Gastrointestinal Secretion Overview
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Questions and Answers

What are the two main functions of the gastrointestinal tract?

To digest food and lubricate and protect the mucosa.

What are the two main types of materials secreted in the gastrointestinal tract?

  • Organic materials (correct)
  • Inorganic materials
  • Water and electrolytes (correct)
  • All of the above
  • What are the two main divisions of the autonomic nervous system that play a role in regulating glanduar secretion?

    Parasympathetic and sympathetic nervous systems.

    Hormones only play a role in stimulating glands to increase secretions.

    <p>False</p> Signup and view all the answers

    Define the term 'secretion' as it applies to the digestive system.

    <p>The net movement of water, electrolytes, and proteins into the lumen of a duct.</p> Signup and view all the answers

    What is the essential role of acinar cells in salivary gland secretion?

    <p>Acinar cells are responsible for synthesizing and secreting the components of saliva, including water, electrolytes, and enzymes like amylase.</p> Signup and view all the answers

    Which salivary gland secretes primarily serous saliva?

    <p>Parotid</p> Signup and view all the answers

    What is the key event responsible for the initiation of active transport of Cl- ions across the basal membrane of acinar cells?

    <p>Active transport of Cl- ions increases the membrane's negative potential.</p> Signup and view all the answers

    What causes the flushing of water, electrolytes, and organic materials into the lumen of the acinar cells?

    <p>Elevated osmotic pressure inside the cell draws water into the cell, increasing hydrostatic pressure, which eventually causes minute ruptures at the apical membrane of the secretory cells.</p> Signup and view all the answers

    Why is the final saliva composition hypotonic?

    <p>The reabsorption of Na+ and Cl- exceeds the secretion of K+ and HCO3-.</p> Signup and view all the answers

    Which of these is NOT a factor that contributes to the control of salivary secretion?

    <p>Aldosterone</p> Signup and view all the answers

    What is the primary trigger for the unconditioned salivary reflex?

    <p>Chemo-receptors or pressure-receptors in the oral cavity, which are stimulated during activities like eating or dental procedures.</p> Signup and view all the answers

    What is the primary function of salivary amylase?

    <p>Breaking down polysaccharides, such as starches, into maltose, a disaccharide composed of two glucose units.</p> Signup and view all the answers

    What are two key functions of saliva that aid in swallowing?

    <p>Saliva moistens food and lubricates the mucosa, ensuring that food particles are easily gathered and swallowed without causing damage to the tissues.</p> Signup and view all the answers

    Describe one mechanism by which saliva exhibits antibacterial actions.

    <p>The enzyme lysozyme present in saliva directly destroys certain bacteria, contributing to oral hygiene.</p> Signup and view all the answers

    Explain the key function of the simple mucus glands located in the esophagus.

    <p>These glands secrete mucoid substances that lubricate the esophagus and protect it from damage during swallowing.</p> Signup and view all the answers

    What specific function does the compound mucus glands near the Esophago-Gastric Junction serve?

    <p>They secrete alkaline mucus, which helps neutralize the acidic contents of the stomach and protects the esophagus from gastric reflux.</p> Signup and view all the answers

    Which of these is NOT a function of the viscid mucus secreted by the stomach?

    <p>Secretion of Gastrin</p> Signup and view all the answers

    What is the name given to the tubular glands found in the stomach that produce gastric juice?

    <p>Oxyntic (gastric) glands.</p> Signup and view all the answers

    Which type of cell in the oxyntic glands is responsible for secreting hydrochloric acid (HCl)?

    <p>Parietal (Oxyntic) Cells</p> Signup and view all the answers

    What is the key mechanism by which Cl- ions are actively transported into the canaliculus of parietal cells?

    <p>Active transport of Cl- ions creates a negative potential within the canaliculus, driving passive diffusion of K+ and Na+ ions, primarily K+.</p> Signup and view all the answers

    What is the source of H+ ions that are used to form HCl in the stomach?

