Gastric secretion and its regulation Flashcards

1
Q

types of secretion - 1

A

HCl

  • secreted by parietal cells of stomach
  • creates acidic environment in stomach to kill pathogens entering
  • to activate pepsinogen -> pepsin for protein digestion
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2
Q

types of secretion - 2

A

intrinsic factor

  • secreted by parietal cells
  • needed for absorption of vitamin B12 in small intestine
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3
Q

types of secretion - 3

A

pepsinogen

secreted by chief cells

by converting pepsinogen -> pepsin to help break down proteins

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4
Q

types of secretion - 4

A

mucus

  • produced by mucosa/ goblet cells

protection
movement
lubrication

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5
Q

types of secretion - 5

A

bircarbonate

released by epithelial cells
neutralises stomach acid

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6
Q

Phases of Gastric Secretion - 1

A

DETECTION

the thought / sight/ smell of food causes activation

signals sent vagus nerve

signals sent to medulla/pons in brainstem

Ach + Muscarinic Receptors
- parietal cells released HCl
- chief cells release pepsinogen

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7
Q

Phases of Gastric Secretion - 2

A

STORING

when fundus/ corpus stomach receives food it temporarily stores it

the stomach can expand if there is large amount of food to be stored due to rugae + vagovagal stretch receptors

G-cells release gastrin
enterochromaffin cells release histamine

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8
Q

Phases of Gastric Secretion - 3

A

MIXING

food mixed with stomach 3 layers:

  • longitudinal = outer
  • circular = medial
  • oblique = inner

this forces contents to be mixed with gastric juices + gastric enzymes = chyme produced

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9
Q

Phases of Gastric Secretion - 4

A

EMPTYING

the end of the stomach is pars pylorica which stretches into small intestine

inhibitory hormones ensures negative feedback mechanisms to ensure chyme is ready to move from stomach -> SI

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10
Q

Regulation of the stomach emptying - hormone 1

A

GASTRIN = stimulates

produced by G cells in stomach

producing of gastric acid for motility

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11
Q

Regulation of the stomach emptying - hormone 2

A

CCK = inhibits

produced by small intestines

released to slow gastric emptying as an inhibition

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12
Q

Regulation of the stomach emptying - hormone 3

A

SECRETIN

produced by S cells of duodenum

released to slow gastric emptying as an inhibition

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13
Q

Regulation of the stomach emptying - hormone 4

A

GASTRIC INHIBITORY PEPTIDE

released by small intestine

release insulin in response to food intake

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14
Q

Regulation of the stomach emptying - hormone 5

A

MOTILIN = stimulates

released during fasting state

promotes migrating motor complex MMC

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15
Q

Regulation of the stomach emptying - reflex mechanism

A

enterogastric reflex

if chyme is too acid/ fatty/ osmolaric OR small intestine is overstretched

gastric motility inhibited

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16
Q

Regulation of the stomach emptying - local 1

A

histamine

  • released by chromaffin cells
  • binds to H2 receptor on parietal cells
    = releases HCl secretion
17
Q

Regulation of the stomach emptying - local 2

A

prostaglandin

  • released from arachnadoic acid, COX enzyme
  • protect stomach lining by secreting mucus/ bicarbonate ions
  • inhibits HCl release