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Summary PHYSIOLOGY WEEK 1-6 NOTES

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PHYSIOLOGY WEEK 1-6 NOTES

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Regulation of the GI System - Basics & Neural Inputs

 Regulation of the GI System:

- The GI system is
primarily regulated by
the volume and
composition of luminal
contents, along with
some external input.

- Various stimuli trigger
reflexes, which can be neural or hormonal in nature.

 Neural Regulation of the GI System:




- Neural regulation is primarily carried out by the enteric nervous system (ENS),
which consists of two networks:

 Submucosal plexus: Primarily influences secretory activity.

 Myenteric plexus: Primarily influences motility.

 Key Points about
ENS:

- The ENS is a self-
contained
system, with
input, output,
and interneurons
located in the
wall of the GI
tract.

, - Neurotransmitters such as acetylcholine (ACh), noradrenaline (NA), nitric oxide
(NO), ATP, and neuropeptides are involved in ENS signalling.




- The ENS can operate autonomously without involving the central nervous
system (CNS) but also receives input from the autonomic nervous system.

- The sympathetic division (fight or flight response) has inhibitory effects
mediated by NA, while the parasympathetic division (rest and digest response)
has stimulatory effects mediated by ACh.

 Types of Neural Reflexes:




- Some reflexes are entirely contained within the walls of the GI tract, involving
the ENS as the stimulus triggers a response.

 These are known as "short" reflexes.
- Other reflexes involve the CNS in addition to the ENS.

,  These are referred to as "long" reflexes.

- Certain reflexes can originate from outside the GI tract, such as those
influenced by smell or emotions.

Regulation of the GI System - Hormonal Inputs

 Hormonal Regulation of the GI System:




- Secretion and motility in the GI system are primarily controlled by three
important hormones: gastrin, cholecystokinin (CCK), and secretin.

- Other hormones, such as leptin (stimulates satiety) and ghrelin (stimulates
hunger), also have effects on the GI system.

 Hormonal Regulation - Gastrin:

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