Lab Notes On GI Tract Flashcards

0
Q

What are the methods for speeding up hydrolysis?

A
  1. Mechanical breakdown
  2. Solubilisation
  3. Enzymes
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1
Q

4 basic processes of the digestive system

A
  1. Digestion
  2. Absorption
  3. Motility
  4. Secretion
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2
Q

Memorise the table of digestive enzymes and there substrates on pg 118

A

Ye

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3
Q

pH. What should it be and why?
What are the pH changes in the digestive tract
Mouth, stomach, duodenum and lower intestine

A

Hydrochloride acid production in stomach accelerates hydrolysis

  • makes lumen of stomach acidic which is necessary to activate the enzyme pepsinogen into its active form pepsin
  • acidity is also helpful in denaturing ingested proteins
  • acts as protection against the ingested bacteria

Changes in pH:
Mouth: pH 7➡ saliva is buffered around 7; can become acidic due to bacterial action
Stomach: pH 1-2➡ HCL is secreted by parietal cells

Duodenum: pH 7➡ partially digested food neutralised by bicarbonate ions and in bile fluid
Lower intestine: pH 5-7➡ pH varies, can become acidic due to bacterial action

Temperature: an elevated body temp accelerates hydrolysis (faster than at room temp which is colder) why your bodies at 37degress

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4
Q

Tell me about gastric acid secretion and its regulation?

A

Gastric acid secretion is stimulated by 3 main mediators
1. Gastrin (CCK-2/ gastric receptor)
2. Histamine (H2 receptor)
3. Acetylcholine (muscarinic receptor)
Stimulation of all 3 receptors necessary for maximal secretion
-selective blocking of any one of these receptors reduces secretory response of other 2 heaps

Inhibition of gastric acid secretion:

  • somatostatin released from natural D cells in response to low gastric pH
  • acts a paracrine, inhibiting gastrin release from antral G cells- thus inhibiting acid secretion
  • negative effect on ECL cells which stop histamine being produced which stops stimulation of acid production

So there is a proton pump which is the thing being stimulated Tito release acid. When stimulated it pumps H+ ions out of the parietal cell in exchange for K+ ions into the cells.
Learn the shit out of the table on slide 29 of lecture 35

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5
Q

Sketch and clearly label a parietal cell, illustrating the transporters and ion channels that are involved in the secretion of HCL

A

H

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6
Q

Explain the source of the bicarbonate ions that protect the gastric mucosa from gastric acid

A

Protection of gastric mucosa from acid and pepsin damage: bicarbonate

  • produced by oxyntic cells during acid secretion and enters mucosal capillaries in exchange for Cl-
  • reaches mucosal epithelial cells via local circulation
  • secreted into mucus layer, producing neutral pH next to epithelial cells
  • neutralise H+ ions that penetrate mucus layer
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7
Q

Explain how ranitidine and omeprazole inhibit gastric acid secretion, and explain why one might be more effective than the other

A

Ranitidine: is a histamine H2- receptor antagonist which inhibits stomach acid production. Used in treatment for peptic ulcers

Omeprazole is a proton pump inhibitor used in the treatment of peptic ulcers

Omeprazole is better

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8
Q

Explain the main functions and processes of the digestive system

A

4 main processes

  1. Digestion
  2. Absorption
  3. Motility
  4. Secretion

Function
The gastrointestinal tract together with accessory glands such as the pancreas and liver allows nutrients, water and electrolytes to be absorbed from the external to the internal environment

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9
Q

Explain the specificity of enzyme action and why this is important (consider the effects of pH on digestion)

A

Is it because each enzyme works at a specific pH, and there are different pHs throughout the GI tract. For example salivary amylase would work best at pH of 7 but stomach enzymes would work best at a pH of 1-2.

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10
Q

List the three main categories of food molecules

A

Carbohydrate
Fats
Proteins?

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11
Q

Explain how enzyme activity can be assessed with enzyme assays

A

By knowing what the by products are of the enzymatic reaction it is doable to see how active the enzymes are by looking at the amount of product formed.

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12
Q

List the main enzymes, substrates and products of carbohydrates, proteins and fat digestion

A

Pg 118

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13
Q

Explain the main actions of pepsin, lipase and bile and their functions

A

Lipase:

  • pancreatic lipase important for fat digestion but bile salts are also required
  • in presence of bile salts, hydrolysis of fats by lipase allows formation of water-soluble micelles.
  • lipase secretion stimulated by diets high in fat or high in protein

Pepsin:

  • pepsin is a digestive enzyme that is released in the stomach as pepsinogen. The release of hydrochloride acid stimulates the activation of pepsin.
  • degrades some dietary protein to peptides, the majority of degradation takes place in small intestine by action of pancreatic proteases.

Bile:

  • acts as a surfactant, helping to emulsify the fats in food.
  • bile salts are hydrophilic on one side and hydrophobic on the other and they aggregate around droplets of fat to form micelles with hydrophobic towards fat etc
  • this greatly increases their surface area so the enzyme pancreatic lipase can act
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14
Q

Protein digestion by pepsin

A

Chief cells of the stomach glands secrete the enzyme pepsinogen which is converted to active pepsin by gastric hydrochloride acid.
Pepsin hydrolyses proteins into polypeptides and amino acid fragments

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15
Q

Which of the products of fat digestion will change the pH of the solution? Will it cause the pH to in increase or decrease?

A

An ester is a compound composed of an acid and an alcohol. Fats are esters, so when they are hydrolysed and acid will be released lowering the pH

16
Q

What is the action of bile salts?

A

The main function of bile salts is to aid in the absorption of fats and oils in the stomach which is necessary due to the lack of miscibility of fats in water. Miscibility describes the ability of 2 substances to mix together

17
Q

What is the sequence of processes needed to make urine?

A
  1. Glomerular filtration
  2. Tubular reabsorption
  3. Secretion of solutes
  4. Tubular reabsorption of water
    ?
18
Q

What is the regulation of ADH secretion and its role in water reabsorption?

A

It is produced by the hypothalamus then stored and secreted by the posterior pituitary.
It is released into the blood in response to osmotic and baroreceptor signals
Stimulation:
-low blood volume
-decreased MAP
-nausea + vomiting
-angiotensin 2

Inhibition:

  • high blood volume,
  • increased MAP
  • alcohol and temp

ADH➡ increases water reabsorption by:

  • ADH binds to a receptor on the basolateral membrane of principal cells in DT and CD
  • receptor activates movements s that water channels are inserted into the luminal membrane. Water channels are always present in basolateral membrane
19
Q

Explain how GFR is regulated by the diameter of the afferent and efferent arterioles and by changes in the mean arterial pressure

A

G you should know this bra

20
Q

Explain how a blockage in a nephron affects bowmans capsule hydrostatic pressure and therefore glomerular filtration rate

A

H

21
Q

Explain how urinary glucose concentration is controlled by the number of glucose transfers other nephron and identify there location

A

H

22
Q

Explain the control of water balance and osmolality by ADH and aldosterone

A

Aldosterone (steroid hormone produced in adrenal cortex)➡ brought about by actions of angiotensin 2 (hormone)
-act on kidneys to increase Na+ reabsorption and K+ secretion in distal nephron➡ indirectly leads to increased water reabsorption through increase ECF osmolarity

Cellular effects:
-aldosterone acts on principal cells of DT and CD. It causes the synthesis of new Na+ channels and new K+ channels which are inserted into the luminal membrane and new Na+/K+ pumps which are inserted onto basolateral membrane. So it increases Na+ reabsorption and K+ secretion