Gastrointestinal tract functions

Winter H. Gastrointestinal tract function and malnutrition in HIV-infected children. J Nutr 1996 126 2620S-2622S. 

Purified Psyllium Seed Fiber, Human Gastrointestinal Tract Function, and Nutritional Status of Humans... 

Effect on Gastrointestinal Tract Function and Fecal Bulk... 

Appetite control is a complex function of the brain that regulates feeding behaviour. This function integrates cognitive and emotional factors with a complex array of signals from the gastrointestinal tract and from adipose tissue. 

A high concentration of DOPs is found in the olfactory bulb, the neocortex, caudate putamen, and in the spinal cord, but they are also present in the gastrointestinal tract and other peripheral tissues. The functional roles of DOP are less clearly established than for MOP they may have a role in analgesia, gastrointestinal motility, mood and behaviour as well as in cardiovascular regulation [2]. 

High concentrations of KOP have been found in the cerebral cortex and hypothalamus KOP is also present in the gastrointestinal tract, in immune cells as well as in other peripheral tissues. KOPs have been implicated in the regulation of nociception, diuresis, feeding, neuroendocrine and immune system functions [2]. 

Pituitary Adenylyl Cyclase-activating Polypeptide (PACAP) is a 38-amino acid peptide (PACAP-38), which is widely expressed in the central nervous system. PACAP is most abundant in the hypothalamus. It is also found in the gastrointestinal tract, the adrenal gland and in testis. Its central nervous system functions are ill-defined. In the periphery, PACAP has been shown to stimulate catecholamine secretion from the adrenal medulla and to regulate secretion from the pancreas. Three G-protein coupled receptors have been shown to respond to PACAP, PAQ (PACAP type I) specifically binds PACAP, VPACi and VPAC2 also bind vasoactive intestinal peptide (VDP). Activation of PACAP receptors results in a Gs-mediated activation of adenylyl cyclase. 

PARs are coupled to multiple G-proteins and mediate a number of well-defined cellular responses via classical second messenger and kinase pathways. PARs are differentially expressed in cells of the vasculature as well in the brain, lung, gastrointestinal tract, skin as well as other highly vascularised tissues and evidence suggests distinct physiological functions and roles in disease states [2]. 

These dragp are used with caution in patients with tachycardia, cardiac arrhythmias, hypertension, hypotension, those with a tendency toward urinary retention, those with decreased liver or kidney function, and those with obstructive disease of the urinary system or gastrointestinal tract. The anticholinergic drugp are given with caution to the older adult. 

The pentose phosphate pathway is an alternative route for the metabolism of glucose. It does not generate ATP but has two major functions (1) The formation of NADPH for synthesis of fatty acids and steroids and (2) the synthesis of ribose for nucleotide and nucleic acid formation. Glucose, fructose, and galactose are the main hexoses absorbed from the gastrointestinal tract, derived principally from dietary starch, sucrose, and lactose, respectively. Fructose and galactose are converted to glucose, mainly in the liver. 

Different t T)es of body cells show different sensitivities to nuclear radiation. Cells that divide most rapidly tend to be most easily damaged. These include bone marrow, white blood cells, blood platelets, the lining of the gastrointestinal tract, and cells in the gonads. Consequently, the S3Tnptoms of radiation sickness include loss of blood functions and gastrointestinal distress. 

Parenteral Fluids. During the past ten years interest has been renewed in the total alimentation of the infant by vein (2). The motivation for this is the fact that neonates may suffer from some congenital malformation of the intestinal tract which would require surgical resection. If this is done, then one needs some outside way for alimentation, bypassing the intestine, until the intestine is able to heal and recover its normal function. This may take many weeks. A second source of motivation is the small premature infant weighing less than a kilogram, whose immature central nervous system and gastrointestinal tract make it difficult to establish nutrition by oral intake soon after birth. These also require total intravenous nutrition for a substantial period of time. 

This occurs in the seromucous secretions such as saliva, tears, nasal secretions, sweat, colostrum and secretions of the lung, urinogenital and gastrointestinal tracts. Its purpose appears to be to protect the external surfaces of the body from microbial attack. It occurs as a dimer in these secretions but as a monomer in human plasma, where its function is not known. The function of IgA appears to be to prevent the adherence of microorganisms to the surface ofmucosal cells thus preventing them entering the body tissues. It is protected from proteolysis by combination with another protein—the secretory component. 

Myo-inositol is one of the most biologically active forms of inositol. It exists in several isomeric forms, the most common being the constituent of phospholipids in biological cell membranes. It also occurs as free inositol and as inositol hexaphosphate (IP6) also known as phytate which is a major source from food. Rice bran is one of the richest sources of IP6 as well as free inositol. Inositol is considered to belong to the B-complex vitamins. It is released in the gastrointestinal tract of humans and animals by the dephosphorylation of IP6 (phytate) by the intestinal enzyme phytase. Phytase also releases intermediate products as inositol triphosphate and inositol pentaphosphate. Inositol triphosphate in cellular membrane functions as an important intra- and intercellular messenger, that merits its value as a nutritional therapy for cancer. 

Some people show first evidence of IBS after contracting gastroenteritis, which has led to speculation about whether an infection makes the gastrointestinal tract susceptible to functional problems. Women with IBS may have symptoms triggered by menstrual periods. 

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