    <p>Dissociated water molecules during the reaction catalyzed by carbonic anhydrase in the presence of CO2 and the activity of carbonic anhydrase.</p> Signup and view all the answers

    What is the primary mechanism by which H+ ions are actively secreted into the canaliculus of parietal cells?

    <p>H+ ions are pumped into the canaliculus via the H+/K+ pump, which is a specialized transport protein located in the parietal cell membrane.</p> Signup and view all the answers

    Why is the pH in the canaliculus of parietal cells significantly lower than the pH of blood?

    <p>The active transport of H+ ions into the canaliculus creates a high concentration of H+ ions, resulting in a significantly lower pH compared to blood.</p> Signup and view all the answers

    What is the key difference between the activities of parietal cells at rest and during high stimulation?

    <p>At rest, parietal cells primarily secrete NaCl, while during high stimulation, they secrete HCl.</p> Signup and view all the answers

    Besides activating pepsinogen into pepsin, what are two other important functions of HCl in the stomach?

    <p>HCl decomposes connective tissue and kills microorganisms ingested with food, contributing to digestion and preventing infections.</p> Signup and view all the answers

    What is the inactive form of pepsin, and where is it produced?

    <p>Pepsinogen is the inactive form of pepsin, and it is secreted by chief cells in the stomach.</p> Signup and view all the answers

    What is the primary function of intrinsic factor, and why is it essential for healthy blood formation?

    <p>Intrinsic factor is essential for the absorption of vitamin B12 in the small intestine. Vitamin B12 is vital for the production of healthy red blood cells.</p> Signup and view all the answers

    What are the two main types of cells found in pyloric glands, and what are their functions?

    <p>Pyloric glands contain mucus cells, which secrete mucus similar to those found in the neck of gastric glands, and G cells, which secrete gastrin, a hormone that stimulates gastric acid production.</p> Signup and view all the answers

    Describe the two primary effects of gastrin on the stomach.

    <p>Gastrin increases the secretion of HCl and pepsinogen, and it also promotes the growth of the gastric mucosa.</p> Signup and view all the answers

    Which of these is NOT a mechanism that contributes to the control of gastric secretions?

    <p>Lymphatic</p> Signup and view all the answers

    Explain how the parasympathetic nervous system contributes to the stimulation of gastric secretion during the cephalic and gastric phases.

    <p>Vagal activation during these phases leads to the release of acetylcholine (Ach) from enteric neurons, stimulating the release of gastrin and histamine, which further stimulate parietal cells to secrete HCl.</p> Signup and view all the answers

    How does the release of gastrin from G cells into the bloodstream impact HCl secretion?

    <p>Gastrin acts on parietal cells to increase HCl secretion, contributing to the overall digestive process.</p> Signup and view all the answers

    What is the primary stimulus for the release of gastrin from G cells?

    <p>Gastric distention, the presence of proteins in chyme, and vagal stimulation.</p> Signup and view all the answers

    What is the name of the receptor on parietal cells that gastrin binds to, and what is its effect on the cell?

    <p>Gastrin binds to the CCK-B receptor on parietal cells, which leads to an increase in intracellular Ca++ levels and the activation of oxyntic cells, resulting in increased HCl secretion.</p> Signup and view all the answers

    Explain how histamine contributes to the stimulation of parietal cells to secrete HCl.

    <p>Histamine, released by enterochromaffin-like cells in response to vagal stimulation and local inflammation, acts on H2 receptors on parietal cells, increasing cAMP levels and triggering HCl secretion.</p> Signup and view all the answers

    What is the net effect of the combined actions of gastrin, Ach, and histamine on parietal cell HCl secretion?

    <p>These factors work together to increase HCl secretion, ensuring that the stomach is adequately prepared to break down food.</p> Signup and view all the answers

    What is the primary mechanism by which somatostatin (SS) regulates HCl secretion?

    <p>Somatostatin, released from paracrine cells in the mucosa, binds to SS receptors on parietal cells, reducing cAMP levels and decreasing HCl secretion.</p> Signup and view all the answers

    Describe the two primary ways in which the feedback inhibition of excessive acid production in the stomach occurs.

