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Physiology GI Tract
Testing
36
Physiology
Graduate
09/12/2009

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Term
Function of GI tract
Definition
motility: longitudinal and circular muscles; top 1/3 is striated; other 2/3 is smooth
Secretion
Digestion
Absorption: 3000 to 6000 microvilli/epithelial cell
Term
Stomach
Definition
Anatomy: Fundus, Orad (top 1/3), body, caudad (bottom 2/3), antrum
Cell type: Parietal (body, HCl, intrinsic factor); Chief (body, pepsinogen); G cells (antrum, gastrin); mucous (antrum, mucous, pepsinogen)
Term
Stomach cell (lumen to muscle)
Definition
epithelial cells, mucous, parietal, and chief
Term
duodenum
Definition
•gastric emptying takes 2-3 hrs
•pancreatic and biliary secretions
•digestion of protein, carbohydrate, and fat:
o proteins: aa’s, di and tripeptides
o carbs: monosaccharides
o lipids: micelle formation, reesterfication and secretion into lymph as chylomicrons
Term
jejunum
Definition
absorption of Na+, amino acid/sugar at lumen and Na+, amino acid/sugar, HCO3- at blood side; H+ release at lumen; K+ absorption at blood
Term
ileum
Definition
At lumen: Na-amino acid/sugar symport; Na-H+(out) exchanger; HCO3 (out)-Cl- exchanger; B12 and bile salts
At blood: Na-K-ATPase; sugar/amino acid transporter; Cl- transporter; B12 and bile salt transporter
Term
colon
Definition
Secretion: alkaline mucus; Na absorption-dependent on aldosterone; K secretion-diarrhea can lead to hypokalemia
Bacteria: Vit K production, increased colonic acidity, motility and mucosal integrity
Absorbs water and salts
Term
Salivary glands
Definition
Parasympathetic: excited by conditioning, food, nausea, smell; inhibited by fear, dehydration, sleep; CN VII and CN IX; ACh/Metabotropic receptor; IP3,Ca
Sympathetic: T1-T3, NE/beta receptor; cAMP
Term
pancreas
Definition
Pancreatic enzymes (islet or acinar cells): insulin, glucagon, trysinogen, chymotrysinogen, proelastase, procarboxypeptidase A and B
Lumen Ductal cells: secrete bicarbonate; absorb Cl-
Blood ductal cells: Na-K ATPase; Na-H exchanger
Between cells: Na+
Term
Liver
Definition
• Digestive function
o bile production and secretion
• Non-digestive function
o processing of nutrients – glucose, lipids
o synthesis of plasma proteins
 clotting factors
 transport proteins
o Storage: glycogen, fats, iron, copper
o vitamin D activation – important for Ca2+ uptake
o removal of bacteria
o removal of old RBCs
o excretion of bilirubin
o detoxification of body wastes
o drug metabolism (xenobiotics)
Term
Gall bladder
Definition
bile acid storage
Term
Intrinsic innervation
Definition
• enteric – can self-regulate (gap junctions play a big role in coordinating contraction) with feedback coming from mechano- and chemoreceptors; in GI wall
o submucosal plexus – closer to lumen
o myenteric plexus – closer to blood
Term
Parasympathetic extrinsic
Definition
• parasympathetic
o long preganglionic and short postganglionic fibers
o ganglia are in plexuses named above
o ACh – causes contraction of muscles of GI wall and relaxation of sphincters; increased salivary secretion, gastric secretion, and pancreatic secretion
Term
Sympathetic extrinsic
Definition
o short preganglionic and long postganglionic fibers
o Ganglia are outside effector organ
o NE – relaxes muscles and contracts sphincters; increased salivary;
Term
Motility
Definition
• tonic –constant level of tone; found at sphincters (circular muscle)
• phasic – contraction/relaxation cyles; longitudinal muscle
• peristaltic – coordinated muscle contraction to push in one direction
• segmental – to divide in two directions for mixing purposes
Term
Cell turnover
Definition
stem cells are located in the crypt (valley between individual villi)
Term
Protein digestion
Definition
pepsin (stomach), trypsin, chymotrypsin, elastase, carboxypeptidase A and B
Term
Carbohydrate digestion
Definition
Starch: alpha amylase
Dextrins: alpha dextrinase
Maltose: maltase
Maltotriose: sucrase
Trehalose: trehalase
Lactose: lactase (glucose,galactose)
Sucrose: sucrase (glucose, fructose)
Term
Lipid digestion
Definition
Triglyceride--lipases--MG and FFA
Cholesterol ester--cholesterol ester hydrolase--cholesterol and FFA
Phospholipid--phospholipase A2--lysolecithin and FFA
Term
Bile loop
Definition
Liver--bile duct--gall bladder--bile duct--duodenum--bile salt absorption in ileum--portal circulation--Liver
Term
H+ secretion and inhibition in parietal cell
Definition
Vagus--ACh/M3 receptor--G4--IP3,Ca--H-K ATPase--H+

G cells--gastrin/CCKB--G4--IP3,Ca--H-K ATPase--H+

ECL cells--Histamine/H2--G5--cAMP--H-K ATPase

Somatostatin and Prostaglandins block cAMP
Term
GRP
Definition
gastrin releasing peptide
Term
CCK
Definition
Where: I cells of duodenum and jejunem
Why: amino acids
What: increase pancreatic secretions; gallbladder contraction; Sphincter of Oddi relaxation; inhibits gastic emptying
How: IP3,Ca
Term
gastrin
Definition
Where: G cells of stomac
Why: small peptides and amino acids; stomach distention; vagal stimulation; GRP; secretin inhibiton
What: H+ secretion
How: IP3,CA
Term
Secretin
Definition
Where: S cell of duodenum
What: inhibit gastrin; NaHCO3 secretion
How: cAMP
Why: H+ and FFA
Term
ACh
Definition
parasympathetic; increases peristalsis and secretion; relaxes sphincters
Term
NE
Definition
decreases peristalsis and secretion; contracts sphincters
Term
Enkephalins
Definition
contraction
Term
NPY
Definition
relaxation
Term
Substance P
Definition
contraction
Term
VIP (vasoactive intestinal peptide)
Definition
relaxation
Term
Protein absorption
Definition
amino acid - Na symports or facilitated diffusion
Term
carbohydrate absorption
Definition
At lumen: glucose and galactose with Na; fructose facilitated
At blood: GLUT2
Term
Lipids
Definition
Bile salt micelle with Chol, MG, LysoPL, and FFA--resterfication---formation of chylomicron--exocytosis into lymph (thoracic duct)
Term
vitamin and mineral absorption
Definition
Fat soluble vitamins: chylomicron

Water soluble: Na cotransport

Iron: transferrin, ferritin

Calcium: calbinden controlled by Vitamin D
Term
Fluid production
Definition
Small intestine: 1.5 L; Cl- secretion

Pancreatic juice and bile: 3 L

Gastric: 2 L

Diet: 2 L

Reabsorped: 8 L
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