GI hormones Flashcards

1
Q

where is gastrin produced

A

G cells in the antrum, duodenum and jejunum

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2
Q

what is the target of gastrin

A

parietal cells in the body of the stomach

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3
Q

what is the function of gastrin

A

increases H+ secretion

mucosal growth

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4
Q

where is cholecystokinin produced

A

I cells in duodenum and jejunem, neurones in the iluem and colon

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5
Q

what is the target of cholecystokinin

A

pancreas, gall bladder

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6
Q

what is the function of cholecystokinin

A

increases enzyme secretion
increases contraction of gallbladder

(increases bicarbonate secretion
increases growth of pancreas
inhibits gastric emptying)

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7
Q

where is secretin produced

A

S cells in small intestine

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8
Q

what is the function of secretin

A

increases bicarbonate ion and fluid secretion by pancreas
decreases gastric acid secretion

(increases pepsin secretion
increases growth of pancreas)

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9
Q

where does secretin act

A

stomach and pancreas

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10
Q

where is gastric- inhibitory peptide produced

A

K cells in duodenum and jejunum

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11
Q

where does GIP act

A

pancreas and stomach

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12
Q

what is the function of GIP

A

decreases fluid absorption
increases insulin release
decreases gastrin release

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13
Q

where is glucagon produced

A

alpha cells islets of langerhans

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14
Q

what is the target of glucagon

A

liver

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15
Q

what is the function of glucagon

A

increases glycogenolysis and gluconeogenesis

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16
Q

what is the function of Guanylin

A

increases fluid adsorption

17
Q

where is guanylin produced

A

endocrine cells in upper GI tract

18
Q

where does guanylin act

A

intestine

19
Q

where does motilin act

A

oesophageal sphincter, stomach, duodenum

20
Q

where is motilin produced

A

M cells in the duodenum and jejunum

21
Q

what does Motilin do

A

increases smooth muscle contraction- gastric motility and intestinal motility

22
Q

where is neurotensin produced

A

N cells of ileum

23
Q

where does neurotensin act

A

smooth muscles and vagus

24
Q

what does neurotensin do

A

relaxes smooth muscle

decreases gastric acid secretion

25
Q

what does somatostain do? (paracrine)

A

decreases gastrin release
increases fluid absorption

decreases fluid secretion
increases smooth muscle contraction
decreases endo and exocrine secretions
decrease bile flow

26
Q

where is somatostatin produced

A

D cells of stomach and duodenum

delta cells of pancreatic islets

27
Q

what is the target for somatostatin

A

stomach
intestine
pancreas
liver

28
Q

what is the function of histamine ( paracrine)

A

stimulates H+ secretion from parietal cells in the stomach

29
Q

what is the function of aCh

A

contraction of GI wall
relaxation of sphincters
increases secretion

30
Q

what stimulates gastrin secretion

A

protein
distension
nerves

acid inhibits release

31
Q

what stimulates cholecystokinin production

A

protein
fat
acid

32
Q

what stimulates secretin

A

acid

fat

33
Q

what stimulates gastric inhibitory protein

A

protein
fat
carbs

34
Q

what do enterochromaffin cells produce

A

serotonin

35
Q

what are the types of enteroendocrine cells

A
K- gastrin inhibitory peptide
L- glucagon like peptide
I -cholecystokinin
G- gastrin
enterochromaffin- serotonin
N- neutotensin
S - secretin
36
Q

ghrelin

A

hunger and appetite

37
Q

epidermal growth factor

A

mucosal protection

38
Q

what cells produce bile

A

hepatocytes

39
Q

what is the mechanism of alcholic fatty liver disease

A

energy is diverted to breaking down alcohol and not fat