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PBDII Exam 5
Dr. Ellis Secretions of the Stomach
41
Other
Professional
04/14/2011

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Term
The Gastric mucosa has 2 distinct regions based on their structures. What is these 2 regions?
Definition

1. Oxyntic glandular region

2. Pyloric glandular region

Term
The Oxyntic glandular gland contains 80% of this region of the stomach.
Definition
The fundus
Term
The Pyloric gland is 20% of this part of the stomach.
Definition
The Antrum
Term
What is the functions of the stomach?
Definition

1. Reservoir for meals

2. Mixing secretions with ingested food

3. Regulate emptying of chyme into duodenum

4. Secretion of certain things

Term
What things are secreted by the stomach?
Definition

1. HCl

2. Pepsin

3. Water

4. Mucus

5. HCO3-

6. Intrinsic factor

Term
List the cells that are located in the Oxyntic gland of the stomach.
Definition

1. Enterochromaffin like cells (ECL)

2. Chief cells

3. Parietal cells

4. Mucus cells

Term
ECL cells store and release ______________.
Definition
Histamine
Term
Chief cells are aka _____________ and secrete ________________.
Definition

Peptic cells

Pepsinogen

Term
What cells of the oxyntic gland secrete HCl and gastric intrinsic factor?
Definition
Parietal cells
Term
T/F: The mucus cells of the Oxyntic gland only secrete mucous.
Definition
False; they also secrete HCO3-
Term
What is intrinsic factor?
Definition
A glycoprotein secreted by the parietal cells of the stomach that is required for the absorption of Vit. B12. It binds it.
Term
What types of cells can be found in the Pyloric gland of the stomach?
Definition

1. Chief cells

2. Mucus cells

3. G cells

Term
What do G cells secrete?
Definition
Gastrin
Term
What is pepsin?
Definition
A group of proteases secreted by chief cells that digest proteins
Term
The chief cells secrete pepsinogen (inactive form), but is stored in zymogen granules. What 2 thing cause the release of pepsinogens fromt he zymogen granules?
Definition

AcH stimulation

Gastrin

Term
How is pepsinogen activated to its active form pepsin?
Definition
Cleavage by HCl at low pH
Term
In the stimulated state of parietal cells what happens?
Definition

1. rise in intracellular levels of 2nd messengers

2. TVEs move and fuse to the PM

3. H-K-ATPase secretes protons

Term
In the resting state of parietal cells, the H-K-ATPases are restricted to ________________.
Definition
the Tubulovesicular elements (TVEs)
Term

What is the unstimulated basal level of gastric secretion?

What about stimulated?

Definition

1-5mEq/hr

6-40 mEq/hr

Term
T/F:  The number of parietal cells in peeps vary and is responsible for the wide range of HCl secretion.
Definition
True
Term
What does the ionic composition of gastric juice depend on?
Definition
The rate of secretion
Term
At High flow rates, gastric juice predominantely contains ______ and ________.
Definition
H+ and Cl-
Term
What are the 3 major stimulators of HCl from parietal cells?
Definition

1.AcH

2. Gastrin

3. His

Term
How does Gastrin and AcH regulate Gastric secretions?
Definition

1. Gastrin binds to CCK-B coupled to Gq whereas AcH binds to M3R coupled to the same Gq (synergistic effect).

2. Both send signal transduction to increase IP3

3. IP3 releases Ca2+

4. Ca2+  activates the H-K-ATPase and releases H+ into lumen

5. Also activates transport of Cl- out to lumen

(makes HCl)

Term
Histamine is made from Histidine. What enzyme is responsible for this conversion?
Definition
Histidine Decarboxylase
Term
What stimulates the release of Histamine from ECL cells?
Definition
Gastrin binding to CCK receptors on the ECL cells
Term
What is the pH in the lumen of the gastric gland? What about in the parietal cell?
Definition

1

7

Term
The pumping of H+ leaves an excess of ___________.  This flows down its electrochemical gradient across the basolateral PM.
Definition
HCO3-
Term
With gastric acid secretion mechanism, Cl- moves against its gradient into the cell with the help of the _______________.
Definition
Cl-, HCO3- countertransporter
Term
When the stomach is empty for several hours, HCl is secreted at a ___________ level which is approximately _____ % of the max rate.
Definition

Basal

10

Term
List the 3 phases of increased acid secretion in response to a meal. And when are they each elicited?
Definition

1. Cephalic phase = b4 food reaches stomach

2. Gastric phase = food in stomach

3. Intestinal phase = mechanisms that originate in the duodenum and upper jejunum

Term
In the cephalic phase of gastric secretion, what condition reflexes stimulate the vagus nerve?
Definition

1. Taste

2. Smell

3. Chewing

4. Sight

5. Swallowing

6. Hypoglycemia

Term
What things in the gastric phase of gastric acid secretion increase the secretion?
Definition

1. Distension of stomach

2. A.A.

3. Peptides

Term
What 2 things inhibit the release of Gastrin from the G cells thus decreases the response of parietal cells?
Definition

Secretin

Somatostatin - bind to the G cell receptor

Term
____________ is released from D cells in the gastric antrum in response to the presence of _______.
Definition

Somatostatin

HCl

Term
What 2 things form the Gastric mucosal barrier?
Definition
Mucus + HCO3-
Term
What is the function of the Gastric Mucosal Barrier?
Definition
Protects the luminal surface of the stomach form HCl and pepsin
Term
Mucus has secretions that have glycoprotein mucins that make it sticky and viscous. What cells secrete mucus?
Definition
Mucus neck cells and surface epithelial cells
Term
___________ stimulates the release of mucus from there cells as well as HCO3-.
Definition
AcH
Term
HCO3- is secreted by surface epithelial cells and makes the mucus layer ___________.
Definition
Alkaline
Term
How thick is the mucus bicarb gel layer?
Definition
0.2 mm
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