GIT: (hormonal) regulation of GIT functions Flashcards
Enumerate all hormones affecting GIT
- Gastrin
- Cholecystokinin (CKK)
- Secretin
- Glucose dependent insulino-tropic peptid (GIP)
- Vasoactive intestine Peptide (VIP)
- Motilin
- Somatostatin
Cells releasing Gastrin
G cells
Site of Gastrin Release
- mainly in pyroic Antrum of stomach
- duodenum & pancreas
Stimuli facilitating the release of gastrin
Mechanical:
* Distension caused by food
Chemical:
* basic pH
* Protein digestive products (phenyalanine, tryptophan, peptides)
Nervous:
* Post ganglionic vagal innervation (by release of GRP)
(pathologically)=Pernicious anemia
Explain why Atropine doesn’t block gastrin secretion
post ganglionic Vagal innervation of gastrin secretion occurs by release of GRP (gastrin-releasing peptide) & not Acetylcholine
Explain why pernicious anemia causes pathological secretion of gastrin hormone
- It destroys Acid secreting cells
- Less acid means no inhibition of gastrin secretion (negative feedback inhibition)
Stimuli inhibiting the secretion of Gastrin
Acid (HCL) :
* Directly: by acting on G cells (releasing gastrin)
* Indirectly: by acting on D cells, causing it to release Somatostatin, which inhibits Gastrin secretion
- VIP (vasoactive Intestinal Peptide)
Actions of Gastrin
- Facilitates HCL secretion:
* Directly: acting on parietal cells
* Indirectly: stimulating Histamine secretion from ECL cells, histamine causes further acid secretion - Trophic Action on stomach: stomach increases in size
- Stimulates insulin secretion
Cells releasing CCK (cholecysetokinin)
I Cells
Site of release of CCK
Mucous of Duodenum & jejunum (upper small intestine)
Stimuli faciliting release of CCK
presence of digestive products of peptides, amino acids & fats
Action of CCK on pancreas
- Stimulate pancreatic Acinar cells to secrete enzymes
- Trophic effect on pancreas (increase in size)
- Enhances effect of Secretin hormone on pancreas
Action of CCK on Stomach
- prevents motility of stomach
- (along with secretin) contraction of pyloric sphincter to prevent reflux from duodenum to stomach
Action of CCK on gall bladder
- relaxation of sphincter of oddi
- Contraction of walls of gall bladder —> secretion of bile
Describe positive feedback mechanism linked to gall bladder & CCK hormone
- CCK faciltates secretion of bile from gall bladder
- resulting in more digestion of proteins & fats
- Therefore, there is more Digestive product
- More CCK secreted
- More Bile secreted
It stops when food moves on from duodenum