Regulation of GI function Flashcards

1
Q

Two plexuses of enteric nervous system

A

Myenteric - increases velocity and intensity of gut contractions
Submucosal - involved with local conditions and controls local secretions, absorption and muscle movement

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2
Q

What is the function of enteric nervous system

A

Controls motility and secretion of digestive tract

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3
Q

What are the common features between ENS and CNS

A

Intrinsic neurons - lie completly within the wall of the gut; neuron signals from CNS to GI system
Neurotransmitters and meuromodulators
Glial support cells - Similar to astroglia of the brain
Integrating centre - Allows for relexes that originate in GI tract to be acted on without neural signal leaving ENS; ENS has it’s own integrating centre

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4
Q

What is the submucosal plexus

A

COntrols local secretion and absorption, and muscle movement
Mucosa and epithelial tissue associatedwith it have sensory nerve endings that feed signals to both layers of enteric plexus
THese tissues also sends info back to spinal sord and brainstem

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5
Q

What is the myenteric plexus

A

Longituidinal chain of neurons
COntrols velocity anf intnsity of contractions
Inhibition of myeteric system causes relaxation of muscle movement

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6
Q

How do short reflexes occur in ENS

A

Impulses originate in ENS and are integrated there without outside input
Submucosal plexus contains sensory neurons that receive signals from gut lumen
ENS integrates this information and initiates responses
Submucosal plexuses controls secretion by GI cells; myenteric plexuses in mucularis influence motility

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7
Q

What is feedforward reflexes

A

Sight, smell, sound and thought of food

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8
Q

What are emotional reflexes

A

Butterflies in stomach, psychologically induced vomiting

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9
Q

Enteroendocrine cells

A
G cells
S cells
ECF 
Chief cells
Parietal cells
Beta cells
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10
Q

Digestive hormones

A

Gastrin - acid secretion
Cholecystokinin - Stimulates secretion of pancreatic enzymes and contraction and emptying of the gall bladder
Secretin - stimulates secretion of water and bicarbonate ions
Somatostatin - inhibits gastrin and histamine secretion
GIP - inhibits gastrin secretion and motility, stimulates insulin release

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11
Q

What is gastrin

A

Promotes gastric acid release, increases histamine release and gastric motility
Synthesised and secreted from G cells
Bind to receptors found on parietal and ECF cells

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12
Q

What reflexes cause gastrin release

A

Short reflexes - release stimulated by amino acids and peptides in stomach
Release also triggered in cephalic reflexes - parasympathetic neurons form the vagus nerve stimulate G cells to release gastrin

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13
Q

What is cholecystokinin

A

Secreted from I cells in SI
Released when fats/proteins present in SI
Stimulates release of pancreatic enzyme and bile

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14
Q

What is secretin

A

Secreted from S cells in the SI
Inhibits secretion of gastric acid form parietal cells
Stimulates production of bicarbonate solution from ductal cells in the pancreas

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15
Q

What is secretin

A

Secreted from S cells in the SI
Inhibits secretion of gastric acid form parietal cells
Stimulates production of bicarbonate solution from ductal cells in the pancreas

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16
Q

What are Gastric inhibitory peptide

A

Secreted from K cells in the SI
Secreted by presence of food - particularly carbs
Stimulates insulin secretion from beta cells to reduce blood glucose
Inhibits gastric acid secretion and motility

17
Q

What are glucagon- like peptide 1

A

Secreted from L cells in SI
Secretes insulin to decrease blood glucose levels
Suppresses glucagon secretion, inhibits gastric emptying and reduces appetite and food intake

18
Q

What is motilin

A

Secreted by endocrine Mo cells if the SI
Cyclically released during fasted state
Stimulates gastric and SI motility forcing undigested food in these regions to move to large intestine

19
Q

What is calcitriol

A

Active form of Vitamin D
Synthesised in the kidney
Increases blood calcium levels by
- Promoting absorption of dietary Ca2+ from GI tract
- Increasing renal tubular reabsorption of Ca2+

20
Q

What is ghrelin

A

Peptide produced by the stomach

Increases hunger

21
Q

What is peptide YY

A

Synthesised and secreted from L cells within the GI tract
Decreases secretions and motility
Increases satiety