L2: Water absorption And Secretion In The Gastrointestinal Tract Flashcards
Where does the absorption of non electrolyte nutrients occur?
The small intestine
Diarrhoea is caused by ___ or ___
Lack of absorption or excess secretion
Absorption of water occurs via ___
Osmosis
Large net water absorption occurs in the ___
Jejunum
Solvent drag is responsible for what?
Considerable Na and urea absorption in the jejunum
What is the predominant mode of absorption?
Paracellular transport
What absorption pathway is dominant in leaky epithelia?
Proximal renal tubule, small intestine
Paracellular transport
What absorption pathway is dominant in tight epithelia?
Renal collecting duct, urinary bladder
Transcellular pathway
All transcellular Na absorption involves what pump?
Na/K ATPase at basolateral membrane
Movement of Na via the apical surface is mediated by what four channels/transporters?
- Na/glucose or Na/Amino Acid cotransporters
- Na/H Exchanger
- parallel Na/H and Cl/HCO3 exchangers
- epithelial Na channel
What happens if Na/K ATPase doesn’t work?
- electrochemical gradient isn’t maintained(sodium build up inside cell)
- glucose and proteins not moved into cell
Osmotic diarrhoea is due to a disturbance in ___
Absorption
Secretory diarrhoea is due to a disturbance in ___
Secretion
What is the physiology behind cholera?
- cholera toxin activates adenylate cyclase
- causes elevation of cAMP
- this opens Cl channel in apical membrane of crypt epithelial cells
- causes prolonged secretion of Cl, Na and water