{"id":5333,"date":"2019-06-24T17:44:37","date_gmt":"2019-06-24T17:44:37","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/20-3-structures-of-the-male-reproductive-system-3\/"},"modified":"2023-11-30T23:24:47","modified_gmt":"2023-11-30T23:24:47","slug":"20-3-structures-of-the-male-reproductive-system-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/20-3-structures-of-the-male-reproductive-system-3\/","title":{"raw":"18.3\u00a0Structures of the Male Reproductive System","rendered":"18.3\u00a0Structures of the Male Reproductive System"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_5158\" align=\"aligncenter\" width=\"400\"]<img class=\"wp-image-5158\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Lamb_fries-2.jpg\" alt=\"18.3.1 Rocky Mountain Oysters\" width=\"400\" height=\"268\" \/> <em>Figure 18.3.1 Those are some odd looking oysters...<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Rocky Mountain Oysters<\/h1>\r\n<\/div>\r\nFirst, they are peeled and pounded flat. Then, they are coated in flour, seasoned with salt and pepper, and deep fried. What are they? They are often called Rocky Mountain oysters, but they don\u2019t come from the sea. They may also be known as Montana tendergroin, cowboy caviar, or swinging beef \u2014 all names that hint at their origins. Here\u2019s another hint: they are harvested only from male\u00a0animals, such as bulls or sheep. What are they? In a word: testes.\r\n<div>\r\n<h1>Testes and Scrotum<\/h1>\r\n<\/div>\r\nThe two\u00a0<strong>[pb_glossary id=\"3486\"]testes[\/pb_glossary]<\/strong> (singular, testis) are [pb_glossary id=\"2506\"]sperm[\/pb_glossary]- and [pb_glossary id=\"3409\"]testosterone[\/pb_glossary]-producing gonads in male mammals, including male humans. These and other organs of the human male reproductive system are shown in Figure 18.3.2. The testes are contained within the <strong>[pb_glossary id=\"5089\"]scrotum[\/pb_glossary],<\/strong>\u00a0a pouch made of skin and smooth muscle that hangs down behind the [pb_glossary id=\"5091\"]penis[\/pb_glossary].\r\n\r\n[caption id=\"attachment_5159\" align=\"alignnone\" width=\"2048\"]<img class=\"size-full wp-image-5159\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Human_reproductive_system_Male-2.jpg\" alt=\"18.3.2 The Male Reproductive System\" width=\"2048\" height=\"1066\" \/> <em>Figure 18.3.2 The male reproductive system includes external organs (such as the penis and testes), and internal organs (such as the prostate gland and seminal vesicles). This view shows the organs from the side, so only one of each paired organ (such as the testes and seminal vesicles) is pictured.<\/em>[\/caption]\r\n<h2>Testes Structure<\/h2>\r\nThe testes are filled with hundreds of tiny tubes, called\u00a0<strong>[pb_glossary id=\"5160\"]seminiferous tubules[\/pb_glossary],<\/strong> which are the functional units of the testes. As shown in the longitudinal-section drawing of a testis in Figure 18.3.3, the seminiferous tubules are coiled and tightly packed within divisions of the testis called lobules. Lobules are separated from one another by internal walls (or septa).\r\n\r\n[caption id=\"attachment_5161\" align=\"aligncenter\" width=\"500\"]<img class=\"wp-image-5161\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Testicle-2.jpg\" alt=\"18.3.3 Testicle\" width=\"500\" height=\"433\" \/> <em>Figure 18.3.3 This longitudinal-section drawing includes a testis on the left, its corresponding epididymis in the centre, and its related vas (or ductus) deferens on the right. The three structures are connected to create a tract through which sperm can travel.<\/em>[\/caption]\r\n<h3>Tunica<\/h3>\r\nThe multi-layered covering of each testis, called the tunica, protects the organ, ensures its blood supply, and separates the testis into lobules. There are three layers of the tunica: the tunica vasculosa, tunica albuginea, and tunica vaginalis. The latter two layers are labeled in the drawing above (Figure 18.3.3).\r\n<ul>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5162\"]tunica vasculosa[\/pb_glossary]<\/strong>\u00a0is the innermost layer of the tunica. It consists of connective tissue and contains arteries and veins that carry\u00a0blood\u00a0to and from the testis.<\/li>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5163\"]tunica albuginea[\/pb_glossary]<\/strong>\u00a0is the middle layer of the tunica. It is a dense layer of fibrous tissue that encases the testis. It also extends into the testis, creating the septa between lobules.