Lecture 25: SECRETION Flashcards
1
Q
How many pairs of salivary glands are there?
A
3
2
Q
How much fluid do the salivary glands produce?
A
1.5L per day
3
Q
What amount of saliva do each of the salivary glands secrete?
A
Sublingual (5%), submandibular (70%) and parotid (25%)
4
Q
What is basal saliva secretion?
A
0.3 ml/min
5
Q
What is stimulated saliva secretion?
A
1.5 ml/min
6
Q
What is the composition of saliva?
A
Mucus, a dilute solution of NaHCO3 and NaCl, digestive enzymes
7
Q
What is the purpose of mucus in saliva?
A
Lubrication
8
Q
What is the purpose of a dilute solution of NaHCO3 and NaCl in saliva?
A
To dilute food and provide an optimal pH for digestive enzymes
9
Q
What are the digestive enzymes in saliva?
A
Lingual lipase and alpha amylase (denatured in the stomach)
10
Q
Is saliva essential?
A
No
11
Q
What does saliva aid in?
A
Talking, chewing and swallowing
12
Q
How does saliva aid in chewing and swallowing?
A
Dissolves and lubricates food
13
Q
What is saliva also involved in?
A
Hygiene and digestion
14
Q
How does saliva help in hygiene?
A
Irrigation (removal of old food)
15
Q
How does saliva help in digestion?
A
Dissolves for allowing tasting
16
Q
What dies lingual lipase break down?
A
Fats
17
Q
What does alpha amylase break down?
A
Starch
18
Q
What is saliva secretion regulated by?
A
Nervous system, autonomic nervous system
19
Q
What is the nervous system activated by (saliva)?
A
Thought, smell, sight of food and the presence of food in the mouth
20
Q
What does the parasympathetic nervous system do (saliva)?
A
Stimulates secretion of abundant quantities of fluid
21
Q
What does the sympathetic nervous system do (saliva)?
A
Small volumes of viscous fluid
22
Q
What amount of fluid does the stomach secrete per day?
A
2-3L
23
Q
What is the rate of gastric secretion between meals?
A
slow (15-30ml/h)
24
Q
What secretes gastric fluid between meals?
A
Goblet surface cells secrete mucus & bicarbonate
25
What is the rate of gastric secretion when eating?
Superimposed on basal rate
26
What secretes gastric fluid when eating?
Goblet surface cells secrete mucus & bicarbonate
Parietal cells secrete HCl acid and intrinsic factor
Chief cells secrete pepsinogen
27
What is the function of goblet cell secretion in the stomach?
Mucus for protection
Bicarbonate, dilution from stomach acid, sticks to mucus, forming a layer lining the surface of the stomach to protect epithelial cells.
28
What is the function of intrinsic factor in gastric secretions?
Absorption of vitamin B12 in the ilium (small intestine)
29
What is pepsinogen?
The inactive form of pepsin
30
How is pepsinogen converted to its active form?
By HCl in the stomach
31
What does pepsin start digestion of?
Proteins
32
What is the function of HCl acid in gastric secretions?
Dilutes food, denatures protein, activates pepsinogen to pepsin, creates optimum pH for pepsin and protection
33
What is the source of acid (H+)?
Formation of H2CO3 (carbonic acid) by carbonic anhydrase (CO2 +H2O <>H2CO3) then dissociation of H2CO3 (H2CO3 <>H+ +HCO3-)
34
How is H+ secreted into the lumen?
By the H+/K+ ATPase
35
Where is H+/K+ ATPase found?
In the apical membrane of parietal cells
36
What does H+/K+ ATPase do?
Pumps H+ ions into the lumen in exchange for K+ ions ( to keep balance) and K+ then returns to the lumen through a membrane channel
37
What is the source of chloride?
Anion counter transporter
38
Where is the anion counter transporter?
On the basolateral membrane of parietal cells
39
What does the anion counter transporter do?
Ejects HCO3- into interstitial fluid and imports Cl- ions into the cell
40
How is Cl- secreted?
It diffuses across the cell and enters the lumen via the Cl- channel in apical membrane
41
What is regulation of gastric secretion coordinated with?
Eating and arrival of food
42
What are the phases of gastric secretion?
Cephalic - head/brain controls secretion
Gastric - stomach controls secretion
Intestinal - intestine controls secretion
43
What is the cephalic phase for?
Preparation for arrival of food
44
How much secretion associated with meals is in the cephalic phase?
20%
45
What are the stimuli for the cephalic phase?
Higher centres (brain), thought, smell and sight of food, chewing action, taste
46
How is secretion regulated in the cephalic phase?
Parasympathetic nervous system acting via enteric nervous system
47
What is stimulated in the cephalic phase?
Parietal cells,
chief cells,
goblet cells,
and G cells which secrete the hormone Gastrin
48
What does gastrin do in the cephalic phase?
It is released into the blood to stimulate parietal cells and chief cells
49
What is the overall outcome of the Cephalic phase?
Increased secretion of mucus, HCO3-, HCl acid and pepsinogen in the stomach to prepare for food.
50
What does the gastric phase ensure?
Sufficient secretion to handle ingested food
51
How much secretion associated with meals is in the gastric phase?
70%
52
What are the stimuli in the stomach for the gastric phase?
