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GASTRIC AND INTESTINAL SECRETIONS

Gastric Cells & Secretions

Here’s a description of various types of Gastric cells and their secretions:

  1. Parietal Cells: Parietal cells are found in the gastric glands of the stomach’s oxyntic mucosa. They secrete hydrochloric acid (HCl) and intrinsic factor. HCl plays a crucial role in the breakdown of food particles, killing harmful bacteria, and activating pepsinogen into pepsin, an enzyme that aids in protein digestion. Intrinsic factor is essential for the absorption of vitamin B12 in the small intestine.
  2. Chief Cells: Chief cells are also present in the gastric glands. They produce and release pepsinogen, an inactive form of pepsin. Pepsinogen is later activated into pepsin by the acidic environment provided by HCl. Pepsin plays a significant role in breaking down proteins into smaller peptides.
  3. Goblet Cells: Goblet cells are scattered throughout the gastric glands and the gastric mucosa. They secrete mucus, which acts as a protective barrier, shielding the stomach lining from the corrosive effects of gastric acid and digestive enzymes.
  4. Enterochromaffin-like Cells (ECL Cells): ECL cells are located in the gastric glands as well. They produce and release histamine, which plays a role in stimulating the secretion of HCl from parietal cells. Histamine binds to specific receptors on parietal cells, triggering the release of HCl.
  5. G Cells: G cells are found in the antrum region of the stomach. They secrete gastrin, a hormone that stimulates the production of HCl and pepsinogen by parietal and chief cells, respectively. Gastrin is released in response to the presence of food in the stomach and helps regulate gastric motility and acid secretion.
  6. D Cells: D cells are located in the stomach’s antrum and secrete somatostatin, a hormone that inhibits the release of gastrin and, subsequently, the secretion of HCl. Somatostatin acts as a negative feedback regulator to prevent excessive acid production.

These various types of gastric cells and their secretions work together to facilitate the process of digestion in the Stomach and maintain the appropriate pH balance for optimal digestive enzyme activity.

Gastric Juice Components

Gastric juice is a digestive fluid produced by the gastric glands in the stomach. It plays a crucial role in breaking down food and aiding in digestion. The main components of gastric juice are:

  1. Hydrochloric Acid (HCl): This is the primary component of gastric juice, and its main function is to create an acidic environment in the stomach. The low pH (around 1-3) helps to denature proteins, activate pepsinogen (an enzyme precursor), and kill harmful microorganisms present in the ingested food.
  2. Pepsinogen: Pepsinogen is an inactive enzyme precursor secreted by the gastric glands. When it comes into contact with hydrochloric acid, it gets converted into its active form called pepsin. Pepsin is responsible for breaking down proteins into smaller peptides, which can be further digested by other enzymes in the small intestine.
  3. Mucus: Mucus is a protective and lubricating substance produced by the stomach’s mucous cells. Its function is to line the stomach’s inner surface, preventing the stomach lining from being damaged by the acidic environment and digestive enzymes. Mucus also helps food move smoothly through the digestive tract.
  4. Intrinsic Factor: This protein is secreted by the parietal cells in the stomach and is essential for the absorption of vitamin B12 in the small intestine. Vitamin B12 is crucial for various metabolic processes and the formation of red blood cells.
  5. Water and Electrolytes: Gastric juice contains water, sodium, chloride, and potassium ions. These help maintain the acidic environment and contribute to the overall composition of gastric juice.

Together, these components work in synergy to create an acidic environment that helps initiate protein digestion, breakdown food particles, and protect the stomach lining from the corrosive effects of gastric acid. The digestion process continues as the partially digested food, now called chyme, moves from the stomach to the small intestine, where further digestion and nutrient absorption occur.

Gastric Secretion Control Mechanisms

The control of gastric secretion involves a complex interplay of mechanical, chemical, and neural mechanisms. Here’s a detailed description of each:

  1. Mechanical Mechanisms:
    • Distension: When the stomach stretches due to the presence of food, it triggers the release of gastric secretions. This distension activates stretch receptors in the stomach wall, signaling the release of gastric juices to aid in digestion.
    • Mixing: As the stomach contracts and relaxes, it facilitates the mixing of food with gastric secretions. This enhances the exposure of ingested materials to digestive enzymes and acids, promoting efficient digestion.
  2. Chemical Mechanisms:
    • Gastrin: Gastrin is a hormone released by G cells in the stomach lining. It stimulates the production of hydrochloric acid (HCl) by parietal cells and the secretion of pepsinogen by chief cells. Gastrin secretion is triggered by the presence of partially digested proteins and stomach distension.
    • Histamine: Histamine is released by enterochromaffin-like (ECL) cells in response to gastrin stimulation. It binds to H2 receptors on parietal cells, promoting the release of HCl.
    • Acetylcholine: The vagus nerve, part of the parasympathetic nervous system, releases acetylcholine in response to the smell, taste, and even thought of food. Acetylcholine stimulates both chief cells to secrete pepsinogen and parietal cells to release HCl.
  3. Neural Mechanisms:
    • Vagus Nerve: The vagus nerve plays a significant role in gastric secretion. It carries parasympathetic signals from the brain to the stomach, leading to increased secretion of gastric juices. It’s often activated by the cephalic phase, where the anticipation of food triggers neural signals to prepare the stomach for digestion before food even reaches it.
    • Enteric Nervous System (ENS): The ENS, also known as the “second brain,” is a complex network of neurons within the gastrointestinal tract. It can function independently and regulate gastric secretion locally. It responds to various stimuli, such as the presence of food in the stomach, and coordinates the release of gastric secretions.

