Paul De Bank Flashcards

(26 cards)

1
Q

What’s the three main roles of the epithelia

A

Protection, absorption, gas exchange

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2
Q

What are the two types of epithelia

A

One layer= simple

>1 layer= stratified

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3
Q

Give an example of a squamous epithelium

A

Alveoli

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4
Q

Name four specific types of epithelial cells

A

1) Squamous epithelium
2) Stratified squamous epithelium
3) columnar epithelium
4) cuboidal epithelium

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5
Q

Name two types of drug absorption

A

1) transcellular pathway

2) paracellular pathway

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6
Q

Define paracellular pathway

A

Between adjacent epithelial cells

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7
Q

What’s rate limiting in the paracellular pathway?

A

The tight junctions

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8
Q

Name 4 types of junction between cells

A

1) tight junctions
2) adherens junctions
3) desmosomes
4) gap junctions

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9
Q

What’s the most common cell junction?

A

Desmosomes

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10
Q

What types of molecules can be absorbed via paracellular pathway

A

Small hydrophilic molecules

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11
Q

What’s transcellular pathway

A

Occurs across the epithelial cells

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12
Q

Name 4 ways a molecule can undergo transcellular pathway

A

1) passive diffusion
2) aqueous pore
3) facilitated diffusion
4) active transport

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13
Q

Is passive diffusion via transcellular pathway the most common pathway of drug absorption?

A

YES

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14
Q

What three things cause the small intestine to have a large surface area

A

1) folds of kerckring
2) villi
3) microvilli

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15
Q

Where in the body is the main site of food and dug absorption

A

Small intestine mainly the jejunum while the ileum absorbs remaining nutrients

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16
Q

The bile ducts release secretions from the pancreas and the gall bladder including what enzymes

A
Trypsin
Chimotrypsin 
Elastase 
Carboxypeptidase
Amylase
Lipase
17
Q

Ingestion of food stimulates the secretion of what two things in the stomach

A

HCL

pepsinogen

18
Q

What’s the role of HCL in the stomach

A

Acts as an antiseptic and promotes the conversion of pepsinogen to pepsin (a potent proteolytic enzyme)

19
Q

What’s another names for fasted state

A

Interdigestive

20
Q

What’s another name for fed state

21
Q

What occurs in the interdigestive state

A

MMC (migrating motor complex)
Phase 1: quiescence
Phase 2: irregular contractions
Phase 3: house keeper waves

22
Q

List 8 factors that affect gastric emptying rate

A

1) meal volume
2) type of meal
3) physical state of meal
4) chemicals
5) drugs
6) disease
7) body position
8) exercise

23
Q

There’s a high expression of what enzymes in the small intestine?

24
Q

What is the p-gylcoprotein efflux pump?

A

170Kda protein found in the apical membrane of cells in the small and large intestine

25
Name 5 strategies for improving oral drug delivery
1) increase drug lipophilicity use of prodrugs 2) p-GP inhibitors 3) cytoadhesion 4) mucoadhesive patches 5) new delivery systems eg protective coatings, nanoparticles
26
Name three ways you can improve membrane permeability
1) use of prodrugs 2) lipidisation (attach lipid to drug) 3) penetration enhancers (partially solubilise epithelial membrane)