Lecture 6.2: The Intestines Flashcards

(35 cards)

1
Q

What are the 3 parts of small intestine?

A

Duodenum
Jejunum
Ileum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long is the Duodenum?

A

25cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How long is the Jejunum?

A

2.5m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long is the Ileum?

A

3.5m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 4 parts of the large intestine?

A

Cecum
Ascending Colon
Transverse Colon
Descending Colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cells of the Mucosa (5)

A
  • Enterocytes
  • Goblet Cells
  • Paneth Cells
  • Stem Cells
  • Enteroendocrine Cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the role of Enterocytes?

A

Absorption via microvilli (brush border)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the role of Goblet Cells?

A

Secrete mucus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the role of Paneth Cells?

A

Secrete defensins
Protect against infection and regulate the gut microflora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the role of Stem Cells?

A

Undifferentiated
New source of cells – turnover of cells~ 5days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the role of Enteroendocrine Cells?

A

In the crypts
Secrete a range of neuroactive compounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why are the 3 things intestinal motility is needed for to achieve?

A
  • Mixing of luminal contents
  • Ensuring that luminal contents contact with absorptive
    surfaces
  • Ensuring forward movement of luminal contents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Segmentation? What is its role?

A
  • Mixing and exposure to absorptive surfaces
  • A discontinuous, alternate contraction and relaxation
    of small intestine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Peristalsis? What is its role?

A
  • Propulsion of liminal contents towards the anus
  • Longitudinal followed shortly after by circular
    contraction, longitudinal relaxes before circular muscle
    – slow but steady wins the race!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Glucose then transported out of enterocyte via which GLUT transporter?

A

GLUT2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is Fructose absorbed?

A

Via sodium independent facilitated diffusion via the GLUT5 carrier

17
Q

Uptake of amino acids and peptides, what transport systems have been identified? (5)

A
  • Neutral amino acids and methionine
  • Cationic amino acids (arginine, histidine, lysine)
  • Acidic amino acids (glutamate, aspartate)
  • Proline
  • Glycine
18
Q

In what part of the small intestine are protein products principally absorbed?

A

Duodenum and Jejunum

19
Q

How are lipids absorbed from the intestines?

A
  • Pancreatic lipase results in the production of
    monoglycerides and FFAs
  • These aggregate (with bile salts and phospholipids) to
    form micelles
  • The micellar core (non-polar) also contains cholesterol
    and fat soluble vitamins
  • Micelle ‘enters’ the brush border and contents diffuse
    passively into the enterocytes (bile salts remain
    outside – join the EHC)
  • Inside enterocytes TGs are reformed in the SER –
    aggregate to form chylomicrons
  • These leave via exocytosis and ultimately enter
    lacteals of villi which drain into venous circulation
19
Q

How are lipids absorbed from the intestines?

A
  • Pancreatic lipase results in the production of
    monoglycerides and FFAs
  • These aggregate (with bile salts and phospholipids) to
    form micelles
  • The micellar core (non-polar) also contains cholesterol
    and fat soluble vitamins
  • Micelle ‘enters’ the brush border and contents diffuse
    passively into the enterocytes (bile salts remain
    outside – join the EHC)
  • Inside enterocytes TGs are reformed in the SER –
    aggregate to form chylomicrons
  • These leave via exocytosis and ultimately enter lacteals
    of villi which drain into venous circulation
20
Q

What 2 oxidation states does iron exist in in the body?

A

Fe2+ (ferrous) and Fe3+ (ferric)

21
Q

What reduces reduces Fe3+ to Fe2+? What effect does this have?

A
  • Vitamin C
  • It is less likely to form insoluble complexes
22
Q

What reduces Fe3+ in the duodenum?

A

Reduced by the brush border enzyme ferric oxidoreductase

23
Q

Fe2+ is taken up via the …… transporter

24
How does iron leave the intestines?
* Leaves via the basolateral transporter ferroportin (converted to Fe3+ and binds to transferrin in blood) * Removed from blood via RME * Binds to apoferritin to form ferritin
25
What transporters facilitate calcium uptake in the intestines?
Enter down a concentration gradient via TRPV5 and TRPV6 channels
26
How does calcium leave the intestines?
* Inside, Ca2+ binds to calbindin * Moves to basolateral membrane and exists via a Ca2+ ATPase pump (sodium-calcium exchanger NCX1, plasma membrane calcium exchanger PMCA1b)
27
B12 is released from....by pancreatic proteases
Haptocorrin
28
Poor absorption of vitamin B12 can be due to? (4)
* Stomach damage * Autoimmune damage to secreting cells * Gastritis/peptic ulceration * Terminal ileum removed
29
Effects of B12 malabsorption
Leads to Pernicious anaemia - Red cell production compromised
30
What are Haustrations?
Small pouches caused by sacculation, which give the colon its segmented appearance
31
Process of Defecation (7 Steps)
* Stretch of the rectum initiates impulses in pelvic cholinergic nerves * These transferred to the sacral spinal cord * Subsequent transmission to higher centres allows the decision to defecate (or not) * This is done by voluntarily relaxing the external anal sphincter * The external anal sphincter is made of smooth muscle - this relaxes as a response to distension * Breathe in, closure of the glottis, increased intrathoracic and abdominal pressure * Relaxation of pelvic floor muscles – faeces expelled
32
What is Transmural Inflammation?
Inflammation that causes the bowel wall to thicken and in some cases (but not all) the lumen to narrow
33
What are Bowel Adhesions?
They are irregular bands of scar tissue that form between two structures that are normally not bound together
34
What is the Erythrocyte Sedimentation Rate (ESR)?
* An ESR is a blood test that that can show if you have inflammation in your body * If an ESR test shows that your red blood cells sink faster than normal, it may mean you have a medical condition causing inflammation