Exam 2- Gastrointestinal System Flashcards

1
Q

how does the carnivore digestive tract compare to the herbivore digestive tract?

A

carnivore: short and simple with expandable stomach
herbivore: fermentation chamber for microbes to digest plants

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2
Q

where does secretion primarily take place in the gastrointestinal system?

A

stomach and small intestine

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3
Q

where does absorption take place in the gastrointestinal system?

A

small intestine and some in the large intestine

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4
Q

what is the function of the gastrointestinal tract?

A

digestion: degrade macromolecules into monomers to be absorbed
synthesize back into macromolecules to be used as energy source

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5
Q

what are the parts of mechanical processing in digestion?

A

chewing
alternating contraction/relaxation of stomach and small intestine

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6
Q

what is secreted in the secretion step of digestion?

A

enzyme-containing digestive juices and mucus

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7
Q

what happens during enzymatic breakdown during digestion?

A

polymers are broken down into monomers by hydrolysis, catalyzed by enzymes

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8
Q

what are the four main processes of digestion?

A

mechanical processing
secretion
enzymatic breakdown
absorption

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9
Q

what are the four layers of the intestinal wall?

A

mucosa
submucosa
muscularis
serosa

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10
Q

what cells line the intestinal lumen?

A

single layer of columnar epithelial

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11
Q

what are the goals of regulation of gastrointestinal function?

A

completely absorb ingested organic nutrients
restore homeostasis via negative feedback mechanisms

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12
Q

what innervates the gastrointestinal tract?

A

autonomic nervous system

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13
Q

what do neurons of the intrinsic nervous system synapse with?

A

each other
smooth muscle and glandular cells
sympathetic and parasympathetic nervous system

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14
Q

what are the two nerves of the parasympathetic system?

A

vagus nerve (upper GI)
pelvic nerve (lower GI)

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15
Q

what receptors are part of short reflex arcs?

A

mechanoreceptors (stretch/volume)
chemoreceptors (composition)

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16
Q

are most effector arms of short reflex arcs excitatory/stimulatory or inhibitory?

A

excitatory/stimulatory (use acetylcholine)

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17
Q

where do sensory (afferent) arms in long reflex arcs orginate?

A

usually in the gastrointestinal tract
also sensations associated with food

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18
Q

what mediates the effect of long reflex arcs?

A

enteric motor nerve fibers
sympathetic efferent fibers (reduce blood supply)

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19
Q

do most neurons in the enteric nervous system secrete one or more than one chemical?

A

more than one

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20
Q

what does acetylcholine cause?

A

contraction smooth muscle in wall
relaxation sphincters
increased salivary, gastric, and pancreatic secretions

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21
Q

what does norepinephrine cause?

A

relaxation smooth muscle in wall
contraction sphincters
increased salivary secretion

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22
Q

what does vasoactive intestinal peptide (VIP) cause?

A

relaxation smooth muscle
increased intestinal and pancreatic secretions

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23
Q

what does nitric oxide (NO) cause?

A

relaxation smooth muscle

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24
Q

what does gastrin-releasing peptide (GRP), or bombesin, cause?

