D’YOUVILLE COLLEGE BIOLOGY 659 - INTERMEDIATE PHYSIOLOGY I DIGESTIVE SYSTEM Lecture 21: Motility, Secretion, Blood supply 1. Organization: (chapter 62) • alimentary canal (GI tract) (fig. 62 – 1 & ppts. 1 & 2) - oral cavity – initial breakdown of food, swallowing - pharynx – swallowing - esophagus -- swallowing - stomach – digestion, storage - small intestine (duodenum, jejunum, ileum) – digestion, absorption - large intestine (cecum , ascending colon, transverse colon, descending colon, sigmoid colon, rectum & anus) – water recovery, defecation • accessory glands - major salivary glands (three pairs: sublingual, submandibular, parotid) – secretion of saliva to aid oral digestion; numerous minor salivary glands in tongue & oral mucosa - liver – metabolic regulation of absorbed nutrients, secretion of bile - pancreas – secretion of buffering and enzyme – rich juices • wall layers (fig. 62 – 2 & ppt. 3) - mucosa – terminal digestion (secretion), absorption, barrier to infection, protection from chemical digestion - submucosa – blood supply, glands, nerve net (submucosal plexus) - muscularis – motility; inner circular & outer longitudinal smooth muscle, nerve net (myenteric plexus) - serosa – outer limiting serous membrane, continuous with peritoneum (visceral peritoneum) Bio 659 2. - p. 2 - Motility and Secretory Activity: • organization of smooth muscle: (fig. 8 – 1 & ppt. 4) - a sheet-like population of fibers (unitary smooth muscle); nerve supply less discrete, but stimuli pass readily throughout population by means of gap junctions - contractions are slower, more sustained (often hours in duration (= tonic contractions) • electrical activity of unitary smooth muscle - spontaneous depolarization (autostimulation); sufficient numbers of sodiumcalcium (slow) channels are open at resting potential to provoke depolarization (fig. 8 – 5 & ppt. 5) - electrical disturbances pass unimpeded throughout muscle mass (functional syncytium) - two types of electrical activity (fig.62 – 3 & ppt. 6): - slow waves – graded potentials, usually not strong enough to elicit contraction slow waves that exceed threshold cause spike potentials - spike potentials are volleys of action potentials (associated with opening of slow sodium-calcium channels); action potentials are of long duration (10 – 40 times duration of nerve AP) - depolarization – factors such as stretching, acetylcholine or parasympathetic stimulation may raise the resting membrane potential, making the muscle more excitable - hyperpolarization – factors such as epinephrine or norepinephrine or sympathetic stimulation may drive the resting potential down, making the muscle less excitable - tonic contractions (prolonged contractions lasting several minutes up to several hours) result from spike potentials (recall calcium-calmodulin mechanism for switching on contraction) &/or from hormonal stimulation Bio 659 - p. 3 - • enteric nervous system (fig. 62 –4 & ppt. 7) - nerve plexuses (myenteric and submucosal) extend entire length of GI tract from esophagus to anus; myenteric regulates motility; submucosal regulates glandular secretions & some absorption - sensory cells can elicit local reflexes by synapsing with local nerve plexuses or other reflexes via autonomic innervation, which modulates enteric nervous system - neurons of the enteric nervous system secrete excitatory (e.g. acetylcholine) or inhibitory (e.g. norepinephrine, vasoactive intestinal polypeptide) neurotransmitters - parasympathetic innervation – fibers of cranial nerves VII (facial) & IX (glossopharyngeal) supply major salivary glands, whereas most of the remaining alimentary canal is supplied by cranial nerve X (vagus); sacral nerves (pelvic nn.) from S2 – S4 supply lower large intestine, rectum & anus - parasympathetic signals excite the enteric nervous system, leading to enhanced motility & secretions - sympathetic innervation – fibers of spinal nerves from T5 to L2 supply most of the alimentary canal via prevertebral ganglia (e.g. celiac and mesenteric) - sympathetic signals inhibit the enteric nervous system & inhibit smooth muscle directly - hormonal reflexes – gastrin is produced by G cells of stomach mucosa (antrum); it triggers gastric acid secretion & cell renewal - cholecystokinin is produced by I cells of duodenum and jejunum mucosa; it excites gall bladder contraction, triggers release of enzyme- rich juice by the pancreas and inhibits stomach emptying - secretin is produced by S cells of duodenum mucosa & triggers release of bicarbonate- rich juice by the pancreas - gastric inhibitory peptide is produced by the duodenum and jejunum & slows stomach emptying Bio 659 - p. 4 - • patterns of contraction: - propulsive – peristalsis (fig. 62 – 5 & ppt. 8) involves formation of ringlike constriction that advances slowly along the gut toward the anus, pushing contents along (mediated by myenteric plexus) - mixing – intermittent constrictive contractions (segmentation contractions) produce chopping or shearing of contents (assist peristaltic mixing) (fig. 63 - 3 & ppt. 9) 3. Circulation: (figs 62 – 6, 62 – 7 & ppts. 10 - 16) • arterial supply – celiac trunk (from aorta) supplies liver, stomach & spleen - superior mesenteric artery (from aorta) supplies the small intestine, pancreas & the right half of large intestine - inferior mesenteric artery (from aorta) supplies left half of large intestine & rectum - increased intestinal activity stimulates vasodilatation of arterioles supplying active area; several hormones released by the active GI tract also promote vasodilatation • circulation to villi: capillary circulation + central lymphatic (lacteal) • venous drainage: all of abdominal GI tract + pancreas and spleen drain into hepatic portal system, which delivers nutrient-rich blood directly to liver; liver processing (storage, metabolic conversion, etc.) regulates levels of absorbed substances in the blood