Lecture 39 11/16/23 Flashcards

(33 cards)

1
Q

What are the characteristics of gastrointestinal hormones?

A

-produced by enteroendocrine cells
-released by physiologic stimuli
-circulate in blood
-bind to receptors at distant sites
-evoke biological response

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2
Q

What are the phases of gastrointestinal secretions?

A

-cephalic
-gastric
-intestinal

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3
Q

What triggers the cephalic secretory phase?

A

sight, smell, or thought of food

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4
Q

What triggers the gastric secretory phase?

A

presence of food in stomach

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5
Q

What triggers the intestinal secretory phase?

A

presence of food in intestines

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6
Q

What secretions are produced during the cephalic secretory phase?

A

-majority of salivary secretion
-20-30% of gastric and pancreatic secretions

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7
Q

What secretions are produced during the gastric secretory phase?

A

-60% of gastric acid secretion
-5-10% of pancreatic secretions

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8
Q

What secretions are produced during the intestinal secretory phase?

A

-70% of pancreatic secretions
-10% of gastric acid secretion

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9
Q

Which organs/glands receive parasympathetic vagus nerve input during the cephalic phase?

A

-salivary glands
-gastric glands
-pancreas

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10
Q

Which nerves provide parasympathetic innervation to just the salivary glands?

A

-glossopharyngeal nerve
-facial nerve

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11
Q

What are the functions of saliva?

A

-lubricate food
-begin digestion process
-antibacterial activity
-evaporative cooling
-pH regulation

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12
Q

How does saliva play a role in pH regulation?

A

bicarbonate in saliva neutralizes acids produced by bacteria

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13
Q

What type of saliva is produced by animals with simple stomachs?

A

neutral saliva

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14
Q

What type of saliva is produced by ruminants?

A

basic saliva with high concentrations of phosphate ions (in large quantities)

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15
Q

What are the two functional areas of the stomach?

A

-oxyntic glands
-pyloric glands

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16
Q

Which cells are found within the oxyntic glands?

A

-parietal cells
-enterochromaffin-like cells
-D-cells
-chief cells

17
Q

Which cells are found within the pyloric glands?

A

-D-cells
-G-cells

18
Q

What are the stimuli for gastrin release?

A

-stretch
-peptides
-amino acids
-acetylcholine

19
Q

What are the effects of gastrin?

A

-activation of parietal cells
-activation of enterochromaffin-like cells
-promotion of epithelial growth in stomach/duodenum
-activation of pancreatic acinar cells

20
Q

What is the stimulus for histamine release?

21
Q

What is the effect of histamine?

A

activation of parietal cells

22
Q

What are the characteristics of parietal cells?

A

-secrete HCl
-activated by 3 secretagogues: acetylcholine, gastrin, and histamine

23
Q

What happens once a parietal cell is activated?

A

-conformational change in which luminal membranes become enfolded; increases surface area for gastric acid secretion
-insertion of H+/K+/ATPases in the membrane, which become proton pumps

24
Q

Which type of receptor does histamine interact with on parietal cells?

25
Which secretagogue is the most potent for parietal cells?
histamine
26
What are the characteristics of parietal cell proton pumps?
-secrete acid solution with 0.8 pH -carbonic anhydrases catalyze combination of CO2 and OH- to produce bicarbonate -bicarbonate is secreted into interstitial fluid while Cl- ions enter cell
27
Which cells produce pepsinogen?
chief cells
28
What are the stimuli for pepsinogen production?
-acetylcholine -HCl
29
What is pepsinogen?
enzyme precursor of pepsin
30
When does pepsinogen get activated into pepsin?
in the presence of acid
31
What are the characteristics of pepsin?
-begins protein digestion -mostly digests collagen -only provides 10-20% of total protein digestion
32
What is the stimulus for somatostatin secretion?
rapid drop in gastric pH
33
What are the actions of somatostatin?
-inhibit gastrin secretion -inhibit parietal cell acid secretion -inhibit gastric motility