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FISIOLOGIA DO SISTEMA DIGESTÓRIO. Esta apresentação e outros materiais relacionados estão disponíveis nas páginas dedicadas às disciplinas de Graduação no Moodle da UFSC
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FISIOLOGIA DO SISTEMA DIGESTÓRIO Esta apresentação e outros materiais relacionados estão disponíveis nas páginas dedicadas às disciplinas de Graduação no Moodle da UFSC Porém, declaro aqui que nenhum recurso didático substitui a leitura de um bom livro-texto. Portanto, consulto o plano de ensino de sua disciplina e escolha o livro-texto que satisfará suas necessidades básicas para uma introdução ao estudo da Fisiologia Humana. Profa. Dra. Cristina Maria Henrique Pinto Professora Associada III – CFS/CCB/UFSC Agosto/2012
FISIOLOGIA DO SISTEMA DIGESTÓRIO Títulos desta apresentação: • Secreções do TGI • Secreções pancreática e hepática • Componentes, funções e regulação da secreção.
SECREÇÕES EXÓCRINAS PANCREÁTICA E HEPÁTICA http://www.nlm.nih.gov/medlineplus/ency/imagepages/1090.htm
VOLUME SECRETADO PELO PÂNCREAS NO INTESTINO DELGADO: 1,5 L/DIA ?
Principais tipos celulares encontrados no pâncreas Ilhotas de Langerhans hormônios: insulina (cél. β), glucagon (cél. α), somatostatina (cél. δ) e polipeptídeo pancreático (cél. θ) enzimas digestivas (proteases, amilase e lipases) secreção hidro-eletrolítica
HISTOLOGIA DO PÂNCREAS PORÇÃO EXÓCRINA enzimas e secreção hidroeletrolítica http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2241#image PORÇÃO ENDÓCRINA (hormônios: glucagon, insulina, somatostatina e polipeptídeo pancreático) ilhota (células beta: insulina) ilhota (células alfa: glucagon) ácinos e ilhota de Langerhans http://www.udel.edu/Biology/Wags/histopage/histopage.htm
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: água e eletrólitos The relationships and major features of the units of the exocrine pancreas. The pancreatic acinar cells of the acinus have prominently stained zymogen granules in the apical area of the cell. The connecting ductule does not contain zymogen granules. The blue cell in the cartoon depicts the centroacinar cell at the border between the acinus and ductule. The centroacinar cell functions similarly to the duct cell. The major secretory products of the acinus are digestive proenzymes and enzymes with lesser amounts of water and ions. The major secretory products of the duct are water and ions. http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2243#image
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: água e eletrólitos The relationships and major features of the units of the exocrine pancreas. The pancreatic acinar cells of the acinus have prominently stained zymogen granules in the apical area of the cell. The connecting ductule does not contain zymogen granules. The blue cell in the cartoon depicts the centroacinar cell at the border between the acinus and ductule. The centroacinar cell functions similarly to the duct cell. The major secretory products of the acinus are digestive proenzymes and enzymes with lesser amounts of water and ions. The major secretory products of the duct are water and ions. http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2243#image
Importância da secreção hidroeletrolítica pancreática, rica em HCO3-, Na+ e água na digestão NaHCO3 + HCl NaCl + H2O + CO2 (reabsorção) Neutralization of gastric acid delivered to the duodenum is necessary for optimal digestion and absorption of a meal. Several mechanisms that are not shown are involved in the neutralization process. First, the meal provides buffers from digestion of protein and triglycerides. That is, the peptides and fatty acid products act as pH buffers. Another neutralization process is absorption of hydrogen ion by the duodenal mucosa. Finally, the pancreas, biliary system and duodenal mucosa secrete bicarbonate into the duodenal lumen for neutralization. http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2287#image
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: enzimas The relationships and major features of the units of the exocrine pancreas. The pancreatic acinar cells of the acinus have prominently stained zymogen granules in the apical area of the cell. The connecting ductule does not contain zymogen granules. The blue cell in the cartoon depicts the centroacinar cell at the border between the acinus and ductule. The centroacinar cell functions similarly to the duct cell. The major secretory products of the acinus are digestive proenzymes and enzymes with lesser amounts of water and ions. The major secretory products of the duct are water and ions. http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2243#image
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: enzimas lipase a-Amylase (no activation needed) (Enterokinase) secreted by duodenal epithelium (from duodenal epithelial cells) http://mcb.berkeley.edu/courses/mcb136/topic/Gastrointestinal
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: enzimas lipase a-Amylase (no activation needed) (Enterokinase) secreted by duodenal epithelium (from duodenal epithelial cells) http://mcb.berkeley.edu/courses/mcb136/topic/Gastrointestinal
Relative amounts (by weight) of the different classes of pancreatic digestive enzymes. Proteases are the most abundant class of enzymes. http://www.gastroslides.org/main/browse_deck.asp?tpc=6&mxpg=390&pg=2273#image
AS SECREÇÕES EXÓCRINAS PANCREÁTICAS: enzimas lipase a-Amylase (no activation needed) (Enterokinase) secreted by duodenal epithelium (from duodenal epithelial cells) http://mcb.berkeley.edu/courses/mcb136/topic/Gastrointestinal
A secreção serosa pancreática: lipase pancreática Lipase pancreática
A secreção serosa pancreática: alfa-amilase Amilopectina (amido) da batata OBS: reparou que é a mesma ação da alfa-amilase salivar?