    <p>Excess acid inhibits the release of gastrin and also triggers inhibitory reflexes, both mechanisms contributing to the maintenance of an optimal pH in the stomach.</p> Signup and view all the answers

    What is the primary mechanism by which HCl indirectly stimulates pepsinogen secretion by peptic cells?

    <p>HCl acts indirectly by initiating enteric reflexes, which ultimately lead to an increase in pepsinogen secretion by peptic cells.</p> Signup and view all the answers

    What are the three key phases that influence the control of gastric secretions?

    <p>The cephalic, gastric, and intestinal phases.</p> Signup and view all the answers

    What are the primary stimuli that trigger the cephalic phase of gastric secretion?

    <p>Thinking about, smelling, tasting, chewing, or swallowing food, which activates the vagus nerve, initiating the release of acetylcholine and gastrin.</p> Signup and view all the answers

    Describe the primary stimulus that initiates the gastric phase of gastric secretion.

    <p>The presence of food in the stomach, particularly proteins and distension, triggers local reflexes and long reflexes, stimulating the release of gastrin and histamine.</p> Signup and view all the answers

    What are the primary stimuli that trigger the intestinal phase of gastric secretion, and what effects do they have?

    <p>Distension of the duodenum and the presence of fatty acids and glucose in chyme activate the enterogastric reflex and trigger the release of hormones like CCK, secretin, and enterogastrone, all of which inhibit gastric secretions, contributing to the regulation of digestion.</p> Signup and view all the answers

    What are two of the primary functions of the intestinal epithelium?

    <p>It secretes mucus, water, and electrolytes, and it contains tubular glands known as crypts of Leiberkuhn, which secrete serous secretions.</p> Signup and view all the answers

    Describe the primary function of secretin in the duodenal secretion.

    <p>Secretin serves to increase duodenal secretion, which helps neutralize the acidic chyme delivered from the stomach into the duodenum.</p> Signup and view all the answers

    What is the primary composition of colonic secretions?

    <p>Colonic secretions are predominantly composed of mucus.</p> Signup and view all the answers

    What type of substance are colonic serous secretions particularly rich in?

    <p>Potassium</p> Signup and view all the answers

    What is the primary endocrine function of the islets of Langerhans found in the pancreas?

    <p>Islets of Langerhans produce and release hormones like insulin, glucagon, somatostatin, and pancreatic polypeptide directly into the bloodstream.</p> Signup and view all the answers

    What are the two primary types of secretions produced by the exocrine portion of the pancreas?

    <p>The exocrine portion of the pancreas secretes digestive enzymes, produced by acinar cells, and water and bicarbonate, secreted by duct cells.</p> Signup and view all the answers

    How are pancreatic secretions delivered to the duodenum?

    <p>Pancreatic secretions are delivered to the duodenum via the pancreatic duct and the common bile duct, which merge at the ampulla of Vater, where they empty into the duodenum.</p> Signup and view all the answers

    What are the key characteristics of pancreatic secretions?

    <p>Pancreatic secretions are high in enzymes and are hypotonic and alkaline.</p> Signup and view all the answers

    How are pancreatic enzymes initially stored within acinar cells?

    <p>Pancreatic enzymes are stored within acinar cells as inactive enzymes within zymogen granules.</p> Signup and view all the answers

    What enzyme is responsible for activating trypsinogen in the duodenum?

    <p>Enterokinase.</p> Signup and view all the answers

    What is the primary function of pancreatic amylase in the digestive process, and in what form is it secreted?

    <p>Pancreatic amylase is secreted in an active form, where it converts polysaccharides into disaccharides. This is a key step in the digestion of carbohydrates.</p> Signup and view all the answers

    What is the primary function of lipase in the digestive process?

    <p>Lipase breaks down triglycerides into monoglycerides and free fatty acids, which are then absorbed by the body.</p> Signup and view all the answers

    Besides lipase, what other factors are typically required for the efficient breakdown of fats in the digestive system?

    <p>Bile salts and co-lipase.</p> Signup and view all the answers

    What is the primary physiological role of the bicarbonate ions secreted by the pancreatic duct cells?

