Section 7: Pancreatic Secretion, Biliary Secretion, and Gall Bladder Function Flashcards
The common bile duct joins:
Cystic duct and common hepatic duct
Secretory unit of the pancreasL
Lobule
What connect the main pancreatic duct and the lobules?
interlobular ducts
Components of the lobules:
intercalated ducts that each end in an acinus
Main components of he pancreatic acinar cells:
Zymogen granules, golgi, mitochondria and RER
Functions of the pancreas:
insulin/ glucagon release, secretion of digestive enzymes and HCO3- rich fluid
What is the exocrine function of the pancreas?
secretion into ducts of digestive enzymes and HCO3- rich fluid
To where is the fluid carrying enzymes from the pancreas carried?
duodenum
Effect of acid on digestive enzymes:
inactivation
Aqueous component of pancreatic juice:
basal spontaneous secretions, secretin-stimulated secretions (higher HCO-2), and Cl-/ HCO3- exchange
Fluid flow from the pancreas:
acinar fluid, to intralobular ductal system, to extralobular ductal system, to main collecting duct
Components of secretin-stimulated secretions, highest concentration to lowest concentration:
Na+, HCO3-, Cl=, K+ (155mM, 115, 40, and 7mm)
What causes the secretion of fluids from the pancreas?
secretin injection or acid meal in the duodenum
General effect on ion concentrations as section rate increases from the pancreas:
Na+ and K+ remain the same, Cl- decreases, and HCO3- increases
pH in the duodenum with and without secretions from the pancreas:
7.8 without, 8.3 with
Basal primary secretions from the pancreas are ____-like.
plasma
What makes the transepithelial voltage more lumen-negative and is the driving force for Na+ to enter the lumen via tight junctions?
the movement of Cl- into the lumen of the acinus
What transporter produces the net Cl- uptake in the pancreas acinar cells?
Na/K/Cl contransporter, driven by the Na gradient created by the Na/K pump
What drives he Na/K/Cl cotransporter?
the Na gradient created by the Na/K pump
What pumps cause a rise in intracellular stores of K?
Na/K pump and the Na/K/Cl cotransporter
What neurotransmitter is a potent stimulator of Cl- secretion?
acetylcholine (cholinergic)
What does the intracellular accumulation of Cl- drive?
Cl- secretion into the acinar lumen through apical-membranes Cl- channels
Through what mechanisms does bicarbonate get secreted into the lumen of the duct?
Cl-HCO3- exchange mechanism
True or False? HCO3- can enter the lumen directly.
T. across the basolateral membranes via an Na/HCO3 cotransporter
