SCT III - Gastrointestinal Tract: Regulation Flashcards

1
Q

What is the enteric nervous system?

A

Myenteric Plexus (Auerbach’s)
- More neurons
- Controls muscle motility

Submucosal Plexus (Meissner’s)
- Less neurons
- Controls secretion & absorption

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

Stimulation and inhibition of distributor neurons & effect neurons

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

What is a vago-vagal reflex?

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

What is the impact of PNS on the GI tract?

A

PNS = Rest & digest

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

What is the impact of SNS on the GI tract?

A

SNS = Fight-or-flight (antagonistic)

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

How does the GI tract receive PNS stimuli?

A

PNS - Preganglionic
- Vagus N. (CN X)
- Pelvic Splanchnic N. (S2-S4)

PNS - Postganglionic
- nAChR
- Effector is postganglionic neuron

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

How does the GI tract receive SNS stimuli?

A

SNS - Postganglionic (Sympathetic Trunk)
- Greater Splanchnic N. (T5-T9)
- Lesser Splanchnic N. (T10-T11)
- Least Splanchnic N. (T12)
- Lumbar Splanchnic N. (L1-L2)

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

How can the SNS impact the local arc response of the GI tract (draw)?

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

How does the SNS effect interneurons?

A

α-2 Receptors
- G-protein (i) - Inhibitory
- Neuron inhibition

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

How does the SNS effect effector neurons?

A

α-2 Receptors
- G-protein (i) - Inhibitory
- Neuron inhibition

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

How does the SNS effect local arc response?

A

β-2 Receptors
- G-protein (s) → [cAMP]i ↑
- Smooth M. relaxation

α-1 Receptors
- G-protein (q) → [Ca2+] ↑
- Sphincter contraction (closure)

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

What is meant by monospecific and pleiotropic complexity?

A

Monospecific
One hormone one function

Pleiotropic
One hormone multiple functions

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

What are the possible products of proglucagon in the pancreas?

A
  1. GRPP = Glicentin-Related Pancreatic Polypeptide
  2. Glucagon
  3. Heavy Proglucagon Fragment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the possible products of proglucagon in the small intestine?

A
  1. Glicentin
  2. GLP-1 & GLP-2 (Glucagon-like-peptide)
  3. GRPP & Oxyntomodulin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the function of D-cells?

A

D-Cells [PARACRINE]
- Paracrine inhibition of neighboring secretory cells
- Vasoconstriction

Stimulus: Low stomach pH
Peptide: Somatostatin
Location: Stomach

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

What is the function of L/A-Cells?

A

L/A-Cells
- Carbohydrate metabolism
- Insulin ↑
- Intestinal mucosa cells ↑

Stimulus: N/A
Peptide: Glucagon, Glicentin, GLP-1, GLP-2, Oxyntomodulin
Location: Pancreas (A) & small intestine (L)

17
Q

What is the function of G-cells?

A

G-Cells
- HCl ↑
- Growth factor

Stimulus: Distension AA, GRP, stress
Peptide: Gastrin
Location: Stomach & small intestine

18
Q

What is the function of I-cells (CCK)?

A

I-Cells (CCK)
- Pancreatic juice ↑
- Gallbladder contraction
- Slowing of stomach emptying
- Intestinal motility ↑
- Food intake ↓

Stimulus: AA & FA
Peptide: Cholecystokinin (CCK)
Location: Duodenum & jejunum

19
Q

What is the function of F-cells (PP, D1)?

A

F-Cells (PP, D1)
- Absorption ↓
- Pancreatic enzyme ↓
- Bicarbonate secretion ↓

Stimulus: ACh, low blood-sugar
Peptide: Pancreatic peptide
Location: Small intestine, pancreas

20
Q

What is the function of S-cells?

A

S-Cells
- Pancreatic juice ↑
- Bile ↑

Stimulus: FA & H+
Peptide: Secretin
Location: Duodenum

21
Q

What is the function of M-cells?

A

M-Cells
- Motility of stomach and GIT ↑

Stimulus: Fasting
Peptide: Motilin
Location: Small intestine

22
Q

What is the function of GIP-cells (K)?

A

GIP-Cells (K)
- HCl ↓
- Insulin ↑

Stimulus: FA & glucose
Peptide: GIP
Location: Intestinal mucosa

23
Q

What is the function of ECL-cells?

A

ECL-Cells [PARACRINE]
- HCl

Stimulus: Gastrin & Pacap
Peptide: Histamine
Location: Stomach

24
Q

What is the function of enterochromaffin cells?

A

Enterochromaffin cells [PARACRINE]
- Carcinoid tumors, carcinoid syndrome

Stimulus: N/A
Peptide: Serotonin
Location: Gastric/intestinal mucosa

25
Q

Name the I-cells receptors

A

CCK(A) & CCK(B)

26
Q

What’s so special about CCK(B) receptors?

A

It has affinity for I-cells and Gastrin

27
Q

What are the components of the immune system of the GI tract?

A
  1. Lymph nodes
  2. Peyer patches
  3. Immune cells
28
Q

What are the secretory mediators of the immune system of the GI tract?

A
  1. Histamine
  2. Prostaglandins
  3. Leukotrienes
  4. Cytokines