Gastric Secretion Flashcards
What are the 3 parts of the stomach?
Fundus
Body
Antrum
What is the function of the fundus?
Storage
What is the function of the body of the stomach?
Storage
Mucus, HCl, Pepsinogen and intrinsic factor production
What is the function of the antrum of the stomach?
Mixing/ Grinding
Gastrin production
What does mucous neck cells secrete?
Mucus
What does chief cells secrete?
Pepsinogens - inactive precursor of pepsin
What does parietal cells secrete?
HCl and Intrinsic factor
What are the 3 main gastric glands?
Mucous neck cells
Chief cells
Parietal cells
Explain how HCl is produced and released out apical membrane into stomach lumen
CO2 from blood crosses basolateral membrane of cell - joins with water and carbonic anhydrase to make carbonic acid
This dissociates into H and bicarbonate
H uses HKATPase pump
H and Cl join with water to make HCl
What happens to bicarbonate when dissociated from carbonic acid?
Exchanges with Cl across basolateral membrane and leaves into blood to increase pH
What can stimulate the HKATPase pump ?
Gastrin (hormone) binding on basolateral membrane to release Ca - protein kinase C
Histamine binds to release Gs then AC to convert ATP to cAMP which releases protein kinase A
ACh binds to muscarinic receptor releasing Ca - protein kinase C
What can inhibit the HKATPase pump?
Prostaglandins
What 3 mechanisms control gastric acid secretion?
Neurocrine - vagus/ local reflexes
Endocrine - gastrin
Paracrine - histamine
Explain the cephalic phase - stimulating gastric acid secretion
Sight, smell and taste of food causes vagus nerve to release ACh and G cells to release gastrin - works on parietal cells
Gastrin/ACh works on ECL cells releasing histamine - parietal cells
What during the gastric phase stimulates gastric acid secretion?
Distention of stomach
Peptides in lumen
Gastrin/ ACh