Intestinal microanatomy Flashcards Preview

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Flashcards in Intestinal microanatomy Deck (41):
1

Things that increase SA of the small intestine?

Plicae, villi, crypts of lieberkuhn and microvilli

2

Purpose of blood vessels to the small intestines?

They carry Oxygen-rich blood to the SI, allowing metabolic activity

3

Purpose of the venous system of the SI

Carries away nutrient-rich blood to the liver for processing and redistribution (Hepatic Portal Vein)

4

Purpose of lacteal lymphatic vessels and the SI

transport lipids

5

What is in the core of a villus

Blood vessels and lacteals, embedded in CT support. muscle fibres extend in from muscularis mucosae

6

What is the purpose of the smooth muscle fibres in the lamina propria?

Help milk and squeeze the lacteals

7

Another name for intestinal glands? What is their purpose?

Crypts of Lieberkuhn. To increase SA

8

What is an issue that can happen to the elderly around blood supply.

Sometimes, especially in elderly, blood supply and circulation can decrease.
> less absorption taking blood away from gut > malabsorption and malnutrition

9

What is studded in the lipid bilayers?

1000's of digestive enzymes eg) glycosidase breaks down carbs

10

What are the cells of the SI

columnar absorptive cells (enterocytes)
Goblet cells
Enteroendocrine cells
undifferentiated cells
Paneth cells

11

Microvilli are

projections of membrane filled with cytoplasm. Have a core of actin filaments. Found at the apical surface of columnar absorptive cells. (enterocytes)

12

Why do microvilli have a core of actin filaments

Bc the actin filaments are connected to the cytoskeleton network
SM in LP contract > BM of epi. cells move > Cells atop BM move > Microvilli atop epi cells move

This creates localised, homogenous mixing of contents, via 'microwhisks'.

13

What is the glycocalyx?

a slippery biological film made of glycoproteins and acidic mucopolysaccharides. Sits atop and coats microvilli

14

Function of the glycocalyx?

Selective gate keeper, attracts desirable contents and blocks unwanted.

15

Goblet cells

- no microvilli on apical surface
-secrete mucus for lubrication
-theories that mucus contributes to glycocalyx

16

Undifferentiated cells are?

Stem cells that can divide and migrate to replace epithelium.

17

What stimulates enteroendocrine cells, and what do they release?

Stimulus: acidic chyme, FA, amino acids

Release: Cholecystokinin, serotonin, secretin and somatostatin.

18

Purpose of Cholecystokinin

1) + gall bladder to contract (bile released into duodenum)
2) + pancreas to increase enzyme production and secretion

19

Purpose of secretin

1) + pancreas to produce bicarbonate (from ductule cells)
2) - acid production by stomach

20

Purpose of serotonin

1) + peristalsis
2) + intestinal secretion (goblet, paneth etc)

21

Purpose of somatostatin

1) Reduce gastrin
2) Facilitates SM contraction
3) enhances absorption

22

Paneth cells around found? what are they for? What do they produce

Found at bottom of crypts

important for antimicrobial and antibacterial purposes

produce TNF-alpa, lysozymes, defensins

23

acidic chyme, amino acids and FAs from the stomach stimulate?

pancreas and gallbladder > release digestive enzymes, HCO3- and bile into the duodenum

24

How does the pH of the duodenum change and how does this occur?

from acidic pH 1-2 to eventual 7-8 (neutral).
This is due to submucosal 'Brunners glands' (as well as bile)
that secrete an alkaline mucus that counteracts the acidic chyme.
(lots initially, less distally)

25

Length of the Duodenum, jejunum and ileum

D: 25cm
J: 2.5m
I: 3.5m

26

Purpose of the pyloric sphincter

To control the volume and frequency of chyme into the duodenum

27

Features of the jejunum?

Heavily twisted
suspended with mesentery
increased plicae

28

Identifying feature of the ileum? What is this for?

Macroscopically visible lymphatic aggregates "Peyers Patches"
These have a B cell core, and a M cell outer (antigen presenting/sensing cells for sampling)
This is for defence against the large amount of bacteria in the LI

29

What is in the lamina propria

BVs, lacteals, SM, lymphocytes, fibroblasts

30

Muscle type of the anal sphincters

Internal sphincter = smooth muscle
external sphincter = skeletal muscle

31

The rectum and anal canal has different types of epithelium. What are these?

Rectum: Simple columnar enterocytes + goblet cells
Superior half: simple columnar epithelium
Inferior half: Stratified squamous epithelium

32

Purpose of the SS epithelium in the anal canal?

protects against the friction of faecal matter leaving

33

How does the frequency of goblet cells change throughout the colon and why?

Start of colon: Watery substances, few goblet cells

Water is absorbed

End of colon: viscous, dry, dehydrated, many goblet cells

34

Features of the colon mucosa?

smooth with no plicae or villi
Numerous crypts of lieberkuhn
Main two cells:
1) Columnar absorptive cells (absorb, water, electrolytes and vitamins B&K)
2) Goblet cells (secrete mucus for lubrication)

also have enteroendocrine cells (not visible by light microscope)
undifferentiated cells: at base of glands (migrate upwards

35

Features of the colons lamina propria

Lots of lymphatics
dense layer of collagen immediately beneath the surface epithelium

36

Features of the colons muscularis externa.

Still has inner circular and outer longitundinal muscle layers

But outer longitudinal forms three strips 'teniae coli' that run along the colon
-this allows segments of the colon to contract independently
-contraction pulls colon into sac like pockets 'haustraccoli'

37

is the colon covered in serosa or adventitia?

Posterior surface = adventitia
elsewhere = serosa

38

Describe the purpose of the rectum/ anus

temporary storage of faecal material (movement of material into leads to the urge to defecate

39

What are the sections of the rectum/anus

final portion = anal canal (mucosa has anal columns)
distal margin = pectinate line (transverse folds)
anal sphincters = internal and external
end of anal canal = anus

40

What is the general trend around cell replacement rates

surface/ SF cells: high replacement rate (days)
Deeper cells: replaced every few months

Deeper cells are more specialised, require more energy to replace.

41

What are some common GI effects of chemo

diarrhoea, nausea.

This is due to the mitotically targeting anticancer drugs affecting the highly replaced surface cells