Salt and Water transport in the GI tract Flashcards

1
Q

Why is the regulation of water and electrolyte transport important?

A

The regulation of water and electrolyte transport is important because it provides a medium for digestion and waste elimination in the lumen of the gastrointestinal tract. It also helps replace the daily loss of body fluids through sweat, urine, lungs, and feces.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What regulates water and electrolyte transport?

A

Water and electrolyte transport are regulated by various factors. These include the gut lumen, the enteric nervous system (part of the nervous system that controls the gastrointestinal tract), autonomic neural mechanisms, and hormonal and immunogenic signals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the functions of hormonal and immunogenic signals in regulating water and electrolyte transport?

A

Hormonal and immunogenic signals play a role in regulating water and electrolyte transport in the gastrointestinal tract. These signals can initiate an immune response and contribute to the regulation of fluid balance and electrolyte concentrations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the consequences of disruption to absorption in the GI tract?

A

Disruption to absorption in the GI tract can lead to secretory diarrhea, which can result in dehydration and electrolyte imbalance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the definition of electrolytes?

A

Electrolytes are substances that carry an electrical charge. For example, when NaCl (sodium chloride) dissolves in solution, it dissociates into Na+ and Cl- ions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why are concentrations of electrolytes important?

A

Concentrations of electrolytes differ between the cytosol (intracellular fluid) and extracellular fluid. These concentrations are important for various metabolic activities in the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is an electrochemical gradient?

A

An electrochemical gradient refers to the difference in both concentration and electrical charge across a membrane. It influences the movement of ions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do ions move down an electrochemical gradient?

A

Ions will diffuse down an electrochemical gradient if there are mechanisms present to facilitate their movement across the membrane.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which ion is the dominant cation in the extracellular fluid?

A

Na+ (sodium) is the dominant cation in the extracellular fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which ion is the dominant cation in the intracellular fluid?

A

K+ (potassium) is the dominant cation in the intracellular fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which ion is the dominant anion in the extracellular fluid?

A

Cl- (chloride) is the dominant anion in the extracellular fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the role of electrolytes in creating an osmotic gradient?

A

Electrolytes create an osmotic gradient across a semi-permeable membrane, which allows for the movement of water by osmosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does water move across a cell membrane?

A

Water moves into the cell from an extracellular hypotonic (low NaCl) environment to an intracellular hypertonic environment by osmosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the permeability of cell membranes?

A

Cell membranes are semi-permeable. They are permeable to non-polar, hydrophobic molecules (such as O2 and CO2), as well as some small, uncharged molecules (such as water, urea, and ethanol).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What molecules are non-permeable to cell membranes?

A

Cell membranes are non-permeable to the movement of large and charged molecules, such as ions and glucose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What mechanisms are involved in the movement of large and charged molecules across the cell membrane?

A

The movement of large and charged molecules across the cell membrane requires protein pumps, carriers, and channels, as well as mechanisms like endocytosis and exocytosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

: What type of membrane protein is responsible for active transport of ions?

A

The Na+/K+ ATPase pump is a membrane protein responsible for active transport of ions, specifically sodium (Na+) and potassium (K+), against their concentration gradient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does the Na+/glucose symport work?

A

The Na+/glucose symport is a protein carrier-mediated transport mechanism that uses the energy from the movement of sodium ions down their concentration gradient to transport glucose molecules against their concentration gradient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What type of transport is facilitated by protein channels?

A

Protein channels facilitate the movement of ions across the cell membrane. Examples include potassium (K+) channels, chloride (Cl-) channels, and aquaporin water channels.

20
Q

What is the difference between active transport and facilitated diffusion?

A

: Active transport requires energy expenditure to move molecules against their concentration gradient, while facilitated diffusion utilizes protein channels or carriers to move molecules down their concentration gradient without the need for energy.

21
Q

How does water move across the cell membrane?

A

: Water can move through the cell membrane via diffusion or facilitated diffusion through aquaporin channels.

22
Q

What is the role of aquaporin channels?

A

Aquaporin channels are membrane proteins that facilitate the selective diffusion of water across the cell membrane.

23
Q

What types of molecules can undergo facilitated diffusion?

A

Facilitated diffusion can transport ions through ion channels and molecules like glucose through carrier proteins.

24
Q

What is the role of the Na+/K+ ATPase pump?

A

The Na+/K+ ATPase pump actively transports sodium (Na+) out of the cell and potassium (K+) into the cell, utilizing ATP as an energy source.

25
Q

What is secondary active transport?

A

Secondary active transport involves the coupling of the movement of one molecule, such as glucose, with the movement of another molecule, such as sodium ions, across the cell membrane.

26
Q

What is the characteristic feature of enterocytes?

