Week 1 Flashcards
(82 cards)
What is the first line of defense in GI tract against pathogens?
Mucosa which contains antibodies against pathogens
Ratio of GI immune cells vs Body
GI & Body immune cells have equal numbers showing how significant immunity for GI is
Histamine effect on GI
Stimulates Motility & Secretion
Further GI defense lines
1) GALT (waldeyer’s ring)
2) Inflammatory mediators (cytokines/histamine)
3) Host microbe interactions (flora)
2 Types of GI afferent neurons
- Intrinsic afferent (to inter n.)
- Visceral afferent (from organs)
GI sympathetic DIRECT innervation
- Vasoconstriction (a1-R)
- SM of GI (B2-R)
- Sphincter constriction (a1-R)
GI sympathetic INDIRECT innervation
Decreased motility and secretion
(a2-R)
G-cell
Gastrin
(Acid secretion)
I-cell
Cholecyctokinin (CCK)
(pancreas secretion & gallbladder emptying)
S-cell
Secretin
(pancreas & bile secretion)
Low pH in duo. stims this
L-cell
- Proglucagon
- GLP-1/2
GIP-cell
Gastric inhibitory peptide (GIP)
Oral glucose stims this
(inh. gastric emptying)
(K-cells)
P/D1-cell
ghrelin
(hunger / food intake)
D-cell
Somatostatin
(generally inhibitory)
F-cell
Pancreatic Polypeptide (PP)
M-cell
Motilin
EC-cell
Serotonin (enterochromaffin/EC cells)
ECL-cell
Histamine (enterochromaffin-like cell)
(motility & secretion stim.)
Hormones made in the GI but act somewhere else
- CCK
- Ghrelin
- Gastrin
- Secretin
Hormones made somewhere else & act on GI
- Aldosterone
- PTH
What % of the body’s immune cells are in the GI-tract
80%
Sympathetic regulation of GI
- a1 causes contraction of SM sphincters
- a2/B2 cause SM wall relaxation
- a1 Vasoconstriction of splanchnic circulation
3 GI control mechanisms
- Neural
- Paracrine
- Endocrine
What cells in GI secrete hormones
Enteroendocrine cells