Intestinal Transport Flashcards

1
Q

What is the enterosystemic fluid cycle?

A

net movement of fluid into and out of intestinal lumen

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2
Q

Why is it very important to reabsorb secretions delivered to proximal part of SI?

A

secretory fluids from accessory organs, stomach and intestine itself make up a substantial fraction of ECF volume

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3
Q

What are the major reabsorptive sites of the enterosystemic fluid cycle?

A
  • distal small intestine
  • large intestine
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4
Q

What channels are usually closed but will open in response to hormone and neurotransmitters binding basolateral membrane?

A

Cl- channels

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5
Q

Cholera causes what?

A

Cl- channels stay open which leads to major loss of Na, Cl, and water

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6
Q

The apical membrane has what channels?

A

Cl- channels

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7
Q

What ion follows chloride into lumen?

A

Na+

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8
Q

What are the mechanisms for fluid and electrolyte absorption?

A

transcellular and paracellular routes

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9
Q

What determines the route of fluid and electrolyte absorption?

A

permeability of tight junctions between enterocytes

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10
Q

If tight junctions are leaky, what route is used for fluid and electrolyte absorption?

A

paracellular route

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11
Q

Where are tight junctions leaky?

A

duodenum and jejunum

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12
Q

If tight junctions are “tight”, what route is used for fluid and electrolyte reabsorption?

A

transcellular route

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13
Q

Where are tight junctions “tight”?

A

stomach and colon

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14
Q

What is the major site for Na+ reabsorption?

A

jejunum

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15
Q

The ileum has an overall net absorption of what?

A

NaCl

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16
Q

In intestinal absorption, the fluid absorbed is always what?

A

isosmotic

17
Q

Na+ absorption in the jejunum occurs via?

A

Na+ dependent co-transporters in enterocyte apical membrane

18
Q

The ileum has what exchange in its enterocyte apical membrane?

A

Cl-/HCO3- exchange

19
Q

The ileum has what transporter in its enterocyte basolateral membrane?

A

Cl- transporter

20
Q

The colon contains what channels in its apical membrane?

A

Na+ and K+ channels

21
Q

The synthesis of Na+ channels in the colon is induced by what?

A

aldosterone

22
Q

The synthesis of Na+ channels in the colon by aldosterone induction results in what?

A

increased Na+ absorption and increased K+ secretion

23
Q

What results in the increased loss of K+ due to increased flow rate of intestinal fluid?

A

diarrhea

24
Q

Loss of large volumes of ECF type fluid from GIT causes what?

A
  • decreaseed ECF volume
  • decreased intravascular volume
  • decreased arterial pressure
25
Q

High bicarbonate losses relative to Cl losses can lead to what?

A

hyperchloremic metabolic acidosis with normal anion gap

26
Q

What are some causes of diarrhea?

A
  • decreased surface area for absorption due to infections or inflammation of SI
  • non absorbable solutes cause retention of water in SI lumen (osmotic diarrhea)
  • excessive secretion of fluid by crypt cells (secretory diarrhea)