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Digestive System
midterm 2
133
Physiology
Undergraduate 1
03/31/2010

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Cards

Term
Ingestion
Definition
taking in food/nutrients
Term
Secretion
Definition

many important fluids from both accessory organs and lining of alimentary canal (ie saliva, stomach acid, enzymes, alkaline bicarbonate, bile, mucus)

 

Term
Mixing and Propulsion
Definition
combining of secretions with food (forming chyme=stomach contents of food/oral and gastric secretions); various forms of movement of food/contents thru alimentary canal
Term
Peristalsis
Definition
general term/ type of movement thru alimentary canal
Term
digestion
Definition
includes both mechanical and chemical breakdown of food/nutrients also includes absoprtion of nutrients in small intestine
Term
defecation
Definition
elimination of waste products via feces
Term
mechanical digestion
Definition
physical breakdown of food into smaller pieces, no chemical breakdown
Term
mastication
Definition
chewing- most important form of mechanical digestion grinding food to smaller pieces
Term
bolus
Definition
formed in mouth by combining of food with saliva and what is swallowed
Term
chemical digestion
Definition
chemical breakdown of food via enzymes and acid/base; chemical bonds broken to produce simpler molecule' beings in mouth with saliva
Term
composition of saliva
Definition

Solutes: ions (Na, K, Cl, bicarb); organic molecules (hormones, urea, antibodies, mucus); enzymes (salivary amylase, lingual lipase, lysozyme)

WATER --> 99.5% the solvent, carrier of solute

Term
function of chlorid ions
Definition
activate salivary amylase
Term
bicarbonate and phosphate
Definition
balance pH of saliva (buffering acidity)
Term
function of uric acid and urea
Definition
small amounts, waste product
Term
function of mucous
Definition
lubrication and protection of mucosa (epithelial layer)
Term
function of IgA
Definition
antibody, sequesters microbes to prevent oral and GI  infections
Term
the 3 salivary enzymes
Definition
lysozymes, salivary amylase, lingual lipase
Term
function of lysozyme
Definition
protective function -->bacteriocidal" = digests bacteria and eliminates harmful bacteria but NON SPECIFIC
Term
Function of Salivary amylase
Definition

secreted by parotid and submandibular salivary glands,

begins breakdown of starch

functions mainly in mouth

can function in stomach for up to 1hr

eventually deactivated/digested by stomach acid

Term
function of lingual lipase
Definition

secreted by minor salivary glands of tongue

activated by stomach acid

breakdown triglycerides into fatty acids and diglycerids

Term
5 functions of stomach
Definition

1. mix contents

2. reservoir

3. secrete gastric juices

4. digest

5. secrete gastrin

Term
function of mixing contents
Definition

mixes bolus with gasric juices to form "chyme" (term for liquid contents in stomach) 

chyme will travel from stomach to small intestine "mixing waves" (churning of stomach ie mechanical digestion)

Term
reservoir function of the stomach
Definition
holds chyme and can regulate passage of chyme into duodenum via pyloric sphincter
Term
function of secreting gastric juice
Definition
from cells lining the stomach, gastric juice contains HCl (hydrochloric acid) intrinsic factor, gastric lipase, pepsin/pepsinogen, mucus
Term
function of digestion in the stomach
Definition
chemical digestion = breakdown (denatures) protein, kills bacteria, further digestion of fats; salivary amylase contines carbohydrate digestion
Term
gastrin (stimulated by)
Definition

distention of the stomach, partially digested proteins and high pH of systemic chyme

secreted by G cells and promotes the secretion of gastric juice

Term
gastric juice contents
Definition
HCl, intrinsic factor, pepsinogen, gastric lipase
Term
secretin (stimulated by)
Definition
stimulated by acidic chyme that enters the small intestine and is secreted by S cells in the duodenum and stimulates the release of pancreatic juice and bile
Term

CCK (stimulation)

Cholecystokinin

Definition
stimulated by partially digested proteins and fatty acids and triglycerides and is secreted by the CCK cells in the mucosa of the small intestine and it stimulates the secretion of pancreatic juice and bile from the gal bladder
Term
secretin and CCK inhibit what?
Definition
gastric juice
Term
CCK inhibits
Definition
gastric emptying
Term
What secretes gastrin and what does it do
Definition
secreted from G-cells of stomach into bloodstream and helps control digestive function
Term

