Pharm 1 Flashcards
Epithelial cells
make up the overall lining of the stomach
mucous neck cells
secrete mucous to serve as a protective barrier between the acid and the epithelial cells
Regenerative cells
replace damaged epithelial cells
Parietal cells
Secrete acid
Chief cells
secrete pepsinogen
Endocrine cells
secrete factors that communicate with more distant cells in the body via the bloodstream
Two most common medication therapy targets
Proton, or acid, pumps
Histamine receptors
Stimulants of acid secretion
Acetylcholine (ACh)
Histamine
Gastrin
Inhibitors of acid secretion
Somatostatin
Prostaglandins
ECL cell
responsible for histamine release
D cell
Somatostatin release
G cell
gastrin release
Regulation of acid secretion
ACh –> ECL cell –> histamine –> stimulates acid secretion along with stimulating the parietal cell directly to secrete acid
ACh –> delta cell –> prevent release of somatostatin –> increases release of gastric acid
ACh –> GRP (gastrin releasing peptide) –> gastrin into the bloodstream and stimulates acid secretion by the parietal cell
Gastrin –> D cells –> somatostatin (negative feedback)
Mucosa then decreases the release of gastrin and directly decreases gastric acid secretion at the parietal cell