GI system 2

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Questions and Answers

Which component is NOT secreted by the stomach?

  • Gastric juice
  • Intrinsic factor
  • Salivary amylase (correct)
  • Digestive enzymes

What is the primary role of pepsin in the stomach?

  • To absorb nutrients
  • To initiate protein digestion (correct)
  • To emulsify fats
  • To neutralize gastric acid

What is the function of the gastric mucosal folds?

  • To increase the surface area for secretion (correct)
  • To enhance absorption of nutrients
  • To store bile salts
  • To protect against ulcers

What substance helps kill bacteria in the stomach?

<p>Hydrochloric acid (C)</p> Signup and view all the answers

What is the nature of the chyme moved from the stomach to the duodenum?

<p>Liquid mixture of digested foods (B)</p> Signup and view all the answers

What is the primary site of carbohydrate digestion in the stomach?

<p>Body (A)</p> Signup and view all the answers

Which of the following statements about pepsin is true?

<p>It assists in the partial digestion of proteins in the stomach. (D)</p> Signup and view all the answers

Which substances are known to be absorbed in the stomach?

<p>Alcohol and aspirin (C)</p> Signup and view all the answers

What effect does acidity have on salivary amylase in the stomach?

<p>It partially inhibits the enzyme's activity. (D)</p> Signup and view all the answers

Which of the following describes the mechanism of gastric secretion control?

<p>Both neural and hormonal mechanisms regulate gastric secretion. (D)</p> Signup and view all the answers

Which component of gastric gland secretion is responsible for protein digestion?

<p>Pepsinogen (D)</p> Signup and view all the answers

What is the main function of hydrochloric acid in the stomach?

<p>Sterilization of meal (D)</p> Signup and view all the answers

Which cells are responsible for secreting intrinsic factor?

<p>Parietal cells (A)</p> Signup and view all the answers

What role does somatostatin play in gastric secretion?

<p>Inhibits gastric secretion (C)</p> Signup and view all the answers

Which of the following is a product of surface mucous cells in the gastric gland?

<p>Trefoil factors (A)</p> Signup and view all the answers

Which of the following substances regulates gastric secretion but is not secreted by gastric gland cells?

<p>Gastrin releasing peptide (GRP) (B)</p> Signup and view all the answers

What is the primary function of mucus and bicarbonate in gastric secretion?

<p>Gastroprotection (D)</p> Signup and view all the answers

Which cells in the gastric gland contribute to the regulation of gastric secretion via the hormone histamine?

<p>ECL cells (A)</p> Signup and view all the answers

What triggers the cephalic phase of gastric secretion?

<p>Thoughts, smells, and sights of food (A)</p> Signup and view all the answers

Which phase of gastric secretion is primarily initiated by food entering the stomach?

<p>Gastric phase (C)</p> Signup and view all the answers

What effect does the intestinal phase have on gastric secretion?

<p>It inhibits gastric secretion (D)</p> Signup and view all the answers

Which of the following is NOT a factor in the gastric phase of secretion?

<p>Sensory detection of food (A)</p> Signup and view all the answers

What role does gastrin play in gastric secretion?

<p>It stimulates gastric acid secretion (D)</p> Signup and view all the answers

What is the primary control mechanism for the intestinal phase?

<p>Neural reflexes from the intestines (C)</p> Signup and view all the answers

During which phase does the thought of food primarily increase gastric secretion?

<p>Cephalic phase (D)</p> Signup and view all the answers

Which scenario is least likely to stimulate gastric secretion?

<p>Feeling full after a small snack (D)</p> Signup and view all the answers

What is the primary role of the gastric mucosal barrier?

<p>Protection of the stomach from hydrochloric acid (B)</p> Signup and view all the answers

Which component of the gastric mucosal barrier serves as a chemical barrier against acid?

<p>HCO3–-rich mucus (C)</p> Signup and view all the answers

How often is the entire stomach lining replaced?

<p>Every 3 days (D)</p> Signup and view all the answers

Which function is primarily performed in the duodenum and jejunum of the small intestine?

<p>Digestion and absorption of nutrients (B)</p> Signup and view all the answers

What structural feature increases the surface area of the small intestine?

<p>Presence of villi and microvilli (C)</p> Signup and view all the answers

Which enzyme is NOT expressed on the membranes of microvilli?

<p>Dipeptidases (D)</p> Signup and view all the answers

What role do prostaglandins play in gastric function?