<\/li>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5164\"]tunica vaginalis[\/pb_glossary]<\/strong>\u00a0is the outmost layer of the tunica. It actually consists of two layers of tissue separated by a thin fluid layer. The fluid reduces\u00a0friction\u00a0between the testes and the scrotum.<\/li>\r\n<\/ul>\r\n<h3>Seminiferous Tubules<\/h3>\r\nOne or more [pb_glossary id=\"5160\"]seminiferous tubules[\/pb_glossary] are tightly coiled within each of the hundreds of lobules in the testis. A single testis normally contains a total of about 30 metres of these tightly packed tubules! As shown in the cross-sectional drawing of a seminiferous tubule in Figure 18.3.4, the tubule contains sperm in several different stages of development (spermatogonia, spermatocytes, spermatids, and spermatozoa). The seminiferous tubule is also lined with epithelial cells called [pb_glossary id=\"5169\"]<strong>Sertoli\u00a0cells<\/strong>[\/pb_glossary]. These\u00a0cells\u00a0release a\u00a0hormone\u00a0([pb_glossary id=\"5170\"]inhibin[\/pb_glossary]) that helps regulate\u00a0sperm production. Adjacent Sertoli cells are closely spaced so large molecules cannot pass from the\u00a0blood\u00a0into the tubules. This prevents the male\u2019s immune system from reacting against the developing sperm, which may be antigenically different from his own self tissues. Cells of another type, called\u00a0<strong>[pb_glossary id=\"5171\"]Leydig cells[\/pb_glossary]<\/strong>, are found between the seminiferous tubules. Leydig cells produce and secrete testosterone.\r\n\r\n[caption id=\"attachment_5182\" align=\"aligncenter\" width=\"1074\"]<img class=\"size-full wp-image-5182\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Testis-cross-section-1-2.jpg\" alt=\"18.3.4 Testes Cross Section\" width=\"1074\" height=\"610\" \/> <em>Figure 18.3.4 A cross-sectional drawing of a testis and seminiferous tubule shows the lining of Sertoli cells and sperm in different stages of development within the tubule, and Leydig cells surrounding the tubule.<\/em>[\/caption]\r\n<h2>Other Scrotal Structures<\/h2>\r\nBesides the two testes, the scrotum also contains a pair of organs called epididymes (singular, [pb_glossary id=\"5090\"]epididymis[\/pb_glossary]) and part of each of the paired [pb_glossary id=\"5095\"]<em>vas deferens<\/em>[\/pb_glossary] (or ducti deferens). Both structures play important functions in the production or transport of\u00a0sperm.\r\n<h3>Epididymis<\/h3>\r\nThe [pb_glossary id=\"5160\"]seminiferous tubules[\/pb_glossary] within each testis join together to form ducts (called efferent ducts) that transport immature sperm to the epididymis associated with that testis. Each\u00a0<strong>[pb_glossary id=\"5090\"]epididymis[\/pb_glossary]<\/strong> (plural, epididymes) consists of a tightly coiled tubule with a total length of about 6 metres. As shown in Figure 18.3.5, the epididymis is generally divided into three parts: the head (which rests on top of the testis), the body (which drapes down the side of the testis), and the tail (which joins with the <em>vas deferens<\/em> near the bottom of the testis). The functions of the two epididymes are to mature sperm, and then to store that mature sperm until they leave the body during an ejaculation, when they pass the sperm on to the <em>vas deferens<\/em>.\r\n\r\n[caption id=\"attachment_5173\" align=\"aligncenter\" width=\"453\"]<img class=\"wp-image-5173\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Epididymis-KDS-2.jpg\" alt=\"18.3.5 Epididymis\" width=\"453\" height=\"500\" \/> <em>Figure 18.3.5 Each epididymis consists of a (a) head, (b) body, and (c) tail. The latter is directly connected to the (d) <\/em>vas deferens<em>. The gray egg-shaped structure in the drawing is the testis.<\/em>[\/caption]\r\n<h3><em>Vas Deferens<\/em><\/h3>\r\nThe\u00a0<strong>[pb_glossary id=\"5095\"]<em>vas deferens<\/em>[\/pb_glossary],<\/strong> also known as sperm ducts, are a pair of thin tubes, each about 30 cm (almost 12 in) long, which begin at the epididymes in the [pb_glossary id=\"5089\"]scrotum[\/pb_glossary], and continue up into the [pb_glossary id=\"2992\"]pelvic cavity[\/pb_glossary]. They are composed of ciliated epithelium and [pb_glossary id=\"2982\"]smooth muscle[\/pb_glossary]. These structures help the <em>vas deferens<\/em> fulfill their function of transporting sperm from the epididymes to the [pb_glossary id=\"5174\"]ejaculatory duct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">, which are accessory structures of the male reproductive system.