Digestive System
Digestive System
nutrients, water, salts
Respiratory System
oxygen
carbon dioxide
Circulatory System
water solutes
elimination of food residues rapid transport to and from all living cells
Urinary System
Digestive System
Mouth Salivary Glands
amylase
Esophagus
Stomach Small Intestine
Gastric Glands
HCl and pepsin
Pancreas amylase,
trypsin, lipase
Saliva
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
Related:
Decreasing fluid intake . . . Oral rehydrating fluids Fears: dehydration, thirst Remind families, caregivers dehydration does not cause distress dehydration may be protective Parenteral fluids may be harmful fluid overload, breathlessness, cough, secretions Mucosa / conjunctiva care
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
sympathetic nerves the main agonists are ACh (parasympathetic) and noradrenaline (sympathetic)
main stimulus of secretion is from the parasympathetic pathway acting via signals from the salivary nuclei excited by both taste and tactile areas of the tongue
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
also excited via stimuli arriving at the salivary nuclei from higher centres of CNS - such as smell or thinking of food salivation also occurs in response to reflexes from stomach and upper intestines following gastric irritability - saliva serving to dilute the digesta
Ion channels
Na+, K+, Cl- channels
special senses
TASTE
Taste:
Must be disolved in saliva Na channel open Potensial action Correlation with body need: Adrenalectomy animal : drink electrolit water Hypogicemia : sweet
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
The taste buds located in papillae on the tongue contain taste cells that communicate with sensory nerve fibers. Microvilli on taste cells contain receptor proteins that match chemicals in food. The brain determines the taste according to a weighted average of incoming impulses from taste buds sensitive to either sweet, sour, salty, or bitter tastes.
Taste
Papillae (named according to shape) a. Vallate (surrounded by a wall) Largest, not many b. Fungiform (mushroom shape) Scattered irregularly c. Foliate (leaf shape) Distributed in folds on the side of the tongue. Most sensitive d. Filiform (filament shape) Embedded in epithelium of the tongue and mouth Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
Taste bud: ephiteliun cells, supporting cells, taste cells, taste pore, taste hair.
Taste (Gustation)
1. Location - oral cavity (mostly in papillae of tongue) 2. Structures/receptors chemoreceptors (respond to chemicals dissolved in saliva) 3. Nerve pathways from taste buds in: * mouth/tongue: facial - anterior 2/3 of tongue) and glossopharyngeal (posterior 1/3) * lower pharynx and epiglottis: vagus Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
21
Taste Pathways
Taste
Synapses facial, glossopharyngeal and vagus nerves carry impulses to medulla some fibers from medulla synapse with parasympathetic fibers to initiate reflexes for saliva and gastric juice secretion (also gagging or vomiting) other fibers from medulla carry impulses to thalamus fibers from thalamus carry impulses to gustatory area (parietal lobe), hypothalamus and cerebral limbic system Final destinations: gustatory area (parietal lobe), hypothalamus and cerebral limbic system NOTE: receptors for taste and smell complement each other and respond to many of the same stimuli most (~80%) of what we call taste is really smell mouth also contains: thermoreceptors, mechanoreceptors, nociceptors (carried by trigeminal nerve)
Taste Bud
Integration centre: Brain stem Nuclei of Tr. Solitarius Nucleus ventral posterior medial Thalamus Lower tip of the gyrus post centralis cortex parietalis near by SSA. I for tongue area Nucl. Salivatorius N. VII (Facialis) Submaxillaris gland Inf. sup
S A L I V A R E F L E X
E S
P a t h w a y s
Submandibularis gland
Saliva Scretion
Taste pathway:
1/3 posterior IX aferent 2/3 anterior VII aferent Pharynx/Glottis X aferent Gustatory to contralateral ventro-postero-medialis talamus ( VPM) cortex of gustatory ( parietalis).
Depolarisasi
Sweet
Summary
TAS1R1 TAS1R2 TAS1R3 TAS2R1 TAS2R3 TAS2R4 TAS2R5 TAS2R7 TAS2R8 TAS2R9 TAS2R10 TAS2R13 TAS2R14 TAS2R16
taste receptor, type 1, member 1 taste receptor, type 1, member 2 taste receptor, type 1, member 3 taste receptor, type 2, member 1 taste receptor, type 2, member 3 taste receptor, type 2, member 4 taste receptor, type 2, member 5 taste receptor, type 2, member 7 taste receptor, type 2, member 8 taste receptor, type 2, member 9 taste receptor, type 2, member 10 taste receptor, type 2, member 13 taste receptor, type 2, member 14 taste receptor, type 2, member 16
T1R1, TR1 T1R2, TR2 T1R3 T2R1, TRB7 T2R3 T2R4 T2R5 T2R7, TRB4 T2R8, TRB5 T2R9, TRB6 T2R10, TRB2 T2R13, TRB3 T2R14, TRB1 T2R16
Appetide
Colour Smell Memori Tactile Temperatur Kinesthetica Gen Leptin Grehlin NPY Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
benzoate, amygdalin, arbutin, helicin, dsalicin, sinigrin, danfenil beta-D-glucopyranosid (Bufe et al.,2002; Wiener et al.,2011). Kurus-tidak suka makan panjang umur Centenarian:
Leptin (Greek (leptos) meaning thin) is a 16-kDa protein hormone plays a key role in regulating energy intake and energy expenditure, including appetite/hunger and metabolism. It is one of the most important adipose-derived hormones. The Ob(Lep) gene (Ob for obese, Lep for leptin) is located on chromosome 7 in humans. It functions by binding to the leptin receptor.
