PSIO Exam 4 Flashcards
Smooth Muscle
- modulates luminal pressure/tension
- tissue is present in sheets, bundles or sheaths around tissues
Innervation and Stimulation of Smooth Muscle
- primarily under control of ANS “involuntary”
- diffuse branching of nerve fibers
- transmitters include ACh and NE
- membrane potential ~ -50 to -60mV
Smooth Muscle Cells type categorized based on excitation
- single/unitary (visceral)
- multi-unit
Unitary Smooth Muscle Cells
- walls of digestive tract, gall bladder, urinary bladder
- may not have direct contact with any motor neuron
- AUTORHYTHMIC. Adjacent cells connect via gap junctions and transmit AP from one fiber to another
- cell membranes adhere to one another: transmission of force
- slow synchronized “graded” contraction
- entire sheet of muscle contracts as a “functional syncytium”
Diffuse Junctions
general area of smooth muscle fiber where numerous viscosities are located and release neurotransmitters into
Structure of Smooth Muscle Cells
- sarcoplasmic reticulum is poorly developed relative to skeletal muscle
- thick filaments of SM have actin-gripping heads along their entire length
- thick and thin filaments are arranged diagonally within the cell contraction results in twisting motion
Special Features of SM
- capable of sustained contraction without fatigue and at little energy cost
- maintains a low level of tension or tone even in the absence of action potentials
- stress relaxation response
SM Stretch Relaxation Response
- stretch causes initial increase in tension
- tension decreases within 1-2 minutes
- allows SM to change length but maintain ability to contract (important for storage organs)
Length-Tension Relationship in SM
- smooth muscles operate over a wider range of resting lengths
- generally broader length-tension relationship in smooth muscle compared to skeletal muscle
Parts of Stomach
- cardia
- fundus
- body
- pylorus
- pyloric sphincter
Stomach Anatomy
- stomach filling triggers secretions and motility
- stomach empties slowly into the duodenum as small squirts of chyme leave through the pyloric sphincter
Parietal Cell Function
secrete HCl
Mechanical Digestion in Stomach
- gentle mixing waves occur in the stomach to mix the blouse of food with gastric juice (enzyme, acid, water) and turn it into chyme (a thin liquid)
- more vigorous waves traveling from the body of stomach to the pyloric region move the chyme along
- intense waves near the pylorus lead to opening of the pyloric sphincter- squirting 1-2 teaspoons into the duodenum with each wave
Chemical Digestion in Stomach
- protein digestion begins in the stomach
- fat digestion continues
- HCl kills microbes in food
- mucous cells secret mucus to protect the stomach walls from being digested
Protein digestion in stomach
- HCl denatures (unfolds) protein molecules
- HCl activates pepsinogen into pepsin- an enzyme that breaks peptide bonds between certain amino acids
Fat digestion continues
gastric lipase splits the triglycerides in milk fat, although this is most effective at pH 5-6 (infant stomach)
Absorption of Nutrients by the Stomach
- water
- electrolytes
- some drugs (aspirin) and alcohol
- fat content in the stomach slows the passage of alcohol to the intestine, where absorption is more rapid
- alcohol is absorbed more slowly if taken with a meal
Regulation of Stomach Function: Neural Influences
- stretch receptors & chemoreceptors (pH) signal bolus entry, and this leads to an increase in parasympathetic nerve impulses to effectors in the stomach
- vigorous peristalsis and gastric gland secretions result
- chyme periodically released into the duodenum until return to homeostasis
Regulation of Stomach Function: Endocrine (hormonal) influences
distention and presence of food in stomach cause G cells to secrete gastrin into the bloodstream; gastrin increases gastric gland secretions and motility, and cause pyloric sphincter relaxation
Anatomy of the Small Intestine
- 3m (10 feet) in length
- 2.5 cm (1.0 in) in diameter
- large surface area
- site of most digestion and absorption
- divided into sections
Sections of Small Intestine
- duodenum 25 cm (10 in) starts at pyloric sphincter
- jejunum 1 m (3 ft)
- ileum 2m (6 ft) ends at ileocecal sphincter valve
Total length of small intestine in cadavers
6.5 m (21 ft) due to loss of smooth muscle tone
Functions of Villi and Microvilli
- increase surface area for absorption
- brush border enzymes found on the surfaces of microvilli participate in chemical breakdown of carbohydrates, proteins, and nucleosides
- cell division within intestinal glans produces new cells that move up to replace old cells that have been lost
Brush border enzymes on microvilli
- pancreatic juice is present in the lumen with chyme, and contains amylase, proteases, lipase and nucleases
- no brush border lipase or nucleases present
Pancreatic Juice (~2L produced per day)
clear colorless liquid (pH of 7.1 to 8.2) consisting of:
- water
- salts
- sodium bicarbonate
- several enzymes
Enzymes secreted by the pancreas
- pancreatic amylase
- trypsin
- chymotrypsin
- carboxypeptidase
- elastase
- pancreatic lipase
- ribonuclease
- deoxyribonuclease
Proteases
secreted as inactive precursors (like pepsinogen in the stomach)
Enteropeptidase (on brush-border cells)
activates trypsinogen to trypsin, trypsin then activates chymotrypsinogen, procaboxypeptidase, and proleasease
Digestion of carbohydrates
- mouth: salivary amylase
- stomach: mechanical only
- pancreas: pancreatic amylase in pancreatic juice
- small intestine: brush border enzymes maltase, sucrase, and lactase
Small intestine brush border enzymes: carbohydrates
- act on disaccarides (maltose, sucrose, and lactose)
- produce monosaccharides (fructose, glucose, and galactose)
Lactose Intolerance
those without lactase will have bacteria ferment lactose, and the result will be gas and diarrhea
Absorption of Monosaccharides
- Absorption into epithelial cells
- glucose & galactose: sodium symporter (secondary active transport)
- fructose: facilitated diffusion - Movement out of epithelial cell into bloodstream
- by facilitated diffusion
Digestion of Proteins
- mouth: mechanical only
- stomach: Hal denatures or unfolds proteins, and pepsin breaks proteins into smaller polypeptides -smaller chains of amino acids
- pancreas: pancreatic enzymes (proteases) in pancreatic juice continue to split peptide bonds between amino acids
- small intestine: brush border enzymes amino peptidase and dipeptidase
Small intestine brush border enzymes: proteins
- split off amino acids at the amino end of polypeptides (amino peptidase)
- split apart two-amino acid chains (dipeptidase)