LM

Lab Session 22: Digestive Organs Histology & Anatomy of Organs Along the GI-Tract

Digestive System

Form is highly adapted to function

  • anatomy has

    • physical forms → mechanically digest and break down food

    • secretory cells with enzymes → chemically digest molecules

    • large surface area → maximize physiology of absorbing nutrients

General Position of Digestive Organs in the Body

  • mesenteries: double layer of peritoneum

    • route blood vessels, lymphatics, nerves

    • hold/support organs in their place

    • store fat, cushioning

  • intraperitoneal: most organs in digestive system are suspended from the body wall by dorsal mesenteries, but some are held by ventral mesenteries

  • retroperitoneal: organs that have lost their mesenteries during development

Digestive tract

  • passageway for blood

  • direct digestion & absorption

“The Cephalic Phase”

Food processing that occurs around the oral cavity

  • ingestion: the act of bringing food into the oral cavity, i.e. mouth

  • mechanical digestion: teeth used to break food into smaller pieces, while tongue shapes the food into a softer bolus

  • chemical digestion: saliva contains salivary amylase enzyme → breaks bonds in carbohydrates

Oral Cavity, i.e. Mouth

  • walls of the mouth are lined with thick stratified squamous epithelia

    • protects against friction & chemicals

    • reinforced with keratin

  • lips/cheeks help keep food in the proper location during ingestion and mechanical digestion

  • oral vestibules with gingivae (gums) hold teeth

Palate is divided to perform multiple functions…

  • palate → roof of the mouth

    • hard palate: provides a rigid surface for the tongue to push against when chewing

      • ridges → create friction

    • soft palate: more mobile fold that rises to block the nasopharynx when swallowing

      • palatine tonsil/uvula at tip

Tongue is very important to multiple functions…

  • tongue: made of skeletal muscle of two types to perform:

    • mechanical digestion of the bolus

    • mixing saliva into the bolus

    • propulsion (swallowing / moving food forward

    • formation of consonant sounds

  • intrinsic muscles: not attached to bone, allow tongue to shape

    • speech and swallowing

  • extrinsic muscles: attached to bone, alter the position of tongue

Digestive Tract has different Organs, but they all share GENERAL anatomical 4-layer structure

  • esophagus → anal canal, the organs of the GI-Tract have the same general 4-layer structure

    • mucosa

    • submucosa

    • muscularis externa

    • serosa

  • mucosa: innermost to lumen

    • functions:

      1. secretion: mucus (lubrication), enzymes (digestion), hormones

      2. absorption of nutrients and transfer to bloodstream

      3. protection against pathogens

    • lamina propria: has connective tissue → gives mucosa its shape and stem cells → regenerate tissues

    • muscularis mucosae: an additional thin layer muscle layer, presented to propel mucus → help lubrication and protection

      • form boundary of mucosa

      • contract

  • submucosa: surrounds mucosa

    • large amount of connective tissue → help organs distend and regain shape (stomach)

    • provides a path blood vessels, lymph vessels, and nerve fibers (enteric nerve) to move through

  • muscularis externa: smooth muscle

    • peristalsis → propulsion of bolus

    • segmentation → mechanical digest

    • has 2 layers

      1. circular layer → contracts (squeeze inward) & lumen’s circumference

      2. longitudinal layer → contracts and shorten’s the tract’s length

  • serosa: outermost layer

    • i.e., the visceral peritoneum that lines system along body cavity

    • connective tissue → covered by a single layer of squamous epithelia

Esophagus

Single peristalsis wave moves down to stomach

Propulsion

Throughout GI-Tract, depends on smooth muscle

  • longitudinal layer: runs parallel to the lumen → contraction will shorten tube

  • circular layer: line circumference the lumen, so contraction will constrict cross-section

  • alternating of contraction of these layers will squeeze bolus through the pathway

    • longitude + circular = peristalis

    • circular only = segmentation

“Cephalic Phase” ends with propulsive swallowing

  • propulsion (i.e. motility): major process of the digestive system, first occurs during act of swallowing

