7. GIT Flashcards

(51 cards)

1
Q

functions of GIT

A
  • reduce food size
  • absorption and excretion
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2
Q

layers of the gut wall lumen outwards

A
  • mucosal
  • submucos
  • muscularis
  • aerosol
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3
Q

gut muscularis layers

A

inner circular
outer longitudinal

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4
Q

gut epithelial shedding

A

replaces every 5d

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5
Q

absorptive cells in gut

A

near surface
in contact with intestinal crypts

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6
Q

secretory cells in gut

A

in crypts or glands
outflow of fluid protects from infection

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7
Q

macroscopic gut blood supply

A

~25% of CO at rest

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8
Q

microscopic gut blood supply

A

dense capillary networks

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9
Q

ENS structures

A
  • submucosal plexus
  • myenteric plexus
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10
Q

submucosal plexus

A

controls mucosa
- secretion
- absorption
- villi movement

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11
Q

myenteric plexus

A

controls muscularis/motility

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12
Q

why is GIT regulation phased

A

it has different functions at different phases of digestion.

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13
Q

cephalic phase

A

preparation
- detect: food
- prepare: the GIT lumen

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14
Q

gastric phase

A

digestive
- detect: distension, pH, nutrients
- prepare: send signals via ENS, CNS, hormones

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15
Q

intestinal phase

A

controlled release
- detect: stretch, acid, osmolarity, nutrients
- prepare: ENS, CNS, hormones

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16
Q

neurotransmitters in the GIT

A

stimulatory: Acetylcholine
inhibitory: NO

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17
Q

how big are GIT smooth muscle cells

A

5-20uM diameter
~500uM long

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18
Q

how many GIT smooth muscle cells interact with each other

A

each with ~10 surrounding cells via gap and adherens junctions

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19
Q

interstitial cells of cajal membrane potential

A

-40 to -80mV

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20
Q

pacemakers of the GIT

A

interstitial cells of cajal membrane

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21
Q

where are interstitial cells of cajal located in the stomach and small intestine

A

in the smooth muscle layer close to the myenteric plexus

22
Q

where are interstitial cells of cajal located in the colon

A

in the boundary between the muscle layer and submucosal layer

23
Q

mechanisms of GIT phasic contraction upregulation

A
  • depolarisation of cell membrane
  • pharmochemical contraction
24
Q

mechanisms of GIT phasic contraction downregulation

A
  • hyperpolarisation of smooth muscle cell membrane
  • increased MLCP
  • inhibition of ENS and CNS
25
where do phasic contractions occur
- esophagus - gastric antrum - small intestine - large intestine
26
where do tonic contractions occur
- lower esophageal sphincter - pyloric sphincter - ileocecal valve - external and internal anal sphincters
27
phasic contractions
rhythmic contractions - each lasts a few seconds - repeating waves continues for minutes-hours
28
tonic contractions
long-acting sustained contractions - individual contractions last minutes to hours
29
how do the stomach cells know what’s happening in the stomach
monitoring pH, as food acts as a buffer
30
parietal cell stimulants
- acetylcholine - gastric - histamine
31
what is the main site of gastric acid secretion
the body of the stomach
32
G cells
sit in antrum epithelia - produce gastrin
33
ECL cells
sit in interstitial space near the basolateral surface of gastric glands in the body of the stomach - produce histamine
34
when is ACh released in the stomach
in response to vagus nerve stimulation
35
direct effect of ACh in the stomach
binds M3 receptors - stimulates parietal cells to increase IC Ca+
36
indirect effect of ACh in the stomach
stimulates ECL cells - increase histamine release - stimulate parietal cells via cAMP-PKA
37
what stimulates gastrin secretion
- GRP - products of protein digestion
38
gastrin direct effect
39
gastrin direct effect
binds CCKB/CCK2 on parietal cells - increase Ca++ and PKC
40
gastrin indirect effect
stimulation via ECL cells and histamine
41
what does histamine stimulate
- acid secretion - motility
42
what stimulates histamine release
- ACh - gastrin
43
histamine receptor
H2
44
histamine intracellular second messenger
cAMP-PKA
45
gastrin and histamine effects on transport
- inc. H+/K+ ATPase - inc. open probability of CFTR - inc open probability of Ca++ activated Cl- channels
46
feedback inhibition
a homeostasis mechanism in which the end product of a process inhibits or controls the process that helped produce it
47
sites of feedback inhibition in the stomach
D cells in the stomach - body - antrum
48
antrum D cells
- sense pH - produce somatostatin
49
somatostatin effects
paracrine - inhibits gastrin endocrine - inhibits parietal cells - inhibits histamine production
50
stomach body D cells
stimulated by high amounts of gastrin - no contact with lumen - produces somatostatin
51
interdigestive state circadian rhythm
acid secretion is lowest in the morning and highest in the evening