<p>Inhibiting acid secretion and promoting mucus secretion (C)</p> Signup and view all the answers

Which of the following is a primary mechanism for mixing and propelling chyme in the small intestine?

<p>Segmentation and peristalsis (C)</p> Signup and view all the answers

What is the major site of absorption in the small intestine?

<p>Jejunum (B)</p> Signup and view all the answers

Which feature is NOT part of the digestive processes in the small intestine?

<p>Absorption in the colon (D)</p> Signup and view all the answers

The stomach is a J-shaped, ______-like chamber.

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

The main function of the stomach includes storing ingested food and secreting ______.

<p>gastric juice</p> Signup and view all the answers

One of the functions of the stomach is to mix food with gastric juice and ______ it.

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

The partially digested food that moves from the stomach to the duodenum is called ______.

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

The stomach kills bacteria through the action of ______.

<p>gastric acid</p> Signup and view all the answers

Carbohydrate digestion in the stomach is aided by salivary ______.

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

Pepsin partially digests ______ in the antrum of the stomach.

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

Acidity in the stomach leads to partial ______ of salivary amylase.

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

Only ______ and aspirin are absorbed in the stomach.

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

The control of gastric secretion includes various ______ mechanisms.

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

The ______ phase of gastric secretion is triggered by thoughts, smells, sights, or tastes of food.

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

The presence of food in the stomach triggers the ______ phase of gastric secretion.

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

The ______ phase is initiated by the movement of food from the stomach into the duodenum.

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

The excitatory phases of gastric secretion include both the ______ and gastric phases.

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

The ______ phase of gastric secretion inhibits further gastric activity.

<p>inhibitory intestinal</p> Signup and view all the answers

The keys to controlling gastric secretion include the cephalic, gastric, and ______ phases.

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

The ______ receptor activation in parietal cells is responsible for stimulating the proton pump.

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

Factors from the brain, such as thoughts of food, activate the ______ phase of gastric secretion.

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

The primary component secreted by the parietal cell is ______.

<p>hydrochloric acid</p> Signup and view all the answers

The chief cell of the gastric gland secretes ______.

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

Intrinsic factor is important for the absorption of ______.

<p>vitamin B12</p> Signup and view all the answers

Surface mucous cells secrete ______ for gastroprotection.

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

The regulation of gastric secretion involves the hormone ______ released by G cells.

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

Histamine is secreted by ______ cells in the gastric gland.

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

Gastric secretion is also regulated by the peptide released from nerves, known as ______.

<p>gastrin releasing peptide (GRP)</p> Signup and view all the answers

Somatostatin, secreted by D cells, functions in ______ gastric secretion.

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

The gastric mucosal barrier protects the stomach from __________.

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

Cell membranes of gastric mucosal cells are impermeable to __________ on the luminal side.

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

The HCO3–-rich mucus serves as a protective physical barrier and neutralizes __________ close to the gastric mucosa.

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

The entire stomach lining is replaced in approximately __________ days.

<p>3</p> Signup and view all the answers

The main site for digestion and absorption of ingested food is the __________.

<p>small intestine</p> Signup and view all the answers

The digestive processes involve the action of bile, pancreatic enzymes, and __________ enzymes.

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

Microscopic finger-like projections in the small intestine are called __________.

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

Epithelial cells in the small intestine have numerous smaller projections called __________.

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

Three types of digestive enzymes are expressed on the membranes of microvilli: enteropeptidase, disaccharidases, and __________.

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

The structure-function relationship of the small intestine includes permanent circular folds that increase surface area by __________.

<p>3-fold</p> Signup and view all the answers

Flashcards

What is the Stomach?

A J-shaped muscular organ in the digestive system that stores ingested food, mixes it with gastric juice, and initiates digestion of proteins and fats.

Distensibility of the stomach

The ability of the stomach to expand and hold a significant amount of food. It allows for a gradual digestion and release of food into the small intestine.

Gastric Juice

A mixture of hydrochloric acid, enzymes, and mucus secreted by the stomach to break down food.

Mixing of food in the stomach

A process where food in the stomach gets churned and mixed with gastric juice, breaking down large particles into smaller pieces.

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Movement of food (chyme) from the stomach to the small intestine

A process where the semi-digested food in the stomach (chyme) is slowly released into the small intestine for further digestion and absorption.

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Chyme

The substance that results after the stomach has partially digested food. It's a thick, semi-liquid mixture that travels to the small intestine for further digestion.

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Pepsin

The enzyme found in gastric juice, primarily active in the stomach. It helps break down proteins into smaller peptides.