A

increased gastric secretion

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25
what are the regulatory substances that can act on target cells in the gastrointestinal tract?
hormones paracrines neurocrines
26
what are the three phases of the regulation of digestive processes?
cephalic phase gastric phase intestinal phase
27
what controls appetite?
hypothalamus
28
what lines the oral cavity?
stratified squamous epithelium, keratinized in some places
29
what are the functions of chewing?
mix food with saliva reduce particle size mix carbohydrates with salivary amylase
30
what are the three large paired salivary glands and what does each produce?
parotid- serous mandibular- serous and mucus sublingual- serous and mucus
31
what is saliva composed of?
98% water ions and organic compounds
32
what cells in the salivary gland modify the initial saliva?
ductal cells
33
what do acinar cells do?
form an isotonic plasma-like solution (first step saliva formation)
34
what do ductal cells do to the saliva?
absorb Na+ and Cl- secrete K+ and HCO3- saliva becomes hypotonic (in animals that are not ruminants)
35
what does saliva do especially for ruminants?
provides urea for protein synthesis important in pH regulation as well with bicarbonate
36
under what type of control is salivary secretion?
neural control only
37
what does sympathetic stimulation cause in salivary glands?
low volume, highly viscous saliva
38
what type of stimulation dominates during meals?
parasympathetic stimulation
39
what stimulates the swallowing reflex?
pressure against the pharynx
40
what are the three phases of swallowing?
oral pharyngeal esophageal
41
what does the primary peristaltic wave do?
moves food down the esophagus
42
what mediates the secondary peristaltic wave?
local reflexes of the enteric nervous system
43
what does pepsinogen need to be converted to its active form, pepsin?
HCl and pepsin (can actually go back and make more of itself)
44
what are the four chambers of the ruminant stomach?
rumen reticulum omasum abomasum
45
which chamber of the rumen forestomach is analogous to the “true stomach” of a monogastric?
abomasum
46
when do the reticulorumen and omasum become useful?
when grass consumption begins
47
what lines the wall of the forestomachs?
stratified squamous epithelium (keratinized)
48
which chamber of the forestomach is well developed at birth?
abomasum
49
what is eructation?
belching
50
what is the purpose of rumen contractions?
mix reticulorumen contents before move to omasum- primary contractions enable regurgitation as part rumination process- rumination contractions Enable eructation to remove fermentation gases
51
what is the first part of the rumen contraction?
first and second reticulum contractions on second: brief opening reticulo-omasal sphincter so small volume processed content can move into omasum
52
what initiates eructation?
secondary mixing contraction in rumen contraction
53
reflexes involved in rumination are initiated by _____________________________ stimulating sensory nerve endings in the digestive tract
course feed fibers
54
what factors influence rumen contractility?
hypocalcemia reflex control of reticulorumen contractions: short and long sensory receptors (mechanoreceptors/stretch and chemoreceptors) reflex decrease in motility (dissension abomasum, external factors, fever)
55
what nerves relax the reticulo-omasal sphincter? what do they release?
parasympathetic efferent nerves release vasoactive intestinal peptide (VIP)
56
what is fermentation?
microbial degradation in the absence of oxygen
57
what do facultative microbes do?
use up what little oxygen is in the rumen
58
what are most of the microbes in the rumen?
obligatory anaerobes
59
what are the three types of primary rumen bacteria?
amylotic: starch and soluble carbohydrates, tolerate acidic conditions cellulotic: degrade carbohydrates part of plant cell walls, linked by beta-glycosidic bonds proteolytic
60
what do secondary rumen bacteria do?
break down products produced by primary bacteria
61
what are fungi important for in the rumen?
digestion plant fibers, hyphae help to break apart lignin
62
are protozoa obligate anaerobes or facultative anaerobes?
obligate anaerobes
63
is there a tunica submucosa in the rumen?
no official one because no muscularis mucosae
64
is there a muscularis mucosae in the rumen?
no
65
what chamber of the forestomach has a honeycomb appearance?
reticulum
66
what makes up the interconnecting folds in the reticulum and what does it produce?
reticular crests create reticular cells
67
where is there lamina muscularis mucosae in the reticulum?
tips of primary crests
68
in the omasum, what are the numerous interdigitating folds called?
laminae
69
how many layers of muscle do the omasal laminae have?
