GI Pancreas exocrine secreations Flashcards

1
Q

What are the two phases of pancreatic juice secretion?

A

Aqueous alkali and Protien/enzyme phase

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2
Q

What type of glands are the exocrine glands of the pancreas?

A

Wholly serous secreting a water, enzyme rich, alkali secretion.

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3
Q

Where are the enzymes in pancreatic juice made?

A

The acinar cells of the pancreas.

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4
Q

What stimulates the release of pancreatic juice?

A

Food entering the duodenum.

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5
Q

What activates the enzymes in pancreatic juice?

A

High pH.

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6
Q

What causes increased secretion of bicarbonate from the pancreas?

A

Increased cAMP concentration due to increased VIP or secretin. stimulates duct cellls CFTR channels.

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7
Q

What causes increased secretion of enzymes in the pancreas?

A

CCK, ACh, Gastrin, Secretin and VIP.

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8
Q

Where are CCK and Secretin produced?

A

The duodenal wall.

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9
Q

What is the duct systemof the pancrease from the acini?

A

Acini, intercalated duct, interlobular ducts, main pancreatic duct.

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10
Q

What type of epithelium is the intercalated duct?

A

Simple cuboidal.

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11
Q

What is the purpose of the alkali phase of pancreatic secretions?

A

Neutralise gastric acid as it enters the duodenum.

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12
Q

What is the function of duct cells in the pancreas?

A

Regulate the secretion of bircabonate and to take up Cl- ions.

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13
Q

What are CFTR channels?

A

Cystic Fibrosis Transmembrane Conductance channels for the transport of HCO3- out of the cell and Cl- in.

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14
Q

What are tubulovesicles?

A

H+ pumps.

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15
Q

What happens in a resting duct cell?

A

CFTR channels are aggregated on the luminal surface of the cell not doing anything.
Tubulovesicles are near the luminal surface of the cell.

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16
Q

What causes stimulation of duct cells?

A

Increase intracellular cAMP.

17
Q

What changes occur when duct cells are stimulated?

A

CFTR degenerate and organise on the luminal surface.

Tublovesicles migrate towards the basolateral membrane.

18
Q

What happens in a secreting duct cell?

A

Tubulovesicles secreate H+ in the blood. CO2 moves into the cell through basolateral membrane drives reaction- CO2+ H2O-> H+ + HCO3-.
HCO3- is exchanged for Cl- and H+ is pumped out by tubulovesicles.

19
Q

What effect does the blood from the pancreas have on the blood from the stomach?

A

Blood from the pancreas low pH as many H+ pumped into it.
Blood from stomach high pH as a lot of HCO3- pumped into it.
Mix to neutralize.

20
Q

What enzyme precursors are produced in the pancreas?

A

Trypsinogen, Chymotrypsinogen, Elastase, Carboxypeptidase.

21
Q

How is production of enzymes increased in the pancreas?

A

Either by increasing production of cAMP or increasing Ca2+ concentration.

22
Q

What increases Ca2+ concentration?

A

CCK, Gastrin and ACh.

23
Q

What increases cAMP?

A

Secretin and VIP.