<\/span>\r\n<div>\r\n<h1>Accessory Structures<\/h1>\r\n<\/div>\r\nIn addition to the structures within the scrotum, the male reproductive system includes several internal accessory structures that are shown in the detailed drawing in Figure 18.3.6. They include the ejaculatory ducts, seminal vesicles, and the prostate and bulbourethral (Cowper\u2019s) glands.\r\n\r\n[caption id=\"attachment_5175\" align=\"alignnone\" width=\"1024\"]<img class=\"size-full wp-image-5175\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/3D_Medical_Animation_Vas_Deferens-1-2.jpg\" alt=\"18.3.6 Accessory Glands\" width=\"1024\" height=\"576\" \/> <em>Figure 18.3.6 This detailed cross-sectional drawing of the male reproductive system clearly shows the accessory organs of reproduction, including the seminal vesicles, prostate gland, and Cowper\u2019s (bulbourethral) glands. Secretions from these structures help to form semen.<\/em>[\/caption]\r\n<h2>Seminal Vesicles<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5097\"]seminal vesicle<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/strong><span style=\"text-align: initial; font-size: 1em;\"> are a pair of exocrine glands that each consist of a single tube, which is folded and coiled upon itself. Each vesicle is about 5 cm (almost 2 in) long and has an excretory duct that merges with the [pb_glossary id=\"5095\"]<em>vas deferens<\/em>[\/pb_glossary] to form one of the two ejaculatory ducts. Fluid secreted by the seminal vesicles into the ducts makes up about 70% of the total volume of <\/span><strong style=\"text-align: initial; font-size: 1em;\">[pb_glossary id=\"4885\"]semen[\/pb_glossary],<\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0which is the sperm-containing fluid that leaves the [pb_glossary id=\"5091\"]penis[\/pb_glossary] during an [pb_glossary id=\"5150\"]ejaculation[\/pb_glossary]. The fluid from the seminal vesicles is alkaline, so it gives semen a basic\u00a0[pb_glossary id=\"4330\"]pH[\/pb_glossary]\u00a0that helps prolong the lifespan of sperm after it enters the acidic secretions inside the female [pb_glossary id=\"5143\"]vagina[\/pb_glossary]. Fluid from the seminal vesicles also contains\u00a0proteins, fructose (a simple sugar), and other substances that help nourish sperm.<\/span>\r\n<h2>Ejaculatory Ducts<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5174\"]ejaculatory duct<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0form where the <em>vas deferens<\/em> join with the ducts of the seminal vesicles in the [pb_glossary id=\"5096\"]prostate gland[\/pb_glossary]. They connect the <em>vas deferens<\/em> with the [pb_glossary id=\"4732\"]urethra[\/pb_glossary]. The ejaculatory ducts carry sperm from the <em>vas deferens<\/em>, as well as secretions from the seminal vesicles and prostate gland that together form semen. The substances secreted into semen by the glands as it passes through the ejaculatory ducts control its\u00a0pH\u00a0and provide\u00a0nutrients\u00a0to sperm, among other functions. The fluid itself provides sperm with a medium in which to \u201cswim.\u201d<\/span>\r\n<h2>Prostate Gland<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5096\"]prostate gland[\/pb_glossary]<\/strong> is located just below the seminal vesicles. It is a walnut-sized organ that surrounds the urethra and its junction with the two ejaculatory ducts. The function of the prostate gland is to secrete a slightly alkaline fluid that constitutes close to 30% of the total volume of semen. Prostate fluid contains small quantities of\u00a0proteins, such as\u00a0enzymes. In addition, it has a very high\u00a0concentration\u00a0of zinc, which is an important nutrient for maintaining sperm quality and motility.\r\n<h2>Bulbourethral Glands<\/h2>\r\nAlso called Cowper\u2019s glands, the two\u00a0<strong>[pb_glossary id=\"5183\"]bulbourethral gland<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0are each about the size of a pea and located just below the prostate gland. The bulbourethral glands secrete a clear, alkaline fluid that is rich in\u00a0proteins. Each of the glands has a short duct that carries the secretions into the urethra, where they make up a tiny percentage of the total volume of semen. The function of the bulbourethral secretions is to help lubricate the urethra and neutralize any urine (which is acidic) that may remain in the urethra.