Overall, the control of gastric secretion is a finely tuned process involving multiple mechanisms that work in concert to ensure efficient digestion and nutrient absorption. These mechanisms are influenced by factors like the type and amount of food ingested, neural signals, and hormonal responses.

Stomach Acid Secretion

Acid secretion in the stomach is a complex process involving several cellular steps. Here’s a detailed explanation of those steps:

  1. Stimulus: The process is initiated by various stimuli, such as the presence of food in the stomach, the release of certain hormones (like gastrin), or signals from the vagus nerve in response to the thought or smell of food.
  2. Gastrin Release: In response to these stimuli, G cells located in the gastric glands of the stomach lining release the hormone gastrin into the bloodstream.
  3. Gastric Parietal Cells Activation: Gastrin travels through the bloodstream and binds to specific receptors on the surface of gastric parietal cells, which are located in the lining of the stomach wall.
  4. H+/K+ ATPase Pump Activation: Binding of gastrin to parietal cell receptors triggers a signaling cascade, leading to the activation of an enzyme called H+/K+ ATPase (proton pump) located in the membrane of the parietal cells.
  5. Proton Pump Function: The activated proton pump transports hydrogen ions (H+) from inside the parietal cell into the lumen of the stomach. At the same time, potassium ions (K+) are exchanged into the parietal cell from the lumen.
  6. Formation of HCl: The hydrogen ions combine with chloride ions (Cl-) present in the lumen to form hydrochloric acid (HCl), which is the main component of gastric acid.
  7. Mucus Protection: To prevent damage to the stomach lining from the potent acid, specialized cells in the stomach produce and secrete mucus that forms a protective barrier.
  8. Gastric Acid Secretion Regulation: The process is tightly regulated through negative feedback mechanisms. When the stomach pH drops too low, it inhibits further gastrin release, preventing excessive acid production.
  9. Digestion and Immune Defense: The highly acidic environment in the stomach plays a crucial role in breaking down food and killing harmful microorganisms that might enter the digestive system.

This sequence of cellular steps ensures that the stomach maintains an appropriate acidic environment for efficient digestion while protecting the stomach lining from the corrosive effects of the acid.

Regulation of Acid Secretion

The regulation of acid secretion in the stomach involves a complex interplay between neural, hormonal, and paracrine mechanisms at different phases of a meal. Here’s a detailed explanation of each phase:

  1. Cephalic Phase (before food ingestion):
  • Neural Regulation: The thought, smell, sight, or taste of food triggers the cephalic phase. The brain sends signals through the vagus nerve to the stomach, stimulating the release of acetylcholine. Acetylcholine acts on parietal cells in the stomach lining to initiate acid secretion.
  • Hormonal Regulation: Gastrin-releasing peptide (GRP) is released from the nerves, stimulating the release of gastrin from G cells in the gastric glands. Gastrin, in turn, stimulates the parietal cells to secrete acid.
  1. Gastric Phase (during food ingestion):
  • Neural Regulation: As food enters the stomach, stretch receptors in the stomach wall are activated, leading to the release of acetylcholine and further stimulation of acid secretion by the parietal cells.
  • Hormonal Regulation: The presence of peptides and amino acids in the stomach stimulates the release of gastrin from G cells, further enhancing acid secretion.
  1. Intestinal Phase (after food enters the small intestine):
  • Neural Regulation: The presence of chyme (partially digested food) in the duodenum activates neural pathways that inhibit gastric acid secretion. The enterogastric reflex is triggered, leading to reduced vagal activity and decreased release of acetylcholine.
  • Hormonal Regulation: The duodenal cells release secretin and cholecystokinin (CCK) in response to the acidic chyme. Secretin inhibits acid secretion directly on parietal cells, while CCK inhibits gastrin release, further reducing acid production.
  • Paracrine Regulation: The acidic chyme stimulates the release of somatostatin from D cells in the duodenal mucosa. Somatostatin acts locally to inhibit the release of gastrin and reduce acid secretion.

In summary, during the cephalic and gastric phases of a meal, neural and hormonal mechanisms stimulate acid secretion to aid in food digestion. However, during the intestinal phase, the presence of acidic chyme triggers neural and hormonal mechanisms that inhibit acid secretion to prevent excessive acidity in the small intestine and regulate the overall digestive process.

Brunner’s Glands in Duodenum

Brunner’s glands are specialized mucus-secreting glands located in the duodenum, the first part of the small intestine. Their role is essential in providing protection and creating a suitable environment for the digestion process.