three Two outer layers extension of muscularis muscosae inner layer extension of muscularis externa
70
what cell types can be found in the abomasal glands?
parietal and chief cells
71
what is in the C1 and C2 parts of the camelid forestomach?
mix of glandular (mucous glands)and nonglandular areas (cornfield stratified squamous epithelium)
72
what is the distal 1/3 of C3 of the camelid forestomach similar to?
ruminant abomasum- glandular stomach
73
what does the proventriculus of the avian system do?
glandular stomach: produces HCl and pepsinogen
74
what cells produce HCl and pepsinogen in the proventriculus?
oxynticopeptic cells
75
what does the mucosal surface of the ventriculus (gizzard) have?
cuticle of koilin
76
what two plexuses make up the GI tract intrinsic nervous system?
submucosal and myenteric
77
what cells make up the lamina epithelialis in the esophagus?
stratified squamous epithelium
78
what is the lamina propria of the esophagus?
dense connective tissue, abundant elastic fibers some lymphoid tissue, small vessels and nerves
79
is the lamina muscularis mucosae always present?
Not always
80
what does the tunica submucosa of the esophagus contain?
looser connective tissue large arteries, veins, lymphatics, nerve trunks mucous or seromucous glands
81
what lines the gastric cardia?
gastric pits and gastric glands flat surface converted by surface mucous cells
82
what cells line gastric pits?
mucous neck cells
83
where are fundic glands present?
fundus and body of monogastric stomach
84
where are stem cells in the glandular stomach of monogastrics?
isthmus
85
what do parietal cells produce?
HCl
86
what do chief cells produce?
pepsinogen and other enzymes
87
what is the stratum compactum?
outer dense sheet of collagen fibers in the subglandular layer of carnivores in the stomach
88
what cell types are in intestinal crypts?
enterocytes goblet cells paneth cells enteroendocrine cells stem cells
89
what do enteroendocrine cells do?
secrete more than 20 peptide hormones
90
true/false: paneth cells are part of innate immunity
true
91
are there villi in the cecum and colon?
no
92
what increases surface area in the small intestine?
microvilli and crypts
93
what percentage of energy in ruminant diets do carbohydrates make up?
85%
94
in ruminants, what is the preferred pathway for propionate production?
microbes convert pyruvate to propionate directly, not through lactate
95
at what stage is methane produced in ruminants?
glycolysis: regeneration of NAD+ produces methane as a byproduct (glucose to pyruvate)
96
how are the total amount and relative proportions of volatile fatty acids affected by feed composition in ruminants (high fiber versus high starch diet)?
high fiber results in lower overall volatile fatty acids, and in each category high starch increases the amounts of each (butyrate, propionate, and acreage), but propionate especially due to its production with lactate
97
how are proteins dealt with in ruminants?
extracellularly broken down by microbes into small peptides, small peptides transported into microbes then broken down into amino acids and volatile fatty acids microbes to small intestine where protein digested and absorbed
98
can ruminants get sufficient nitrogen from their diet?
no- must supplement to non-protein nitrogen
99
what happens to non-protein nitrogen, such as urea, in ruminants?
converted to NH4+, to amino acids and proteins (microorganisms do) urea: paired with fermentable carbohydrates as energy source (also in salivary secretions and blood)
100
what are the sources of amino acids absorbed in the small intestine of ruminants?
feed proteins not digested by microbes microbial proteins synthesized in rumen
101
what do ruminants do with volatile fatty acids in the forestomachs?
almost entirely reabsorbed as important energy source
102
what is the mechanism for absorption of volatile fatty acids in the forestomachs?
passive cotransport VFA anions for bicarbonate ions: granulosa layer epithelium passive transport undissociated VFA through keratinized epithelium
103
what leads to ketosis?
stressful conditions where energy demand > energy supply nonesterified fatty acids mobilized from adipose tissue, ketone bodies overwhelm metabolic pathway and accumulate
104
in a healthy ruminant, what happens to ketones after they are absorbed from the forestomach?
energy source rumen epithelial cells also to cardiac and skeletal muscle
105
the hepatic acinus is the _______________________________
functional unit of the liver
106
what do satellite cells (“perisinusoidal cells”, pericytes) do?
storage vitamin A liver damage activates to produce extracellular matrix
107
why are bile salts needed?
emulsify lipids because would be insoluble, so would products of lipid digestion
108
what do bile salts do?
