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18 Cards in this Set

  • Front
  • Back

Which two enzymes are secreted by the salivary glands?

-Amylase


-Lysozyme

Which two enzymes act in the stomach?

-Pepsin A


-Gastric Lipase

Which enymes act in the liver?

-Trypsin


-Chymotripsin


-Elastase


-Carboxypeptidase A


-Carboxypeptidase B


-Pancreatic Lipase

Enzymes of the Brush Border

SI Epithelial Cells

What does Na+/K+ ATPase do?

-Creates an electrochemical gradient with low Na+ inside the cell


-Array of channel and transporters on lumenal and capillary sides of epithelium, allows Na+/K+ ATPase to drive a range of different transport processes

What happens in the large intestine after a current is created by Na+/K+ATPase?

-Cl- follows the current created by Na+/K+ATPase


-Epithelial Na+ channel allows lumenal Na+ ions to flow into cell, creating an electrical potential across the lumenal membrane


-Cl- flow into the cell to neutralise potential difference (passive, uncoupled chloride channel)

What happens in the small intestine?

Na+/K+ATPase coupled ti netural Na+ and Cl- transport


-Na+ entry coupled to H+ efflux via coupoed Na+/H+ antiport, H+ provided via carbonic anhydrase


-Carbonic anhydrase also creates HCO3- ions, creating a gradient which drives Cl- uptake via another antiport

What can Na+/K+ATPase also drive?

NaCl secretion as well as uptake. There are no Na+ channels on the lumenal membrane

What is Cystic Fibrosis?

An autosomal recessive hereditary disease affecting the lungs, sweat glands and the digestive system

What is impaired in Cystic Fibrosis sufferers?

Cl- transport

How many Caucasians carry the cystic fibrosis gene?

1 in every 25 Caucasians carries one CF gene and one normal gene

What do cystic fibrosis carries have protection against?

Cholera


(Natural response is for GI eptihelial cells to open their Cl- channels, causing loss of water. CF carries are at reduced risk of dehydration as less fluid is released to clear the bacteria, avoiding diarrhoea.

How does Na+/K+ATPase drive NaCl secretion and uptake?

-There are no Na+ channels on the lumenal membrane


-Na+/K+ATPase drives high cellular Cl levels via the Na+/K+/2l- cotransporter (found on capillary membrane)


-Cl- flows into lumen via CFTR:


-high lumenal Cl- creates electrical potential


-draws Na+ into lumen via paracellular route

What are bile salts?

Cholesterol derivatives secreted from the liver

Where are bile salts recirculated?

Between the liver and the intestine


-secreted from the liver in the bile; form micelles in small intestine, reabsrobed in distal ileum


How much bile is secreted a day?

20-30g a day, though the total amount in the body at once is only 3-5g.


(Bile salts are toxic at high concentrations)

What does enterohepatic circulation do, regarding xenobiotics?

Enterohepatic recirculation delays the elimination of xenobiotics and can increase toxicity