Salivary and gastric secretions Flashcards

1
Q

Lubrication

A

Moisten mouth to aid swallowing
Facilitate movement
Help dissolve chemicals

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2
Q

Saliva functions

A

Lubrication
Protection (lactoferrin)
Digestion (alpha amylase and lingual lipase)

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3
Q

Sjögren’s syndrome

A

Autoimmune

Destroys exocrine glands (tear and saliva)

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4
Q

Xerostomia

A

Dry mouth

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5
Q

Types of secretion

A

Serous

Mucous

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6
Q

Serous secretion

A

the main type of protein secreted is ptyalin (hydrolizes starch)

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7
Q

Mucous secretion

A

main protein is mucin, acting as lubricant

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8
Q

Major salivary glands

A

The submandibular glands secrete approximately 70% of saliva (mixed).

The parotid glands secrete 25% (serous).

The sublingual glands secrete 5% (mucus

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9
Q

Salivary gland contain

A

blind-ended acini connecting with ducts draining into major ducts

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10
Q

Functional unit of salivary gland

A

Acinar cells - secrete primary saliva into duct system

Isotonic solution - duct reabsorb NaCl

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11
Q

Acinar cells

A

Cl- via uptake by basolateral NaK2Cl con transporter and release through apical chloride channel
Process sustained by NaK ATPase
Na+ enters paracellularly though leaky tight junctions

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12
Q

Ductal cells

A

Remove Na+ from saliva via apical sodium channel and basolateral NaK ATPase
Cl- removal via different chloride channel in apical and basolateral membrane

Secrete bicarbonate and potassium (unidentified apical bicarbonate chloride and potassium proton exchanger)

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13
Q

Saliva always hypotonic

A

low rate of secretion – maximum reabsorption of electrolytes

high rate – less time to reabsorb so higher osmolality

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14
Q

Central control of salivary secretions

A

Efferent nerves reach the salivary glands via the glossopharyngeal and facial nerves. Acinar secretion is stimulated by the release of acetylcholine, which acts via the muscarinic receptors.

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15
Q

Parasympathetic stimulation

A

Promote watery secretion myoepithelial cells surrounding acini and ducts contract and eject preformed saliva

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16
Q

Sympathetic stimulation

A

does increase output of amylase but …

- blood flow reduced (vasoconstriction) and fall in rate of secretion e.g. in dry mouth associated with fear

17
Q

Only hormonal effect

A

Aldosterone secretion

increases ductal Na+ absorption and K+ secretion.

18
Q

Composition of gastric juice

A

pH 1-3 pepsinogen

Pepsin: Endopeptidases
Mucus bicarbonate barrier
Intrinsic factor - glycoprotein binds vit B12

19
Q

Stomach has 2 major regions

A

an exocrine or glandular portion that consists of the fundus and body or acid-secreting area

an endocrine or hormone secreting area portion that is located in the antrum or gastrin-secreting area

20
Q

Endocrine - D cells

A

Very few parietal cells

secrete somatostatin- regulator of gastrin release and gastric acid secretion

21
Q

Exocrine region

A

acid secreting, IF

Histamine cells

22
Q

Protection against self digestion

A

Lumen

23
Q

Mucous viscosity

A

Mucin has basic side chains.
HCO3- secreted from surface epithelial cells.
Both neutralise H+ ions

24
Q

Gastritis

A

infection by the bacteria Helicobacter pylori
Alcohol, smoking and NSAIDs

Rapid regeneration = restitution