When food leaves the stomach and enters the duodenum, it is highly acidic due to gastric secretions. Brunner’s glands secrete an alkaline mucus that helps neutralize the acidic chyme (partially digested food) coming from the stomach. This neutralization is crucial because the enzymes responsible for digestion in the small intestine work optimally in a slightly alkaline environment.

The mucus secreted by Brunner’s glands also acts as a lubricant, facilitating the smooth movement of chyme through the small intestine. It not only protects the intestinal lining from the corrosive effects of acidic content but also prevents damage by digestive enzymes.

Furthermore, the alkaline mucus contains bicarbonate ions, which further contribute to the neutralization of the acidic chyme. This process is important to maintain the pH balance in the duodenum for the proper functioning of digestive enzymes and to prevent damage to the intestinal wall.

In summary, Brunner’s glands play a vital role in protecting the duodenum from the acidic content arriving from the stomach and providing an alkaline environment for the optimal activity of digestive enzymes, ensuring effective digestion and absorption of nutrients in the small intestine.

Components of intestinal secretion and its control

Intestinal secretion involves various components and is regulated through a complex process. The major components of intestinal secretion are:

  1. Electrolytes (sodium, chloride, potassium): Electrolytes are crucial for maintaining the osmotic balance in the intestinal lumen. Sodium is actively transported into the cells from the lumen, and chloride follows passively, leading to the creation of an osmotic gradient that draws water into the lumen.
  2. Water: Water secretion is driven by the movement of electrolytes. When electrolytes move into the cells from the lumen, water follows to maintain the osmotic balance.
  3. Mucus: Mucus is secreted by goblet cells and plays a vital role in protecting the intestinal lining from mechanical damage, preventing the attachment of harmful bacteria, and lubricating the passage of stool.
  4. Enzymes: Intestinal secretion also includes enzymes that help in digestion, such as lipases, proteases, and carbohydrases, which break down lipids, proteins, and carbohydrates, respectively.

The control of intestinal secretion involves various factors, including:

  1. Neural Regulation: The enteric nervous system, also known as the “second brain,” plays a significant role in regulating intestinal secretion. It receives sensory input from the gut and responds by stimulating or inhibiting secretion based on the presence of nutrients or harmful substances.
  2. Hormonal Regulation: Hormones like secretin, cholecystokinin (CCK), and gastric inhibitory peptide (GIP) are released in response to the presence of food in the stomach and small intestine. These hormones stimulate the release of enzymes and electrolytes into the intestine, enhancing digestion.
  3. Paracrine Regulation: Certain substances, like prostaglandins and histamine, act locally as paracrine regulators, influencing the secretion of electrolytes and water.
  4. Feedback Mechanisms: Feedback mechanisms involving the osmotic balance in the lumen and the pH level help control the rate of secretion to ensure optimal digestion and absorption.

Overall, the combination of neural, hormonal, and paracrine control ensures that intestinal secretion is well-regulated, facilitating proper digestion and nutrient absorption.

Intestinal Secretion Regulation overview 

Intestinal secretion is the process by which various substances, such as water, electrolytes, and enzymes, are released into the intestinal lumen to aid in digestion and absorption. The regulation of intestinal secretion involves a complex interplay of neural, hormonal, and local factors.

  1. Neural regulation: The enteric nervous system, also known as the “second brain,” plays a crucial role in regulating intestinal secretion. It consists of a vast network of neurons within the intestinal wall, which can act independently or in coordination with the central nervous system. Sensory neurons detect changes in the intestinal environment, such as the presence of food, and transmit signals to motor neurons, triggering secretion and motility responses.
  2. Hormonal regulation: Several hormones released by different cells in the intestine contribute to the regulation of secretion. For example:
    • Cholecystokinin (CCK) is released by the duodenal mucosa in response to the presence of fats and peptides in the duodenum. CCK stimulates the release of digestive enzymes from the pancreas and bile from the gallbladder, facilitating digestion and nutrient absorption.
    • Secretin is produced by the duodenum in response to acidic chyme entering from the stomach. It stimulates the pancreas to release bicarbonate-rich fluid, which neutralizes the acid, creating an optimal pH for the digestive enzymes to work efficiently.
    • Gastric inhibitory peptide (GIP) and other incretin hormones released in response to glucose and nutrients promote insulin secretion and inhibit gastric acid secretion.
  3. Local factors: The intestinal mucosa itself can sense changes in luminal content and regulate secretion locally. For instance, increased osmolality, acidic pH, or the presence of specific nutrients can trigger the release of water and electrolytes into the lumen to dilute and neutralize the chyme.
  4. Feedback mechanisms: Negative feedback loops help maintain homeostasis and prevent overstimulation of intestinal secretion. As nutrients are absorbed and luminal contents are reduced, the release of certain hormones and neural signals diminishes, leading to a decrease in secretion rates.

Overall, the regulation of intestinal secretion is a complex and finely tuned process that ensures proper digestion and absorption of nutrients while maintaining the overall balance of the intestinal environment.



This post first appeared on DON STEVE, please read the originial post: here

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GASTRIC AND INTESTINAL SECRETIONS

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