10 Flashcards
(26 cards)
what are three components of gastric secretion
- HCl
- Pepsinogen - product of chief cells (concentrated in body region of body) (inactivate cleaved by HCl into active PEPSIN)
- Mucus - mucous neck cells (protect stomach lining/neutralize acid)
what is a zymogen
inactive precursors
what does pepsin do
autocatalysis
break down proteins into smaller polypeptides
Regulation of stomach motility and secretion
- stimulate secretion when food is present in stomach
- stimulate mixing when food is present
- regulate emptying of chyme to not exceed absorptive capacity of small intestine
- turn off secretion/motility when stomach is finished
cephalic phase of regulation
stomach gets ready before food worked way down to the esophagus (smell/taste = secretion of HCl/pepsinogen)
gastric phase of regulation
- the stomach has neural sensors that can detect the presence of food in the lumen and stretching of the walls. •sensors directly stimulate the SUBMUCOSAL PLEXUs They in turn synapse on the chief and parietal cells and stimulate them to secrete.
- the sensors also stimulate the release of the hormone Gastrin, which also stimulates secretion
histamine and somatostatin are
paracrine regulators of parietal cells
histamine: potentiates the effects of gastrin/ACh
somatostatin: inhibits the production of acid
direct stretching of muscle + stretch receptors = all act on sm to increase depolarisation
- stomach exhibits rhythmic peristaltic waves (slow waves)
- stomach has pacemaker cells near the top depolarization travels through stomach via gap junctions
- neural and hormonal stimulation act on top of the slow waves
pyloric sphincter
controls the movement of material into the duodenum
intestinal phase of regulation
(1) gives feedback information from the duodenum on progress of absorption/digestion. Will inhibit motility until small intestine is ready for the next batch of chyme.
(2) keeps gastric secretions at proper levels.
(3) shuts off secretion and motility when stomach is empty.
• entry of chyme into duodenum stimulates the release of several hormones:
secretin
cholecystokinin (CCK)
glucose-dependent insulinotropic peptide (GIP)
secretin
released in response to low pH of chyme. Inhibits gastric
secretion and motility
cholecystokinin
released in response to fat (and probably protein) in chyme. Inhibits gastric secretion (and probably motility).
glucose-dependent insulinotropic peptide
stimulates insulin secretion at pancreas
Pancreatic Secretions: aqueous component
an alkaline fluid (full of HCO3- ), functions to neutralize stomach acids:
•pancreatic enzymes don’t work well at low pH
•stimulated by hormone secretin
Pancreatic Secretions: digestive enzymes •proteases (digest protein) •lipase (digest fat) •amylase (digest polysaccharides) •ribo/ and deoxyribonuclease (digest RNA and DNA)
secretion stimulated by CCK which is released from cells in the duodenum in response to the presence of fatty acids, and protein (amino acids).
the pancreatic proteases are also secreted in an inactive form that get activated in the small intestine
trypsinogen + enteropeptidase = trypsin
chymotrypsinogen + trypsin = chymotrypsin
procarboxypeptidase + trypsin = carboxypeptidase
majority of the pancreas is
exocrine tissue - synthesize proteases/lipases
endocrine tissue
secrete hormones
duct cells
secrete bicarbonate + neutralize acid
bile
•Bile is a product of the liver. Liver cells (hepatocytes) secrete bile into channels (known as bile canaliculi) that come together to form the common hepatic duct.
(alkaline salts, bile salts, lecithin(phospholipid), cholesterol, bilirubin, trace metals)
While bile is produced in the liver, it is stored in the gall bladder.
- made at fairly constant rate in liver.
- passage into the duodenum is regulated by the Sphincter of Oddi.
- CCK will cause it to relax (=it opens in response to chyme in duodenum).
- between meals the Sphincter of Oddi is closed and bile backs up into the gall bladder where it gets concentrated by removal of salt and water.
type of contraction in smooth muscle of small intestine
segmentation
•the rhythm of contraction is set by multiple autorhythmic cells, which send out shorter distance slow waves
•the rhythm is faster at the beginning of the small intestine = movement of chyme towards the large intestine
what is segmentation stimulate by
distension of intestine
gastrin
parasympathetic nerves