<\/span>\r\n\r\n[h5p id=\"644\"]\r\n\r\n<em>Figure 18.3.7 Male reproductive system.<\/em>\r\n<div>\r\n<h1>Penis<\/h1>\r\n<\/div>\r\nThe\u00a0<strong>[pb_glossary id=\"5091\"]penis[\/pb_glossary]<\/strong>\u00a0is the external male organ that has the reproductive function of delivering sperm to the female reproductive tract. This function is called intromission. The penis also serves as the organ that excretes urine.\r\n<h2>Structure of the Penis<\/h2>\r\nThe structure of the penis and its location relative to other reproductive organs are shown in Figure 18.3.8. The part of the penis that is located inside the body and out of sight is called the root of the penis. The shaft of the penis is the part of the penis that is outside the body. The enlarged, bulbous end of the shaft is called the glans penis.\r\n\r\n[caption id=\"attachment_5184\" align=\"aligncenter\" width=\"297\"]<img class=\" wp-image-5184\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Penile-Clitoral_Structure-2.png\" alt=\"18.3.7 Penis Structures\" width=\"297\" height=\"297\" \/> <em>Figure 18.3.8 This cross section shows the internal anatomy of the penis and related structures. The corpus spongiosum is the column of erectile tissue that contains the urethra. It is sometimes referred to simply as corpus cavernosum, like the other two columns of spongy tissue in the penis.<\/em>[\/caption]\r\n<h2>Urethra<\/h2>\r\nThe [pb_glossary id=\"4732\"]urethra[\/pb_glossary] passes through the penis to carry urine from the bladder \u2014 or [pb_glossary id=\"4885\"]semen[\/pb_glossary] from the ejaculatory ducts \u2014 through the penis and out of the body. After leaving the urinary bladder, the urethra passes through the [pb_glossary id=\"5096\"]prostate gland[\/pb_glossary], where the urethra is joined by the [pb_glossary id=\"5174\"]ejaculatory duct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">. From there, the urethra passes through the [pb_glossary id=\"5091\"]penis[\/pb_glossary] to its external opening at the tip of the glans penis. Called the external urethral orifice, this opening provides a way for urine or semen to leave the body.<\/span>\r\n<h2>Tissues of the Penis<\/h2>\r\nThe penis is covered with skin (epithelium) that is unattached and free to move over the body of the penis. In an uncircumcised male, the glans penis is also mainly covered by epithelium, which (in this location) is called the [pb_glossary id=\"5186\"]foreskin[\/pb_glossary], and below which is a layer of [pb_glossary id=\"3538\"]mucous membrane[\/pb_glossary]. The foreskin is attached to the penis at an area on the underside of the penis called the [pb_glossary id=\"5187\"]frenulum[\/pb_glossary].\r\n\r\nAs shown in the Figure 18.3.9, the interior of the penis consists of three columns of spongy tissue that can fill with blood and swell in size, allowing the penis to become erect. This spongy tissue is called [pb_glossary id=\"5188\"]corpus cavernosum[\/pb_glossary] (plural, corpora cavernosa). Two columns of this tissue run side by side along the top of the shaft, and one column runs along the bottom of the shaft. The [pb_glossary id=\"4732\"]urethra[\/pb_glossary] runs through this bottom column of spongy tissue, which is sometimes called [pb_glossary id=\"5189\"]corpus spongiosum[\/pb_glossary]. The [pb_glossary id=\"5190\"]glans penis[\/pb_glossary] also consists mostly of spongy erectile tissue. [pb_glossary id=\"4386\"]Vein<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0and [pb_glossary id=\"4385\"]arteries[\/pb_glossary] run along the top of the penis, allowing blood circulation through the spongy tissues.<\/span>\r\n\r\n[caption id=\"attachment_5185\" align=\"aligncenter\" width=\"571\"]<img class=\" wp-image-5185\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Penis_cross_section.svg_-2.png\" alt=\"18.3.8 Penis Cross-section\" width=\"571\" height=\"245\" \/> <em>Figure 18.3.9 The penis consists mostly of spongy tissues that can fill with blood, stiffening the organ. The corpus cavernosum urethrae is now usually called corpus spongiosum.<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Feature: Human Biology in the News<\/h1>\r\n<\/div>\r\nLung,\u00a0heart, kidney, and other organ transplants have become relatively commonplace, so when they occur, they are unlikely to make the news. However, when the nation\u2019s first penis transplant took place, it was considered very newsworthy.