Gastrointestinal Regulatory Substances Flashcards
What substances regulate GI functions?
GI peptides:
hormones
neurocrines
paracrines
What are the release sites of GI peptides?
from endocrine cell or neurons (neurocrine)
What are the routes taken of GI peptides?
travel through blood
OR
act within same tissue
T/F: GI peptides are released from endocrine cells of GIT, not glands.
TRUE
Where do hormones enter?
portal circulation, liver, systemic circulation, target cells
What’s the target(s) of GI hormones?
in GIT or elsewhere
List the 4 GI hormones
gastrin
cholecystokinin (CCK)
secretin
glucose-dependent insulinotropic peptide
Glucose-dependent insulinotropic peptide is also called…
gastric inhibitory peptide (GIP)
Define GI paracrines.
secreted by endocrine cells of GIT
act LOCALLY within SAME tissue
What is the major GI paracrine hormone? What actions does it have?
somatostatin
major inhibitory actions
Define GI neurocrines.
synthesized in neurons of GIT and released after an AP
What are some major neurocrines.
acetylcholine
norepinephrine
gastrin-releasing peptide (GRP)
enkephalins
neuropeptide Y
substance P
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What is the function of gastrin?
promote hydrogen ion secretion (stomach releases HCl)
stimulate growth of gastric mucosa
increase gastric motility
Gastrin is secreted by ______ in the ______
G cells, stomach
What are the two forms of gastrin?
big and little
When is big gastrin secreted?
between meals and low basal levels
When is little gastrin secreted?
in response to a meal —> distention of stomach in presence of AMINO ACIDS and PEPTIDES
Gastrin is a local vagal reflex, where ____ is released from vagal nerves onto G cells.
GRP (gastrin-releasing peptide)
What inhibits gastrin secretion?
low gastric pH
somatostatin (paracrine)
What is Zollinger-Ellison syndrome?
overgrowth of gastrin mucosa
gastronoma (gastrin-secreting tumor)
INCREASES H+ ions
non-beta cell pancreas
What secretes cholecystokinin (CCK)? Where?
I cells of duodenal & jejunal mucosa