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Salivary amylase

The salivary enzyme that begins carbohydrate digestion in the mouth. It continues to work in the stomach but its activity is partially inhibited by the stomach's acidity.

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Hydrochloric acid (HCl) in the stomach

Parietal cells in the stomach produce hydrochloric acid (HCl), which is essential for digestion and protection. HCl breaks down food, activates pepsinogen, and kills bacteria.

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Pepsinogen

Chief cells in the stomach secrete pepsinogen, an inactive precursor of the enzyme pepsin. Pepsinogen is activated by HCl in the stomach and breaks down proteins.

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Intrinsic factor

Intrinsic factor, produced by parietal cells, is a protein crucial for vitamin B12 absorption in the small intestine. B12 is essential for red blood cell production.

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Mucus and bicarbonate in the stomach

Surface mucous cells secrete mucus and bicarbonate, which form a protective barrier against HCl and pepsin. This prevents damage to the stomach lining.

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Gastrin

Gastrin, secreted by G cells, is a hormone that stimulates the release of HCl and pepsinogen. It plays a role in regulating gastric function.

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Somatostatin in the stomach

Somatostatin, produced by D cells, acts as a 'brake' on gastric secretion. It inhibits the release of gastrin and other agents that stimulate HCl production.

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Pepsinogen activation to Pepsin

The activation of pepsinogen to pepsin occurs in the acidic environment of the stomach. HCl provides the optimal pH for pepsin to function.

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Parietal Cell

A specialized cell in the stomach lining responsible for producing hydrochloric acid (HCl), a key component of gastric juice.

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Proton Pump

A protein pump located in the parietal cell membrane that actively transports hydrogen ions (H+) from the cytoplasm into the gastric lumen, generating the highly acidic environment of the stomach.

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Receptor Activation of Proton Pump

The activation of the proton pump in parietal cells is triggered by the binding of signaling molecules like gastrin and histamine to their respective receptors on the cell surface. This binding initiates a cascade of events leading to the activation of the pump and subsequent HCl secretion.

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Cephalic Phase of Gastric Secretion

The cephalic phase is triggered by external stimuli like seeing, smelling, or even thinking about food. This phase stimulates the release of gastrin and acetylcholine, which in turn activate parietal cells and increase HCl secretion.

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Gastric Phase of Gastric Secretion

The gastric phase is stimulated by the presence of food in the stomach. The distension of the stomach wall and the presence of peptides and amino acids trigger the release of gastrin and histamine, further activating parietal cells and increasing HCl secretion.

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Intestinal Phase of Gastric Secretion

The intestinal phase is initiated as food leaves the stomach and enters the duodenum. The presence of chyme in the duodenum triggers the release of hormones like cholecystokinin (CCK) and secretin, which act to decrease gastric acid secretion and promote the release of pancreatic enzymes and bile. This phase ensures a balanced pH in the small intestine for optimal digestion and absorption.

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Excitatory Cephalic & Gastric Phases

This phase is characterized by the release of hormones like gastrin and acetylcholine, which stimulate parietal cells and increase HCl secretion. This is a crucial step in the digestion process as it increases the acidity in the stomach, aiding in the breakdown of food.

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Inhibitory Intestinal Phase

The intestinal phase is the inhibitory phase of gastric secretion, where the release of hormones like CCK and secretin reduces the acidity. This helps prevent the duodenum from becoming overly acidic and protects the delicate intestinal lining from damage.

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What is the Gastric Mucosal Barrier?

The gastric mucosal barrier is a protective layer that prevents damage to the stomach lining from the highly acidic environment.

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How do Gastric Mucosal Cells Protect the Stomach?

The gastric mucosal cells lining the stomach are impermeable to HCl, meaning the acid cannot pass through their membranes.

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What role do Tight Junctions play in Gastric Protection?

Tight junctions between gastric mucosal cells form a barrier that prevents HCl from leaking into the underlying tissues.

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What is the function of mucus in the Stomach?

HCO3- rich mucus coats and protects the stomach lining.

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How often is the Stomach Lining Replaced?

The stomach lining is constantly replaced, with entirely new cells every 3 days.

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How do Prostaglandins Contribute to Gastric Protection?

Prostaglandins, a type of hormone, help regulate the stomach's acid secretion and mucus production, contributing to protection.

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What is the main function of the Small Intestine?

The small intestine is the primary site for digestion and absorption of nutrients.

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How does the Small Intestine Protect Itself?

The small intestine secretes fluid, including salt and mucus, to help lubricate and protect the lining.