Grehlin
hormone produced mainly by P/D1 cells lining the fundus of the human stomach and epsilon cells of the pancreas stimulates hunger. increase before meals and decrease after meals. counterpart of the hormone leptin, produced by adipose tissue, which induces satiation when present at higher levels. In some bariatric procedures, the level of ghrelin is reduced in patients, thus causing satiation before it would normally occur.
NPY = Neuropeptide Y
36-amino acid neuropeptide that acts as a neurotransmitter in the brain and in the autonomic nervous system In the ANS is mainly produced by neurons of the sympathetic nervous system and serves as a strong vasoconstrictor and also causes growth of fat tissue.[ In the brain it is produced in various locations including the hypothalamus, and is thought to have several functions, including: increasing food intake and storage of energy as fat, reducing anxiety and stress, reducing pain perception, affecting the circadian rhythm, reducing voluntary alcohol intake, lowering blood pressure and controlling epileptic seizures.[1][
Pain in Taste
Substance:
From: Capsaicin: Chili
Khavaisin: Pepper
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
CAPSICUM ANNUUM
External: topical stimulant, Rubefacient and counter-irritant Used for local pain, neuralgia, pleurodynia, intercostals neuralgia, toothache, chronic rheumatic pains, lumbago, chilblains. Can be used to promote circulation and tissue repair in gum disease, pharyngitis and hoarseness (gargle).
Capsicum
Capsaicin inhibits release of neurotransmitter substance P, after an initial stimulation. It stimulates adrenal secretion from the medulla (adrenaline) and cortex (cortisol). It reduces serum triglycerides. Inhibits gastric motility, increases duodenal motility. Increases mucosal blood flow and vascular permeability. Stimulates sensitive areas in stomach and duodenum, which afford protection against ulcers (also when stimulated by acid).
Capsicum or Cayenne
Internal: stimulant to heart and circulation; Peripheral circulatory insufficiency, Raynaud's, intermittent claudication. Stimulant and tonic to the gastro-intestinal tract; Membranes pale, relaxed, or flabby; Impaired secretion; Chronic gastric catarrh in absence of inflammation. Atonic dyspepsia; Gastric flatulence
Prof. Dr. Jenny Sunariani , drg., MS
Oral Biology S1 FKG - UnAir 9 April 2013
Capsicum Interaction
Ace inhibitors: capsicum has the ability to normalize both low and high blood pressure and is often used to equalize blood pressure; Hence capsaicin may interfere with the blood-pressure regulating functions of ACE inhibitors. Capsaicin may also aggravate cough due to ace-inhibitor drugs.
Capsicum Interaction
Anticoagulants & Antiplatelet drugs Increases coagulants effect and also has a additive effect so monitor pt/inr Barbiturates : Increased or decreased effect, depending on the length of time capsaicin is administered
TASTE PATHWAY
Primary afferents parts of cranial nerves VII, IX and X which go to brainstem 2nd order neurons project to ipsilateral thalamus 3rd order neurons --> taste cortex
Taste
2. Endocrine gland responds (eg. pancreas)
2005
1 Perbedaan Derajat Keasaman (pH) Saliva akibat Pemakaian Jangka Panjang Pasta Gigi Berdeterjen Sodium Lauryl Sulphate 5% dengan pasta gigi Non Deterjen. Mutia Rochmawati, Anis Irmawati dan Jenny Sunariani. Majalah Ilmu Faal Indonesia Vol. 8, No. 1. Juni ISSN 0215.1995 Akreditasi Dirjen Dikti No. 56/Dikti/Kep/2005.