A

Enterocytes are polarized cells with an apical membrane (facing the lumen) and a basolateral membrane (facing the bloodstream).

27
Q

What is the function of tight junctions in enterocytes?

A

Tight junctions in enterocytes act as a barrier, restricting the free flow of gut lumen contents between adjacent cells. However, tight junctions in the proximal small intestine (duodenum) are more permeable compared to other regions.

28
Q

What is the role of tonicity in the duodenum?

A

Tonicity refers to the osmotic pressure gradient of a solution. The tonicity of chyme entering the duodenum affects the bidirectional fluid flux in the gastrointestinal tract.

29
Q

What are the two routes of enterocyte transport?

A

Enterocyte transport can occur via the transcellular route (through the cell) or the paracellular route (between cells).

30
Q

: Does transcellular absorption require energy?

A

Yes, transcellular absorption may occur against the concentration gradient and requires ATP as an energy source.

31
Q

Do paracellular routes of enterocyte transport require energy?

A

No, paracellular routes of enterocyte transport do not require energy.

32
Q

What are the types of passive enterocyte transport?

A

Passive enterocyte transport can occur through ion channels, carriers, or permeable tight junctions, allowing molecules to move down their electrochemical gradient.

33
Q

What is solvent drag in enterocyte transport?

A

Solvent drag refers to the movement of water to reach osmotic equilibrium, which can carry ions with it. This is especially relevant in the proximal small intestine, where tight junctions are more permeable.

34
Q

What is the role of the Na+/K+ ATPase pump in active enterocyte transport?

A

The Na+/K+ ATPase pump, fueled by ATP, depletes cellular sodium (Na+) and helps draw Na+ across the apical membrane via channels or cotransporters.

35
Q

What is the role of enterocytes in the crypts?

A

Enterocytes in the crypts are primarily secretory and have minimal nutrient transport functions.

36
Q

What is the role of enterocytes in the villi?

A

Enterocytes in the villi are primarily absorptive and dominate in the transport of nutrients.

37
Q

Do crypt enterocytes secrete water and ions?

A

Yes, enterocytes in the crypts have a secretory function and are involved in the secretion of water and ions.

38
Q

Are villi structures present in the large intestine?

A

No, the structure of villi is absent in the large intestine.

39
Q

What key electrolytes are absorbed in the small intestine?

A

The small intestine absorbs key electrolytes such as Na+, K+, Cl-, and HCO3- from ingested food and secretions of the GI tract.

40
Q

Where does rapid osmotic equilibration occur in the digestive system?

A

Rapid osmotic equilibration occurs in the duodenum, resulting in the formation of isotonic chyme. This process involves the movement of water, Na+, and Cl- through permeable tight junctions.

41
Q

What substances are reabsorbed in the jejunum?

A

The jejunum reabsorbs Na+, K+, Cl-, and water (H2O).

42
Q

What does the ileum secrete?

A

The ileum secretes HCO3- (bicarbonate).

43
Q

What substances are reabsorbed in the large intestine?

A

The large intestine reabsorbs Na+, Cl-, and water (H2O) while secreting K+ and HCO3- (bicarbonate) for excretion.

44
Q

How is Na+ absorbed in the small intestine?

A

Na+ absorption in the small intestine is driven by basolateral active transport of Na+ via the Na+/K+ ATPase pump into the interstitial fluid, creating an electrochemical gradient. This gradient facilitates secondary active transport at apical carrier proteins for Na+ absorption.

45
Q

How is Cl- absorbed in the small intestine?

A

In the jejunum, Cl- absorption occurs through an electrochemical gradient created by Na+ absorption with nutrients, resulting in a net negative charge in the lumen and a net positive charge in the paracellular spaces. In the jejunum and distal ileum, Cl- is passively absorbed through apical membrane Cl- ion channels and exchanged for HCO3-.

46
Q

How is NaCl absorbed in the large intestine?

A

NaCl absorption in the large intestine is driven by the Na+/K+ ATPase pump. Sodium enters the cells through Na+ channels via facilitated diffusion. Aldosterone control increases the number of Na+ channels, promoting sodium absorption and reducing potassium (K+) levels. When the lumen concentration of sodium is low, potassium (K+) is secreted. Cl-/HCO3- ions act as a buffer for acid produced by bacteria and facilitate the movement of chloride ions. Tight junctions in the large intestine ensure no ion backflow, making them less permeable compared to the proximal duodenum.

47
Q

What is the role of sodium in the absorption of water?

A

The absorption of water by osmosis is dependent on the absorption of solutes, especially sodium. The Na+/K+ ATPase pumps in the enterocytes lead to the accumulation of sodium chloride (NaCl) in the paracellular spaces between the cells. This creates an osmotic gradient, which draws water (H2O) into the enterocytes and the paracellular spaces.