Chief cells 

secretes 2 things

Definition
secrete pepsinogen and gastric lipase
Term
Pepsinogen (result)
Definition
pepsin, the activated form breaks down certain  peptide bonds in proteins
Term
gastric lipase (result)
Definition
splits triglycerides into fatty acids and monoglycerides
Term
Partietal cells secrete what?
Definition
hydrochloric acid and intrinsic factor
Term
result of hydrochloric acid
Definition
kills microbes, denatures proteins, converts pepsinogen to pepsin
Term
result of intrinsic factor
Definition
needed for absorption of vitamin B12
Term
mucous cells (function)
Definition
secrete mucous and absorption
Term
function of mucous
Definition
forms protective barrier to prevent digestion of stomach wall
Term
absorption via mucous
Definition
small amount of water, ions, fatty acids and some drugs enter blood stream
Term
G -cells function
Definition
secrete gastrin into blood
Term
function of gastrin
Definition
stimulates parietal cells to secrete HCl and chief cells to secrete pepsinogen; contracts lower esophageal sphincter, increases stomach motility relaxes pyloric sphincter
Term
muscularis function
Definition
mixing waves and peristalsis
Term
result of mixing waves
Definition
macerate food and mix it with the gastric juice forming chyme
Term
function of peristalsis
Definition
forces chyme through pyloric sphincter
Term
function of pyloric sphincter
Definition
opens and closes regulating passage of chyme from stomach to duodenum, preventing backflow of chyme from duodenum to stomach
Term
Function of the exocrine portion of the pancreas
Definition
-99% of pancreas is exocrine glands called ACINI which secrete digestive enzymes and alkaline "pancreatic juice" into small intestine via ducts
Term
function of endocrine portion of pancreas
Definition

1% of cells are pancreatic islets (islets of langerhans)

secretes hormones (insulin and glucagon) into blood which help control sugar/macronutrient metabolism

Term
exocrine portion of pancrease has.....
Definition
ducts to release juices
Term
endocrine portion of pancreas has...
Definition
no ducts and emits hormones direct to blood
Term
composition of pancreatic fluid (5 substances)
Definition

1. sodium bicarbonate

2. carbohydrate digesting enzyme

3.protein digesting enzyme

4. lipid-digesting enzyme

5. nucleic acid digesting enzyme

Term
function of sodium bicarbonate
Definition
alkaline component of pancreatic juice, buffers/neutralizes acidic chyme from stomach, important for further digestion/absorption in small intestine
Term
carbohydrate digesting enzyme function
Definition
pancreatic amylase
Term
protein-digesting enzymes function
Definition

ALWAYS HAVE A PERCURSOR (NON ACTIVE) from which gets activated in lumen

-includes trypsin, chymotripsin, caboxypeptidase, elastase

Term
trypsin
Definition
protein digesting enzyme
Term
chymotrypsin
Definition

protein digesting enzyme

Term
carboxypeptidase
Definition

protein digesting enzyme

Term
elastase
Definition

protein digesting enzyme

Term
lipid digesting enzymes in pancreas
Definition
pancreatic lipase
Term
nucleic acid digesting enzymes (2)
Definition
deoxyribonuclease/ ribonuclease
Term
function of the liver (9)
Definition

1. carbohydrate metabolism

2. lipid metabolism

3. protein metabolism

4. processing of drugs and hormones

5. excretion of bilirubin

6. synthesis of bile salts

7. storage

8. phagocytosis

9. activate vitamin D

Term
carbohydrate metabolism in the liver
Definition

aids in maintaining blood sugar levels by various mechanisms:

-breakdown of glycogen (stored carbs) into glucose

-conver AA and lact. acid into glucose

-convert fructose/galactose into glucose

-convert glucose into glycogen and triglycerides for storage

Term
lipid metabolism in liver
Definition

-stores triglycerides

-metabolizes fatty acids to form ATP

-synthesize lipoproteins for fat/cholesterol transport

-synthesize cholesterol (Which makes bile salts and steroid hormones)

Term
protein metabolism in liver
Definition

-deamination (removal of an amino group) from AA

-allows rest of amino acid to be used for other functions such as ATP production , conversion to storage forms (fat/glycogen)

-NH2 (ammonia) is converted by liver into urea and excreted in urin

-synthesis of plasma proteins (ie albumin)

Term
processing of drugs and hormones in the liver
Definition

detoxification of alcohol/drugs/toxins

processing and detox of endogenous waste products (hormones, inflammatory mediators etc)

 

Term
excretion of bilirubin in liver
Definition
produced from breakdown/recycling of RBC and is a component of bile (excreted via feces)
Term
synthesis of bile salts
Definition
formed from ions (Na, K) and bile acids (composed of bilirubin and cholesterol
Term
importance of bile
Definition
emulsify fats and absorption of fat soluble nutrients
Term
what is stored in the liver (4)
Definition

glucose (in form of glycogen)

fat soluble vitamins (A, D, E, K)

storage of B12

storage of minerals (iron copper)

Term

phagocytosis in the liver

(what cells engulf what?)