    <p>Bicarbonate ions neutralize the acidic chyme entering the duodenum from the stomach, creating an optimal pH for the activity of digestive enzymes.</p> Signup and view all the answers

    Describe the mechanism by which bicarbonate ions are secreted by the pancreatic duct cells.

    <p>Carbonic anhydrase catalyses the reaction of carbon dioxide and water to form carbonic acid, which then dissociates into bicarbonate ions and hydrogen ions. Bicarbonate ions are then transported actively into the pancreatic juice in exchange for chloride ions, while hydrogen ions are transported out of the cell.</p> Signup and view all the answers

    What are the primary roles of the parasympathetic and sympathetic nervous systems in regulating pancreatic secretion?

    <p>The parasympathetic nervous system stimulates pancreatic enzyme secretion, while the sympathetic nervous system indirectly inhibits secretion by decreasing blood flow to the pancreas.</p> Signup and view all the answers

    What is the primary effect of secretin on pancreatic secretion?

    <p>Secretin stimulates the secretion of pancreatic juice rich in bicarbonate ions and water.</p> Signup and view all the answers

    What is the primary effect of CCK on pancreatic secretion?

    <p>CCK stimulates the secretion of pancreatic juice rich in digestive enzymes, particularly those involved in the breakdown of fats and proteins.</p> Signup and view all the answers

    What is the role of pancreatic polypeptide in regulating pancreatic secretions?

    <p>Pancreatic polypeptide inhibits the release of pancreatic enzymes, contributing to the overall regulation of digestive processes.</p> Signup and view all the answers

    What are the three primary phases involved in regulating pancreatic secretions?

    <p>The cephalic, gastric, and intestinal phases.</p> Signup and view all the answers

    What is the primary function of the liver in the digestive system?

    <p>The liver synthesizes and secretes bile salts, which play a crucial role in the digestion and absorption of fats.</p> Signup and view all the answers

    What are five additional functions of the liver besides its role in digestion?

    <p>The liver is involved in metabolic processing of nutrients, detoxifying harmful substances, synthesizing plasma proteins, storing nutrients like glycogen and vitamins, removing foreign materials, and excreting waste products like cholesterol and bilirubin.</p> Signup and view all the answers

    What is the basic functional unit of the liver?

    <p>The hepatic lobule.</p> Signup and view all the answers

    What are three key structures found at the edges of a hepatic lobule?

    <p>A branch of the hepatic artery, a branch of the portal vein, and a bile duct.</p> Signup and view all the answers

    What is the primary function of hepatocytes, and where are they located within the hepatic lobule?

    <p>Hepatocytes are the liver cells responsible for the majority of the liver's functions. They are arranged in layers, two cells thick, within the hepatic lobule.</p> Signup and view all the answers

    What are sinusoids, and what is their significance within the hepatic lobule?

    <p>Sinusoids are small channels within the hepatic lobule where blood from the hepatic artery and portal vein flows towards the central vein, allowing for the exchange of materials between the blood and hepatocytes.</p> Signup and view all the answers

    What is the primary function of the central vein within a hepatic lobule?

    <p>The central vein collects blood from the sinusoids and carries it out of the hepatic lobule, ultimately draining into the hepatic vein and then back to the heart.</p> Signup and view all the answers

    Describe the function of bile canaliculi within a hepatic lobule.

    <p>Bile canaliculi are tiny channels located between hepatocytes that collect the bile produced by these cells and direct it towards the bile ducts.</p> Signup and view all the answers

    What is the Space of Disse, what is its location, and why is it important?

    <p>The Space of Disse is a space located between hepatocytes and sinusoids, where lymph circulates and allows for the exchange of materials between the bloodstream and the liver cells.</p> Signup and view all the answers

    Describe the path of blood flow through a hepatic lobule.

    <p>Blood enters the lobule from the hepatic artery and portal vein, flows through the sinusoids, passing between hepatocytes, and then drains into the central vein, which ultimately leads to the hepatic vein and back to the heart.</p> Signup and view all the answers

    What is the primary source of bilirubin, and how is it ultimately excreted?