emulsify lipids then solubility the products of lipid digestion into packets called micelles
109
what are bile salts?
bile acids conjugated to glycine or taurine
110
what makes the constituents of bile?
hepatocytes
111
what stimulates the gall bladder to contract and the sphincter of Oddi to relax so that bile is released into the lumen of the duodenum?
presence of fats in small intestine leads to cholecystokinin release
112
true/false: biles salts stay in the small intestine throughout its length, then are reabsorbed into the portal vein and extracted by hepatocytes and are reused
true
113
true/false: bile salts are passively reabsorbed in the ileum
false: sodium-dependent secondary active transport
114
how is the passive reabsorption of bile acids reduced in the small intestine?
conjugation into bile salts
115
what two primary bile acids are conjugated by hepatocytes from cholesterol?
cholic acid chenodeoxycholic acid
116
how are the bile acids made more water soluble?
conjugated into bile salts
117
what do intestinal bacteria do to the primary bile acids?
modify to make secondary bile acids: deoxycholic acid lithocholic acid
118
what are the functions of the gall bladder?
store bile concentrate bile eject bile
119
how does the gall bladder concentrate bile?
epithelial cells absorb water and ions
120
what species have continuous or almost continuous bile flowing into the small intestine and therefore do not need a bile-concentrating mechanism?
horses and rats continuous ruminants- gallbladder has short retention time
121
what happens to erythrocytes as they age?
get beat up and become less flexible
122
what do macrophages do to old erythrocytes?
phagocytose them degrade hemoglobin converts heme to bilirubin
123
what happens to bilirubin?
extracted by liver from blood, secreted into bile in small intestine: bilirubin to urobilingoen urobilinogen into urine
124
what proteins does the liver synthesize?
glutathione albumin clotting factors C-reactive protein carrier proteins hormones and prohormones apolipoproteins
125
what are the metabolic functions of the liver?
carbohydrate metabolism protein metabolism lipid metabolism
126
what are the phases in the liver modifying endogenous and exogenous toxins?
phase I: conversion reaction with enzymes in hepatocytes endoplasmic reticulum (cytochrome P450 enzyme) phase II: conjugation of substances to facilitate excretion
127
what is First Pass Metabolism?
orally administered drugs are metabolized by liver before entering general circulation
128
what do Kupffer cells do in innate immunity?
phagocytose large particles (microbes, cancer cells, cell fragments, damaged erythrocytes)
129
what do endothelial cells do in innate immunity?
receptor-mediated endocytosis (macromolecules from extracellular matrix, immune complexes)
130
what does phagocytosis lead to?
production cytokines and acute phase proteins (role in immune cell recruitment and activation)
131
the liver is the only visceral organ with the capacity for _________________________
compensatory hyperplasia
132
what is the mechanism of liver regeneration?
activation numerous gene pathways in healthy hepatocytes production cytokines and growth factors hepatocyte proliferation
133
what are the four types of contractions in the large instestine?
segmentation peristalsis antiperistalsis mass movements
134
what almost functions like the sphincter between the stomach and small intestine in horses?
the pelvic flexure
135
how does water get absorbed in the intestine?
follows transport solutes mucosa freely permeable to water
136
what are the cells that line the intestines and do fluid and water transport?
enterocytes
137
what does free iron bind to in the intestines?
ferritin (intracellular storage form)
138
how is iron transported across the basolateral membrane?
ferroportin
139
is iron ingested as part of a heme molecule more bioavailable or less than iron ingested as non-heme iron?
more, due to factors that interfere with absorption in non-heme iron
140
how does vitamin C increase the absorption of iron?
reduces it from Fe3+ to Fe2+
141
via what routes it calcium absorbed?
paracellular and transcellular
142
how is calcium transported via the transcellular route in the intestines?
Ca-ATPase pump and Ca/Na exchanger
143
in the jejunum, is sodium moved passively or actively?
active transport mechanisms
144
what is the net movement of NaCl in the ileum?
net absorption of NaCl
145
what promotes Na+ absorption in the large intestine?
aldosterone
146
in what species is absorption of water and salt in the large intestine extra important?
hindgut fermenters
147
on what ion is water and solute secretion in the intestine dependent on?
chloride
148
what are the types of diarrhea?
decreased surface area for absorption osmotic secretory
149
how does diarrhea affect the electrolytes in the body?
