BIO211 Weekly Guide #8

 

DIGESTIVE SYSTEM:

GLANDS, CONTROL, NUTRITION

After completing this laboratory you should be able to:

 

1)  Identify the three paired salivary glands, the pancreas, the liver and the gall bladder in gross anatomical models and histological section, providing the major known functions, products, and control mechanisms for each.

 

2)   Distinguish the cephalic, gastric, and intestinal phases of digestive activity.

 

3)   Name and describe the functions of the major intrinsic hormones of the gastrointestinal system

 

4)   Classify nutrients as carbohydrate, protein, lipid, vitamin, or mineral and describe the basic metabolic pathways, nutritive, and physiological roles of each

 









Gross Anatomy List

Guide to Gross Anatomy Guide to Histology Guide to Physiology

 

Outline

 

I. Branched Tubuloacinar Glands

       A. Acini

       B.  Ducts

 

II. Salivary glands  [FAP 24-2; Fig 24-7]

       A. Structure

                     branched tubuloacinar glands

                     cell types - mucous and serous

       B. Saliva - function and makeup

       C. 3 pairs of glands - location, cell types, innervation

                 parotid - serous; NIX

                 submaxillary (submandibular) - mixed; NVII

                 sublingual - mixed (mostly mucous); NVII

 

III. Liver  [FAP 24-6; Figs 24-19 to 24-21]

      

       A. Origin - outpocketing of duodenum

       B. 4 Lobes - right, left, caudate, quadrate

       C. Lobule - basic structural and functional unit

               central vein (hepatic vein branch)

               hepatic triad

                     hepatic artery branch

                     hepatic portal vein branch

                     bile duct

                     lymphatic branch

               hepatocytes

                     radiating cords

                     multiple functions - glycogen storage, detoxification, bile production

               sinusoids

               Küpffer cells

               bile canaliculi

               pattern of blood and bile flow

       D. Gall bladder

               histological features

                     simple columnar epithelium

                     highly infolded walls when empty

               functions - storage and concentration of bile

               action of CCK

       E. Route of bile flow

       F. Hepatic portal system

               organs drained

               functions

               enterohepatic circulation of bile

 

IV. Pancreas  [FAP 24-6; Fig 24-18]

 

       A. Origin - outpocketings of duodenum

       B. Exocrine portion

               branched tubuloacinar glands

               product - pancreatic juice

                     digestive enzymes and precursors

                     alkaline fluid

               hormonal control - CCK vs. secretin effects

       C. Endocrine portion

               islets of Langerhans (discussed in endocrinology lecture)

 

V. Digestive Control  [FAP Spotlight Fig 24-15]

 

       A. Hypothalamic satiety center

       B. Autonomic actions

                Sympathetic

                Parasympathetic

       C. Local mechanoreceptors

       D. Digestive phases

               cephalic

               gastric

               intestinal

 

VI. Digestive Hormones  [FAP Figs 24-22, 24-23]

 

       A. Histamine

       B. Gastin

       C. Secretin

       D. CCK/Pancreozymogen

       E. VIP

       F. GIH

       G. Enterocrinin

  

VII. Nutrition  [FAP Spotlight Fig 24-27; Table 24-1]

 

      A. Nutrient classes

             carbohydrates

                 digestion

                 breakdown to simple sugars

                 cellular respiration - glycolytic and oxidative pathways

                 glycogenesis, glycogen storage, glyclysis

                 gluconeogenesis

             proteins

                 proteolysis

                 essential amino acids

                 transamination and deamination

                 protein metabolism, ketone bodies and nitrogenous wastes

                 ketoacidosis

                 phenylalanine and phenylketonuria

             lipids

                 cholesterol vs triglycerides

                 essential fatty acids

                 emulsification

                 absorption of lipids

                 beta-oxidation

                 lipid metabolism and ketosis

                 free-fatty acid transport - lipoproteins

                 lipogenesis and fat storage

             vitamins  [FAP Table 24-2]

                 essential organic nutrients in trace concentarations

                 water-soluble vs. fat-soluble vitamins

                 roles as metabolic co-factors

             minerals [FAP Table 24-2]

                 essential inorganic nutrients in trace amounts

                 osmolarity, membrane charge, cofactors

             water  [FAP Fig 24-28]

                  

      B. Diet [review FAP Ch 25 on metabolism and nutrition]

             caloric need   [FAP Fig 25-7]

                  basal metabolic rate

                  thermoregulatory requirements

                  activity requirements

             food groups and "balance"

                  food pyramid

                  "myplate"caloric need  

           

                 

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Gross Anatomy List

 

salivary glands

    parotid

    submaxillary (submandibular)

    sublingual

pancreas

    pancreatic duct

liver

    lobes: right, left, caudate, quadrate

    ligaments: coronaries, falciform, laterals,

                   round (teres)

porta

    hepatic artery

    hepatic portal vein

    hepatic duct

hepatic vein

gall bladder

    cystic duct

common bile duct

    ampulla of Vater

    duodenal papilla

  

Key:                Know location and function of all structures

 

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Guide to Gross Anatomy

 

[APL Exercise 24-1]

 

The liver, gall bladder, and pancreas develop as glandular outpocketings of the duodenal lumen.  This is reflected in the fact that their ducts join and empty into a limited region of the duodenal wall.  The exocrine products of the liver and pancreas, which are delivered via these ducts, facilitate digestion and absorption in the small intestine.  In addition the liver and pancreas produce endocine products which are released directly into the blood stream.

