Lecture 1 Flashcards

1
Q

What form do electrolytes and minerals need to be in in order to absorbed?

A

in solution in the free ionized form

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2
Q

What is absorbed on the apical membrane of villus cells?

A

chloride and sodium absorbed down the electrochemical gradient into cells, Na co-transported with amino acids and sugars across the apical membrane

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3
Q

What occurs at the basolateral membrane of villus cells?

A

Na is actively pumped out across the basolateral membrane into blood, chloride is co-transported across the basolateral membrane with potassium or exchanged for HCO3

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4
Q

How do some ionized atoms get through tight junctions and some do not?

A

for smaller ionized atoms if the concentration gradient across the tight junctions is great enough, this resistance is overcome and atoms leak through the tight junction

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5
Q

How is sodium transported across the apical membrane in all sections of the small and large intestine?

A

co-transported with chloride to maintain electrical balance (Na/Cl co-transport and Na/K/2 cl transporter)

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6
Q

How is sodium transported across the apical membrane in the duodenum and the jejunum?

A

co-transported with sugars and amino acids of the meal

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7
Q

In general how is sodium transported in the apical membrane?

A

down chemical and electrical gradient

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8
Q

In general how is sodium transported in the basolateral membrane?

A

against the chemical and electrical gradient

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9
Q

Specifically, what mechanisms transport sodium across the basolateral membrane?

A

electrogenic pump (3 Na out, 2 K in, cost 1 ATP) and Na and Cl ATPase pump

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10
Q

When does paracellular transport of Cl occur?

A

in the upper duodenum when Cl exits the stomach in high concentration

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11
Q

Generally, how is chloride transported across the apical membrane?

A

it moves down the concentration gradient and against the electrical gradient

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12
Q

Specifically, what mechanisms transport chloride in the apical membrane?

A

it is co-transported with Na, the Cl/HCO3 ATPase pump, and Na/K/2Cl co-transporter

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13
Q

Generally, how is chloride transported across the basolateral membrane?

A

against the chemical gradient, but down the electrical gradient

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14
Q

Specifically, what mechanisms transport chloride across the basolateral membrane?

A

co-transported with potassium, chloride channel (if concentration inside of the cell is great enough to help the electrical gradient trying to pull Cl-across) Na/Cl ATPase pump

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15
Q

Generally, how does potassium transport across the apical membrane?

A

K is going against the chemical gradient, but with the electrical gradient

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16
Q

Specifically, what mechanisms does potassium use to transport across the apical membrane?

A

Na/K/2 Cl transporter

17
Q

Generally, how does potassium transport across the basolateral membane?

A

K is going with the chemical gradient but against the electrical gradient

18
Q

Specifically, what mechanisms does potassium use to transport across the basolateral membrane?

A

co-transport with chloride and an active K channel pump

19
Q

What transporters are located on the apical membrane of the GI tract?

A

Na/Cl cotransporter, Na/K/2Cl co-transporter, Cl/HCO3-ATPase pump, Na/amino acid, and Na/hexose

20
Q

What transporters are located on the basolateral membrane of the GI tract?

A

Na/Cl-ATPase pump, K/Cl-cotransporter, 3Na/2K exchange ATPase pump (electrogenic

21
Q

In the lower small intestine and colon how is most of K absorbed?

A

paracellularly

22
Q

In the uppermost duodenum how is Cl most absorbed?

A

paracellularly

23
Q

How does secretion work in the crypt cells?

A

they actively secrete chloride and sodium and water follows passively- Na is drawn into the area by negative charge and water follows the solute by osmosis

24
Q

How does water absorption occur in the GI tract?

A

by osmosis and hydrostatic pressure

25
Q

What are aquaporins?

A

specialized water channels that allow water but not charged ions through their channels

26
Q

What is the secretion of mucus stimulated by in the large intestine?

A

local ENS and parasympathetic stimulation

27
Q

What blocks the secretion of mucus in the large intestine?

A

atropine

28
Q

How could inflammation have an effect on mucus and water secretion in the large intestine?

A

it could increase it

29
Q

Will damage to the small intestine or large intestine have a greater effect on water absorption and therefore diarrhea?

A

small intestine - more water absorption occurs there and therefore there will be a higher volume of diarrhea if it is not absorbed

30
Q

By what mechanism does calcium absorption occur?

A

active transport

31
Q

What stimulates active transport of calcium?

A

vitamin D

32
Q

What are the steps of calcium absorption?

A

calcium in the lumen flows into the cell across the brish border by facilitated diffusion, using TRPV6 channel protein, it is then carried across the cell by Ca binding protein, Ca is pumped into intracellular space by Ca ATPase pump in exchange for 3 Na