Control of Feeding - Anatomy & Physiology

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Feeding Methods

  • Absorption over body surface
  • Filter feeding
  • Mucous trapping
  • Fluid feeding
    • Piercing and sucking
    • Cutting and biting
  • Seizing prey
    • Jaws, teeth, beak
    • Toxins
  • Herbivores and grazing
    • Invertebrates
    • Vertebrates- bony plates or teeth


Functions of the GIT

  • Secretion of enzymes and co-factors for digestion including water, ions and mucous
  • Motility for forward propulsion, mechanical breakdown, mixing of ingesta and sphincter tone
    • Migrating myoelectric complex to prevent debris accumulation
    • Peristalsis
    • Haustration
    • Segmental motility
  • Blood flow to muscles, submucosa and epithelial surfaces to sustain secretion, motility and the uptake of products of digestion
  • Growth and repair


Control of the GIT

  • Endocrine hormones released into the circulation by cells within the GIT or an accessory organ
  • Paracrine mediators released by cells within the tract and diffuse locally to acton neighbouring target cells
  • Neurotransmitters from nerves andother cells
  • Autonomic nervous system superimposed over the local control


Control of Motility

  • Intrinsic
    • Muscle pacemaker cells (Cajal cells)
    • Basic electric rhythm (BER) created of 3-20 per minute
    • Passes through gap junctions
    • Action potential created producing a slow wave of contraction
    • Liklihood of an action potential is increased through the stretch of food in the lumen and chemical food stimulation
  • Endocrine, paracrine or neural enter the enteric nervous system via sensory neurones
  • Neurons interact with plexuses in the GIT wall
    • Myenteric controls muscle movement
    • Submucosa controls secretion and blood flow
    • 2 plexuses connected by interneurones to co-ordinate control
    • Autonomic nervous system superimposed
  • Excitatory neurotransmitters are parasympathomimetic
    • ACh (muscarinic M1 and M2)
    • Serotonin
    • Substance P
  • Inhibitory neurotransmitters are sympathomimetic
    • Vasoactive intestinal polypeptide (VIP)
    • Nitroc oxide (NO)
    • ATP
    • Enkephalins
  • Extrinsic nervous system (ANS)
    • Sympathetic via norepinephrine (A1 and B2)
      • Thoraco-lumbar innervation
    • Parasympathetic via ACh (M1 and M2)
      • Cranio-sacral innervation


Control of GIT Secretions

  • Presence of food in the GIT is detected by open chemoreceptors
  • Signals to the endocrine cells or via the ANS releases gastrointestinal peptide hormones
  • These hormones act to promote secretion, provide negative feedback or affect motility
  • Closed mechanoreceptors also act to alter secretions
  • Conditioned (associative) and unconditiones responses act via the ANS


Conrtol Method Neural Endocrine
Saliva Yes No
Stomach Yes Yes
Small Intestine No Yes


Phases of Gastric Secretion

Cephalic

Cephalic phase of secretion - Copyright RVC 2008
  • Unconditioned reflex
  • Sight, smell, taste of food
  • Vagus nerve (CN X)
  • Gastrin secreted from endocrine cells in pyloric mucosa
  • Histamine secreted from paracrine action
  • Increase stomach motility by release of hydrochloric acid and pepsinogen

Gastric

Gastric control of secretion - Copyright RVC 2008
  • Chemical and mechanical receptors in stomach
  • Histamine and gastrin released
  • Negative feedback loop by sympathomimetic somatostatin released by paracrine method to inhibit gastrin secretion (when pH falls below 3)

Intestinal

File:/intestinal control of secretion diagram.jpg
Intestinal control of secretion - Copyright RVC 2008
  • Chyme in the duodenum inhibits acid secretion and motility
  • Chyme causes release of secretin, GIP and CCK

Pancreatic

Pancretic control of secretion - Copyright RVC 2008
  • Parasympathetic stimulation during cephalic and gastric phases
  • Negative feedback from paracrine sympathomimetics (somatostatin and enkephalins)

Biliary

  • Secretin stimulates hydrogencarbonate ions from bile duct

Small Intestinal

  • Succus entericus
  • Vagal tone and parasympathomimetic reflex

Neuroendocrine Regulation of Feeding