2. INTRODUCTION
Pancreas is elongated gland lies
behind and below the stomach.
Pancreas has Acini and ducts.
1. - Pancreatic Acinar cells secrete –
digestive enzyme.
2. - Pancreatic duct – secrete
watery secretion rich in NaHCO3
3. COMPOSTION OF PANCREATIC JUICE
Pancreatic secretion per day is 1 – 2 liters.
pH – approximately 8.0
It has
- Water
- Cations – Na, K, Ca, Mg
- Anions – HCO3, Cl, SO4, HPO4
- Digestive enzymes
4. PANCREATIC SECRETION
• Exocrine Pancreas secretes pancreatic juice.
• It has two components:
1. Pancreatic enzymes – secreted by Acinar cells.
2. Watery [aqueous] alkaline fluid rich in NaHCO3
actively secreted by duct cells that line the
pancreatic ducts.
5. PANCREATIC SECRETION
1. Pancreatic enzymes
• The pancreatic enzymes are stored in zymogen granules after they
are produced.
• They are released by exocytosis as needed.
• Pancreatic enzymes are important because they can completely
digest food, in absence of all other digestive secretions.
6. PANCREATIC SECRETION
• Pancreas Acinar cell secrete three types
of pancreatic enzymes:
1. Proteolytic enzymes for protein digestion.
2. Pancreatic amylase for carbohydrate digestion.
3. Pancreatic Lipase for fat digestion.
7. 1- Pancreatic Proteolytic enzymes
• Major Proteolytic enzymes are
- Trypsinogen
- Chymotrypsinogen
- Procarboxypeptidase
• They are secreted in INACTIVE form.
PANCREATIC SECRETION
8. How these Proteolytic enzymes are
activated?
• When Trypsinogen is secreted into the duodenal lumen
• activated to its active form TRYPSIN by Enterokinase
[enteropeptidase], an enzyme which is embedded in the mucus
membrane of duodenal mucosa.
• Trypsin once formed activates Trypsinogen [autocatalytic].
1- Pancreatic Proteolytic enzymes
9.
10. 1- Pancreatic Proteolytic enzymes
Chymotrypsinogen and Procarboxypeptidase.
• They are converted to active form by Trypsin in duodenal
lumen also.
IMPORTANT – We need initially Enterokinase to form
trypsin. Once trypsin is formed it carries out other
processes.
11. 1- Pancreatic Proteolytic enzymes
• Proteolytic Enzymes [Trypsin, Chymotrypsinogen,
Carboxypeptidase] attack different peptide
linkages.
• End result is formation of small peptide chains and
amino acids.
12. 2- Pancreatic amylase for carbohydrate digestion
• Pancreatic amylase causes conversion of polysaccharides
into disaccharide maltose.
• Pancreatic amylase is secreted in the Active form as it is not
the risk for auto digestion of pancreas.
13. 3-Pancreatic Lipase for fat digestion
Pancreatic lipase is very important. Why?
Because it is the only enzyme secreted throughout the
digestive system that can digest fat.
NOTE – In human, insignificant amount of lipase are
secreted in the saliva and Gastric Juice called Lingual Lipase
and Gastric Lipase.
14. 3-Pancreatic Lipase for fat digestion
• Pancreatic lipase hydrolysis dietary triglycerides
into monoglyceride and Free fatty acids, which
are absorbed in small intestine.
• Pancreatic lipase is secreted in Active form as it is
not the risk for pancreatic auto-digestion.
15. Pancreatic insufficiency
• When pancreatic enzymes are deficient, digestion of
food is incomplete.
• As pancreatic lipase is the only significant source for
fat digestion, its deficiency results in Maldigestion of
fats, it is called STEATORRHEA [increased undigested
fat in feces.
• Up to 60 – 70% of fat taken maybe excreted in feces.
16. • Digestion of protein and carbohydrate is impaired to a
lesser degree because salivary, gastric and small intestine
enzymes contribute to their digestion.
17. PANCREATIC SECRETION
2. Pancreatic Aqueous Alkaline Fluid
• As highly acidic Gastric contents are emptied into the duodenal
lumen, this acidic Chyme must be neutralized quickly in the
duodenal lumen. Why?
- Because to allow the functioning of pancreatic enzymes [they
work in neutral or slightly alkaline medium]. NaHco3 in pancreatic
fluid neutralizes the acidic Chyme.
- To prevent damage to duodenal mucosa.
18. Regulation Or Control Of Pancreatic
Exocrine Secretion
It is hormonal and neural mechanism.
1. Mainly by hormonal mechanism – secretin and
Cholecystokinin [CCK].
2. Parasympathetic stimulation – little contribution
during cephalic phase.
When Chyme enters the duodenum, Two major
hormones secretin and CCK [Entrogastrones] are released
in response to Chyme.
19.
20. SECRETIN
• Primary stimulus for secretion of secretin is acid in the
duodenum.
• Secretin is carried by blood to the pancreas where it stimulates
the duct cells to increase NaHCO3 rich watery secretion in the
duodenum.
• NaHCO3 neutralizes the acid content of Chyme
Regulation Or Control Of Pancreatic
Exocrine Secretion
21. CHOLECYSTOKININ [CCK]
CCK is released from duodenal mucosa.
Main stimulus for release of CCK is Fat, to a lesser extent protein.
CCK is transported by blood to pancreas Acinar cell to increase
digestive enzyme secretion.
These pancreatic enzymes help to digest fat, protein and
carbohydrate.
All three types of enzymes [for protein, fat, and carbohydrate] are
packed in Zymogen granules together, therefore, all are released
together by exocytosis.
Regulation Or Control Of Pancreatic
Exocrine Secretion