\r\n\r\nIn 2016, Massachusetts General Hospital in Boston announced that a team of its surgeons had performed the first penis transplant in the United States. The patient who received the donated penis was a 64-year-old cancer patient. During the 15-hour procedure, the intricate network of nerves and blood vessels of the donor penis were connected with those of the penis recipient. The surgery went well, but doctors reported it would be a few weeks until they would know if normal urination would be possible, and even longer before they would know if sexual functioning would be possible. At the time that news of the surgery was reported in the media, the patient had not shown any signs of rejecting the donated organ. Within 6 months, the patient was able to urinate properly and was beginning to regain sexual function.\u00a0 The surgeons also reported they were hopeful that such transplants would become relatively common, and that patient populations would expand to include wounded warriors and transgender males seeking to transition.\r\n\r\nThe 2016 Massachusetts operation was not the first penis transplant ever undertaken. The world\u2019s first successful penis transplant was actually performed in 2014 in Cape Town, South Africa. A young man who had lost his penis from complications of a botched circumcision at age 18 was given a donor penis three years later. That surgery lasted nine hours and was highly successful. The young man made a full recovery and regained both urinary and sexual functions in the transplanted organ.\r\n\r\nIn 2005, a man in China also received a donated penis in a technically successful operation. However, the patient asked doctors to reverse the procedure just two weeks later, because of psychological problems associated with the transplanted organ for both himself and his wife.\r\n<div>\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>The two [pb_glossary id=\"3486\"]testes[\/pb_glossary] are [pb_glossary id=\"2506\"]sperm[\/pb_glossary]- and [pb_glossary id=\"3409\"]testosterone[\/pb_glossary]-producing male [pb_glossary id=\"3408\"]gonads[\/pb_glossary]. They are contained within the [pb_glossary id=\"5089\"]scrotum[\/pb_glossary], a pouch that hangs down behind the [pb_glossary id=\"5091\"]penis[\/pb_glossary]. The testes are filled with hundreds of tiny, tightly coiled [pb_glossary id=\"5160\"]seminiferous tubules[\/pb_glossary], where sperm are produced. The tubules contain sperm in different stages of\u00a0development\u00a0and also [pb_glossary id=\"5169\"]Sertoli cells[\/pb_glossary], which secrete substances needed for sperm production. Between the tubules are [pb_glossary id=\"5171\"]Leydig cells[\/pb_glossary], which secrete testosterone.<\/li>\r\n \t<li>Also contained within the scrotum are the two epididymes. Each [pb_glossary id=\"5090\"]epididymis[\/pb_glossary] is a tightly coiled tubule where sperm mature and are stored until they leave the body during an [pb_glossary id=\"5150\"]ejaculation[\/pb_glossary].<\/li>\r\n \t<li>The two [pb_glossary id=\"5095\"]<em>vas deferens<\/em>[\/pb_glossary] are long, thin tubes that run from the scrotum up into the [pb_glossary id=\"2992\"]pelvic cavity[\/pb_glossary]. During ejaculation, each <em>vas deferens<\/em> carries sperm from one of the two epididymes to one of the pair of [pb_glossary id=\"5174\"]ejaculatory ducts[\/pb_glossary].<\/li>\r\n \t<li>The two [pb_glossary id=\"5097\"]seminal vesicles[\/pb_glossary] are glands within the pelvis that secrete fluid through ducts into the junction of each <em>vas deferens<\/em> and ejaculatory duct. This alkaline fluid makes up about 70% of semen, the sperm-containing fluid that leaves the penis during ejaculation. [pb_glossary id=\"4885\"]Semen[\/pb_glossary] contains alkaline substances and\u00a0nutrients\u00a0that sperm need to survive and \u201cswim\u201d in the female reproductive tract.<\/li>\r\n \t<li>The paired [pb_glossary id=\"5174\"]ejaculatory ducts[\/pb_glossary]\u00a0form where the <em>vas deferens<\/em> joins with the ducts of the seminal vesicles in the [pb_glossary id=\"5096\"]prostate gland[\/pb_glossary]. They connect the <em>vas deferens<\/em> with the [pb_glossary id=\"4732\"]urethra[\/pb_glossary]. The ejaculatory ducts carry sperm from the <em>vas deferens<\/em>, as well as secretions from the seminal vesicles and prostate gland that together form semen.