Definition
kupfer cells engluf aged RBC, WBC, microorganisms, other waste materials and digest it
Term
Activation of vitamin D in liver
Definition

vit D produced in skin

liver and kidneys activate it

Term
composition of bile
Definition
Bile acid (bilirubin and cholesterol) and electrolytes (Na or K) = bile salt
Term
function of bile (2)
Definition

digestive function

excretory function

Term
whats the digestive function of bile
Definition
emulsification of fats, breakdown large particles of fat to microscopic particles and dissolves fat in a water medium
Term
what is the excretory function of bile
Definition
bilirubine and cholesterol are excreted in bile and it has a laxative effect
Term

Absorption of carbohydrates in the small intest.

 

Definition
absorbed as monosaccarides, all carbs normally absorbed except fiber
Term
Protein absorption in small intestine
Definition

absorbed as amino acids/dipeptides/tripeptids

-di/tri further digested by enzymes in epithelial cells called "brush border enzymes"

Term
brush border enzymes
Definition
further digest di and tripeptides in small intestine
Term
lipid absorption in small intestine
Definition

absorbed as short/long chain fatty acids and monoglycerides 

fatty acids/monoglycerides are carried by "micelle" (shuttle bus) to absorptive cell and empty contents into absorptive cell

Term
what happens to the FA, monoglyc. within absorptive cell 
Definition
FA and monoglyc. reformed into triglycerides
Term
once triglycerides are made where do they go (what carries them)
Definition
carried by chylomicrons from absoprtive cell into lacteal of lymphatics, chylomicrons carried through lymph system and eventually enter blood stream at thoracic duct into left subclavian vein
Term
vitamin absorption in small intestine
Definition

fat soluble (a, d, k, e) simple diffusion travelling within micelles

-water soluble vits are absorbed across cell membranes

-B12 intrinsic factor from parietal cells needed to absorb B12

Term
water absorption in small intestine
Definition
via osmosis (concentration gradient allows for it to happen)
Term
alcohol absorption in small intestine
Definition
absorbed slowly from stomach but more rapidly from small intestine, alcohol dehydrogenase in stomach cells break down alcohol before entering bloodstream
Term
Function of the large intestine (4 major)
Definition

-mechanical digestion

-chemical digestion

-absorption and feces formation

-defecation

Term
Haustral churning
Definition

mechanical digestion (specific to lg intest)

-when haustra are streteched the flex will squeeze/push contents to next haustra

-a method of squeezing out water and forming more solid feces 

-form of peristalsis

-slow mov't of content through lg intestine

Term
peristalsis in lg intestine
Definition
similar to peristalsis in other GI areas except SLOWER
Term
mass peristalsis
Definition

specific to large intestine, stron peristalctic wave move contents from transverse colon to recutm

-occurs during/after meal due to stomach stretching (called gastrocolic reflex)

Term
functions of bacteria in large intestine
Definition
main organisms of large intestine, ferment remaining carbohydrates to release CO2 H2, methane, convert remaining amino acids to toxic byproducts, decompose bilirubin to final breakdown product for excretion, produce B vitamins and vitamin K (main source of vitamin K)
Term
where is water absorbed % in intestines?
Definition

90% in small intestines

9% in large intestines

last 1% excreted in feces

 

Term

what forms feces

 

Definition

chyme from small intestine into large intestine; approx 3-10 hr transit time through large intestine

 

composed of fiber, bacteria, waste and water

Term
defecation reflex
Definition
due to stretching of rectal wall after mass peristalsis from increased contents
Term
internal anal sphincter
Definition
open as result of defecation reflex- autonomic via parasympathetic
Term
external anal sphincter
Definition

voluntarily controlled therefore conscious control of defecation

 

if defecation doesn't occur contents will go back to sigmoid colon until mass peristalsis

