Unit 5 - Digestion Flashcards

1
Q

How does HCl aid digestion?

A
  1. activates pepsinogen to pepsin (in stomach)
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2
Q

Production of HCl by parietal cells:

A
  1. CO2 diffuses into cells from blood
  2. Carbonic anhydrase catalyzes a reaction between CO2 & H2O to form carbonic acid (H2CO3)
  3. Carbonic acid dissociates into H+ and HCO3- (bicarbonate)
  4. Bicarbonate is transported back into blood stream & Cl- is brought into cell through the Cl-/HCO3- antiporter (secondary active transport)
  5. Cl- diffuse into stomach (down its concentration gradient)
  6. H+ is sent to stomach in exchange for a K+ ion through the H=-K+ ATPase pump (active transport - requires ATP)
  7. H+ and Cl- combine in stomach to form HCl
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3
Q

3 phases for regulation of gastric secretion in stomach

A
  1. cephalic (reflex) phase - prior to food entry
  2. gastric phase - once food enters the stomach
  3. intestinal phase - as partially digested food enters duodenum
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4
Q

disaccharides

A

“two sugar” molecule
sucrose
lactose

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5
Q

monosaccharides

A

glucose
fructose
galactose

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6
Q

polysaccharide

A

starch
amylose - unbranched chain of glucose
amylopectin - branched chain of glucose
cellulose - cannot be digested; indigestible fiber
glycogen - highly branched form of glucose storage in muscle

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7
Q

absorbable units of protein

A

amino acids

small polypeptides

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8
Q

dietary proteins

A

combinations of amino acids held together by peptide bonds

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9
Q

triglyceride

A
  • glycerol with 3 fatty acid molecules
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10
Q

absorbable units of fat

A

monoglycerides (glycerol w/one fatty acid)

free fatty acids (that have been freed from triglyceride)

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11
Q

hydrolysis

A
  • breakdown of dietary foodstuffs

- by adding H2O at bond site, enzymes in digestive secretions break them down to absorbable units

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12
Q

4 factors in regulating digestive system function?

A
  1. autonomous smooth muscle function
  2. intrinsic nerve plexuses
  3. extrinsic nerves
  4. GI hormones
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13
Q

What are the intrinsic nerve plexuses?

A

Together called: enteric nervous system - within the system itself

  1. submucosal plexus
  2. myenteric plexus
    - have motor, excitatory, inhibitory and inter-neurons
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14
Q

autonomous smooth muscle function

A
  • Have pacemaker cells that display slow wave potentials

- Are transmitted via gap junctions

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15
Q

extrinsic neural control

A
  • sympathetic nervous system: inhibits digestion

- parasympathetic: increases smooth muscle motility, promote secretion of digestive enzymes

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16
Q

GI hormones

A

excitatory or inhibitory effect on smooth muscle & exocrine glands cells

17
Q

chief cells

A

in stomach

release pepsinogen

18
Q

parietal cells

A

in stomach

secrete HCl- & intrinsic factor

19
Q

chylomicrons

A

after the micelles have been absorbed into the cell, the monoglycerides and free fatty acids form triglycerides. They gather into droplets & are coated with a layer of lipoprotein which makes them water soluble (called = chylomicrons).

20
Q

gastrin (hormone)

A
  • released in stomach

- stimulates pepsinogen production

21
Q

secretin (hormone)

A
  • released in duodenum
  • hormone
  • stimulated by ACID
  • stimulates pancreatic duct cells to produce NaHCO3 (sodium bicarbonate)
  • stimulates liver to secrete bile
22
Q

cholecystokinin (hormone)

A
  • produced in duodenum
  • stimulated by FATS or PROTEINS in duodenum
  • stimulates pancreas acini – pancreatic enzymes
  • stimulates contraction of gallbladder & relaxation of hepatopancreatic ampulla (sphincter of oddi)
23
Q

somatostatin

A

Produced by:

  • pancreatic D cells - inhibits digestion of nutrients & absorption
  • small intestine epithelial cells - inhibits most digestive processes
  • hypothalamus (aka GHIH) - inhibits secretion of GH & TSH
24
Q

insulin (hormone)

A
  1. facilitates glucose transport into most cells
  2. stimulates GLYCOGENESIS, production of glycogen from glucose (in both skeletal muscle & liver)
  3. inhibits GLYCOGENOLYSIS, breakdown of glycogen into glucose
  4. inhibits GLUCONEOGENSIS, conversion of amino acids into glucose in the liver
25
glucose-dependent insulinotrophic peptide (GIP) (hormone)
- produced in duodenum - stimulates pancreas to secrete insulin - feed-forward mechanism (vs. feedback) - released when food present, especially glucose in digestive tract
26
glucagon (hormone)
- secreted by Alpha cells of islets of Langerhans - raise blood glucose by increasing: 1. rates of glycogen breakdown 2. glucose manufacture by liver
27
GLUT
- glucose transporters - 14 varieties - GLUT 1 & 3 -- brain - GLUT 2 - transfers glucose to blood from kidney & intestinal cells by SGLT - GLUT 4 - only one to respond to insulin
28
Which tissues are not dependent on insulin for glucose uptake?
brain liver working muscles (are dependent at rest)
29
How is insulin secreted?
Through EXCITATION-SECRETION COUPLING - change in membrane potential causes insulin secretion 1. Glucose enters beta cell through GLUT-2 2. glucose is immediately phosphorylated to GLUCOSE-6-PHOSPHATE 3. it's oxidized by beta cell to get ATP 4. ATP binds to the open K+ channels, which CLOSES it 5. K+ can't leave so membrane depolarizes 6. depolarization causes the VG-Ca2+ channel to OPEN 7. Ca2+ comes in & tigers exocytosis of secretory vesicles containing insulin
30
Diabetes mellitus
reduced levels of insulin "sweet" Type 1 Type 2
31
Diabetes insipidus
reduced levels of vasopressin - so kidneys cannot conserve H2O "tasteless"
32
Type 1 diabetes
diabetes mellitus insulin-dependent or juvenile-onset lack of insulin secretion
33
Type 2 diabetes
diabetes mellitus non-insuline dependent or maturity-onset normal or increased insulin, but reduced sensitivity of target cells symptoms - sugar in urine, frequent urination, excessive thirst
34
glucosuria
glucose in urine
35
polyuria
frequent urination
36
polydipsia
excessive thirst
37
polyphagia
excessive food intake
38
hyperglycemia
high blood sugar