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26 Cards in this Set

  • Front
  • Back

Role of the GIT

Absorb nutrients and excrete waste products


Requirements: breakdown of large molecules, secretion of enzymes, transport mech., secretion of compounds to aid absorption

Structure

Lots of layer


2 main layer of smooth muscle: circular and longitudinal


Different orientation to mix and contract

Control of motility

Cyclidal contraction and relaxation


Nerve plexus between 2 layers of muscle


Cyclidal contraction and relaxation

Line tubular tissues eg peristalsis


Unidirectional movement of contents


Synchronised and wavelike


Lumen cavity constricts and dilates alternatively

Nerve plexus between 2 layers of muscle

Nerve network


Co-ordinates contraction - relaxation cycle at local lv

Receptors involve in regulation of motility

= enteric nervous system -> control parasympathetic and sympathetic NS


ACh, 5HT, NO, NA, ATP


Respond to stretch


ANS -> enteric nerve -> SM -> release ACh -> act on M3 of SM -> contract


Action potential change in the membrane -> Ca influx -> ACh-> M3 -> contract

Pre-synaptic receptor

5HT -> 5-HT4 -> contraction


Dopamine -> D2 -> inhibit contraction -> relaxation


Opioid -> opioid receptor -> inhibit contraction -> relaxation

GIT motility can be controlled = therapeutic

Stimulation/antagonism of MAChr


Stimulation/antagonism of pre-synaptic receptors

Mastication and salivation

Grind,break up food -> swallowing -> mix food with saliva -> stimulate taste buds

Stomach function

Storage of food


Initiation of digestion of CHO, Protein


Kill bacteria


Formation of chyme b4 transfer to the small intestines

Small intestines function

Mechanical and chemical digestion of nutrients -> absorption of nutrients


Duodenum receives chyme from the stomach, ducts empty to duodenum to delivery enzymes from acinar cell (from pancreases)


What are the enzymes from acinar cells in the duodenum that are responsible for the digestion of nutrients?

amylase -> sugar


lipase -> fat


protease -> trypsin, chymotrypsin, carboxypeptidase


HCO3 -> neutralise acid


nuclease -> nucleic acid

Pancreatic secretion depends on?

Cl exchange

Jejunum and duodenum are responsible for the absorption of nutrients

Terminal ileum: bile absorption, vit B12


Inner s.f of SI folded: increase s.f are for absorption

Villi

projecting from the folds to increase s.f area of 10 times


Microvilli projected on villi


Line the epithelial cells interspersed with mucous cell

Peyer's patches

Immune surveillance


Lymphoid nodules in ileum


Collection of sub-epithelial in lymphoid follicle


Proliferation of cells in the centre


Macrophages, dendritic cells, lymphocytes are found on the top of the follicle towards gut lumen

Uptake of particles from GIT by peyer's patches

follicles are covered with M cells -> sample the particles -> transport them inside by endocytosis -> present as antigen -> introduce to underlying T and B lymphocytes -> particles transport to the systemic circulation through the lymphatic system

M cells

Cover the follicles


cells of epithelial origin, phagocytic activity

Bile

synthesise by the liver from cholesterol -> store in the gall bladder -> secrete into the duodenum -> re-absorb into liver (enteroheptic recycling)

Bile salts

from cholesterol -> 7-hydroxycholesterol -> bile salts

Transport of bile salts and FAs

in form of micelles


active transport to enterocyte


FAs, bile salts are mixed with chylomicron -> portal circulation

Absorption of CHO, protein

Protein -> a.a -> transporter -> enterocyte


Na&CHO -> polysaccharide -> glucose -> symporter -> enterocyte


Symporter and transpoter

Absorption of Vit, minerals

Vit C: Na dependent active transport


Vit B6: simple diffusion


Follic acid: facilitated transport


Vit B12: intrinsic factor = parietal cells in the stomach -> absorbed in the ileum


Ca: passive diffusion through Cal channel -> Cal binding protein -> ATPase -> out of the cells to maintain the gradient

illeocal juncture

junction between small intestine and large intestines


Prevent colonic bacteria from large intestine to small intestines

Large intestines

Lil. digestion


Colonic bacter digest NSP -> increase faecal bulk


Store and compact faecal matter


Extract more H20, Na, from contents

Water absorption

Osmosis with the osmotic gradient


involve Na/glucose symporter