by increasing flow through the intestine hypokalemia metabolic acidosis
150
how is digestion carried out in the large intestine?
microbial enzymes, not secreted enzymes
151
what do glands produce in the large intestine?
bicarbonate and mucin
152
do enterocytes (large intestine) have microvilli?
no
153
what does fermentation of carbohydrates produce (in large intestine)?
volatile fatty acids
154
what does the large intestine do with volatile fatty acids?
absorbs them and uses as energy source (including for epithelial cells)
155
do hindgut fermenters digest microbes as a source of protein?
no
156
what is coprophagy?
rabbits and rats eat fecal clumps allows digestion components of microorganisms
157
why do ruminants obtain more energy per a given amount of cellulose than horses?
long retention time of feed particles in forestomachs fermentation chamber before small intestine leads to more complete absorption of volatile fatty acids ability to digest microbial proteins
158
what regulates the contractions of the large intestine and emptying of the rectum?
interstitial cells of cajal
159
is the autonomic influence on the interstitial cells of cajal stronger or weaker than the autonomic influence in the stomach and small intestine?
stronger
160
what does the secretion from the exocrine pancreas comprise of?
bicarbonate and enzymes
161
how much of the pancreatic mass does the exocrine pancreas make up?
90-98%
162
what is the function of the bicarbonate secreted from the exocrine pancreas?
neutralizes H+ delivered to duodenum by stomach
163
what is the function of the enzymes secreted by the exocrine pancreas?
digest carbohydrates, proteins, and lipids
164
are enzymes and aqueous components secreted separately or together from the exocrine pancreas?
separately
165
what cells secrete enzymes from the exocrine pancreas?
acinar cells
166
what cells secrete aqueous components from the exocrine pancreas?
centroacinar and ductal cells
167
________________ enzymes are released as inactive proenzymes
proteolytic
168
pancreatic gland cells also produce ________________________ as a safeguard against digesting themselves
trypsin inhibitor
169
what are the ions in the aqueous solution secreted by the exocrine pancreas?
Na+ K+ Cl- HCO3-
170
what ions in exocrine pancreatic aqueous solution are influenced by flow rate and which ones are not?
HCO3- and Cl- influenced by flow rate Na+ and K+ do not change
171
what are the two major functions of pancreatic juice?
prevents injury to duodenal mucosa and provides optimal pH for pancreatic enzymes with high pH enzymes degrade digestible molecules
172
what stimulates release of cholecystokinin from the I cells of the duodenal epithelium?
nutrients in the lumen of the small intestine
173
acinar cells have receptors for ____ and ____
cholecystokinin acetylcholine
174
ductal cells have receptors for ____, ____, and ____
cholecystokinin acetylcholine secretin
175
what is the major stimulant of bicarbonate-rich secretion?
release of secretin by S cells of duodenal epithelium stimulated by acid contents
176
cholecystokinin is released in response to ________________________________
degradation products of fat and protein in small intestine
177
what is a "Glisson's capsule?"
hepatic capsule underlying connective tissue layer containing small blood vessels, nerves, and lymphatics
178
what are portal triads?
small areas of dense irregular connective tissue that contains branches of the hepatic artery and portal vein, bile ducts, and lymph channels
179
what connective tissue is found throughout most of the liver?
reticular connective tissue
180
what percentage of cells in the liver are hepatocytes?
80%
181
are hepatocytes able to by polyploidy?
yes, frequently are
182
what surfaces of hepatocytes have microvilli?
apical surfaces, facing perisinusoidal space
183
can hepatocytes store lipid droplets?
yes
184
what is plentiful in hepatocytes?
both rough and smooth endoplasmic reticulum golgi membranes, especially near bile canaliculi
185
what is the dual blood supply to the liver?
portal vein: nutrient and hormone rich, oxygen poor hepatic artery: highly oxygenated
186
where does the arterial and venous blood mix in the liver?
sinusoids
187
how does blood leave the liver?
collected by central vein out of sinusoids sublobar veins hepatic vein
188
what lines the bile ducts in the liver?
simple cuboidal epithelium
189
what lines sinusoids?
discontinuous and fenestrated endothelium
190
what are the three zones of hepatic parenchyma?
periportal zone: closest to portal triads (1) centrilobular zone: closest to central vein (2) midzonal area: between (3)
191
what are periportal zone hepatocytes specialized for?
oxidative liver functions
192
what is the space of disse?
between hepatocytes and sinusoid
