Physiology · GIT Physiology (Secretions, Hormones, Motility, Absorption)

Secretin is released from S-cells of the duodenum. Its primary physiological role in digestion is:

  • A Stimulating pancreatic ductal cells to secrete a bicarbonate-rich fluid to neutralise duodenal acid
  • B Stimulating pancreatic acinar cells to secrete digestive enzymes
  • C Contracting the gallbladder to release bile into the duodenum
  • D Stimulating gastric parietal cells to secrete HCl
Correct answer: A. Stimulating pancreatic ductal cells to secrete a bicarbonate-rich fluid to neutralise duodenal acid

Explanation

Secretin is released by S-cells in the duodenal mucosa in response to duodenal acidification (pH <4.5). It acts on pancreatic ductal (centroacinar) cells via cAMP-mediated mechanisms to produce a large volume of HCO3--rich fluid. This bicarbonate neutralises the acidic chyme entering the duodenum, creating an optimal pH (~7) for pancreatic enzyme function. Cholecystokinin (CCK) stimulates pancreatic enzyme secretion and gallbladder contraction. Gastrin stimulates parietal cell HCl secretion. Secretin actually inhibits gastric acid secretion (enterogastrone effect).

Reference: Guyton & Hall, Textbook of Medical Physiology, 14th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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