secretion Flashcards
Gastrin is released from ___ cells in the ___ and ___
G cells
in the antrum and duod
Gastrin is stim by (3)
- protein digestion
- Nervous , physical distention
- Ca+2, decaf coffee , and wine
G-17 is gastrin released from the ____
antrum
G-34 is gastrin released from the ___
duod
trophic activity of gastrin does what?
stim growth of oxyntic mucosa of stomach, duod mucosa, and colon mucosa
c.c name the gastrinoma condition
zollinger- ellison sx
c.c. location of a zollinger- ellison sx gastrinoma
non beta cell tumor of pancreas or g cell in duod
c.c. sx of a zollinger ellison sx gastrinoma
diarrhea
duod ulcer
steatorrhea
hypokalemia
location of CCK release
I cells in duod & jejunum
CCK secretion is stim by (3)
- FA/ monoglycerides (not triglycerides)
- Peptides & AA
- Acid
Physio effects of CCK on the pancreas and stomach
GB: contracts GB relaxes sphincter of Oddi
inhibits : inhibits gastric emptying
CCK has trophic effects on ___ & ____ mucosa
pancreas and GB
location of Secretin secretion
S cells of the duod
Secretin release is stim by (2)
acid in duod
FA in duod
Location of GLIP secretion
duod & prox jejunum
what (4) factors stim GLIP
fat
acid
carbs
oral glucose
what horm will stim the release of insulin
GLIP
What horm is released during fasting
motilin
_____ horm accounts for the migrating motility complex “housekeeping contractions”
motilin
What is the only GI horm secreted in the antrum
gastrin
What are the only 2 GI horm that are secreted in the Ileum
CCK
secretin
All GI horm are ___
peptides
___ & ___ strongly stim secretion of acid in parietal cells
histamine
gastrin
______ are stomach cells that secrete gastric acid (HCl) and intrinsic factor.
parietal cells
acted upon by histamine and gastrin
_____ receptor blockers decrease acid secretion
Histamine H2 receptor blockers
Names: Cimetidine & ranitidine
source of VIP
Gut mucosa and SM
Name the (3) NT of the GI tract
VIP
GRP
Enkephalin
Fxn of the VIP NT
relaxation of gut SM
relaxes LES
(aka: vasoactive intestinal peptide)
FXn of GRP (bombesin)
increase gastrin release
aka: gastrin- releasing peptide
Location of Enkephalin NT secretion
Gut mucosa and SM
action of enkephalin NT
increase SM tone
Which GI organ secretes very acidic secretions
stomach
pH : 2
Which GI organ secretes very basic secretions for neutralization
pancreas
pH: 8
Which GI organs (3) secrete neutral secretions
GB
SI
LI
the daily vol of GI secretions is ___Liters
7L
(4) mech of stim of secretion in the GI tract
- mech presence of food
- activiation of enteric NS : tactile, chem, distention of gut
- Autonomic stim
- hormonal
What are (3) mech to activate the enteric NS
- tactile stim
- chem irritation
distention of gut wall
oral cavity saliva is secreted by 3 major glands
parotid (serous)
submandivular (mixed)
sublingual (mucous)
(buccal glands)
parotid is a ___ gland
serous
submandibular is a __ gland
mixed
- provides 69% of oral cavity secretion
Which oral cavity gland contributes the most to saliva
submandibular
Sublingual is a ___ gland
mucous
______ digests starch in the oral cavity
alpha amylase
c.c. ______viral infection of the parotid gland
mumps
what are the 6 constituents of saliva
mucus ptyalin (a-amylase) lingual lipase kallikrein NaHCO3 water
What saliva constitute forms bradykinin
kallikrein
vasodilator
_____ increases pH for optimum fxn of amylase
NaHCO3
____ protein allows for lubrication in the oral cavity
mucin
______protein is an antibacterial protein in the oral cavity
lysozyme
_____ acts as a Ca+ binding protein in the oral cavity
proline rich proteins
increa. flow in the salivary duct increa. ____ conc bc it can not be absorbed fast enough
Na+
saliva is ____. It becomes less conc. in Na+ and Cl- bc of absorption
hypotonic
____ ion moves out of the cell with Na+
Cl-
what two cranial Nerves help the PS system to increase flow rate of saliva
facial
glossopharyngeal
what two N control the taste reflex
facial (submandibular gg) –> subman and subling
glossopharngeal (otic gg) –> parotid
_____ blocks the muscarenic AcH receptors so AcH cant bind to make saliva
atropine
NE bind to ___ receptors to activate cAMP to secrete enzymes
beta adrenergic receptors