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■ CrTpts in intestine
○ Gut wall has 4 layers:
■ Mucosa → inner lining of GI tract
● Mucosal epithelium
○ On apical surface, cells secrete ions, enzymes,
mucus, and paracrine molecules into lumen
○ On serosal (basolateral) surface, substances are
absorbed from lumen
● Lamina propria
○ Contains nerve fibers and small blood/lymph vessels
○ Has immune cells (macrophages, lymphocytes, etc.)
● Muscularis mucosae (smooth muscle)
■ Submucosa → middle layer of gut wall
● Connective tissue w/ larger blood/lymph vessels
● Submucosal Plexus (Meissner’s Plexus) → one of two
major nerve networks of Enteric Nervous System
■ Muscularis Externa → outer wall of GI tract
● Inner Circular laTer
○ Contraction decreases diameter of lumen
● Outer Longitudinal laTer
○ Contraction shortens tube
● The stomach has a third Oblique layer between circular and
longitudinal layers
● MTenteric Plexus (Auerbach’s Plexus) → other major
nerve network of ENS lies between circular and
longitudinal layers
○ Controls motor activity of muscularis externa
■ Serosa → outer covering of entire GI tract
● Continuation of the peritoneal membrane lining abdominal
cavity (can form sheets of mesentery to hold in place)
Digestive Function and Processes
● Primary function is to move nutrients, water, and electrolytes from external
environment into body’s internal environment via digestion, absorption, secretion,
and motility
● Digestive system faces 3 significant challenges:
○ Avoiding autodigestion
■ Enzymes secreted to digest food must not digest the cells of the GI
tract itself (autodigestion)
● If protective mechanisms against autodigestion fail, raw
patches known as peptic ulcers develop on GI tract walls
○ Mass balance
■ Maintaining mass balance by matching fluid input with output
● Vomiting and diarrhea can be dangerous
○ Defense
■ Protecting the body from foreign invaders
● 80% of body’s lymphocytes are found in small intestine
○ Enteric nerve plexuses in gut act like a “little brain” to allow local reflexes
begin, integrate, and end completely in GI tract
■ Known as Short Reflexes
● Long Reflexes Integrate in the CNS
○ Although ENS can work in isolation, it also sends sensory info to CNS and
receives autonomic neuron input from CNS
■ Known as Long Reflexes
● When long reflexes originate in the brain instead of the ENS,
known as Cephalic Reflexes (i.e. smell dinner cooking and
mouth waters then stomach growls)
● Parasympathetic division is excitatory and enhances GI functions → rest
and digest
○ Parasympathetic neurons to GI tract are found in vagus nerve
○ Sympathetic neurons usually inhibit GI function
● GI Peptides Include Hormones, Neuropeptides, and Cytokines
○ Peptides secreted by digestive tract act as hormones or paracrine signals
■ Excite or inhibit motility and secretion
■ Can also act outside GI tract
● i.e. Cholecystokinin (CCK) increases satiety, Ghrelin acts on
brain to increase food intake
○ GI Hormones
■ Secreted into blood and transported throughout body
● Act on GI tract, accessory organs, and distant targets like
the brain
■ Hormone Families
● Gastrin
○ Gastrin
○ CCK
● Secretin
○ Secretin
○ Vasoactive intestinal peptide (VIP)
○ GIP
○ GLP-1
● Motilin
○ Mucus
■ From intestinal goblet cells
■ Lubricates gut contents
○ Isotonic NaCL solution
■ Mixes with mucus to help lubricate gut contents
■ Secreted by CrTpt cells in small intestine and colon
● Pancreas Secretes Enzymes and Bicarbonate
○ Endocrine secretions of pancreas include insulin and glucagon
○ Exocrine secretions include digestive enzymes and watery soln of sodium
bicarbonate
○ Enzyme Secretion
■ Brush border enteropeptidase converts trTpsinogen to active
trTpsin
■ Trypsin converts pancreatic zTmogens (initial pancreatic
secretions) into their active forms
○ Bicarbonate Secretion
● The Liver Secretes Bile
○ Bile is secreted from HepatocTtes (liver cells)
■ Made up of bile salts, bile pigments, and cholesterol
○ Bile secreted travels to gallbladder in which it is then stored