THE MF DIGESTIVE SYSTEM Flashcards
Histology of the mouth
Non-keratinized stratum squamous epithelium
Classifications of teeth
-Incisors: Cutting
-Canines: tearing & piercing
-Premolars: Grinding
-Molars: Grinding
Saliva
Mucurs & serous fluid used to form a bolus, dissolve chemicals for digestion, and contains salivary amylase.
Salivary amylase
Enzyme in mouth to breakdown starch into maltose
Pharynx histology
Stratified squamous epithelium
Histology of esophagus
Non-keratinized stratified squamous epithelium
4 layers of alimentary canal
-Mucosa
-Submucosa
-Muscularis externa
-Serosa
Mucosa
-Non-keratinized stratified squamous epithelium
-Lamina propria (Areolar CT): where vessels, lymph vessels, and immune cells enter
-Muscularis mucosae: Thin layer that creates local movement
Submucosa
Provides support and blood vessels, lymph vessels, and nerves.
Muscularis
-Circular muscle
-Longitudinal (Superficial) muscle
Serosa
-Prevents friction between abdominal organs and other structures in the abdominal cavity
-Epithelium
-Areolar CT
Process of swallowing
- Buccal phase: Tongue presses against hard palate to force food down oropharynx
- Pharyngeal-esophageal phase: Uvula, larynx, and tongue prevent upwards movement of food and bolus presses upper esophageal sphincter to enter esophagus
3.Upper esophageal sphincter contracts for food entry - Peristalsis moves food through esophagus of stomach
- Gastro-esophageal sphincter opens for food to enter stomach
Rugae
Internal folds of mucosa in stomach
Muscularis externa of the stomach
-3 layers of smooth muscle
-Inner layer allowing stomach to churn, mix, and brake down food
Mucosa of stomach
-Simple columnar epithelium and secratory cells
-Lined with mucous cells
-Dotted with gastric puts, gastric glands, and gastric juice
Mucous cells of stomach
Secrete 2-layer coat of alkaline mucus to prevent hydrochloric acid from damaging mucosa lining
4 secretory cells of stomach mucosa
-Mucous neck cells
-Chief cells
-Parietal cells
-Enteroendocrine cells
Chief cell secretions in stomach
-Lipases: 15% of lipid digestion
-Pepsinogen: Inactive form of pepsin for protein metabolism
-Rennin: Digesting milk proteins in infants
Parietal cell secretions in stomach
-Intrinsic Factor: Vitamin B12 absorption
-Hydrochloric acid: Keep stomach pH low and activate pepsinogen into pepsin
Enteroendocrine cell secretions
-G cells secrete gastrin
-D cells secrete somatostatin
-ECL cells secrete histamine
3 reflex pathways to stimulate H+/K+ pumps to increase HCl secretions
-Parasympathetic nervous system
-Gastrin by G cell
-Histamine from EnteroChromaffin-like cells
Cephalic phase of gastric secretion
-Cephalic phase
-Sensory information to brain associated to food triggers PSNS (Vagus nerve) to prepare gastric secretions to receive food from stomach
Regulation of cephalic stage
Loss of appetite signals to the cerebral cortex to no longer stimulate parasympathetic center
Gastric phase of gastric secretion
-Mechano/stretch/chemo receptors in stomach wall stimulate parasympathetic nervous system to secrete
Regulation of gastric phase
-Excess acidity cause gastrin secretion to decline
-Emotional distress causes sympathetic NS activation which overrides PSNS causing secretion inhibition
Intestinal phase of gastric secretions
-Chemoreceptors in the wall of duodenum trigger PSNS causing intestinal gastrin to release in blood causing stomach secretion
Regulation of intestinal phase of gastric secretion
Distention of duodenum as well as presence of fatty acidic food can cause release of hormones such as somatostatin to slow down secretions.
