
What is a slow wave?
NOT AP
slow, undulating changes in RMP stimulated by electrical pacemaker cells (interstitial cells of cajal), DONT cause contraction (no entry of Ca2+, excite appearance of spike potentials)
What is a spike potential?
APs
Ca2+ enters smooth muscle cells, occurs when RMP > -40mV, last 10-40x longer than APs in nerve fibers, Ca-Na channels are slower to open and close
What do depolarization and hyper polarization do to smooth muscle?
Depolarization makes smooth muscle more excitable, occurs by stretch, acetylcholine from parasympathetic NS, stimulatory GI hormones
Hyperpolarization makes smooth muscle less excitable, occurs by norepinherhine or epinephrine, stimulation by sympathetic NS
What is tonic contraction?
continuous contraction of smooth muscle, can occur from
continuous spike potentials
hormones (continuous depolarization of smooth muscle membrane)
continuous Ca2+ influx
What is the enteric nervous system?
NS of AC
lies within walls of AC beginning in esophagus and ending in anus
5x more neurons than in spinal cord
can function independently
also stimulated, inhibited by parasympathetic and sympathetic systems
sensory neurons can elicit reflexes
What are the 2 plexuses of the enteric nervous system?
- myenteric plexus: between longitudinal and circular muscle layers
- Submucosal plexus: Mesissner’s nerve plexus, in submucosa
What is the myenteric plexus?
chain of neurons, when stimulated, increases:
tonic contractions of AC
rate of contractions
intensity of rhythmical contractions
velocity of conduction waves along the gut wall
What does the myenteric plexus control?
gastrointestinal movements -> peristalsis, segmentation
May be inhibitory, spinchters -> control passage of food through AC
What is the submucosal plexus and what does it control ?
integrates sensory signals from AC epithelium
controls local:
secretion
absorption
blood flow
contraction of submucosal muscle (in-folding of AC)
What affects do the autonomic nervous system have on the AC?
Parasympathetic stimulation: rest and digest, increase activity of AC
Sympathetic stimulation: fight or flight, inhibit activity of AC
-> sting stimulation can block movement of food
What are afferent nerves?
stimulated by: irritation of gut mucosa, excessive stretch, presence of specific chemicals in gut
can excite or inhibit intestinal movements and secretions
signals can also go to spinal cord and brain stem (may initiate reflexes)
What are the reflexes in the AC?
May be integrated in
-enteric NS (reflexes for peristalsis and mixing contractions)
-prevertebral sympathatic ganglia (evacuation of colon, inhibition of stomach motility and secretion)
-spinal cord/brain stem - vomiting reflex, pain reflex inhibiting AC, defecation reflexes
What is the vomiting reflex/emesis?
Stimulants: extreme stretching of stomach, irritants like bacteria, alcohol, spicy food, drugs
Emetic/ vomiting center: in medulla oblongata
makes diaphragm and abdominal wall contract = chyme expelled
What does the esophagus do in the AC?
carries food from mouth -> stomach
propelled by peristalsis
solid food ~8s
liquid 1-2s
What is peristalsis?
wave-like contractions of smooth muscles
propels food through esophagus and intestines
churns chyme in stomach
also moves waste
can also occur in ducts, ureters, and smooth muscle tubes
How is peristalsis stimulated?
stretching of the AC, polarized (1 direction) from mouth -> anus
What are the 3 steps of peristalsis?
1.propulsion
2.grinding
3.retropulsion
What does segmentation do in the small intestine?
alternating contraction/ relaxation
mixes chyme
allows time for absorption
enteric pacemaker cells set rhythm
slowly pushes food forward
takes ~2hrs to pass through intestine
What is an AC secretion and their 2 functions?
-secretions by glands
1. chemical digestion ( digestive enzymes)
2. Lubrication and protection (mucus)
What are the 3 types of glands?
-mucus glands (goblet cells) -> single celled
-pits -> contain secretory cells
-tubular glands -> have tube for secretion
What are the 3 mechanisms for stimulation of the AC glands?
epithelial contact
autonomic stimulation
hormones
How dos epithelial contact stimulate the AC glands?
-presence of food stimulates glands in that region
-enteric NS may be stimulated
-types of stimuli: touch, chemical irritation, stretching
-Stimulates mucus cells and deeper glands to increase secretion
How does autonomic stimulation stimulate the AC glands?
Parasympathetic: increase rate of secretion. Upper AC and 1/3 of large intestine. mouth, esophagus, stomach, pancreas, and duodenum. Remaining portions of small and large intestine respond to local neural and hormonal stimuli
Sympathetic: dual effect
Alone-> slightly increase secretion
If parasympathetic stimulation is occurring, sympathetic stimulation will decrease secretions through vasoconstriction
How do hormones stimulate the AC glands?
regulate the volume and type of secretions in stomach and intestine
produced in response to presence of food
may have stimulatory or inhibitory effect
What is the stomach and what does it do?
storage tank, chemical digestion, converts bolus -> chyme, ~4L capacity
What are the functions of the stomach?
mechanical breakdown (churns)
chemical digestion (gastric juice, protein and fat digestion occurs)
little to no absorption (alcohol and aspirin are exceptions)
What are the stomach layers?
-Mucosa
–simple column of epithelial cells, secrete bicarbonate rich mucus
–gastric pits
lead into gastric glands which make gastric juices, 5 cells that secrete substance for acid production, mucous cells help protect stomach from HCl
Chief cells
Produce?
Product do?
how stimulated/ inhibited?
pepsinogen
digests proteins after becoming pepsin when reacting with HCl
stimulated by parasympathetic NS (acetylcholine) and enteric NS
Parietal cells
Produce?
Product do?
how stimulated/ inhibited?
HCl
lowers pH
stimulated by parasympathetic NS, histamine, gastrin
inhibited by somatostatin
ECL cells
Produce?
Product do?
how stimulated/ inhibited?
histamine
stimulates parietal cells
stimulated by proteins in stomach, hormones secreted by enteric NS
G cells
Produce?
Product do?
how stimulated/ inhibited?
Gastrin
stimulates ECL cells to produce histamine, stimulates chief cells
stimulated by proteins in stomach
D cells
Produce?
Product do?
somatostatin
inhibits parietal cells
What are the 3 phases of gastric secretion regulation?
1.cephallic phase
2. gastric phase
3. intestinal phase
What happens during the 1st phase of gastric secretion regulation?
Cephalic (reflex) phase
Triggered by: sight, smell, thought
sensory receptors -> medulla oblongata -> vagus nerve (parasympathetic NS) -> secretory cells -> gastric juices
What happens during the 2nd phase of gastric secretion regulation?
Gastric phase
Triggered when: food reaches stomach, 2/3 gastric juices made over these 3-4 hours
Stimulation:
1. stomach distension -> stretch receptors-> secretory cells -> gastric juices
2.proteins and other chemicals -> secretory cells -> gastric juices
What happens during the 3rd phase of gastric secretion regulation
Intestinal phase
triggered when: food reached duodenum, provides feedback to stomach
2 phases:
1. stimulatory phase (weaker):
intestinal cells -> gastrin -> stomach -> secretory cells -> gastric juices
2. Inhibitory phase (dominant):
intestinal cells -> enterogastrones (secretin, CCK) -> stomach-> no gastric juices
What is the gastric mucosal barrier?
protects surface of stomach from acidic conditions and enzymes
bicarbonate rich mucus neutralized pH, tight junctions, highly regenerative cells
What are the 3 parts of the small intestine?
duodenum
jejunum
ileum
Chemical digestion!!