Gastric Secretion Flashcards

1
Q

role of chief cell

A

secrete pepsinogens

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2
Q

what is a zymogen

A

an inactive precursor to an active enzyme or substance e.g. pepsinogen –> pepsin

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3
Q

cells that secret HCl

A

parietal cells

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4
Q

secretions of parietal cells

A

HCl and intrinsic factor

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5
Q

what is intrinsic factor important for

A

transport of vit B12

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6
Q

mucus is secreted by what cells type in the gastric gland

A

surface and neck mucous cells

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7
Q

production of stomach acid requires entry of what two substances into the cell

A

Cl and CO2

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8
Q

in stomach acid production what is released back into the blood

A

bicarbonate (HCO3)

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9
Q

pH of stomach acid

A

<2

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10
Q

what moves across the leaky tight junctions of stomach epithelium as stomach acid is made

A

water

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11
Q

3 substances that stimulate gastric acid secretion

A

gastrin, histamine and acetylcholine

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12
Q

where does gastric acid production occur

A

in parietal cells

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13
Q

how do gastrin, histamine and ACh stimulate gastric acid production

A

by stimulating the K/H primary active pump

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14
Q

mechanism of histamine on acid secretion

A
  1. unique receptor when in gut stimulates a G protein coupled to AC
  2. AC makes ATP to cyclic AMP
  3. cAMP acts on proteins kinases to stimulate K/H pump
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15
Q

how do prostaglandins inhibit secretion

A

turns off AC thus stopping cAMP being made

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16
Q

neurocrine control gastric secretion

17
Q

endocrine control of gastric secretion

18
Q

paracrine control of gastric secretion

19
Q

what cells secrete histamine

20
Q

what substances stimulate ECL cells to release histamine

A

gastrin and ACh

21
Q

what stimulates G cells to release gastrin

A
  1. peptides in stomach lumen

2. vagus nerve

22
Q

what initial input triggers the vagal and enteric reflexes for gastric secretion

A

food in stomach causing distension

23
Q

presence of acid and fat has what effect on gastrin and HCl secretion

A

inhibition

24
Q

reflex that communicates acid in duodenum to stop gastrin and hence gastric secretion

A

enterogastric (splanchnic reflex)

25
what is an enterogastrone
a hormone released from gland cells in the duodenum
26
what are the 3 main enterogastrones
secretin, cholecystokinin (CCK) and GIP
27
enterogastrones are released in response to
acid, fatty acids, monoglyceridres and hypertonic solutions
28
enterogastrones effect on acid secretion and gastric emptying
inhibit acid secretion | reduce gastric emptying
29
inactive precursor of pepsin
pepsinogen
30
what pH changes pepsinogen to pepsin
pH <3
31
what pH inactivates pepsins
neutral (i.e. pH 7)
32
how does mucus protect against damage by acid and pepsin
pepsin will be inactivated by neutral pH (high bicarbonate) | physical barrier to acid
33
which cells produce intrinsic factor
parietal cells
34
lack of intrinsic factor and hence B12 absorption cause what condition
pernicious anaemia