    <p>Bilirubin is a byproduct of the breakdown of hemoglobin in the blood. It is ultimately excreted with bile, after being modified in the liver and then released into the small intestine.</p> Signup and view all the answers

    What is jaundice, and what causes it?

    <p>Jaundice is a condition characterized by yellow discoloration of the skin, which is caused by the presence of high concentrations of bilirubin in the extracellular space.</p> Signup and view all the answers

    How does bile aid in the digestion and absorption of lipids in the small intestine?

    <p>Bile acts as a detergent, emulsifying lipids and making them more soluble in the aqueous environment of the small intestine, allowing for their digestion by lipases and subsequent absorption.</p> Signup and view all the answers

    What are the two primary types of bile acids, and how are they synthesized?

    <p>The two primary bile acids are cholic acid and chenodeoxycholic acid, which are synthesized from cholesterol by the liver.</p> Signup and view all the answers

    What is the enterohepatic circulation, and why is it important?

    <p>The enterohepatic circulation refers to the continual recycling of bile salts between the small intestine and the liver. It is essential for maximizing the efficiency of fat digestion and absorption.</p> Signup and view all the answers

    About 80% of bile salts are lost daily in feces.

    <p>False</p> Signup and view all the answers

    Study Notes

    Gastrointestinal Secretion

    • Secretions in the GI tract are a response to food, varying with food type.
    • Secretions digest food and protect the mucosa.

    Composition of Secretions

    • Organic Materials: Synthesized by cells, stored in vesicles, released upon stimulation.
    • Water and Electrolytes: Taken from blood vessels, secreted by cells.

    Types of Secretory Glands

    • Single-cell: Goblet cells
    • Pits: Crypts of Lieberkühn (small intestine), Tubular glands (stomach)
    • Complex: Mucus glands (lower esophagus)
    • Organs: Salivary glands, Pancreas, Liver

    Regulation of Glandular Secretion

    • Food presence stimulates glandular secretions.
    • Mechanical or chemical stimulation activates secretory reflexes.

    Role of the Autonomic Nervous System

    • Parasympathetic stimulation increases glandular secretions.
    • Sympathetic stimulation moderately increases secretion by increasing vesicular transport and reducing water and electrolyte secretion by lowering blood flow.

    Hormonal Regulation

    • Certain hormones respond to food presence in digestive organs to increase secretions.

    Salivary Glands Secretion

    • Defined as the net movement of water, electrolytes, and proteins (amylase, glycoproteins) into the lumen of the salivary duct.
    • Acinar cells secrete water and electrolytes from extracellular fluid.

    Proposed Steps of Secretion

    • Active transport of Cl- increases membrane negativity.
    • Attracts Na+ ions.

    Osmotic Pressure Increase

    • Elevated osmotic pressure draws water into acinar cells, increasing hydrostatic pressure.
    • Rupture of apical membrane flushes water, electrolytes, and organic materials into the lumen.

    Synthesis and Secretion of Protein Components

    • Proteins (ptyalin, lingual lipase, mucin) are synthesized in the endoplasmic reticulum and transferred to the apical membrane by exocytosis.
    • Secretory cells are rich in ER and mitochondria, providing energy for process.
    • Acinar cells secrete a primary solution of ptyalin, mucin, and electrolytes.
    • Comparable to extracellular fluid.

    Role of Duct Cells in Saliva Composition

    • Modification of ionic composition as saliva passes through ducts.
    • Na+ reabsorption and K+ secretion.

    Secretion into the Duct

    • Exchange of HCO3- for Cl- ions.
    • Active transport of HCO3-.

    Final Saliva Composition

    • Hypotonic due to Na+ and Cl- reabsorption exceeding K+ and HCO3- secretion.
    • Reduced Na+ and Cl- concentrations, increased K+ and HCO3- concentrations compared to plasma.

