Wold 3 Flashcards
But, there are only 2
stomach**
2 glandular regions in the stomach.
There are 3 sections of the
stomach.
Pepsinogen is a
zymogen (i.e., it is a proenzyme that needs to be cleaved to become active)
Parietal cells produce
intrinsic factor
pancreas is an
exocrine gland
pancreas
Exocrine
bicarbonate ions digestive enzymes (many, many, many digestive enzymes)
CCK Secretion is potentiated by
*Pancreas
secretin
Pancreatic Bicarbonate secretion is essentially the same
as HCl secretion in reverse.
Regulation of Pancreatic Bicarbonate Secretion:
Hormone regulation by
secretin
Regulation of Pancreatic Bicarbonate Secretion
Feedback regulation by
acidity
CCK strongly potentiates the effects of
secretin
Liver:
Secretes bile into small ducts called
bile canaliculi
Liver
Canaliculi converge and drain into
larger bile ducts.
Small Intestine types of muscle contractions:
Peristalsis: progressive contractions of successive sections of
circular smooth muscle
Small Intestine types of muscle contractions
Segmentation: closely spaced contractions of
circular muscle layer. When this is rhythmic (i.e., sites of the circular contractions alternate between contraction and relaxation), chyme/bolus is mixed and slowly moved downward.
Bacteria can ferment some of these undigested substances, which will then be absorbed in the
large intestine, but this comes at a price…
motility in large intestine occurs as slow
“segmentation” contracts
large intestine; peristaltic-like contractions occur
3 – 4 times per day
How do we digest a meal?
Mouth
Chewing, salivation, amylase, lipase
How do we digest a meal?
Stomach
HCl, pepsinogen, lipase, gastrin
How do we digest a meal?
Small Intestine
Hormones—Secretin, Cholecystokinin
How do we digest a meal?
Accessory Organs
Pancreas—proteases, lipase, amylase, HCO3-
Liver—bile
How do we digest a meal?
Small Intestine
Absorption—carbohydrates, proteins, fats, vitamins, minerals
How do we digest a meal?
Large Intestine
Absorption—Na+, Cl-, water
Chyme has to ——- in order for us to digest a meal
keep moving
Stomach churning
Rate is determined by
pacemaker cells,
Stomach churning
magnitude determined by
excitatory stimuli
Stomach
Peristalsis from
body to pyloric sphincter
Small Intestine
Segmentation and Peristaltic contractions
Peristalsis controlled by
migrating myoelectric complex (initiated by motilin)
Primary purpose of the large intestine is to actively transport
Na+ from lumen to blood.
Large intestine
Also, bicarbonate secretion is coupled to
Cl- ion absorption.
Bacterial fermentation of some of the food bolus contents maximizes the absorption of nutrients from food in the
large intestine
Small Intestine Motility
During absorption ——- occur.
segmentation contractions
Small Intestine Motility
After most absorption has occurred,
peristaltic contractions occur.
Small Intestine Motility
Peristalsis is driven by a
migrating myoelectric complex.
peristalsis in small intestine
Starts in
lower stomach and travels about 2 feet prior to dying out
peristalsis in small intestine
Initiated by the intestinal hormone
motilin
Absorption is maximized when the
chyme/bolus is continuously brought into contact with the intestinal tissue (constant movement)
The liver synthesizes, about
20-60 mg of bile salts a day
——– of bile salts are secreted a day.
1,200-3,600 mg
Bile salts are recycled through the
enterohepatic circulation
Bile
Bile salts (and other salts)
Lecithin
Cholesterol
Bile pigments (like bilirubin) and other metabolic end products
Trace metals
Bicarbonate ions (secreted by epithelial cells of ducts, stimulated by secretin)
In general, the same factors that affect HCl secretion also affect
gastric motility/emptying.
Enterogastrone is a hormone produced by
intestinal cells
Enterogastrone
inhibit the secretion or motility in the
stomach.
Secretin, and CCK are
enterogastrones.
Regulation of HCl Secretion
Intestinal phase—initially enhances
HCl secretion. But, later in digestion, the intestinal phase is inhibitory.
Regulation of HCl Secretion
when pH of chyme < 3, =
secretin produced
Regulation of HCl Secretion
High H+, amino acids, and fatty acids stimulate
CCK, which ↓HCl production
Regulation of HCl secretion
Gastric phase—
distension, proteins, peptides and amino acids. Increase in gastrin secretion.
Somatostatin is a potent inhibitor of
HCl secretion via 2 mechanisms
Effects on G Cell
Effects on Parietal Cell
Inputs to Parietal Cells Regulate
Acid Secretion
Histamine is the strongest
HCl stimulant.
Histamine release can be triggered by
gastrin or Ach
Gastrin and Ach can have direct effects on
parietal cells.
Parietal cells: In all cases, activation of receptors results in second messenger activation that increases the ability of
parietal cell to release H+ and Cl-
Mucous—Mucous Neck Cells
Throughout all sections of stomach
HCO3-—Epithelial Cells
Throughout all sections of stomach
Gastrin—G Cells
Antrum (Pyloric Gland Area)
Somatostatin—D cells
Throughout the stomach at the base of the gastric glands
Histamine—
Enterochromaffin-like cells
HCl—Parietal Cells
Fundus and Body (Oxyntic Gland Area)
Intrinsic Factor—Parietal Cells
Fundus and Body (Oxyntic Gland Area)
Pepsinogen—Chief Cells
Body and Antrum (Oxyntic and Pyloric Gland Area)
stomach
Delivers the chyme to the duodenum at a rate compatible with
The secretion rate of bile salts, bicarbonate ions, and digestive enzymes
Rate of enzymatic breakdown of proteins, lipids, and carbohydrates
Small intestine transit
Phases of GI Control
cephalic, gastric, intestinal
Cephalic Phase
(parasympathetic nerve fibers affecting ENS)
Cephalic phase Initiated when
receptors in head are stimulated
Gastric Phase
(short and long neural reflexes and gastrin) Distension Acidity Amino acids Peptides
Intestinal
(short and long neural reflexes, secretin, CCK, and GIP) Distension Acidity Osmolarity Various digestive products
Each GI hormone participates in a
feedback control system to regulate some aspect of the GI lumen
e.g., CCK stimulated by fatty acids, stimulates enzyme production by pancreas, which will reduce CCK and reduce pancreas activation
Each GI hormone affects more than
one type of target cell
e.g., CCK can stimulate pancreas, liver, gallbladder, and inhibit stomach emptying
GI Hormones can have
synergistic effects (one can potentiate the other) e.g., secretin enhances the effects of CCK
Four hormones play a large role in regulating digestion
Gastrin
Cholecystokinin (CCK)
Secretin
Glucose-dependent insulinotropic peptide (GIP)
Receptors GI
Mechanoreceptors
Osmoreceptors
Chemoreceptors
GI: changes Initiated by
Distension of the wall
Chyme osmolarity
Chyme acidity
Chyme concentrations
ENS Motor Neurons
Muscle Contractions
Gland Function
ENS: Interneurons
Regulate
interactions between different layers of the GI tissue
GI Neurons
Autonomic nervous system
Enteric nervous system
Paracrine mediators
Produced by
local cells
Reach target cells via diffusion
Hormones
Produced by
endocrine cells
Reach gut via the blood