GI Tract Flashcards
What is the biggest challenge of digestion?
Food molecules being too large to absorb and transport! They have to be broken down.
What are the simple molecules that food gets broken down into?
Fatty acids (fats), amino acids (proteins), monosaccharides (polysaccharides).
What are the four basic processes of the digestive system?
Motility, secretion, digestion, absorption
Where does most of the digestion take place? Absorption?
In the stomach for proteins and in the small intestine for everything else. The small intestine is where most absorption takes place.
What is the difference between glycogen stored in the liver and glycogen stored in muscle?
Muscle glycogen is used for work, glycogen in the liver can be mobilized quickly and broken down anaerobically for use for exercise.
What are some challenges to the GI tract?
Autodigestion and dehydration from diarrhea.
What role do hormones play in the GI tract?
They play a role in gut function and cellular metabolism. They act as checkpoints in digestion that regulate storage as needed.
How does the digestive system act as a defense against foreign invaders?
Mucus as a barrier, enzymes to destroy foreign cells, acid, lymphoid tissue (gut associated lymphoid tissue GALT)
Where can you find 80% of immunoglobulin producing cells?
The small intestine. They produce T-cells, B-cells, and antibodies.
What enzyme is absolutely crucial for protein digestion?
Pepsin - the activated form of pepsinogen which is cleaved by hydrochloric acid in the stomach.
What are the regions of the GI tract?
Mouth, pharynx, esophagus: mechanical breakdown
Stomach: acidic
Upper/small intestine: digestion and absorption, most of both
Lower/large intestine: water absorption
Anus: release indigestible material
What are the major regions of the stomach?
The fundus, the body and the antrum. The fundus acts as acid storage, the body is where most digestion occurs, and the antrum is where semi-digested solids sit as chyme (bolus + gastric juice) before being excreted by the pyloric sphincter.
What are the functions of the stomach?
It acts as a reservoir, partially digests proteins, disinfects because of acid, and forms chyme (bolus + gastric juice) which is released to the small intestine by neuronal and hormonal signals.
What are the regions of the small intestine and what are their functions?
- Duodenum - most of digestion of carbs and lipids
- Jejunum - more digestion
- Ileum - water + bile salt absorption
What is the function of the large intestine?
Water absorption via aquaporin. It includes the colon and rectum, chyme is converted into semisolid feces. Distention of the rectal wall causes the defecation reflex.
How is surface area increased in the lumen of the stomach and intestine?
Rugae: infolding in the stomach covered in mucus
Plicae: outfolded fingers covered in microvilli
What are the layers of the GI tract? Are they continuous throughout the whole GI tract or do they change?
- Mucosa
- Submucosa
- Muscularis
- Serosa
Continuous.
What is the function of epithelial cells in the mucosa?
Epithelial cells with polarity (apical + basolateral), the apical side absorbs and the basolateral side shunts nutrients to blood vessels.The basolateral side also has Na/K ATPase and ONLY the basolateral side.
What is the most variable feature of the GI tract?
The epithelial cells
What are the different types of epithelial cells in the stomach? In the intestine? What are their purposes?
Stomach:
Mucus cells - secrete mucus to act as a barrier to avoid autodigestion
Parietal cells - secrete HCl. Important to activate pepsin.
Chief cells - secrete pepsinogen. It’s not constantly active so it can be safely stored
G cells - secrete gastrin into the blood. All others secrete into the lumen.
Intestine: Called enterocytes. Have microvilli that contain enzymes called the brush border to further digest while absorbing.
Absorptive cells - move nutrients to ECF
Endocrine cells - secrete endocrine hormones into the blood
Goblet cells - secrete mucus, same as in stomach just by a different name
Other secretory cells - mast cells produce histamine
How often are cells in the stomach recycled?
Every 3-5 days and they are replaced by pluripotent stem cells in crypts.
How do cell to cell junctions vary between the stomach and intestine?
In the stomach they have tight junctions to avoid acid getting between cells, and in the intestine they tend to be leaky especially during development where some proteins can directly enter circulation.
What is the function of the lamina propria in the mucosa? How does it differ between the small intestine and the stomach?
Lamina propria - has hormones and blood vessels next to the epithelium, nerve fibres, and blood and lymphatic vessels (to transport fat molecules). It also has immune cells. Also contains Peyer’s patches, a collection of lymphoid tissue common in the small intestine.
What is the function of the muscularis mucosae in the mucosa?
Muscularis mucosae - a thin layer of smooth muscle, they open or close the surface area generating folds and separate the mucosa from the submucosa. This alters the effective surface area for secretion in the stomach, and food stimulates it.
What is the function of the submucosa?
It is a thick connective tissue layer with nerves, glands, blood vessels, and the submucosal plexus.
What is the function of the muscularis?
Two layers of smooth muscle, the inner layer is circular and constricts/dilates and the outer layer is longitudinal which shortens/lengthens.
ONLY IN THE STOMACH there is a third layer called the oblique.
It also contains the myenteric plexus.
What is the function of the serosa?
The visceral peritoneum, it’s connective tissue and squamous epithelium. In some areas it is continuous with the mesenteries.
How does mechanical mixing in the digestive system work? Why does it occur?
It occurs to maximize food exposure to absorptive cells and digestive enzymes.
It occurs via continuous slow waves of graded depolarization that are spontaneously generated.
These waves originate in circular muscle of the muscularis externa in a network of cells called the interstitial cells of Cajal (ICCs).
What is the frequency of slow waves called?
The basic electric rhythm (BER).