Lecture 4 - Regulation Flashcards
1
Q
How does the gut sense?
A
- Chemoreceptors that sense change in: nutrient concentration, nutrient degradation products, osmotic pressure, pH
- Mechanoreceptors that sense wall stretch
2
Q
Gut hormones
A
- CCK
- Gastrin
- VIP
- Secretin
- GLP-1
- GLP-2
- Somatostatin
3
Q
The master duodenal regulator
A
CCK
- matches nutrient delivery to digestive capacity
4
Q
CCK
A
- Gallbladder = contraction
- Pancreas = acinar secretion
- Stomach = reduce emptying
- Sphincter of Oddi = relaxation
5
Q
Gastrin
A
stimulates gastric secretion and mucosal growth
6
Q
Secretin
A
pancreatic bicarbonate secretion
7
Q
GIP
A
inhibits gastic secretion
8
Q
Albumin
A
- non-specifically binds several hydrophobic steroid hormones (grabs anything not picked up by a specific carrier)
9
Q
GLP-1 (Glucagon-Like Peptide 1)
A
- produced by L-cells in the ileum and colon in response to nutrients and SCFA
- enhances insulin secretion by the pancrease
- inhibits gastric emptying and motility
- inactivated by DPP IV
10
Q
GLP-2 (Glucagon-Like Peptide 2)
A
- produced by L-cells in the ileum and colon in response to nutrients and SCFA
- telling the gut to SLOWWW DOWN (increase proliferation, decrease apoptosis and permeability and motility
- improves integrity of gut barrier
11
Q
Ghrelin
A
- hunger hormone
- produces by cells lining the fundus of the stomach and epsilon cells of the pancreas
- secreted when stomach is empty; acts on hypothalamus to increase hunger and increase gastric section and GIT motility
12
Q
Factors regulating satiety
A
- GIT Factors
- Stretch
- CCK
- Nutrient receptors in liver
- PYY
*through the vagus nerve, these signals act on the hindbrain which communicates with the hypothalamus - Non-GIT Factors
- Adipose; produces leptin that acts on hypothalamus
- Pancreas: insulin
13
Q
Leptin
A
- secreted by adipocytes; acts on hypothalamus to reduce hunger
- arcuate nucleus in hypothalamus has leptin receptors and will release neural signals to appetite centre
- ways of affecting fat reserves: inhibits feeding, inhibits fat synthesis, stimulates beta-oxidation of fatty acids
- stimulates sympathetic nervous system causing increase in blood pressure and HR
14
Q
More and larger adipocytes =
A
more leptin
15
Q
What do ghrelin, leptin and insulin all target?
A
Neurons in the arcuate nucleus
- POMC/CART drives ANOREXIC signal (decrease food intake)
- AgRP/NPY drives OREXIC signal (increase food intake)