Term
metabolism
Definition
energy balancing act between anabolism and catabolism
Term
What molecule links anabolic and catabolic reactions in body
Definition
ATP
Term
anabolism
Definition
building up, combine simple molecules to form more complex molecules, requires ATP
Term
catabolism 
Definition
breakdown comples molecules to more simple molecules eneregy is release and some can be captured in form of ATP
Term
ATP
Definition

energy currency of living cells allowing metabolic processes to occur, captures energy as usable form,

 

Term
what % of energy from glucose can be captured as ATP
Definition
40% the rest is released as heat
Term
what are the 3 main ways to make ATP
Definition

substrate level phosphorylation

oxidative phosphorylation

photophosphorylation

Term
phosphorylation
Definition

general term for the addition of a phosphate ion to another molecule

 

ADP + P + energy= ATP

Term
substrate level phosphorylation
Definition
direct production of ATP through a catabolic rxn occuring in the CYTOSOL Of cells (glycolosis, first step of cellular respiration)
Term
oxidative phosphorylation
Definition
production of ATP via electron transport chain, occurs in mitochondria of cells and main form of ATP production (also part of cell resp)
Term

photophosphorylation/

photosynthesis

Definition
occurs in plants containing chlorophyll
Term
4 steps of cellular respiration
Definition

1. glycolysis

2. formation of acetyl coA

3. Krebs cycle

4. Electron transport chain

Term
glycolysis
Definition
on glucose molecule cleaved into 2 pyruvic acid--> creates NET 2 ATP
Term
formation of acetyl coA
Definition
prepares pyruvic acid for krebs cycle, pyruvic acid converted to acetyl coA, occurs in mitochondria
Term
krebs cycle
Definition
occurs in mitochondria (oxidization of the acetyl coA, reduces coenzymes)
Term
electron transport chain
Definition
reduced co-enzymes are oxidized to produce ATP , oxygen required,( occurs in inner mitochondrial membrane)
Term
what is the net number of ATPs formed per glucose molecule
Definition
36-38
Term
glycogenesis
Definition
stores many glucose molecules as glycogen when glucose not needed immediately for ATP
Term
how much glycogen can the avg person store
Definition
500g (25% in liver, 75% mm)
Term
what is the only stored form of carb in body
Definition
glycogen
Term
what hormone stimulates glycogenesis in liver/skeletal muscles
Definition
insulin
Term
what is the first step of glycogenesis
Definition
phosphorylation of glucose to produce glucose 6 phosphate which traps glucose in cell
Term
glycogeneolysis
Definition

breakdown of glycogen to glucose

-in liver, enzyme can remove phosphate from glucose 6 phosphate so glucose can be released into blood (phosphatase enzyme) but there is no phosphotase enzyme in skeletal mm so G6P used directly by mm and can't release it into blood

Term
gluconeogenesis
Definition

formation of glucose from certain substrates

-glycerol (from fats)

-certain amino acides

-lactic acid 

Term
when does gluconeogenesis  occur
Definition
occurs in LIVER when glycogen stores are gone
Term
what stimulates gluconeogenesis
Definition
cortisol and glucagon (the anti insulin hormone) (only occurs on large scale if starving, eating few carbs etc)
Term
lipoprotein (what is?)
Definition

particles which carry lipids throughout the body 

consist of protein, phospholipid, cholesterol from outer shell

Term
what are the 4 types of lipoproteins
Definition
chylomicrons, VLDL, LDL, HDL
Term
aproproteins (What are?)
Definition
proteins on outer shell, helps to stabilize lipoprotein in body fluid allows communication between lipoproteins and body cells
Term
chylomicrons
Definition
fromed in absorptive cells in small intestine, enter lymphatics from absorptive cell and eventually into blood
Term
VLDL
Definition

approx 10% protein

made in liver and contains fats produced by liver

transport fats made by body to adipocytes (storage) or muscle cells (atp production)

as VLDLs deliver fats they become LDLs

Term
LDLs
Definition

contain 25 protein and 75% blood cholesterol and deliver it to cells (tissue repair, steroids, bile salts)

when there is excessive LDL it will be desposited in artery walls

Term
HDLs
Definition
40-45% protein, removes excess cholesterol from cells and stransport to liver - used for steroids, bile salts
Term
2 sources of cholesterol and %
Definition

dietary 20%

endogenous 80% produced by liver

Term
how do fatty foods increase cholesterol (2 ways)
Definition

hepatocytes use saturated fats to procude more cholesterol

 

high fat diet increases reabsorption of bile salts therefore cholesterol lost in feces

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