    Salivary Gland Contribution

    • Parotid glands (~25%): Serous saliva
    • Submandibular glands (~70%): Mixed saliva (serous and mucous)
    • Sublingual glands (~5%): Mucous saliva.

    pH of Saliva

    • Resting secretion: ~7.0
    • Active secretion: ~8.0

    Changes in Saliva During Stimulation

    • Primary saliva production can increase up to 20-fold due to heightened acinar cell activity.
    • Increased flow reduces reabsorptive and secretory activity of duct cells.

    Impact on Secondary Saliva Composition

    • Higher Na+, Cl- concentrations; lower K+ concentrations compared to lower flow rates.

    Control of Salivary Secretion

    • Aldosterone
    • Unconditioned reflex: Triggered by chemo/pressure receptors in the oral cavity (eating, dental procedures). Receptors send signals, and autonomic nerves increase salivation.
    • Conditioned reflex: Triggered by stimuli like thinking about food (learned responses).
    • Nervous regulation: Both sympathetic and parasympathetic systems stimulate, but via different mechanisms. High sympathetic activity might reduce salivation.

    Functions of Saliva

    • Carbohydrate digestion: Salivary amylase breaks down polysaccharides to maltose
    • Swallowing: Moistens food, lubrication to reduce friction during swallowing.

    Antibacterial Actions

    • Lysozyme: Destroys bacteria
    • Continuous saliva flow: Rinses away debris
    • Immunoglobulin A (IgA): Contributes to bacterial destruction

    Taste Facilitation

    • Saliva is a solvent for taste bud stimulation.

    Speech Aid and Neutralisation of Acids

    • Enables smooth lip/tongue movements.
    • Bicarbonate neutralizes acidic food/bacteria, helping prevent dental caries.

    Esophageal Secretion

    • Simple mucus glands lubricate and protect the mucosa from damage during swallowing.
    • Compound mucus glands (near esophagogastric junction) secrete alkaline mucus to protect against gastric reflux.

    Gastric Secretion

    • Mucus-secreting cells line the stomach surface. Lubricates, protects, and neutralizes HCl, preventing injury.

    Tubular Glands (Oxyntic Glands)

    • Secrete HCl, intrinsic factor, and mucus.
    • Contains mucus neck cells, peptic cells, parietal cells.

    Mechanism of HCl Secretion

    • Chloride active transport creates negative potential, driving K+ diffusion primarily.
    • Formation of H+ from water/CO2 reaction catalyzed by carbonic anhydrase.
    • Bicarbonate exchanged for chloride.
    • H+ actively secreted via the H+/K+ pump.
    • Water enters via osmosis.

    Net Reaction

    • Water, CO2, and NaCl form NaHCO3 (blood) and HCl (lumen).

    Importance of HCl

    • Activates pepsinogen to pepsin
    • Decomposes connective tissue
    • Kills microorganisms

    Pepsinogen Secretion

    • Secreted by chief/mucus cells, inactive
    • Converted to pepsin in acidic environments (pH 1.8-3.5)

    Importance of Pepsin

    • Breaks down polypeptides into smaller peptides.

    Intrinsic Factor Secretion

    • Secreted by parietal cells, necessary for vitamin B12 absorption.
    • Its insufficiency causes pernicious anemia (impaired RBC maturation).

    Pyloric Glands

    • Contain mucus cells (similar to gastric glands) and G cells (secrete gastrin).

    Gastrin

    • Released into blood, acting on the stomach to increase HCl and pepsinogen secretion and maintain gastric mucosal growth.

    Control of Gastric Secretion

    • Neural: Enteric nervous system and parasympathetic (vagal) activation during cephalic and gastric phases; releasing ACh, VIP, GRP.

    • Hormonal: Gastrin released from G cells

    Histamine

    • Secreted by enterochromaffin-like cells, enhancing HCl secretion (paracrine).

    Somatostatin

    • Released from paracrine cells, inhibiting HCl secretion.

    Regulation of Pepsinogen Secretion

    • HCl, gastrin stimulate enteric reflexes increasing pepsinogen secretion by peptic cells.

