Transport Across Alimentary Tract Flashcards

(45 cards)

1
Q

What nervous systems are present in the gut?

A

The gut has an intrinsic and enteric nervous system

- large neuronal connections in the gut

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2
Q

Name the 2 intrinsic neural plexus of the gut

A

Submucosal Meissner Plexus
- regulates digestive glands

Myenteric Auerbach’s Plexus
- connected to gut motility

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3
Q

What are the intrinsic neural controls of the GI tract?

A

Nerve plexus’ near GI tract initiate short reflexes mediated by local ENS plexus

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4
Q

What are the extrinsic neural controls of the GI tract?

A

Long reflexes arising within/outside GI tract

Involve CNS and extrinsic Parasympathetic reflexes

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5
Q

What type of neurons are within the plexi?

A

The nerve plexi contain local sensory + motor neurones as well as inter-neurons for communication

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6
Q

What stimulates the motor neurons in the myenteric plexus?

A

Motor neurons stimulated by Ach (m receptors) and substance P release

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7
Q

What do inhibitory Motor neurons release?

A

Cause the release of VIP/NO

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8
Q

What is the Serosa?

A

tissue of the outer serous membrane of the gut

Is continuous with the mesentery containing blood vessels, lymph vessels and nerve fibres

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9
Q

Where are sensory neurons found in the gut?

A

Connected to mucosal chemoreceptors and stretch receptors

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10
Q

What is the function of sensory neurons in the GI tract?

A

Respond to gut wall tension caused by food and chyme

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11
Q

What type of cells is the small intestine composed of?

A

epithelial folds
villi + microvilli
- to provide a large SA of 200 m²

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12
Q

What is the fate of the small intestine contents?

A

all dietary nutrients, water and electrolytes that enter the upper small intestine are absorbed

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13
Q

What are crypt cells?

A

Cells located where the epithelia of villi extend down into the lamina propria to form crypts

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14
Q

Where us the lamina propria located?

A

Beneath the epithelium

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15
Q

Which cells are located within the crypts?

A

Many important cells reside in the crypts including host defence + signalling cells, and stem cells for replacement

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16
Q

What is transcellular transport (give an example)?

A

Transport of solutes by a cell through a cell

e.g. glucose transport from intestinal lumen →ECF by epithelial cells

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17
Q

What is paracellular transport?

A

Passage of solutes between cells; passive but selective, variable and regulated
e.g. Na+, Cl-, H₂O

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18
Q

How are carbohydrates absorbed?

A

Can only be absorbed as Monosaccharides

complex CHO need to be reduced to disaccharides by amylase

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19
Q

How are disaccharides converted to monosaccharides?

A

Specific brush border enzymes convert disaccharides → monosaccharides (e.g. glucose and galactose)

20
Q

Give examples of disaccharides conversions to monosaccharides via their specific enzymes

A

Sucrose → Glucose + fructose
- via sucrase

Starch →glucose oligomers
- via salivary + pancreatic amylase
Glucose oligomers →glucose
- via glucoamylase

Lactose→glucose + galactose
- via lactase

21
Q

How are glucose and galactose transported?

A

Rapidly absorbed by a secondary active transport mechanism

22
Q

Explain how glucose and galactose are transported

A
  1. Na generates an electrochemical gradient
    • Na+ flux out of cell
    • K+ moves into cell
  2. Glucose moves out along with Na+ as it’s pumped out
    due to SGLT1 transporter binding site
  3. Galactose also joins due to a similar binding site
  4. GLUT2 transporters transport glucose → bloodstream
  5. Fructose →blood via passive diffusion through GLUT5
    transporter
23
Q

Which molecules does SGLT transport?

A

Glcose and fructose

24
Q

Which enzyme facilitates protein production?

A

Pepsin action produces polypeptides

25
Which enzymes aid digestion and absorption of polypeptides?
Pancreatic proteases | Dipeptidases in the brush border cause complete digestion into amino acids
26
How are amino acids transported within the small intestine?
On a sodium coupled carrier system (similar to glucose) | Separate carriers for different amino acids
27
How are some di/tri-peptides transported in the small intestine?
On a carrier system using inwardly directed H+ gradient
28
What dietary lipids do we obtain?
90% TGs Phospholipids Cholesterol Fat soluble vitamins A,D,E,K
29
How is lipid absorption facilitated?
Dietary TGs are broken down into simpler units to facilitate absorption
30
Where along the GI tract are lipids digested?
Small fraction digested by salivary lipases (in mouth) Most TGs digested in small intestine Gastric lipase hydrolyses 10-30% remainder digested by pancreatic lipases
31
Explain why TGs are harder to dissolve
Water insoluble Chyme (emulsion of fat particles in water Lipase is water soluble TGs must be dissolved in the aqueous phase before they can be digested
32
Which two processes facilitate lipid digestion + absorption?
1. emulsification | 2. micelle formation
33
Describe the composition of TGs
1 glycerol + 3 fatty acids
34
Explain how TG emulsification enables digestion by lipases
Lipase action requires emulsification of TGs by bile salts which dissolve TG in water Pancreatic lipase then binds to the surface of the small emulsion particles
35
What is the role of bile salts in emulsification of lipids?
Break large fat globules → smaller globules | SA for lipase to act on is increased
36
What are micelles?
lipid molecules that arrange themselves in spherical formation in aqueous solutions
37
How are micelles transported?
small enough to be taken up by enterocytes → lacteals→ lymphatics before travelling to blood via thoracis duct → subclavian vein
38
Explain why TG formation occurs?
to form chylomicrons
39
What are chylomicrons?
Largest lipoprotein
40
What is a lipoprotein?
Protein and lipid components
41
What is an apo?
coenzyme/cofactor attached to protein
42
Explain the milky appearance of lymph
Lymph has a milky appearance during drainage from small intestine due to chylomicrons
43
Explain the route chylomicrons take to reach the blood
Chylomicrons enter lymphatic system via lacteals and then travel via lymph vessels and enter blood
44
What are the disorders of fat digestion?
Gallstones Pancreatitis Crohn's disease Liver disease
45
What is the consequence of fat digestion disorders?
Can lead to fat malabsorption (steatorrhoea) | ; excess fat in faeces