Hormones Flashcards
Parietal cells secrete
Gastric acid
Intrinsic factor
Function of gastric acid
Decrease stomach acid
Activates pepsinogen to pepsin
Kills microorganisms except H. pylori
Role of IF
Binds to vitamin B12
Enables absorption in terminal ileum
Stimulation of Gastric acid and IF
Vague nerve
Gastrin
Histamine
Inhibition of gastric acid and IF
GIP
Prostaglandins
Secretion
Somatostatin
Pepsin cell type secretion
Gastric chief cell
Role of pepsin
Protein digestion
Stimulation of pepsin
Vagus nerve
Low gastric pH
Inhibition of pepsin
High gastric pH
Somatostatin
Bicarbonate cell secretion
Mucosal cells (salivary glands, stomach, pancreas, duodenum)
Brunner glands
Stimulation of bicarbonate
Secretin
Cell type for gastrin
G cells (antrum of stomach, duodenum)
Function of gastrin
Increase gastric acid secretion
Increase gastric motility
Proliferation of gastric mucosa
Stimulation of gastrin
Vague nerve (via gastrin-releasing peptide and GRP released from presynaptic terminals of postganglionic fibers)
Aminoacids and peptides
Decreased acidity
Distension of stomach
Chronic PPI administration
Inhibition of gastrin
Somatostatin
Gastric pH < 1.5
Ghrelin cell type
P/D1 cells
Function of ghrelin
Increases appetite
Stimulates neuropeptide Y and growth hormone
Increases gastric motility
Histamine cell type
Enterochromaffin-like cells
Role of histamine
Increased gastric acid secretion
Stimulation of histamine
Gastrin
Inhibition of histamine
Somatostatin
CCK cell type
I cells (duodenum, jejunum)
Function of CCK
Increases contraction of gallbladder
Increases secretion of pancreatic enzyme
Increases relaxation of sphincter of Oddi
Decreases gastric emptying
Stimulation of CCK
Postprandial state
Inhibition of CCK
Somatostatin
Fasting
Somatostatin cell type
D cells
Hypothalamus
Somatostatin function
Inhibits GI secretions
- Decrease gastric acid
- Decrease gastrin
- Decrease pepsinogen
- Decrease CCK
- Decrease secretin
- Decrease pancreatic secretion
- Decrease gastric inhibitory polypeptide
Inhibits gallbladder contraction
Decreases motility of stomach and intestine
Splanchnic vasoconstriction
Decreased GH and TSH secretion
Stimulation of somatostatin
Postprandial state
Inhibition of somatostatin
Vague nerve
Secretin cell type
S cells (duodenum)
Secretin function
Increase secretion of bile
Increase pancreatic secretion of bicarbonate
Decrease secretion of gastric acid
Stimulation of secretin
Postprandial
Inhibition of secretin
Somatostatin
GIP cell types
K cells
GIP function
Increases insulin secretion
Decrease secretion of gastric acid
Stimulation of GIP
Postprandial
Inhibition of GIP
Fasting
Motilin cell type
Mo cells
Function of motilin
Produces migratory motor complexes
Stimulation of motilin
Fasting
Inhibition of motilin
Intake of food
VIP cell release
Small intestine
Gallbladder
Parasympathetic neurons in sphincters
APUD cells of pancreas
Function of VIP
Increase secretion of water and electrolytes
Increase relaxation of intestinal sphincters and smooth muscle
Stimulation of VIP
Distension of stomach
Vagal stimulation
Inhibition of VIP
Sympathetic activity
NO cell type
Epithelial cells
Smooth muscle cells
Neural cells
Function of NO
Relaxation of smooth muscle and sphincters
Improves circulation
Ghrelin in Prader-Willi syndrome
Increased
Ghrelin in gastric bypass surgery
Decreased
Elevated serum gastrin levels supportive of what?
Atrophic gastritis
ZES
VIPoma manifestations
Watery diarrhoea
Hypokalaemia
Achlorhydria