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GI system specializations and histology
10/18/11 First Lecture
31
Medical
Graduate
10/19/2011

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Cards

Term
What type of epithelium line the oral cavity?
Definition
Stratified squamous
Term
What are the 4 Papillae of the tongue
Definition
1. Filiform - no taste buds, increase friction between tongue and food
2. Fungiform
3. Foliate
4. Circumvallate - Associated with Ebner's glands
Term
What do Ebner's glands do?
Definition
Secrete substance that helps dissolve food particles so they can access the taste buds
Term
What are the 4 components of a taste bud?
Definition
1. Taste cell
2. Supporting cell
3. Basal cell - serve as stem cells for new cells
4. Nerve fiber - Necessary to make new cells

Note: these exist on fungiform, circumvallate, and foliate papillae, not filiform, which lack taste buds
Term
What are the 3 salivary glands?
Definition
1. Parotid
2. Submandibular
3. Sublingual
Term
What are the two general classes of glands?
Definition
1. Acinar
2. Tubular
Term
What type of cells secrete in acinar glands? What type of cells contract to push secretions out?
Definition
1. Acinar cells secrete
2. Myoepithelial cells contract to push secretions out

Note: Mixed acinus glands also have demilume cells behind the acinar cells that secrete into the lumen and mix with the secretions of the acinar cells
Term
What enzymes are in saliva and what purpose do they serve?
Definition
1. Lysozyme - breakdown bacterial cell walls (protective function)
2. Amylase - Begins breaking down starches and complex carbs
3. Lipase - begins breakdown of lipids and fats
Term
What are the major layers of the GI tract?
Definition
1. Mucosal - consists of epithelial, lamina propria (connective tissue), and muscularis mucosae (smooth muscle) layers (has most specialization between organs)

2. Submucosal layer - glands, nerves in this layer referred to as Meissner's plexus

3. Mascularis externa - Two muscles layers, inner one is circular and outer one is longitudinal

4. Serosa (adventitia) - connective tissue layer
Term
What are the major anatomical parts of the stomach?
Definition
1. Cardia - entrance point from esophagus
2. Fundus - part of stomach above the cardia
3. Body - part of stomach below cardia
4. Pylorus - exit of stomach
Term
What extra muscle layer is present in the stomach and what is its role?
Definition
Oblique muscle layer

Churns food in the presence of gastic juice to make chyme
Term
Describe the major anatomical regions of tubular glands and the cells within them
Definition
1. Gastric pit - entrance point from the lumen, lined by surface mucosal cells (secrete a protective mucous to line the stomach)
2. Neck - narrower then pit, parietal cells, mucous neck cells, and APUD cells
3. Base - End of gland, chief cells and APUD cells
Term
What do parietal cells secrete?
Definition
Hydrochloric acid and "intrinsic factor" (whatever the hell that is)

Note: These cells have an intracellular canaliculus (invagination lined with microvilli) that is important in HCl secretion
Term
What do chief cells secrete?
Definition
Proteins, and pepsinogen (inactive form of pepsin, becomes active at low pH)
Term
What do APUD cells secrete?
Definition
peptide hormones into the bloodstream, not the lumen
Term
What type of stomach cell are G cells and where are they found?
Definition
APUD cells found in the pyloric area. The presence of food stimulates them to secrete gastrin, which promotes secretion of pepsin and acid
Term
Describe the process that entails the release of HCl from Parietal cells
Definition
1. Food presence stimulates gastrin release
2. Gastrin binds to prietal cell receptor
3. ER fuses with canaliculus (increases surface area)
4. H+/K+ ATPase pumps 0.15 HCl out of cell

Note: Bicarbonate is also pumped into the bloodstream during this process which can mix with the mucosal layer of the stomach and buffer it against the low pH
Term
What sphincter separates the stomach from the small intestine?
Definition
Pyloric sphincter
Term
What types of cells distinguish the line between the stomach and the small intestine?
Definition
Stomach - stratified squamous epithelium

Small intestine - microvilli are present on the epithelium
Term
What is a plica and where is it present?
Definition
Projection of the epithelial wall into the lumen lined with villi

Present in the small intestine
Term
What are lacteals?
Definition
Lymphatic capillaries that extend up into the villi and eventually empty into the thoracic duct
Term
What role does smooth muscle play in the villi?
Definition
Structural support
Term
What are the Crypts of Leiberkuhn?
Definition
Tubular glands of the intestine
Term
What are goblet cells?
Definition
Mucous secreting cells packed full of carb granules
Term
Where are paneth cells located? What is their purpose?
Definition
They are located in the base of crypts.

They secrete proteins, mostly lysozyme.
Term
What is the role of enterocyte cells and where are they found?
Definition
Absorption. Small intestine.

They make a brush border with thousands of microvilli to aid in absorption.
Term
What are the 3 section of the small intestine and what features distinguish them?
Definition
1. Duodenum - Have Brunner's glands (in mucosal layer) to help neutralize pH and protect cells
2. Jejunem - Very prominent plicae
3. Ileum - Peyer's patches are clusters of lymph nodes
Term
What are the two major functions of the large intestine?
Definition
1. Absorb water
2. Lubricate passage of feces
Term
What is the transition point between the small and large intestine?
Definition
Ileocecal valve
Term
What feature most prominently distinguishes the small from large intestine?
Definition
There are NO villi in the large intestine (also there is a thickening of the muscle layer, but the villi are more obvious)
Term
What are teniae coli?
Definition
Bulges in the muscle layer that become more prominent and eventually continuous as you travel down the large intestine
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