<\/li>\r\n \t<li>The prostate gland is located just below the seminal vesicles, and it surrounds the urethra and its junction with the ejaculatory ducts. The prostate secretes an alkaline fluid that makes close to 30% of semen. Prostate fluid contains a high concentration of zinc, which sperm need to be healthy and motile.<\/li>\r\n \t<li>The paired [pb_glossary id=\"5183\"]bulbourethral glands[\/pb_glossary]\u00a0are located just below the prostate gland. They secrete a tiny amount\u00a0of fluid into semen. The secretions help lubricate the urethra and neutralize any acidic [pb_glossary id=\"4717\"]urine[\/pb_glossary] it may contain.<\/li>\r\n \t<li>The penis is the external male organ that has the reproductive function of intromission, which is delivering sperm to the female reproductive tract. The penis also serves as the organ that excretes urine. The urethra passes through the penis and carries urine or semen out of the body. Internally, the penis consists largely of columns of spongy tissue that can fill with blood and make the penis stiff and erect. This is necessary for [pb_glossary id=\"5149\"]sexual intercourse[\/pb_glossary] so intromission\u00a0can\u00a0occur.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li style=\"list-style-type: none;\">\r\n<ol>\r\n \t<li>[h5p id=\"645\"]<\/li>\r\n \t<li>Describe the structure of a testis.<\/li>\r\n \t<li>Which parts of the\u00a0male reproductive system are connected by the ejaculatory ducts? What fluids enter and leave the ejaculatory ducts?<\/li>\r\n \t<li>A vasectomy is a form of birth control for men that is performed by surgically cutting or blocking the <em>vas deferens<\/em> so that sperm cannot be ejaculated out of the body. Do you think men who have a vasectomy emit semen when they ejaculate? Why or why not?<\/li>\r\n<\/ol>\r\n<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/youtu.be\/k60M1h-DKVY\r\n<p style=\"text-align: center;\">Human Physiology - Functional Anatomy of the Male Reproductive System (Updated), Janux, 2015.<\/p>\r\nhttps:\/\/youtu.be\/D1et5NgT6bQ\r\n<p style=\"text-align: center;\">The Science of 'Morning Wood', AsapSCIENCE, 2012.<\/p>\r\nhttps:\/\/youtu.be\/Ot7CYjm9B7U\r\n<p style=\"text-align: center;\">I Had One Of The World's First Penis Transplants - Thomas Manning | This Morning, 2016.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n&nbsp;\r\n\r\n<\/div>\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 18.3.1<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lamb_fries.jpg\" rel=\"cc:attributionURL\">Lamb_fries<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/10039026@N03\" rel=\"nofollow\">Paul Lowry<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.\r\n\r\n<strong style=\"text-align: initial; font-size: 1em;\">\r\nFigure 18.3.2<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Human_reproductive_system_(Male).jpg\" rel=\"cc:attributionURL\">Human_reproductive_system_(Male)<\/a> by <a class=\"new\" title=\"User:Baresh25 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Baresh25&amp;action=edit&amp;redlink=1\">Baresh25<\/a> on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.\r\n\r\n<strong style=\"text-align: initial; font-size: 1em;\">\r\nFigure 18.3.3<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Testicle.jpg\" rel=\"cc:attributionURL\">Testicle<\/a> by Unknown Illustrator from <a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a>, of the <a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health<\/a>, Visuals Online, ID <a class=\"external text\" href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=1769\" rel=\"nofollow\">1769<\/a> <a href=\"https:\/\/creativecommons.org\/publicdomain\/mark\/1.0\/\" rel=\"license\">i<\/a>s in the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:public_domain).\r\n\r\n<strong>Figure 18.3.4<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File%3AGray1150.png\" rel=\"cc:attributionURL\">Testis-cross-section<\/a> by Laura Guerin<span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\"> from <a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/25.1\/\">CK-12 Foundation<\/a> is used under a\u00a0<\/span>\r\n<\/span><a class=\" dxtrack-user-action Link__LinkItem-sc-15rka1e-0 kxTgHz\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-dx-desc=\"course_modality_image_attribution_license\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">CC BY-NC 3.0<\/span><\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.