Secretory Function of Gastrointestinal System
Secretory Function of Gastrointestinal System
Secretory Function of Gastrointestinal System
GASTROINTESTINAL SYSTEM
Irawan Yusuf
Department of Physiology
INTRODUCTION
Throughout the gastrointestinal tract secretory
glands serve two primary function;
To produce digestive enzymes;
To provide mucus for lubrication and protection
Saliva
Gastric secretion
Pancreatic secretion
Bile
Small intestinal secretion
Brunners gland secretion
Large intestinal secretion
1000
1500
1000
1000
1800
200
200
Total
6700
pH
6.0 7.0
1.0 3.5
8.0 8.3
7.8
7.5 8.0
8.0 8.9
7.5 8.0
GENERAL PRINCIPLES
Functions of gastrointestinal secretions
Transport
Digestion
Protection
Absorption
5.
4.
Tactile stimulation
Chemical irritation
Distention of the gut wall
Autonomic stimulation
Hormonal
Secretin
Cholecystokinin (CCK)
Actions
alter activity of ion transporters
alter exocytosis rate of secretory vesicles
regulate insertion of intracellular
canaliculi
Histologic type
Parotid
Submandibular
Serous
Mixed
Sublingual
Mucous
Secretion1
% of total saliva2
Watery
Moderately
viscous
Viscous
20
70
5
Saliva Function
Protection the mouth by:
Composition of Saliva
Salivary gland secrete saliva about 1-1.5
L/day containing:
Electrolyte. In comparison with plasma, saliva is
hypotonic and contains higher concentrations of
K+ and HCO3- and lower concentration of Na+
and Cl Proteins. Several proteins are found, -amylase
(ptyalin), lingual lipase, peroxidase, IgA and
growth factors (NGF, EGF)
Mucin for food lubrication
GASTRIC SECRETION
Gastric acid secretions aid in the breakdown of
food into small particles
Continue the process of digestion begun by
salivary enzymes
About 2 L/day of gastric secretion are produced
HCl Secretion
Mechanism HCl secretion
HCl is secreted into the parietal cells canaliculi by three
step process:
The active transport process is begun by the transport of K + and
Cl- into the canaliculi
H+ is then exchanged for K+ by a H+-K+ ATPase
Water enters the canaliculi down the osmotic gradient created
by movement of HCl-
Gastric
gastrin, local distension, vagal input increase gastric
acid secretion
Intestinal
increased acid in duodenum stimulates secretin
release which feeds back to inhibit gastrin release and
inhibit gastric acid secretion
PEPSINOGEN SECRETION
Function of pepsinogen. Pepsin the active form
of pepsinogen is proteolytic enzyme that begins
the process of protein digestion
Regulation of pepsinogen secretion.
Cephalic state, vagal nerve stimulate secretion of
pepsinogen
Gastric phase, low pH stimulate secretion
Intestinal phase, secretin stimulate pepsinogen
release
MUCOSAL BARRIER
The gastric mucosal barrier protects the gastric
lining cells from damage
The main component of mucus is a thick
viscous alkaline mucous layer secreted by the
mucous cells
Mildly injury results in increased mucus
secretion and surface desquamation
More serious injury denudes the mucosal
surface, forming an ulcer, and produce bleeding
INTRINSIC FACTOR
Intrinsic factor is a glycoprotein secreted
by the parietal cells of the gastric mucosa,
mostly in fundus
Intrinsic factor is required for the
absorption of vitamin B12
Intrinsic factor forms a complex with vitamin
B12
The complex is carried to the terminal ileum,
where the vitamin is absorbed
PANCREATIC SECRETION
Pancreas contains endocrine and exocrine cells
The exocrine cells have an internal structure similar to
that of salivary glands
The exocrine cells produce four types of digestive
enzyme:
Protease (trypsin, chymotrypsin, carboxypeptidase)
Amylase
Lipases (lipase, cholesterol esterase, phospholipase)
Nucleases
Each day pancreas produce 1200-1500 ml of pancreatic
juice containing high concentration of HCO3-
Anions
Digestive Enzymes
Na+
K+
Ca2+
Mg2+
HCO3Trypsin
ClChymotrypsins
SO42Lipase
HPO42- -amylase
Carboxypeptidase A and B
Ribonuclease
Elastase
Phospholipase A2
Cholesteryl ester hydroxylase
Nervous System
Parasympathetic input
initiates secretion during cephalic and gastric phases
Non-cholinergic
HCO3- secretion
Gastric phase
Distension of the antrum and corpus
Secretion of low volume of enzymes and HCO 3-
Intestinal phase
Cholecystokinin
Secretin