gastric - saliva, h.pylori Flashcards

1
Q

how does human saliva secretion differ throughout the day?

A

in total 0.6-1L secretion a day but sleep, resting, eating the rates of secretion are different

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2
Q

what is composition of saliva?

A

amylase
lipases
ribonucleases
IgG/M/E
EGF

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3
Q

what cells secrete saliva?

A

secretory acinar cells which can secrete mucous, sera or both into the lumen/duct system

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4
Q

how does the nervous system influence saliva secretion?

A

neuronal innervation uses reflex arch to control saliva secretion controllings its supression or activation

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5
Q

what is function of saliva?

A

lubricate food, neutralise acids
forms food into bolus preventing entry into trachea
lysosome secretion contribute to anti-pathogen properties

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6
Q

how is saliva secreted?

A

two stage theory in which the acinar cells secrete isotonic fluid

duct cells primary saliva and secrete electrolytes creating hypotonic saliva

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7
Q

which electrolyte is key driver of saliva (and indeed any fluid) secretion?

A

chloride transcellular movement drives Na+ secretion and paracellular movement of water

also exchanged for bicarbonate secretion

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8
Q

what is primary sjogrens syndrome? what are its symptoms?

A

autoimmune disorder where immune cell infiltration into salivary glands causing dry mouth

but can lead to severe renal, pulmonary complications too

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9
Q

how can primary sjorens syndrome be diagnosed?

A

take a biopsy and identify evidence of immune cell infiltration/elevation
> B-cell in particular

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10
Q

despite no cure for Primary sjorgens syndrome what is advantage of research?

A

saliva samples can be taken, non-invasive and easy to obtain

so used for studying biomarkers of disease and drug testing

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