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GI test 1
GI test 1
17
Pharmacology
Graduate
09/09/2013

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Term
Gastrin
Definition
Secreted by G cells in stomach

promotes gastric acid secretion, gastric mucosa growth and stomach motility

Binds to CCK-b receptors
Term
Cholecystokinin (CCK)
Definition
secreted from I cells in SI

secreted in response to fat, FA and monoglycerides present

contracts gall bladder, relaxes hepatopancreatic sphincter, inhibits stomach contraction and over eating
Term
Secretin
Definition
Secreted by enterochromaffin S cells in SI

stimulates pepsin, pancreatic and biliary bicarb secretion. inhibits gastric acid secretion
Term
gastric inhibitory peptide (GIP)
Definition
secreted by epithelial cells in upper SI

released due to increase in fat, AA and carbs

inhibits stomach motility and screcetion. stimulates release of insulin, is glucose-dependent insulinotropic peptide
Term
Motilin
Definition
produced by M cells in stomach and upper SI during fasting

stimulates GI motility waves called interdigestive myoelectric complexes
Term
vasoactive intestinal polypeptide (VIP)
Definition
secreted by enteric neurons in SI

is a neuropeptide/transmitter. distributed in peripheral and central NS

induces intestinal vasodilation, and intestinal secretion. relaxes smooth muscles in trachea, stomach gall bladder and sphincters and HCL secretion
Term
Ghrelin
Definition
released in stomach, pituitary and hypothalamus

causes an increases in hunger. controls hunger

levels are low after eating and usually in obese people. levels high in anorexia nervosa pts.
Term
prader- willi syndrome
Definition
extreme obesity due to an uncrontrolled appetite

ghrelin levels are really high in these individuals
Term
Glucagon-like peptide 1
Definition
released by the L cells in SI and LI

stimulates insulin release satiety
Term
drugs that decrease vagal tone (parasympathetic tine)
Definition
atropine, scopolamine, antihistamines, Tricyclic antidepressants, neuroleptics
Term
drugs that increase vagal tone that induce bowl contraction(parasympathetic tine)
Definition
Bethanechol and neostigmine
Term
Serotonin agonist drugs
Definition
tegaserod
metoclopramide
cisapride

this increase the release of ACh
Term
5HT2 antagonist drugs
Definition
ondansetrone and derivatices

anti-emetic and analgesic
Term
Substance P
Definition
increases intestinal secretion and peristalisis
Term
somatostatin
Definition
inhibits secretion of GI hormones and VIP
Term
bombesin
Definition
stimulates gastric and pancreatic secretion
Term
AVP (ADH) receptor antagonist Used for hypotonic hypoNa
Definition
conivaptan
tolvaptan

ADR- thirst headache, vomiting
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