Regulstion of gut Flashcards

1
Q

What is the enteric nervous system?

A

Intrinsic nervous system

  • wall of the GI tract contains millions of neurons
  • independently controls GI
    • integrates motor and secretory activities of GI
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2
Q

What might arise as a result of enteric dysfunction?

What might cause it?

A

Inflammation

Irritable bowel syndrome

Post-operative injury

Ageing

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3
Q

What does the enteric nervous system regulate?

A

Motility

Blood flow

Water and electrolyte transport

Secretion

Absorption

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4
Q

Which neurons are used?

A

Standard

  • Sensory
  • Motor
  • Interneurons
    • Decides magnitude of stimulus - not just a refluex
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5
Q

Where are the main nerve plexuses located?

A

Cuts through layers

  • Myenteric plexus
    • between longitudinal and circular muscle
      • for gut motor function
  • Submucosal plexus
    • underneath epithelia
      • for epithelial, blood flow and endocrine function
  • Deep muscular plexus
    • in the circular muscle
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6
Q

What does the autonomic nervous system regulate?

A

Smooth muscle, cardiac muscle and glands

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7
Q

How are the foregut and midgut sympathetically innervated?

A

Thoracic splanchnic nerves

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8
Q

How is the hindgut sympathetically innervated?

A

Lumbar splanchnic nerves

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9
Q

What is the point of sympathetic nerve activation?

A

Inhibit GI system activity

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10
Q

How are the foregut and midgut parasympathetically innervated?

A

Cranial nerves

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11
Q

How is the hindgut sympathetically innervated?

A

Pelvic nerves

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12
Q

What are the main autonomic neurotransmitters?

A

NA - symp

ACh - para

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13
Q

How does the autonomic nervous system interact with the GI?

A

Synapses to myenteric plexuses via enteric system

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14
Q

What is the point of parasympathetic nerve activation?

A

Stimulate GI activity

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15
Q

WHat is intramural plexus?

A

Intramural plexus

- plexus found in ENS

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16
Q

What is intrinsic and extrinsic innervation of GI?

A

Intrinsically?
- neurons of the ENS

Extrinsically

  • afferent - pain, nausea
  • efferent - coordination of para and symp
17
Q

The nerve fibres of the PNS and SNS are long or short? - pre synapse and post

A

PNS

  • LONG PREGANGLIONIC
  • SHORT POSTGANGLIONIC

SNS

  • SHORT PREGANGLIONIC
  • LONG POSTGANGLIONIC
18
Q

What is the function of the GI endocrine system?

A

Not necessarily endocrine organ but contains endocrine cells that can produce hormones

Hormone production which can act as neurocrine or paracrine factors
- released by nuclei

Regulation of the mechanical, chemical and enzymatic processes of digestion

19
Q

How might hormones be released?

A

Apical membrane of cell has sensors that check contents of gut lumen and then allow stimulation of hormone release from basal.

20
Q

Which hormones do L-cells secrete?

A

GLP-1 - glucagon like peptide

- satiety

21
Q

What is GLP-2 required for?

A

Growth and development of GI tract

22
Q

Give an example of paracrine action within the GI system

A

Histamine released form stomach wall cells is s key stimulus for HCl secretion by parietal cells

23
Q

What is the function of gastrin? What stimulates and inhibits it?

A

Stimulates gastric acid release

  • stimulated by
    • AA and peptides ins tomach
    • Gastric distension
    • Vagus nerve
  • inhibited by
    • fall of stomach pH to below 3
24
Q

Function of somatostatin and

A

Synthesised in D cells of gastric duodenal mucosa

Stimulated by
- mixed meal entry

Inhibits

  • gastric secretion
  • motility
  • hormone release
  • growth and proliferation
25
Q

Why is an analogue used instead of somatostatin?

What is somatostatin used for?

A

Neuroendocrine tumours

  • ## longer half life - longer effect
26
Q

Function of secretin and where made?

A

S cells of upper duodenum

Stimulus
- pH drop

Causes

  • bicarbonate secretion by pancreas
  • inhibits gastric acid and emptying
27
Q

Function of CCK and where?

A

Cells in the small intestine

Stimulated by
- fat and peptides in upper small intestine

Independent of vagus

stimulates

  • pancreatic enzyme release
  • delays gastric emptying
  • gallbladder contraction
  • decreases food intake
28
Q

GIP function and made>

A

Mucosal K cells

Made when meal ingested

Stimulates insulin secretion and antagonists cause lower insulin release

29
Q

PYY function and where made?

A

Made in ileum
- released from L cells

Reduces intestinal motility, gallbladder contraction
exocrine secretion of pancreas

Inhibits intestinal fluid and electrolyte secretion AND food intake