Chart of GI Secretions
Chart of GI Secretions
Chart of GI Secretions
Secretion
Saliva
Secreted by
Parotid (serous), sublingual (mucous) and submanidibular glands (mixed) D cells
Action
-begin to digest CHO via amylase -protect mouth and esophagus -inhibits release of all GI hormones -inhibits H+ secretion -Increase gastric H+ secretion directly and by potentiating effects of gastrin and vagal stimulation -stimulates gastrin release from G cells
-gastrin -vagal stimulation -histamine -inhibited by low stomach pH, chyme in duodenum (via secretin/GIP), atropine, omeprazole -active pepsin digests proteins -lipolysis (breakdown of triglycerides for absorption in intestines) -vagal stimulation
Parietal cells Chief cells Chief cells Surface mucous cells and mucous neck cells G cells (antrum and duod)
-vagal stimulation -stim HCl secretion -Stimulates growth of gastric mucosa -Stimulates gastric motility -release of somatostatin -increases myoelectric activity of stomach and duod; acts on smooth muscle of gastric antrum and duod freq of spike potential on slow waveshelps coordinate interdigestive motility patterns (MMC) and increases rate of gastric emptying -stimulates GB contraction and relaxation of sphincter of Oddi -stimulates pancreatic enzymes (binds to receptor on acinar cells) -also potentiates effect of secretin on pancreatic bicarb secretion -stim growth of pancrease/GB -inhibits gastric emptying -increase pancreatic bicarb -increase biliary bicarb -decrease HCl -small peptides and amino acids -distention of stomach -vagus (via GRP) -inhibited by low pH in stomach and somatostatin -acid in duod but not a meal -vagal stim
Intestines
Motilin (hormone)
CCK (hormone)
I cells of duod/jej
Secretin (hormone)
S cells of duodenum
Duod/jej
Duod/jej
Duodenum Neurons in mucosa and smooth muscle of GI tract Neurons in mucosa and smooth muscle of GI tract
-increase insulin secretion from pancreatic beta cells and ability of insulin to act at peripheral tissues (enhance glucose uptake and metabolism) -decrease gastric HCl secretion -inhibits gastrin-induced stomach motility -increase insulin secretion and ability of insulin to act at peripheral tissues (enhance glucose uptake and metabolism) -decrease gastric HCl secretion -inhibits gastrin-induced stomach motility -activates trypsinogen to trypsin -relaxation of GI smooth muscle, including LES -stim pancreatic bicarb -inhibits gastric H+ -stim contraction of GI smooth muscle, especially sphincters -inhibit intestinal secretion of fluid and electrolytes -lipid emulsificationmicelle formation
Bile Isotonic Bicarb and digestive enzymes (protease, lipase/colipase, amylase) Monitor peptide Ducts and Acini
-CCK -parasympathetic stim -inhibited by ileal resection -secretin (for bicarb) - cck (for enzymes) - vagal stimulation (for enzymes) -trypsin activates other proenzymes