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PBDII Exam 5
Dr.Ellis Pancreatic Secretions
35
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Professional
04/14/2011

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Term
Insuffiecient exocrine pancreas secretion leads to _______________.
Definition
Starvation
Term
Exocrine pancreas plays a vital role in digestion.  What 2 things must occur as the chyme goes from the stomach to the small intestine?
Definition

1. Acid must be quickly and efficiently neutralized

2. Macromolecular nutrients must be broken down even further before reabsorbed into the blood.

Term
The endocrine portion of the pancreas secretes which hormones? 
Definition

Insulin

Glucagon

Term
The endocrine pancreas plays a role in ________________ and ______________ metabolism and maintains normal blood glucose concentration.
Definition

Carbohydrates

Lipid

Term
The cells of pancreas are arranged in grape like clusters called _____________.  These secrete the enzyme component of pancreatic juice.
Definition
Acini
Term
The substances made by the  acini are drained into _____________ that drain into the ________________-.
Definition

Ducts

Duodenum

Term
Which cells make the fluid component of the pancreatic juice?
Definition
The columnar epithelial cells that line the ducts
Term
How much pancreatic juice is secreted per day?
Definition
1 kg
Term
Exocrine pancreatic juice is composed of an ____________________ component and an _______________ component.
Definition

Aqueous

enzyme

Term
The enzyme component of the exocrine juice helps to digest carbohydrates, fats, and proteins secreted by _____________.
Definition
Acinar cells
Term
What types of signals control pancreatic secretions?
Definition

1. Neural

2. Hormonal

Term
What things trigger the signals for pancreatic secretion?
Definition

1. Presence of acid

2. Presence of digestion products in the duodenum

Term
Where is CCK released from?
Definition
The I cells in the duodenum
Term
What 2 things trigger the release of CCK from the I cells?
Definition

CCK releasing factor

Monitor peptide

Term
CCK releasing factor is secreted in the ________________ where as the monitor peptide is by _______________.
Definition

Small intestine

Pancreatic acinar cells

Term
Both CCK releasing factors and monitor peptide are released in response to ___________ signals.
Definition
Neural
Term
The secretion of the ____________cells and cells of the _______________ make up the enzyme component of pancreatic juice.
Definition

Acinar cells

Intercalated ducts

Term
The major proteases in the intestine for the digestion of proteins are:
Definition

1. Trypsin

2. Chymotrypsin

3. Carboxypeptidase

Term
Trypsinogen is converted to trypsin by _____________- in the intestine.
Definition
Enterokinase
Term
Chymotrypsinogen is converted to chymotrypsin by _____________ in the intestine.
Definition
Trypsin
Term
Procarboxypeptidase is converted to carboxypeptidase by ______________ in the intestine.
Definition
Trypsin
Term
____________ and ____________ are both proteolytic digestive enzyme that catalyzes the breakdown of dietary proteins to peptones, peptides and A.A.
Definition

Trypsin

Chymotrypsin

Term
Carboxypeptidase cleaves peptides from _________.
Definition
The C-terminal
Term
What are the major lipases in pancreatic juice?
Definition

1. Triacylglycerol hydrolase

2. Cholesterol ester hydrolase

3. Phospholipase A2

Term
Which 3 things lead to increase secretion of pancreatic juices?
Definition

1. AcH

2. Secretin

3. CCK

Term
The aqueous component of pancreatic juice is produced primarily by the columnar epithelial cells that line the ducts that is rich in __________.
Definition
HCO3-
Term
Describe the hormonal regulation of pancreatic aqueous secretion.
Definition

AcH binds to M3R that is coupled to Gq.

Increases in IP3 which then binds to IP3R.

Increase release of Ca2+

Activates AQP8 to secreted H2O

Term
____________ hormonal regulation allows for both aqueous and HCO3- secretion via activating cAMP and thus PKA.
Definition
Secretin
Term
What is sham feeding?
Definition
When food is chewed but not swallowed
Term
What occurs during the cephalic phase of pancreatic juice release?
Definition

Sham feeding induces secretion of a low volume of pancreatic jucie with a high protein content.

(lots of amylase)

Term
What type of impulses stimualte pancreatic secretion?
Definition
Vagal nerve
Term
During the gastric phase of pancreatic secretion, distention of the stomach elicits vagal reflexes that induce the pancreas to secrete a small volume of juices with a high _________________.
Definition
Enzyme concentration
Term
What occurs during the intestinal phase of pancreatic secreation?
Definition

1. Acid in the chyme in the duodenum and upper jejunum secrete large volume of pancreatic juice with low enzyme concentration.

2. Also releases secretin

Term
Secretin directly stimulates pancreatic _____________ cells to secrete ______________ component of the pancreatic juice.
Definition

Ductular epithelial

HCO3-

Term
What things elicit pancreatic juice secretion that is rich in enzyme components during the intestinal phase?
Definition

Amino acids

and Peptides

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