 

a)     Identify the following hepatic regions and structures on the models and charts:

        [APL Fig 24.14, 24.15]

 

                       right lobe                proper hepatic artery                common bile duct

                       left lobe                  hepatic portal vein                     coronary ligaments

                       quadrate lobe         hepatic duct                              lateral ligaments

                       caudate lobe           gall bladder                              falciform ligaments

                       porta                      cystic duct                                round (teres) ligament

                       hepatic veins          

       

-    The ligaments suspending the liver all develop from peritoneal folds, with the notable exception of the round ligament.  From what fetal structure does the round ligament develop?

 

-    Study the hepatic porta area.  Identify the three tubular structures which enter or leave the liver there - the hepatic duct, the proper hepatic artery, and the hepatic portal vein.

 

-    Note the short hepatic veins and the close relationship of the liver to the inferior vena cava.    The hepatic veins are the venous drainage of the liver.  What two major vessels supply the liver in the porta region, and what is the nature of the blood in each?

 

-    The gall bladder develops as a diverticulum off of the hepatic duct.  Its function is  to store bile between meals.  How is flow of bile to and from the gall bladder regulated?  How does storage in the gall bladder affect the makeup of the bile?   What is the function of bile in digestion and absorption in the duodenum?  What intestinal hormone stimulates bile release?

 

-    Bile released into the duodenum is largely reabsorbed in the ileum and returned to the liver via the hepatic portal system.  This recycling "enterohepatic" circulation greatly reduces the amount of bile that the liver must produce.

 

b)   Identify the pancreas on the charts and models.     [APL Fig 24.15]

 

-    The major pancreatic duct joins with the common bile duct to form an enlarged segment called the ampulla of Vater.  This drains into the duodenum via an aperture in the duodenal papilla, regulated by the sphincter of Oddi.  In some individuals an accessory pancreatic duct empties into the duodenum proximal to the ampulla of Vater.

 

-    What are the major components of the pancreatic juice and what role does each play in digestion?  What intestinal hormones stimulate production of each of these components.

                       

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Guide to Histology

 

[APL Exercise 24-2]

 

The larger glandular organs of the digestive system all originate as outpocketings of the digestive tube.  You should be able to identify each of these organs in histological section, briefly describe its major structural features, and list its products and their functions.

 

a)   Salivary Glands                                                                                                         

      The salivary glands may be identified by the secretory acini (structural and functional unit) and ducts (although note the similarity in histological appearance to the pancreas).

 

-    Identify acini, mucous cells, serous cells, and ducts. Note that this gland is composed primarily of simple cuboidal epithelial tissue which has become highly folded.

 

-    Note that the submandibular gland is a mixed gland, containing both mucous and serous cells.  What are the products of each of these cell types?  How would you distinguish the submandibular salivary gland from the sublingual and parotid glands?

 

-    Try to locate one of the larger ducts which is lined with stratified cuboidal epithelium.

 

b)   Pancreas  [APL Fig 24.20]                                                                         

      The pancreas is histologically very similar to the salivary gland.  The exocrine portion is also characterized by secretory acina (structural and functional unit).  The pancreas may be histologically distinguished by the presence of the islets of Langerhans.

 

-    Identify the acini and ducts of the exocrine pancreas and the islets of Langerhans of the endocrine pancreas.

 

-    What substances are produced by the acinar cells?  What two intestinal hormones           regulate production of these substances?

 

-    Compare the pancreas to the salivary gland.  What histological criteria could you use to distinguish these?

 

-    What is the difference between exocrine and endocrine glands?  We will return to the endocrine function of the pancreas in a later week.

 

c)   Liver      [APL Fig 24.21]                                                                                      

      The liver may be recognized by the lobular structure (structural and functional unit), with its radiating pattern of hepatocytes.

 

-    Identify lobules, hepatocytes, sinusoids, and central veins.  Identify the vessels of the "hepatic triad" - branches of the hepatic duct, hepatic artery, and hepatic portal vein.

 

-    Describe the blood supply to and drainage from the liver.  Describe the flow of bile from its production to its release in the duodenum.  Try to identify the bile canaliculi under high power.

 

-    Describe the major functions of the hepatocyte.  What is the function and fate of each of its products?

 

-    Try to identify the Küpffer cells - the resident macrophages of the liver.

 

d)   Gall Bladder                                                                              

      The gall bladder may be recognized by its characteristic epithelium and the prominent folding of the wall in histological preparations.

        

-    Classify the epithelium of the gall bladder.  What are the functions of the gall bladder?  What intestinal hormone stimulates bile release?

 

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Guide to Physiology

  

There is no real physiological component to this week's lab.  APL Exercise 24-4 in the lab text is a good review of both the anatomy and physiology of the digestive system.

 

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