A secreção serosa pancreática: a ativação das pró-proteases pancreáticas no intestino delgado pela enteroquinase (da borda-em-escova) extraído de: Vander, Sherman & Luciano, 2002
A secreção serosa pancreática: a ativação das pró-proteases pancreáticas no intestino delgado pela enteroquinase (da borda-em-escova)
REGULAÇÃO DA SECREÇÃO EXÓCRINA PANCREÁTICA estimulação hormonal pancreática A presença de gordura e de ácido no duodeno estimula a secreção endócrina intestinal das células endócrinas “S” e “I”. As céls. “S” secretam a SECRETINA que estimula a secreção hidro-eletrolítica dos ductos pancreáticos.
A REGULAÇÃO DA SECREÇÃO DOS DUCTOS PELA SECRETINA This image shows the stimulants for release of CCK from I cells and secretin release from S cells. Of note, the I cells and S cells “taste” the specific stimulants in the lumen of the gut to activate release of the hormones. The released CCK can mediate pancreatic secretion by either activating vagal sensory afferents that results in stimulation of pancreatic acinar cell secretion though a vago-vagal reflex involving the CNS or through the circulation (i.e. hormonal action). Secretin also acts through neural (not shown) and hormonal pathways on the pancreas stimulating secretion from both ductal cells and acinar cells. http://www.gastroslides.org/main/browse_deck.asp?tpc=2&mxpg=390&pg=1842#image
REGULAÇÃO DA SECREÇÃO EXÓCRINA PANCREÁTICA estimulação hormonal pancreática A presença de gordura e de ácido no duodeno estimula a secreção endócrina intestinal das células endócrinas “S” e “I”. As céls. “I” secretam a CCKque estimula a secreção serosa dos ácinos pancreáticos
A REGULAÇÃO DA SECREÇÃO DOS DUCTOS PELA CCK This image shows the stimulants for release of CCK from I cells and secretin release from S cells. Of note, the I cells and S cells “taste” the specific stimulants in the lumen of the gut to activate release of the hormones. The released CCK can mediate pancreatic secretion by either activating vagal sensory afferents that results in stimulation of pancreatic acinar cell secretion though a vago-vagal reflex involving the CNS or through the circulation (i.e. hormonal action). Secretin also acts through neural (not shown) and hormonal pathways on the pancreas stimulating secretion from both ductal cells and acinar cells. http://www.gastroslides.org/main/browse_deck.asp?tpc=2&mxpg=390&pg=1842#image
Regulação das secreção exócrina pancéática (ductos e ácinos) pelos hormônios intestinais http://arbl.cvmbs.colostate.edu/hbooks/pathphys/digestion/pancreas/control.html
The graphic in this image depicts the neurotransmission systems and neurotransmitters involved in regulating acinar and ductal secretion. The blue cell is called a centroacinar cell. These cells have characteristics more similar to ductal cells although their exact function is not known. Vagal efferents activate neurons in the intrapancreatic ganglia. Neurons from the ganglia then have processes that are in proximity to the parenchymal cells. These processes release the neurotransmitters, acetylcholine (Ach), gastrin releasing peptide (GRP) and vasoactive intestinal polypeptide (VIP) when their neurons are activated. Ach causes secretion from both acinar cells and ducts while all three neurotransmitters can cause secretion from acinar cells. http://www.gastroslides.org/main/browse_deck.asp?tpc=2&mxpg=390&pg=1842#image
A secreção exócrina hepática http://www.nlm.nih.gov/medlineplus/ency/imagepages/1090.htm
A secreção exócrina hepática: a bile Bile is a digestive fluid secreted by the liver and stored in the gallbladder which normally is released into the duodenum portion of the small intestine through the sphincter of Oddi. Bile, released after a meal containing fats, aids in absorption and digestion of the fat. http://www.nlm.nih.gov/medlineplus/ency/imagepages/1090.htm
Veja mais em: http://mcb.berkeley.edu/courses/mcb136/topic/Gastrointestinal/Secretion_in_GI-Tract/
Função digestiva da bile: sais biliares extraído de: Vander, Sherman & Luciano, 2002
Sais biliares e a emulsificação das gorduras extraído de: Vander, Sherman & Luciano, 2002
Sais biliares e a emulsificação das gorduras: a formação das micelas para a digestão pela lipase pancreática MICELA extraído de: Vander, Sherman & Luciano, 2002
Resumo da emulsificação, digestão e absorção de gordura extraído de: Vander, Sherman & Luciano, 2002
A circulação êntero-hepática dos sais biliares extraído de: Vander, Sherman & Luciano, 2002
REGULAÇÃO DA SECREÇÃO BILIAR Produção de bile + circulação êntero-hepática dos sais biliares e esvaziamento da vesícula biliar e relaxamento de Oddi pela CCK ? ? extraído de: Vander, Sherman & Luciano, 2002