GI physiology and the endocrine pancreas Flashcards
what are the functions of the GIT
transport food digest food absorb food components into the blood secrete saliva and digestive fluids regulate water and electrolyte balance immune system thermoregulation
hind gut fermenters
horses
what do carnivores use for food intake
teeth and forelimbs
what do horses use when grazing? when at manger?
grazing - lips retracted, incissors
manger - lips
use tongue as a spoon
carnivores
drink water via suction/inspiration
herbivores
masticate sparsely and have vertical mandible movements
carnivores
frequent mastication and horizontal mandible movements
herbivores
first motility pattern of the GIT
deglutition
is the oral phase of deglutition voluntary or involuntary
voluntary
what is the oral phase of deglutition
food is molded into a bolus by the tongue and pushed back into the pharynx
what initiates the involuntary phase of deglutition
sensory nerve endings activated when food enters the pharynx
what elevates to close the pharyngeal opening to the nasopharynx
soft palate
T/F
breathing stops during the involuntary (swallow reflex) phase of deglutition
TRUE
what closes the oral opening in the swallow reflex
the tongue against the hard palate
what blocks the laryngeal opening in the swallow reflex
epiglottis
regulatory center for energy homeostasis
hypothalamus
hypothalamic hunger center is comprised of..
nucleus paraventricularis
lateral fields
hypothalamic satiety center is comprised of..
nucleus ventromedialis
neuropeptide hormones that stimulate hunger
NPY
orexin
neuropeptide hormones that inhibit hunger
MSH
non-hypothalamic hunger stimulating hormone
ghrelin
non-hypothalamic hunger inhibiting hormone
cck
pyy
leptin
insulin
which hormone inhibits NPY and stimulates MSH
leptin (from fat cells)
list the major salivary glands
parotid
mandibular
sublingual
which salivary glands produce 90% of the saliva
parotid and mandibular
sublingaul does 5%
which salivary gland does serous secretions
parotid
which salivary glands have seromucous secretions
sublingual and mandibular
primary functions of saliva
protect buccal mucosa and teeth
facilitate deglutition
initiate enzymatic carb digestion (amylase in pigs/humans)
ph regulation
secondary functions of saliva
immune
protection
thermoregulation
what is primary saliva
the saliva from the acinus glands – contains Na, Cl, H2O
Parasympathetic regulation of saliva
acts on M3 receptors - increase diluted saliva
SNS: on alpha-1 receptors = small amounts of mucus saliva
T/F
in carnivores, high saliva production leads to an increase in electrolyte concentration
TRUE
in the salivary ducts, what is secreted and what is reabsorbed?
secreted: HCO3-
reabsorbed: Cl-
ENDOCRINE PANCREAS organization and percent of the pancreas
2-3%
islets of langerhan
T/F
the endocrine pancreas is richly innervated by both vagal parasympathetic system and splanchnic
sympathetic fibers
TRUE
T/F
all hormones of the endocrine pancreas are involved in glucose metabolism
TRUE
what percent of the islet cells are alpha cells and what do they secrete
20%
glucagon
what percent of the islet cells are beta cells and what do they secrete
70%
insulin
what percent of the islet cells are delta cells and what do they secrete
5%
somatostatin
what percent of the islet cells are F cells and what do they secrete
5%
pancreatic polypeptide
a polypeptide hormone produced by beta cells in response to hyperglycemia
insulin
what is insulin released in response to
hyperglycemia
insulin structure
a polypeptide with an alpha and a beta chain connected by a disulfide bridge
canine insulin and porcine insulin are _____
the SAME
bovine and feline insulin are ____
1 amino acid different
in omnivores what governs the release of insulin
GLUCOSE
in carnivores what governs the release of insulin
PROTEIN – amino acids
what does acetylcholine do to insulin secretion
STIMULATES
what do GI hormones (gastrin, secretin, GIP) do to insulin secretion
stimulates
list 4 hormones that inhibit insulin secretion
- GLUCAGON
- SOMATOSTATIN
- EPINEPHRINE
- NOREPINEPHRINE
glucose transporter in the membrane of beta cells that allows glucose to diffuse freely into the cell
GLUT2
T/F
Extracellular fluid glucose concentration directly affects glucose concentration inside of the beta cell
TRUE
if blood glucose concentration increases, what will happen to insulin
it will be secreted and synthesized
the acute phase of insulin secretion involves…
Involves the release of preformed insulin
the chronic phase of insulin secretion involves
the synthesis of protein
After release, insulin binds to a specific membrane
receptor on target tissues called….