  • swallowing (deglutition) involves tongue, pharynx, esophagus

  • tongue/mouth = voluntary skeletal muscle to initiate the process

  • pharynx/esophagus = involuntary smooth muscle to move bolus into the stomach

Stomach

Storage and digestion

  • storage location for food to be digested

  • protein digestion: primary chemical digestion role

    • also produces lipases → fat breakdown

  • performs large amount of mechanical digestion → turns the food into chyme

Modification of 4-layers

  • muscularis: circular and longitudinal layers of smooth muscle, also has third innermost layer of smooth muscle

  • oblique layer: adds “pummel” to motion that smooth muscle can do → stomach performs large mechanical digestion

  • mucosa = modified for the digestive roles of the stomach with gastric glands

    • gastric glands entry = gastric pit

Myenteric Plexus:

Neuron Ganglia for the Enteric Nervous System

  • myenteric plexus: hard to see layer between the circular layer and longitudinal layers present in the muscularis externa

  • location of neuronal ganglia from neurons of the enteric nervous system → regulates digestion and sends feedback signals

Pacemaker cells are located in the Myenteric Plexus

  • interstitial cells of Cajal (ICC): neurons from enteric nervous sytem (ENS) that act as pacemakers

    • unstable membrane potential

    • auto-depolarize to generate rhythm

    • in myenteric plexus between muscle

  • connected to smooth muscle cells by gap junctions → electrical impulse is relayed directly through cells

  • even though they are “auto-rhythmic,” still innervated by ENS / ANS at varicosities

Stomach Physiology

Storage and DIgestion

  • gastric juice contains

    • hydrochloric acid → breakup the ECM, holds cells together, denatures proteins

    • pepsin → once the larger food/cellular components are exposed, the pepsin enzymes digests proteins into amino acids

  • gastric gland in the stomach has different cell types:

    • parietal cells → secrete H+ and Cl- separately & intrinsic factor

      • more light color

      • less parietal cells the deeper into the glands

    • chief cells → secrete pepsinogen → pepsin when mixed with HCl (low-pH) & lipase

      • take up stain because they have more secretory granules

      • more chief cells the deeper into the glands

    • mucous cells → secrete mucus to protect lining from gastric juice

    • enteroendocrine cells → secrete a variety of hormones & gastrin

Small Intestine

Primary Site for Digestion and Absorption

  • 3 structural divisions

    1. duodenum (first part / entry)

    2. jejunum (highest absorption)

    3. ileum (vitamins, salts / exit)

  • tremendous surface area → absorption of nutrients

  • major organ of digestion and absorption

Digestion throughout the body

  • stomach does a difficult job of digesting proteins → small intestine digests everything

Duodenum is an entry point for digestive enzymes

  • most digestion occurs in duodenum, where numerous enzymes enter via ducts from many accessory organs:

    • pancreas: sends lipases, proteases, and nucleases → breakdown fats, proteins, and nucleic acids

    • liver: makes bile salts, which are first stored in the gallbladder (breakdown fats)

  • also makes its own enzymes

Jejunum and ileum perform most of the absorption

  • maximizes surface area for absorption → forms a brush border layer

  • vili

    • projection into the lumen → increase surface area

  • goblet cells

    • more light color, or cut out

    • produce mucus

  • intestinal crypt

    • deep groove

    • increase surface area

  • enterocytes

    • absorb material

    • have microscopic extensions called microvili

  • larger extensions, called circular folds (plicae) in the small intestine

Lamina Propia (not submucosa) extends into vili

  • lamina propia (i.e. mucosa) tissue connective/structural tissue of the vili, and not submucosa

  • crypts generally extend down to muscularis mucosa, at the boundary with the submucosa

Blood and Lymph Vessels transport absorbed nutrients

  • blood vessels: transport hydrophilic amino acids and sugars via capillaries

  • lymph vessels: transport hydrophobic fats and glycerides via lacteals

Small intestine: more mucus secreted by glands

  • intestinal glands: aka mucosal glands, secrete mucus from mucosa

  • brunner’s glands: aka duodenal glands, secrete mucus from submucosa

Small intestine: secretes more than mucus / enzymes

  • peyer’s patches: lymphatic tissue/vessels present in the submucosa of ileum, near the entry to large intestine → secretes antimicrobial agents to stop infection

  • mucus associated lymphoid tissue

    • malt: immunity role