Extrinsic gastrointestinal reflexes
-Enterogastric reflex
-Gastroileal reflex
-Gastrocolic reflex
What region of the small intestine absorbs most nutrients
Jejunum since there are more circular folds
Pancreas function
-1% endocrine function: Insulin & glucagon secretion
99% exocrine function: Secretion of pancreatic juice that contains bicarbonate, salts, and digestive enzymes in the form of zymogens
Zymogens
Inactive forms of many proteases that are activated by trypsin
Absorption of electrolytes
-Iron and calcium absorbed in duodenum
-NA+: Absorbed by NA/K pumps at luminal surface to be coupled with absorption of carbs and protein
-Cl-: Active via H+/Cl- co-transporter
-K+: Via osmotic gradient
Absorption of water
-9 Liters of water
-95% absorbed in small intestines via osmosis
Large intestine histology
Simple columnar epithelium
-Enterocytes: Absorptive cells
-Goblet cells: Alkaline mucus
Teniae coli
-Muscularis externa of large intestine
-3 bands of smooth muscle
Haustra
Pocket like sacs
Role of resident bacteria of large intestine
-Produce vitamin K & B
-Produce gas and acids
Defecation reflex
-Internal anal sphincter is relaxed
-External/voluntary anal sphincter relaxes
Metabolism
Sum of all biochemical reactions in the body
Anabolism
Reactions that build larger molecules
Catabolism
Reactions that break down complex structures
Glycogenesis
-Synthesis of glycogen by polymerizing glucose in liver and skeletal muscle
Gluconeogenesis
-Synthesis of glucose from non CHO precursors
-In liver, when glycemic levels drop
Glycolysis
Splitting of glucose into 2 pyruvate for aerobic respiration or anaerobic fermentation
Glycogenolysis
Splitting of glycogen into free glucose monosaccharides
Insulin effect
-When GLU is high, glucose entry to cells increases 20x
-Hypoglycemic hormone
-Stimulated by PSNS
Glucose-dependent insulinotropic peptide/Gastric inhibitory peptide
-Secreted by small intestine/duodenum
-Increases insulin secretion
Glucagon effect
-When glucose is low, will stimulate glycogenolysis
-Hyperglycemic hormone
-Increased lipolysis in adipose tissue to preserve blood glucose
Lipolysis
Triglycerides degraded by lipases
-Glycerols continue glycolysis
-Fatty acids undergo beta oxidation to form acetyl coa for TCA cycle
Lipogenesis
-Formation of lipids
-Occurs when glucose and ATP is too high and not being used
Degradation of aminon acids
-Transamination: A.A + a-ketoglutarate –> Glucose + Keto acid
-Oxidative deamination: Forms NH4 which will become urea & urinated out
-Keto acid modification: Turns A.A’s into TCA intermediates to be metabolized
Protein synthesis
Proteins synthesized if all amino acids needed are present at necessary concentrations
Energy Consumption Formula
Consumption = Respiration + Production + Excretion
Respiration
Cost associated with basal survival, physical activity, and feeding
Production
Cost associated with growth, reproduction, and replacing lost tissue
Excretion
Urinary loss, feces
Total metabolic rate
Total amount of kilocalories the body must consume to fuel ongoing activities
Ghrelin
Hormone secreted by parietal cells when stomach empties to signal hunger
Peptide YY (PYY)
-Secreted by enteroendocrine cells in ileum and colon: Gastroileal reflex, prevents stomach from emptying quick, kills hunger cravings
Cholecystokinin
-Secreted by enteroendocrine cells in duodenum & Jejunum
-Kills hunger and stimulates enterogastric reflex
Insulin
-Secreted by pancreatic beta cells
-Glucose and A.A uptake from blood to tissue cells
Leptin
-Secreted by adipocytes
-Promotes fat breakdown/lipolysis
-Signals satiety
Enterogastric reflex
Duodenal distention and acidic pH will inhibit gastrin secretion and gastric peristalsis to slow down emptying of stomach
Gastroileal reflex
Opens ileocecal valve to promote colonic peristalsis and defecation
Gastrocolic reflex
Sigmoid colon propels contents of rectum for defecation
Ankyloglossia
Short frenulum causing low tongue motility for swallowing and speech
EnteroChromaffin-Like cells (ECL cells)
Histamine releasing cells activated by gastrin