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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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III. Gastric Secretions<br />

415<br />

4 . Lipase<br />

Lingual lipase is secreted by Von Ebner’s gland <strong>of</strong> the<br />

tongue and is important in the digestive processes <strong>of</strong> the<br />

human newborn, rats, and preruminant calves ( Cook<br />

et al., 1994 ; Plucinski et al., 1979 ).<br />

C . Functions <strong>of</strong> Saliva<br />

Saliva continuously bathes the oral cavity, which protects<br />

the surface epithelium. Ingested food is moistened and lubricated<br />

by saliva, thereby facilitating mastication and swallowing.<br />

Saliva also protects teeth from decay by washing food<br />

particles from the surfaces <strong>of</strong> the teeth and using its buffering<br />

capacity to neutralize the organic acids produced by bacteria<br />

normally present in the mouth. Saliva is necessary for vocalization,<br />

and, in some species that groom themselves, saliva<br />

promotes cooling as it evaporates. Additionally, it may be a<br />

source <strong>of</strong> pheromones. Salivary glands contain large numbers<br />

<strong>of</strong> growth factors, vasoactive serine proteases, and regulatory<br />

peptides ( Cook et al., 1994 ). There is reason to believe that<br />

these glandular constituents affect a wide range <strong>of</strong> biological<br />

functions not necessarily limited to the alimentary system.<br />

Ruminants produce much greater quantities <strong>of</strong> saliva<br />

than do simple-stomached animals, and their saliva has a<br />

higher pH and bicarbonate ion concentration. In ruminants,<br />

saliva serves several unique functions ( Phillipson, 1977 ). It<br />

is required for maintenance <strong>of</strong> the fluid composition <strong>of</strong> the<br />

contents <strong>of</strong> the rumen. The great buffering capacity <strong>of</strong> ruminant<br />

saliva is necessary to neutralize the large amounts <strong>of</strong><br />

organic acids that are end products <strong>of</strong> rumen fermentation.<br />

Rumen bacteria for protein synthesis can utilize the<br />

urea in saliva. Protein synthesized in the rumen is then<br />

used to meet dietary protein requirements. In this way, urea<br />

nitrogen can be “ recycled ” through the amino acid pool <strong>of</strong><br />

the body, and in ruminants it need not be considered an<br />

end stage in protein catabolism. The ability to reutilize<br />

urea has also been demonstrated in the horse, and this may<br />

be <strong>of</strong> particular benefit during periods <strong>of</strong> protein deficiency<br />

( Houpt and Houpt, 1971 ).<br />

III . GASTRIC SECRETIONS<br />

The stomach is divided into two main regions on the basis<br />

<strong>of</strong> secretory function. The oxyntic gland area corresponds<br />

approximately to the body <strong>of</strong> the stomach in most species<br />

<strong>of</strong> domestic animals and also to the fundus in the dog<br />

and cat. The oxyntic glands contain (1) oxyntic or parietal<br />

cells that produce hydrochloric (HCl) acid, (2) peptic<br />

(zymogenic, chief) cells that produce pepsinogen, and (3)<br />

mucous cells. The pyloric gland area contains mucus-producing<br />

pyloric glands whose secretion is slightly alkaline.<br />

This area also contains the G cells, which produce the<br />

polypeptide hormone, gastrin.<br />

A . Composition <strong>of</strong> Gastric Secretions<br />

1 . Basal versus Stimulated Secretion<br />

There are two components <strong>of</strong> gastric secretion. The surface<br />

epithelial cells and other mucus-producing cells continuously<br />

secrete the basal component. This component is neutral<br />

or slightly alkaline pH. The electrolyte composition<br />

is similar to that <strong>of</strong> an ultrafiltrate <strong>of</strong> plasma ( Table 14-2 ).<br />

The basal secretion contains large amounts <strong>of</strong> mucus,<br />

which has a cytoprotective effect on the epithelium. The<br />

secretory component produced by the oxyntic gland cells<br />

in response to stimulation contains free HCl and pepsinogen,<br />

the principal enzyme <strong>of</strong> gastric digestion.<br />

The composition <strong>of</strong> gastric juice depends on the relative<br />

amounts <strong>of</strong> the basal and secretory components in the<br />

juice and, in turn, is a function <strong>of</strong> the flow rate <strong>of</strong> each. In<br />

the dog, gastric juice is produced in the resting state at a rate<br />

<strong>of</strong> approximately 5 ml/h. The composition is similar to that<br />

<strong>of</strong> the basal component, containing practically no peptic<br />

activity or HCl. When the flow <strong>of</strong> gastric juice is stimulated<br />

maximally, the dog may produce 80 ml or more per hour<br />

<strong>of</strong> a secretion containing large amounts <strong>of</strong> peptic activity<br />

and HCl. Na , the principal cation in the basal secretion, is<br />

replaced to a large extent by H ion. The concentration <strong>of</strong> K <br />

is similar in both basal and stimulated secretions and, therefore,<br />

remains relatively constant at the various rates <strong>of</strong> flow.<br />

HCl and pepsinogen are secreted by separate mechanisms,<br />

but their production appears closely linked under<br />

physiological conditions. Stimulation <strong>of</strong> the vagus nerve or<br />

intravenous injection <strong>of</strong> gastrin increases pepsinogen and<br />

HCl levels together. Other stimuli may affect the two processes<br />

differently; for example, in the dog histamine infusion<br />

stimulates HCl production maximally but appears to<br />

inhibit pepsinogen secretion ( Emas and Grossman, 1967 ).<br />

TABLE 14-2 Composition <strong>of</strong> Parietal and Nonparietal<br />

Secretions <strong>of</strong> Canine Gastric Mucos a<br />

Component<br />

Parietal<br />

Secretion a<br />

(mmol/liter)<br />

Nonparietal<br />

Secretion a<br />

(mmol/liter)<br />

Na — 155.0 138.0<br />

H 159.0 — —<br />

K 7.4 7.4 4.0<br />

Ca 2 — 3.7 5.0<br />

Cl 166.0 133.0 117.0<br />

pH 1.0 7.54 c 7.42<br />

Nonparietal<br />

Secretion b<br />

(mmol/liter)<br />

a<br />

Determined in vivo using dogs with gastric fi stulas ( Gray and Bucher, 1941 ).<br />

b<br />

Determined in vitro with isolated gastric mucosa ( Altamirano, 1963 ).<br />

c<br />

Calculated from bicarbonate concentration assuming pCO 2 <strong>of</strong> 40 Torr.

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