receptor tyrosine kinase
list three insulin-sensitive tissues (meaning they have the insulin target receptors)
liver
muscle
fat
The net effect of insulin is…
The net effect of insulin is to lower blood concentration of
glucose , fatty acids and amino acids
what is the only insulin sensitive transporter
GLUT4
Insulin facilitates glucose entry into cells by increasing the number of ….
specific GLUCOSE TRANSPORTERS (GLUT 4) in the
cell membrane
what does insulin do to glycogen in the liver
increases glycogen synthesis
T/F
in the liver, insulin increases lipolysis
TRUE
T/F
in the liver, insulin increases gluconeogenesis
FALSE – decreases gluconeogenesis
what is the action of insulin on smooth, striated, and cardiac muscle?
- stimulated glycogen synthesis enzymes (promotes the storage of glucose as glycogen)
- promotes glucose as a fuel source
- enhances aa uptake which promotes muscle growth
In the absence of insulin muscles rely on what for a fuel source
fatty acids
T/F
insulin stimulates lipolysis in adipose tissue
FALSE – inhibits lipolysis and promotes fat deposition
Glucose provided to adipocytes promotes:
- glycogen synthesis
- Glycerol formation - combines with fatty acids delivered to adipose
tissue to form triglycerides
T/F
Insulin promotes fatty acid synthesis in hepatocytes
TRUE
T/F
Insulin stimulates glycogen synthesis in the liver
TRUEEE
what two organs is insulin mainly metabolized by
kidney and liver
-specific enzymes reduce the disulfide bridges and the chains are subject to protease activity
whats the half life of insulin
10 minutes
______ will be the main source of energy for all cells and excess will be stored as ___ and fat
CARBOHYDRATES
glycogen
half life of glucagon
5 minutes
T/F
insulin stimulates amino acid uptake in muscles which promotes muscle growth
TRUE
what hormone is a major inhibitor of lipolysis
insulin
what is released when glucose levels exceed 110mg/dL
insulin
what is released when glucose levels are below 60 mg/dl
glucagon/epinephrine
two hormones that stimulate the use of glycogen for glucose
epinephrine and glucagon
T/F
if we don’t eat any meals, in 24 hours we will use up all of our glycogen
TRUE
Hepatic glycogenolysis stimulates the release of what hormones
cortisol and GH
a process that produces glucose from glycerol, amino acids, and lactate
gluconeogenesis
what two hormones can directly stimulate gluconeogenesis
cortisol and GH
what there is no glucose, what can be used as energy everywhere in the body except for in the brain
FAT
hormone that acts in the liver to greatly enhances glucose availability to other organs in the body
glucagon
T/F
under normal conditions, kidneys do gluconeogenesis
FALSE
BUT they pick up 40% in liver failure
What does glucagon do to glycogen synthesis
LOWERS it
–stimulates glycogenolysis
what does glucagon do to gluconeogenesis in the liver
increases
what stimulates glucagon synthesis
a decreased glucose concentration
what is required for glucose to be taken up into alpha cells
insulin
is glucagon high or low when insulin is deficient
HIGH
hormone that inhibits secretion of pancreatic enzymes and contraction of the gall bladder
pancreatic somatostatin
absolute insulin deficient
lack of insulin – type 1 diabetes
relative insulin deficient
insulin is either not working or there is resistance
type 2 diabetes – common in cats and people
insulin deficiency will cause the blood glucose concentrations to ______
increase