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How does the Small Intestine move food?

The small intestine uses muscle contractions, called segmentation and peristalsis, to mix and move food efficiently.

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How does digestion occur in the Small Intestine?

Digestion in the small intestine is facilitated by enzymes from the pancreas and bile from the liver, along with enzymes produced by the intestinal cells themselves.

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What is gastric juice?

Gastric juice is a mix of hydrochloric acid, enzymes, and mucus secreted by the stomach. It breaks down food, kills bacteria, and activates digestive enzymes.

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How does the stomach protect itself?

The stomach's lining is constantly renewed with new cells, creating a protective barrier against the harsh digestive environment.

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What is chyme?

Chyme is the semi-digested food mixture that moves from the stomach to the small intestine.

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What happens to food in the stomach?

The stomach mixes chyme with gastric juice, breaks down food into smaller particles, and propels it towards the small intestine.

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What is the role of Parietal cells?

Parietal cells are responsible for producing hydrochloric acid (HCl), which is essential for digesting food and killing bacteria in the stomach.

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What is the purpose of Pepsinogen?

Pepsinogen is produced by chief cells in the stomach and gets activated by HCl to become pepsin, which aids in breaking down proteins into smaller peptides.

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Why is Intrinsic factor important?

Intrinsic factor, produced by parietal cells, is crucial for the absorption of vitamin B12 in the small intestine. B12 is essential for red blood cell production.

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What is Gastric protection?

Surface mucous cells secrete mucus and bicarbonate, which form a protective barrier against HCl and pepsin in the stomach, preventing damage to the lining.

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What is Gastrin and what does it do?

Gastrin, secreted by G cells, stimulates the release of HCl and pepsinogen, playing a key role in regulating gastric function.

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What is the opposite of Gastrin?

Somatostatin, produced by D cells, acts as a 'brake' on gastric secretion, inhibiting the release of gastrin and other agents that stimulate HCl production.

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How is Pepsinogen activated?

Pepsinogen is activated in the acidic environment of the stomach by HCl, converting it into pepsin, which then breaks down proteins.

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What is the mechanism of Gastric HCl Secretion?

Gastric HCl secretion is regulated by a complex process involving parietal cells, proton pumps, and signaling molecules like gastrin and histamine.

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Chyme movement into small intestine

The phenomenon where the stomach's muscular contractions, called peristalsis, push partially digested food (chyme) into the small intestine.

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Gastrin-secreting cells

A group of cells that releases a hormone called gastrin, which directly stimulates the production of stomach acid (HCl).

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Salivary amylase inhibition in the stomach

The acidic environment of the stomach partially inhibits salivary amylase, which is the enzyme that starts carbohydrate digestion in the mouth.

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Protein digestion in the stomach

The breakdown of proteins begins in the stomach, specifically in the antrum, where the enzyme pepsin plays a crucial role.

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How does the proton pump work in gastric acid secretion?

Parietal cells in the stomach release hydrochloric acid (HCl) which is crucial for digestion. The proton pump is a protein pump that actively transports hydrogen ions (H+) into the stomach lumen, generating the highly acidic environment necessary for digestion. This process occurs due to the binding of signaling molecules like gastrin and histamine to their respective receptors on the parietal cell surface, initiating a cascade of events that activate the protein pump.

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What triggers the cephalic phase of gastric secretion?

The cephalic phase is triggered by external stimuli like seeing, smelling, or even thinking about food. This phase stimulates the release of gastrin and acetylcholine, which in turn activate parietal cells and increase HCl secretion.

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What triggers the gastric phase of gastric secretion?

The gastric phase is stimulated by the presence of food in the stomach. The distension of the stomach wall and the presence of peptides and amino acids trigger the release of gastrin and histamine, further activating parietal cells and increasing HCl secretion.

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What triggers the intestinal phase of gastric secretion?

The intestinal phase is initiated as food leaves the stomach and enters the duodenum. The presence of chyme in the duodenum triggers the release of hormones like cholecystokinin (CCK) and secretin, which act to decrease gastric acid secretion and promote the release of pancreatic enzymes and bile. This phase ensures a balanced pH in the small intestine for optimal digestion and absorption.

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What happens during the excitatory cephalic and gastric phases?

The excitatory cephalic and gastric phases are characterized by the release of hormones like gastrin and acetylcholine, which stimulate parietal cells and increase HCl secretion. This is a crucial step in the digestion process as it increases the acidity in the stomach aiding in the breakdown of food.