193
what cells are in the space of disse?
stellate cells (Ito cells)
194
what do stellate cells (Ito cells) do?
produce extracellular matrix components of space of disse secrete cytokines vitamin A storage and storage of other lipid-soluble vitamins
195
what are Kupffer cells?
resident liver macrophages in sinusoids phagocytosis
196
what are bile canaliculi?
minute spaces between apposed hepatocytes formed by tight junctions
197
true/false: the direction of bile flow is the same direction as blood flow
false: opposite directions
198
bile ductules are lined by low, simple cuboidal epithelium (______________)
cholangiocytes
199
does the gall bladder have a muscularis mucosae and submucosa?
no
200
how can the small intestine and gall bladder be distinguished?
small intestine has crypts, gall bladder does not
201
why is intrinsic factor an essential component of gastric secretion?
required for absorption of vitamin B12
202
what do parietal cells secrete?
HCl and intrinsic factor
203
what cells secrete pepsinogen?
chief cells
204
what cells secrete pepsin?
none- pepsinogen is secreted then activated
205
where do stimulatory and inhibitory mechanisms for gastric contractions originate?
stimulatory: stomach inhibitory: duodenum
206
what are the two types of small intestinal contractions?
mixing (segmental contractions) propulsion of contents (peristalsis)
207
what reflexes play the primary role in small intestine motility (parasympathetic, hormonal, local reflexes)?
local reflexes some parasympathetic
208
expansion of small intestine stimulates release of ____________ from ECL cells of small intestinal mucosal epithelium
serotonin
209
what does parasympathetic activity via the vagus nerve lead to in the small intestine?
increased contractile strength
210
are mixing contractions or peristaltic contractions predominating when digestive processes are occurring in carnivores and omnivores?
mixing contractions predominate
211
what increases surface area in the small intestine?
microvilli folds villi
212
how are things absorbed in the small intestine?
transcellular (primary by far) paracellular
213
what are the two phases of carbohydrate breakdown into monomers in the small intestine?
luminal phase (starch and glycogen into poly- and disaccharides by amylase) (ruminants very little amylase in pancreatic secretions) membranous phase (simple into monosaccharides)
214
how are glucose and galactose absorbed?
sodium-dependent co-transport, secondary active
215
how is fructose absorbed?
facilitated diffusion
216
in what forms can nutrients from proteins be absorbed?
amino acids dipeptides tripeptides
217
where are proteins digested?
stomach and small intestine
218
how are protein products absorbed in the small intestine?
coupled to sodium or hydrogen ions
219
the presence of fat in the duodenum causes release of ______________, which leads to slowing gastric emptying to allow time for fat digestion
cholecystokinin
220
bile salts ______________ the fat into droplets, as the ____________ step of lipid degradation
emulsify first
221
true/false: lipids are released at the apical membrane from the bile salts and diffuse down their concentration gradient
true
222
what is the sequence of cells for saliva formation?
acinar cells form initial ductal cells modify myoepithelial contract to eject
223
are ductal cells in saliva formation water permeable?
no
224
rate of saliva production being low leads to ____________ osmolarity than blood
lower
225
what is the afferent arm for the swallowing reflex?
vagus and glossopharyngeal nerves
226
what are the receptors and nerves involved in the swallowing reflex?
sensory receptors wall of pharynx afferent arm- vagus and glossopharyngeal nerves integration in medullary swallowing center efferent arm- motor nerves to striated muscles in upper esophagus and pharynx
227
the hard and soft palate's dorsal surface has ______________________________ cells
pseudostratified ciliated columnar
228
what produces dentine?
odontoblasts
229
what are the tubular spaces in dentine called?
dentinal tubules
230
__________________ is the layer between the periodontal ligament and the dentin
cementum
231
chloride channels open in response to binding of various hormones and neurotransmitters on the basolateral membrane: ____________________
acetylcholine and vasoactive intestinal peptide
232
how can kupffer cells activate stellate cells?
secrete cytokines
233
are islets of Langerhans exocrine or endocrine in the pancreas?
endocrine
234
what are the five neurotransmitters of the GI tract?
acetylcholine nitric oxide GRP norepinephrine vasoactive intestinal peptide
235
what are the hormonal regulators of the GI tract?
gastrin secretin cholecystokinin gastrointestinal peptide somatostatin (paracrine) histamine (paracrine)