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GI Tract Functions and Regulation
10/19/11 First Lecture
14
Medical
Graduate
10/19/2011

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Term
What is the main function of the GI tract and what processes does it utilize to accomplish this?
Definition
Supply the body with essential compounds (pretty much everything from biochem)

It does this by using contraction, secretion, digestion, and absorption
Term
What determines what is absorbed in the GI tract?
Definition
Pretty much anything that is fat or water soluble with the exception of Fe and Ca, which are regulated
Term
What is the main difference between the excretion products of the kidney and GI tract
Definition
Kidneys secrete water soluble materials, whereas the GI tract secretes water insoluble materials
Term
What is the cephalic phase of digestion and what controls it?
Definition
It is a phase of digestion that begins before food enters the body (primed through sight, smell, etc.) and prompts the initial release of gastric juices. The vagus nerve controls this.
Term
What is the gastric phase of digestion?
Definition
The 2nd phase in digestion, triggered by distension in the stomach, presence of food, and a drop in pH.

It is characterized by gastrin-histamine stimulation which causes parietal cells to release gastric acid
Term
What governs the contraction of muscles as well as secretions in the GI tract?
Definition
Nerve plexuses located in the submucosal layer
Term
What are the 2 nervous systems that control regulation of the GI tract?
Definition
1. CNS via the ANS

2. Enteric nervous system ("minibrain" in the GI tract)
Term
What are the two nerve plexuses in the enteric nervous system? What does each control?
Definition
Submucosal and Myenteric

Submucosal controls secretions

Myenteric controls motility
Term
Which parts of the ANS are stimulatory to the EP and which are inhibitory?
Definition
Sympathetic is inhibitory

Parasympathetic is stimulatory
Term
Are GI smooth muscle cells single unit, or multi unit? What does this mean?
Definition
1. Single unit

2. Electrical coupling between cells allows long lengths of muscle to contract and behave as a single unit
Term
What controls contraction in smooth muscles?
Definition
1. Free calcium concentration in the cell controls the activity of Smooth muscle myosin phosphorylation
2. Phosphorylation of myoson activates ATPase activity, leading to contraction
3. Dephosphorylation by myosin phosphatases leads to relaxation


NOTE: Myosin phosphatases can be inhibit or stimulated by neural or hormonal inputs
Term
What is the difference between tonic and phasic smooth muscle
Definition
1. Tonic smooth muscle is located in places requiring steady contraction (sphincters)

2. Phasic smooth muscle requiring rhymthic changes (caudal stomach)
Term
Explain the contraction of phasic smooth muscle in terms of electrical waves
Definition
There is the smooth wave (a low frequency wave that the membrane fluctuates with). When this fluctuation crosses a threshold, a spike potential occurs. The strength of contraction is proportional to the frequency of the spikes.
Term
How is the slow wave generated in smooth muscle?
Definition
Pacemaker cells in the interstitial cell network are coupled to the smooth muscle and provide the slow wave
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