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What is the role of the inhibitory intestinal phase?

The inhibitory intestinal phase is a critical phase in which hormones like CCK and secretin reduce acidity in the stomach. This phase is crucial for protecting the duodenum from excessive acidity and ensuring optimal digestion in the small intestine.

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Study Notes

The Stomach

  • J-shaped sac-like chamber, the most distensible part of the GI tract
  • Stores ingested food
  • Secretes gastric juice (acid, mucus, intrinsic factor, digestive enzymes - pepsin, lipase)
  • Mixes food with gastric juice
  • Pulverizes food, initiating protein and fat digestion
  • Kills bacteria
  • Moves food (chyme) into the duodenum at a controlled and steady rate

Stomach Anatomy

  • Fundus: top portion
  • Body: middle section, secretes mucus, pepsinogen, and HCl
  • Antrum: bottom portion, secretes mucus, pepsinogen, and gastrin
  • Pyloric sphincter: controls chyme release into the duodenum
  • Lower esophageal sphincter controls food traveling down from the esophagus to the stomach

Gastric Mucosal Folds, Gastric Pits & Gastric Glands

  • Gastric pits small openings in the stomach lining
  • Gastric glands comprised of cells secreting substances like mucous, acid, and enzymes
  • Mucous cells, chief cells, and parietal cells crucial components of gastric glands

Structure of Gastric Gland

  • Acid, intrinsic factor, pepsinogen secretion sites
  • Mucus layer for protection and neutralization of acid
  • Cell migration and different cell types in the glands

The Stomach Mucosa and the Gastric Glands

  • Surface epithelial cells (protection)
  • Mucous cells (mucus)
  • Chief cells (pepsinogen)
  • Parietal cells (hydrochloric acid, intrinsic factor)
  • Endocrine/Paracrine cells (hormones)
  • Various stimuli trigger secretions

Gastric Glands - Important Products

  • Hydrochloric acid (HCl): hydrolysis, sterilization, vitamin B12 absorption
  • Intrinsic factor: vitamin B12 absorption
  • Pepsinogen: protein digestion (converted to pepsin)
  • Mucus, bicarbonate: gastroprotection (protection from acid)
  • Trefoil factors: gastroprotection
  • Histamine: regulation of gastric secretion
  • Gastrin: regulation of gastric secretion
  • Gastrin releasing peptide (GRP): regulation of gastric secretion
  • Acetylcholine (ACh): regulation of gastric secretion
  • Somatostatin: regulation of gastric secretion

Pepsinogen Activation

  • Autocatalysis: pepsinogen converted to pepsin by HCl
  • Pepsin: active protein-digesting enzyme
  • Peptide fragments formed from protein digestion by pepsin.

Mechanism of Gastric HCI Secretion

  • Cellular metabolism, producing hydrogen ions
  • Active and secondary active transport produce HCl
  • Carbonic anhydrase for the conversion of CO2 to bicarbonate ions.

Parietal Cell - Receptor Activation of the Proton Pump

  • Receptors respond to histamine, acetylcholine, and gastrin
  • cAMP and Ca++ pathways activate proton pumps (H+, K+ ATPase)
  • These pumps pump hydrogen ions into the lumen, creating acid.

Control of Gastric Secretion

  • Cephalic phase: triggered by factors before food entry (smell, thought)
  • Gastric phase: factors arising from stomach food presence
  • Intestinal phase: factors from food movement into the duodenum.

Digestive Processes From Small Intestine To Large Intestine

  • Small intestine is the major site for digestion and absorption
  • Its functions include secreting mucus and salt solutions and utilizing segmentation and peristalsis for mixing food
  • Digestion depends on bile, pancreatic enzymes, and intestinal enzymes
  • Absorption occurs mostly in the duodenum and jejunum( small intestine section)

Structure of Intestinal Villi

  • Mucosal surface has circular folds increasing surface area 3-fold
  • Microscopic finger-like projections (villi) increase surface area by 10-fold
  • Epithelial cells have microvilli (brush border), increasing surface area 20-fold
  • Digestive enzymes are located on the microvilli membranes (e.g., enteropeptidase, disaccharidases, aminopeptidases).

The Gastric Mucosal Barrier

  • Cells lining the stomach are protected from acidity by cell membranes and tight junctions, HCO3--rich mucus, and tight junctions separating cells
  • Frequent cell division (3 days) ensures a protective layer by continuously renewing cells
  • Prostaglandins help in regulating acid secretion and producing alkaline mucous

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