Perubahan Konsentrasi IL-1 dan Gustducin Terhadap Rasa Pengecap Pahit pada Demam Bitter Taste In Inflammation
Jenny Sunariani, Abstract e journal-Folia Sunarko Setyawan Medica Fakultas Kedokteran 2005 Majalah Ilmu Faal Indonesia Vol.7 No. 1 Oktober 2007 ISSN 0215.1995 Akreditasi Dirjen Dikti No. 56/Dikti/Kep/2005
Unair
Jenny Sunariani
2006/2007
1 Effect Of IL-1 and Gustducin Expression Change On Bitter Taste During Fever Jenny Sunariani Majalah Kedokteran Gigi (Dental Journal) Vol. 41 No. 2 AprilJuni 2008 ISSN. 0852-9027 Terakreditasi No. 48/Dikti/Kep/2006
Change Of IL-1 Concentration And Intracellular Calcium (Ca2+Ic) As An Indicator Of Increased Bitter Taste In Thypoid Fever
Jenny Sunariani
Folia Medica Indonesiana Vol. 44 No. 3 July-September 2008 Issn. 0303-7932 Accredited No. 167/DIKTI/Kep/2007
2007
Perbedaan Persepsi Jenny Sunariani, Pengecapan Rasa Asin Antara Yuliati, Bestari Aflah Usia Subur dan Usia Lanjut
Majalah Ilmu Faal Indonesia Vol.6 No. 3 Juni 2007 ISSN 0215.1995 Akreditasi Dirjen Dikti No. 56/Dikti/Kep/2005 2007 Folia Medica Indonesiana Vol. 44 No. 3 July-September 2008 Issn. 0303-7932 Accredited No. 167/DIKTI/Kep/2007
Change Of IL-1 Concentration Jenny Sunariani And Intracellular Calcium (Ca2+Ic) As An Indicator Of Increased Bitter Taste In Thypoid Fever
2008
1 Efek Perubahan Warna Minuman Terhadap Persepsi Rasa Pengecapan Sandra, Yuliati, Jenny Sunariani Jurnal PDGI ISSN. 0024 9548, Edisi Khusus Kongres PDGI XXIII, Maret 2008 Kongres Nasional XIII IAIFI Seminar Nasional XVII IAIFI Hotel Garuda Plaza, Medan 06-08 Agustus 2008 Kongres Nasional XIII IAIFI Seminar Nasional XVII IAIFI Hotel Garuda Plaza, Medan 06-08 Agustus 2008 Dimuat dalam e-jurnal Biology Oral FKG UNAIR Vol 1 No 1. September
Mekanisme Peningkatan Sensitivitas Indera Pengecap Umami Akibat Pemberian Monosodium Glutamat (MSG) pada Usia Lanjut Korelasi Antara Massa Tubuh Dengan Sensitivitas Indera Pengecap Rasa Manis
Comparision of sour taste Upayati Ifarum, Anis sensitivity between detergen Irmawati, Jenny tooth paste and detergen tooth Sunariani
2009
Ekspresi Gustducin pada saluran Jenny Sunariani. Pencernaan. Hubungan Fisiologis Neuroepitel Jenny Sunariani. Lidah dengan Usus.
Disajikan dalam Seminar Rutin Biologi Oral -FKG 2009 Disajikan dalam Seminar Ilmiah Rutin IAIFI cabang Surabaya. 2009
Effect Of Gustducin and Calcium Jenny Sunariani, Hibah Penulisan Interna Intracelluler (Ca2+Ic) Expression Sunarko Setyawan, 2009sional tahun Change During Fever. Yuliati.
2010
1 Perubahan Sensitivitas Indera Pengecap Rasa Manis Akibat Latihan Fisik Aerobik.
Perubahan Sensitivitas Indera Pengecap Rasa Manis Akibat Latihan Fisik Aerobik. Perbandingan persepsi Rasa Manis antara pemberian chlorhexidine Gluconate dan Povidonelodine
2011
1 Efek sodium Lauryl Sulphate terhadap perubahan Vili Intestinal Nino Mayangsari, Jenny Sunariani, Annisa Chusida Lia Betsyba N, Jenny Sunariani, Sophia Eleonora Hermin Sulistyorini, Jenny Sunariani, Agung Sosiawan 2011
Duo Denum
2
Efek Leptin terhadap perubahan tinggi epitel papilla fungiformis pada tikus wistar dengan kondisi Diabetes Melitus (DM)Tipe 2 Perubahan morfologik Chief Cells pada tikus diabetes Melitus (DM) tipe 2
2011
2011
Perbedaan sensitivitas indera pengecap rasa asin pada wanita menopause dan Postmenopause
2011
2012
1 Perubahan morfologik sel Hepatosit Fika Ariesta akibat pemberian Leptin pada tikus Agustine, Jenny model Diabetes Melitus tipe 2 Sunariani, Edhi Jularso 2011
Perbedaan sensitivitas pengecap rasa asin antara kebiasaan mengkonsumsi makanan pedas dan mengkonsumsi makanan tidak pedas
2013
1-8
Sedang berjalan Penelitian Leptin diabet dalam rongga mulut (8 komponen) Neurobiology and Neurochemistry of the taste
Irham, Donny, ........, Sari, Diesta, Aflah, Diesta, Bowo Marriot, 30 April 2013