    Phases of Gastric Secretion

    • Cephalic phase: Thinking about, smelling, or tasting food stimulates parietal and G cells.
    • Gastric phase: Food in the stomach causes maximal stimulation of gastric secretions due to distension and protein presence.
    • Intestinal phase: Distension of the upper duodenum might slightly stimulate secretion. Presence of fats, acids, and hormones (GIP, CCK, secretin, enterogastrone) inhibit secretions.

    Intestinal Secretion

    • Cells of mucosal epithelium secrete mucus, water, and electrolytes.
    • Tubular glands (crypts of Lieberkühn) secrete serous secretions rich in K+ and HCO3-.
    • Local neural mechanisms and hormones (secretin) regulate secretion.

    Pancreatic Secretion

    • Endocrine portion (Islets of Langerhans): Secretes insulin, glucagon, somatostatin, and pancreatic polypeptide into the blood.
    • Exocrine portion (acinus and duct cells): Secretes enzymes (trypsinogen, chymotrypsinogen, procarboxypeptidase, amylase, lipase), water, and bicarbonate into the duodenum through the pancreatic duct.

    Secretion of Pancreatic Enzymes

    • Synthesised/stored by acinar cells
    • Released as inactive forms (e.g. trypsinogen) activated in the duodenum.
    • Proteolytic enzymes, pancreatic amylase (polysaccharide breakdown), lipolytic enzymes (lipases - triglycerides breakdown)

    Secretion of Water and Bicarbonate

    • Water and bicarbonate secreted by duct cells
    • Acid neutralization for enzymatic function

    Mechanism of Pancreatic Secretion

    • Carbonic anhydrase catalyzes water/CO2 to generate H+ and HCO3-
    • HCO3- exchanged for Cl- at the luminal border.
    • H+ transported by secondary active transport exchanging with Na+..
    • Na+ actively transported out of the cell.
    • Water follows osmotically.

    Regulation of Pancreatic Secretion

    • Neural: Parasympathetic (vagal) stimulation is excitatory while sympathetic has an indirect inhibitory effect.
    • Hormonal: Secretin major stimulant for water and HCO3- secretion, responding to acid in the duodenum.

    CCK (Cholecystokinin)

    • Major stimulant for enzyme secretion from acinar cells; responds to fats and proteins; indirectly stimulates enzyme secretion through vagovagal reflex; stimulates contraction of gallbladder and relaxation of Oddi sphincter.

    Pancreatic Polypeptide

    • Inhibits the release of enzymes through CNS and vagovagal pathway.

    Liver Secretions

    • Liver is the largest and most metabolically active organ
    • Functions include: Detoxification, metabolic processing, protein synthesis, storage, and excretion.

    Bile Secretion and Excretion

    • Hepatocytes produce bile containing bile acids, salts, cholesterol.
    • Bile is stored/concentrated in the gallbladder.
    • Bile released into the duodenum, emulsifies fats (increasing surface area), and absorbs fat-soluble vitamins

    Bile Synthesis and Secretion

    • Liver produces bile acids from cholesterol.
    • Primary bile acids (cholic acid, chenodeoxycholic acid) modified into bile salts.
    • Bacteria in the intestines modify primary bile acids into secondary bile acids (deoxycholic acid, lithocholic acid).
    • Bile salts are reabsorbed and recycled, but a small amount is lost daily, and new synthesis replaces it.

    Bile Composition

    • Varies with presence of fats and proteins in duodenum triggering CCK and secretin release.

    Enterohepatic Circulation

    • Bile salts reabsorbed, returned to liver, and reused in bile production.
    • Bile salts reenter circulation after digestion, allowing recycling and saving this energy for the body.

    Hepatic Lobule Structure

    • Functional unit composed of hepatocytes arranged around a central vein with hepatic artery and portal vein branches entering at the edges.
    • Special structure and functions of specialized structures such as sinusoids, bile canaliculi, and space of Disse.

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    Description

    This quiz covers essential aspects of gastrointestinal secretions, including their composition, the types of secretory glands, and the regulation of glandular secretion. It explores how food and the autonomic nervous system influence digestive processes.

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