Pancreas Flashcards

1
Q

What are the two major roles of pancreas?

A

Exocrine: secretes D-enzymes and HCO3- rich fluids
Endocrine: insulin, glucagon and somatostatin

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2
Q

Describe the structure of the exocrine pancreas.

A

Looks like a cauliflower (upside down) –> ducts and acini

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3
Q

What is the function of the pancreas acini?

A

Secretion of digestive enxzymes, other proteins, and ion and fluids

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4
Q

How are secretory enzymes stored in the pancreas acini?

A

Packed in zymogen ganules

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5
Q

Mention a few digestive enzymes secreted by the pancreas acini.

A

Lipase, alpha-amylase, trypsinogens, and ribonuclease

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6
Q

What other proteins is secretedby the acini?

A

Glycoprotein 2 (GP2), ATP, nucleotidases, and PAP

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7
Q

How is the secretion of pancreatic enzymes regulated?

A

Secretion are stimulated by cholecystokinin (CCK), which are secreted by I-cells in the dodenum

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8
Q

Where does the pancreas secrete enzymes to?

A

To the duodenum (Sphincter of Oddi)

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9
Q

Where is the enzymes secreted by the acini activated?

A

In the duodenum (lumen)

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10
Q

Describe the isotonic NaCl secretion and signaling in pancreatic acini.

A

Interstitial side: NKCC (Na/K/Cl cotransporter), Na/K ATPase, K+ channel, CCK receptor, ACh receptor
Luminal side: CaCC, Ca2+ channel (CaT1), Ca2+ ATPase (PMCa)
H2O paracellularly
Signaling pathway: increase in IP3 –> increase in PKC –> increase in Ca2+

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11
Q

What is the function of the pancreatic ducs?

A

Secretion of HCO3- rich fluids

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12
Q

Describe the channel composition of pancreatic duct cells.

A

Luminal side: HCO3-/Cl- exchanger, CFTR, K+ channel, ATP-, Ado receptors
Basolateral side: HCO3-/Na+ cotransporter, Na+/H+ exchanger, Na+/K+-ATPase, K+ channel, H+/K+ ATPase, secretin-, ACh-, VIP-, ATP receptors

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13
Q

How is HCO3- formed in the cell?

A

H2O+CO2 <-(CA)-> HCO3- + H+

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14
Q

Which techniques can be used to study pancreatic ducts?

A

Isolated perfused pancreatic duct, patch-clamp, Ussing chamber, microelectrodes, microperfusion, and flourescent dyes

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15
Q

True or false: There are parallels in acid/base transport between stomach and pancreas.

A

True

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16
Q

Which hormone stimulates HCO3- secretion?

A

Secretin

17
Q

Which part of the pancreatic duct is secreting HCO3-?

A

The distal duct/large secretory duct

18
Q

What channel is dysfunctional in cystic fibrosis?

A

CFTR

19
Q

What cells are dysfunctional in diabetes 1 and 2?

A

Beta cells in endocrine pancreas

20
Q

What can cause acute pancreatitis?

A

Alcohol, gallstones, infection, injury, tumors, drugs

21
Q

What can cause chronic pancreatitis?

A

Alcohol, malnutrition,

22
Q

What is the effect of a defect CFTR channel?

A

Reduced HCO3- and fluid secretion, mucus and calcified precipitates, defective acinar secretion of enzymes, acinar cell atrophy, fibrosis of pancreas –> pancreatic exocrine (later endocrine) insufficiency, malabsorbtion and growth retardation unless treated