5)Salivary Secretion in Gastrointestinal Physiology
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Questions and Answers

What is the main function of HCl secreted by the gastric parietal cells?

  • To kill microorganisms in the stomach
  • To denature proteins in food
  • To aid in the breakdown of connective tissue and muscle fibers
  • To activate pepsinogen into pepsin (correct)
  • What is the primary role of the mucus coating over the gastric mucosa?

  • To neutralize acid in the vicinity of the mucosa
  • To serve as a physical barrier to acid penetration
  • To prevent HCl from penetrating into the gastric cells
  • Both a and b (correct)
  • Which of the following is NOT a function of HCl secreted by gastric parietal cells?

  • Activating pepsinogen
  • Stimulating the secretion of gastric juice (correct)
  • Denaturing proteins
  • Aiding in the breakdown of food particles
  • What is the purpose of the tight junctions between the gastric mucosal cells?

    <p>To prevent HCl from penetrating between the cells</p> Signup and view all the answers

    Which of the following is the main function of the HCO3- -rich mucus?

    <p>To neutralize acid in the vicinity of the mucosa</p> Signup and view all the answers

    Where is pepsinogen, the inactive precursor to pepsin, secreted from?

    <p>Gastric chief cells and mucous cells</p> Signup and view all the answers

    What is the main stimulus for fluid and electrolyte secretion in salivary glands?

    <p>Parasympathetic innervation</p> Signup and view all the answers

    What is the composition of saliva compared to plasma at all flow rates?

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

    Where is the primary secretion of saliva produced?

    <p>In the acinar cell</p> Signup and view all the answers

    What ions are absorbed by the duct cells in the salivary glands?

    <p>Na+ and Cl-</p> Signup and view all the answers

    Which system controls the regulation of salivary secretion?

    <p>Nervous system</p> Signup and view all the answers

    What is the true statement about fluid secretion in salivary glands?

    <p>An active process involving electrolyte transport</p> Signup and view all the answers

    What is the role of basic PRPs and histatins in toxin binding?

    <p>Preventing the uptake of tannins by intestinal epithelial cells</p> Signup and view all the answers

    How does buffering in saliva help counteract the effects of microbial acids?

    <p>Forming H2O and CO2 in the presence of H+</p> Signup and view all the answers

    Which proteins in saliva function by attacking microbial cell walls?

    <p>Lysozyme and peroxidase</p> Signup and view all the answers

    How do urea and ammonia help neutralize acids according to the text?

    <p>By forming H2O and CO2</p> Signup and view all the answers

    Which component plays a role in preventing microorganisms from binding to oral tissues?

    <p>Salivary agglutinin (gp340)</p> Signup and view all the answers

    What is the role of carbonic anhydrase in saliva according to the text?

    <p>Forming H2O and CO2 in the presence of H+</p> Signup and view all the answers

    What is the second messenger pathway associated with binding of acetylcholine to muscarinic receptors?

    <p>IP3-Ca2+</p> Signup and view all the answers

    What effect does the increase in cytoplasmic Ca2+ have on the secretory cells?

    <p>It draws intracellular Cl- into the lumen.</p> Signup and view all the answers

    How is water pulled into the lumen during active fluid secretion?

    <p>Via aquaporins in the secretory cell membranes.</p> Signup and view all the answers

    What process is responsible for the secretion of proteins and glycoproteins in the salivary glands?

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

    Which neurotransmitter binds to G-protein coupled β-adrenergic receptors to activate cAMP second messenger in serous cells?

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

    How is the transient intracellular acidification caused by HCO3- efflux recovered during high salivary flow rates?

    <p>By up-regulating activity of basolateral Na+/H+ exchanger</p> Signup and view all the answers

    What type of solution is actively secreted by the duct cells in the pancreas?

    <p>Alkaline solution</p> Signup and view all the answers

    Which enzyme activates trypsinogen to its active form, trypsin, in the duodenal lumen?

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

    Why must trypsinogen remain inactive within the pancreas?

    <p>To prevent proteolytic activity on pancreatic cells</p> Signup and view all the answers

    What is the function of trypsin inhibitor within the pancreas?

    <p>Inhibit trypsin's activity within the pancreas</p> Signup and view all the answers

    Which enzymes are activated by trypsin within the duodenal lumen?

    <p>Chymotrypsinogen and procarboxypeptidase</p> Signup and view all the answers

    What role does enteropeptidase play in pancreatic secretion?

    <p>Activates trypsin to trypsinogen</p> Signup and view all the answers

    Study Notes

    Gastric Parietal Cells and HCl Secretion

    • Gastric parietal cells result in net secretion of HCl and net absorption of HCO3−.
    • HCl activates pepsinogen to pepsin and provides an acidic environment optimal for pepsin action.
    • HCl breaks down connective tissue and muscle fibers, reduces large food particles, and denatures proteins.
    • HCl, along with salivary lysozyme, kills most microorganisms ingested with food.

    Gastric Mucosal Barrier

    • The luminal membranes of gastric mucosal cells are impermeable to H+.
    • Tight junctions between cells prevent HCl penetration.
    • A mucus coating over the gastric mucosa serves as a physical barrier to acid penetration.
    • HCO3–rich mucus also serves as a chemical barrier that neutralizes acid in the vicinity of the mucosa.

    Pepsinogen Secretion

    • Pepsinogen, the inactive precursor to pepsin, is secreted by chief cells and mucous cells in the oxyntic glands.

    Salivary Secretion

    • Saliva is hypotonic to plasma at all flow rates.
    • [HCO3-] in saliva exceeds that in plasma except at very low flow rates.
    • The primary secretion is produced in the acinar cell.
    • Duct cells absorb Na+ and Cl- and secrete K+ and HCO3-.
    • The parasympathetic innervation provides the main stimulus for fluid and electrolyte secretion.

    Regulation of Salivary Secretion

    • Acetylcholine binds to G-protein coupled muscarinic receptors with IP3-Ca2+ second messenger pathway.
    • Norepinephrine binds to G-protein coupled β-adrenergic receptors, activating cAMP second messenger pathway leading to exocytosis in serous cells.

    Functions of Saliva

    • Salivary HCO3- and carbonic anhydrase play important roles in counteracting the effects of microbial acids on tooth enamel and dentin.
    • Saliva contains proteins that function in regulating the oral microbial flora.
    • Proteins like lysozyme, peroxidase, mucins, and salivary agglutinin bind to and aggregate microorganisms, preventing them from binding to oral tissues.

    Pancreatic Secretion

    • Pancreatic juice consists of pancreatic enzymes actively secreted by acinar cells and an aqueous alkaline solution actively secreted by duct cells.
    • The aqueous alkaline component is rich in sodium bicarbonate (NaHCO3).
    • Trypsinogen, chymotrypsinogen, and procarboxypeptidase are activated by enteropeptidase and trypsin to their active forms within the duodenal lumen.

    Regulation of Pancreatic Exocrine Secretion

    • Hormonal control of pancreatic exocrine secretion is regulated by factors such as cholecystokinin (CCK) and secretin.

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    Test your knowledge on salivary secretion in gastrointestinal physiology including major secretions, regulation, and salivary gland anatomy.

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