Stretch/distension of stomach walls (receptors), products of digestion in the stomach lumen and elevated pH when food enters (because acidic mixing with ~neutral)
53
What are the stimuli sensed by in the gastric phase?
G cells, gastric mechano- and chemoreceptors
54
What is the response coordinated by in the gastric phase?
Submucosal and myenteric plexus activated via the CNS and ENS
55
What are the effectors in the gastric phase?
Parietal cells,
chief cells,
goblet cells,
and G cells which secrete the hormone Gastrin
56
What is gastric motility stimulated by in the gastric phase?
Gastrin, leading to stronger retropulsion and waves of peristalsis
57
What does the nervous system stimulate in the gastric phase?
Secretion, motility and gastrin secretion which further stimulates secretion and motility
58
What does the intestinal phase control?
slow controlled release of food to the small intestine
59
How much secretion associated with a meal is in the intestinal phase?
10%
60
What are the stimuli for the intestinal phase?
Stretch of the duodenal wall, decreased pH, fatty acids and amino acids in the duodenum
61
What are the stimuli sensed by in the intestinal phase?
Mechano and chemo receptors in the duodenum walls
Enteroendocrine cells
62
What is the Response coordinated by in the intestinal phase?
EEC which release:
CCK - cholecystokinin
GIP - Gastrin inhibiting hormone
Secretin
These hormones cause inhibition of chief and parietal cells.
Sympathetic nervous system activates which inhibits the submucosal plexus
63
What is the outcome of the intestinal phase?
Decreased secretion of HCL and pepsinogen.
SNS Inhibits myenteric plexus and G cells causing less motility (stomach contraction) and less gastrin secreted.
64
What type of organ is the pancreas?
Endocrine and exocrine
65
How much pancreatic secretion is there in a day?
1-1.5L/day
66
What are the components of pancreatic secretion?
Enzymes and alkaline fluid
67
What are enzymes in pancreatic secretion secreted by?
Acinar cells
68
What is the function of enzymes in the pancreatic secretion?
Chemical digestion of food
69
What is alkaline fluid in pancreatic fluid secreted by?
Duct cells
70
What is the function of alkaline fluid in the pancreatic secretion?
To neutralise acid and give optimum pH for enzymes
71
What is the most important source of digestive enzymes?
Pancreas
72
What begins the activation process of pancreatic secretions?
Arrival of fatty acids and amino acids in duodenum
Detected by duodenal EEC which release CCK.
73
What is stimulating of secretion of pancreatic enzymes?
Hormone CCK
74
What are digestive enzymes are classified on?
what they break down
75
What are the types of digestive enzymes?
Nucelolytic
Lipolytic - lipase
Amylytic - amylase
Proteolytic - trypsinogen, chymo- trypsinogen, procarboxypeptidase
76
What is the function of pancreatic enzymes?
Luminal chemical digestion of food
77
How are proteolytic enzymes secreted?
As inactive precursors and activated in the duodenum
78
What are some proteolytic enzymes and their precursors?
Trypsin (trypsinogen),
chymotrypsin
(chymotrypsinogen),
carboxypeptidase (procarboxypeptidase)
79
What does activation of proteolytic enzymes in the small intestine involve?
Enterokinase/enteropeptidase converting trypsinogen to trypsin and then trypsin converts the other enzymes to their active form
80
Where is enterokinase/enteropeptidase found?
Bound to the duodenal membrane
81
What is secretion of alkaline fluid stimulated by?
Hormone secretin which is secreted when acidic chyme arrives in the duodenum
82
What is the function of alkaline fluid?
To neutralise acidic chyme delivered from the stomach and create optimum pH (6.7-9.0) for pancreatic and intestinal digestive enzymes (increase pH)
83
How much biliary secretion occurs?
0.5L per day
84
What does biliary secretion consist of?
Products associated with digestion-bile salts and HCO3- rich fluid (ducts)
Excretory products - bile pigments (waste products) and cholesterol
85
What is the function of biliary secretin?
Bile salts - fat digestion
HCO3- rich fluid - neutralises acid
Bile pigments - excretion
86
When is bile secreted?
Constantly by the liver
87
What is done will bile produced in the liver?
it is stored and concentrated in the gall bladder then delivered to the duodenum with arrival of food
88
What is initial delivery of bile under control of?
Hormones (CCK)
89
How is bile delivered?
By contraction of the gall bladder and relaxation of the hepatopancreatic ampulla
90
What does secretion stimulate (biliary secretion)?
Mild stimulation of bile by the liver
91
What does bile stimulate?
Its own secretion by the enterophepatic circulation
92
Bile is ______ to produce?
metabolically expensive
93
How much bile is reabsorbed into the ileum?
95% and 5% lost in faeces
94
Where is the bile reabsorbed in the ileum transported to?
The liver in enterohepatic circulation. It is reabsorbed and secreted (stimulation of bile secretion)
95
How much small intestine secretion is there?
1.5L/day
96
What is in small intestine secretion?
Mucus, isosmotic fluid and digestive enzymes
97
What is the function of mucus in small intestine secretion?
Lubrication to protect
98
What is the function of isosmotic fluid in small intestine secretion?
Alkaline - mixture of NaCl and NaHCO3 which helps neutralise acid and dilutes food to aid in digestion
99
What do digestive enzymes in small intestinal fluid do?
Shed cells
100
What is in large intestine secretion?
Mucus for lubrication
