Exam 4: Lecture 53: Gastrointestinal regulatory systems Flashcards
What are the four GI functions?
- Contraction/relaxation of smooth muscle and sphincters
- Secretion of enzymes, fluid, and electrolytes
- Trophic effects on tissues
- Secretion of other GI peptides
The functions of the GIT are regulated by what substances?
GI peptides: hormones, neurocrines, and pancrines
If a GI peptide is secreted from an endocrine cell and distributed through circulation to a different tissue, what is it called?
A hormone
A neurocrine is a GI peptide secreted from what type of cell?
Neuron
A GI peptide that is secreted from an endocrine cell but acts within the same tissue is known as what?
A paracrine
What are the four GI hormones?
- Gastrin
- Cholecystokinin (CKK)
- Secretin
- Glucose-dependent insulinotropic peptide (gastric inhibitory peptide - GIP)
What is the most important GI paracrine hormone?
Somatostatin
Somatostatin has major ______________ actions in the GIT.
inhibitory
T/F: GI neurocrines are released before an action potential.
False - they are released AFTER an action potential
What are the major neurocrines in the GIT?
Ach, NE, vasoactive intestinal polypeptide (VIP), gastrin-releasing peptide (GRP), enkephalins, neuropeptide Y, substance P
Promoting hydrogen ion secretion, stimulating growth of gastric mucosa, and increasing gastric motility are all functions of what GI hormone?
Gastrin
What cells secrete Gastrin?
G cells in the stomach
Which type of gastrin is secreted in response to a meal?
Little gastrin
When is big gastrin secreted?
In between meals
What two factors would inhibit gastrin secretion?
Low gastric pH and somatostatin
Describe the local vagal reflex.
GRP released from vagal nerves onto G cells
What type of cells secrete cholecystokinin (CKK)?
I cells of duodenal and jejunal mucosa
CKK is secreted in response to what substances?
Fatty acids, amino acids, and peptides
CKK has what function on the gall bladder?
Contraction of the gall bladder - helps to release bile
CKK has what impact on the pancreas?
Secretion of pancreatic enzymes and bicarbonate
Why is the secretion of bicarbonate from the pancreas important?
It neutralizes the digesta from the stomach by increasing the pH, allowing the digestive enzymes to work.
Does CKK activate or inhibit gastric emptying?
Inhibit