\r\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.264717007.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\r\n<strong>Figure 18.3.5<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Epididymis-KDS.jpg\" rel=\"cc:attributionURL\">Epididymis-KDS<\/a> by <a title=\"User:KDS444\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:KDS444\">KDS444<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.\r\n\r\n<strong>Figure 18.3.6<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:3D_Medical_Animation_Vas_Deferens.jpg\" rel=\"cc:attributionURL\">3D_Medical_Animation_Vas_Deferens<\/a>\u00a0by <a href=\"https:\/\/www.scientificanimations.com\/wiki-images\/\">https:\/\/www.scientificanimations.com\/wiki-images<\/a> (image 26 of 191) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.\r\n\r\n<strong>Figure 18.3.7<\/strong>\r\n<p class=\"firstHeading\" lang=\"en\"><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Male_anatomy_blank.svg\">Male anatomy blank<\/a> [adapted] by <a style=\"font-size: 1em;\" title=\"User:Tsaitgaist\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Tsaitgaist\">Tsaitgaist<\/a><span style=\"font-size: 1em;\"> on Wikimedia Commons is used and adapted by Christine Miller under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\" rel=\"license\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license. (Original: <\/span><a style=\"font-size: 1em;\" title=\"File:Male anatomy.png\" href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Male_anatomy.png\">Male anatomy.png)<\/a><\/p>\r\n<strong>Figure 18.3.8<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Penile-Clitoral_Structure.JPG\" rel=\"cc:attributionURL\">Penile-Clitoral_Structure<\/a> by <a class=\"new\" title=\"User:Esseh (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Esseh&amp;action=edit&amp;redlink=1\">Esseh<\/a> on Wikimedia Commons is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\" rel=\"license\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.\r\n\r\n<strong>Figure 18.3.9<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Penis_cross_section.svg\" rel=\"cc:attributionURL\">Penis_cross_section.svg<\/a> by <a title=\"User:Mcstrother\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Mcstrother\">Mcstrother<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\r\n\r\n<span style=\"font-size: 1.424em; font-weight: bold;\">\r\nReferences<\/span>\r\n<p class=\"hanging-indent\">AsapSCIENCE, (2012, November 14). The science of 'morning wood'. YouTube. https:\/\/www.youtube.com\/watch?v=D1et5NgT6bQ&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">Associated Press. (2016, May 17). Man receives new penis in 15-hour operation, the first transplant of its kind in U.S. history [online article]. Canada.com. http:\/\/www.canada.com\/health\/receives+penis+hour+operation+first+transplant+kind+history\/11922832\/story.html<\/p>\r\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2012). Figure 3 Cross section of a testis and seminiferous tubules [digital image]. In <em>CK-12 Biology<\/em> (Section 25.1) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/25.1\/<\/p>\r\n<p class=\"hanging-indent\">Gallagher, J. (2015, March 13). South Africans perform first 'successful' penis transplant (online article). BBC News. https:\/\/www.bbc.com\/news\/health-31876219<\/p>\r\n<p class=\"hanging-indent\">Grady, D. (2016, May 16).\u00a0 Cancer survivor receives first penis transplant in the United States [online article]. New York Times. https:\/\/www.nytimes.com\/2016\/05\/17\/health\/thomas-manning-first-penis-transplant-in-us.html<\/p>\r\n<p class=\"hanging-indent\">Janux. (2015, August 16). Human physiology - Functional anatomy of the male reproductive system (Updated). YouTube. https:\/\/www.youtube.com\/watch?v=k60M1h-DKVY&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">This Morning. (2016, June 15). I had one of the world's first penis transplants - Thomas Manning | This Morning. YouTube. https:\/\/www.youtube.com\/watch?v=Ot7CYjm9B7U&amp;feature=youtu.be<\/p>","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_5158\" aria-describedby=\"caption-attachment-5158\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5158\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Lamb_fries-2.jpg\" alt=\"18.3.1 Rocky Mountain Oysters\" width=\"400\" height=\"268\" \/><figcaption id=\"caption-attachment-5158\" class=\"wp-caption-text\"><em>Figure 18.3.1 Those are some odd looking oysters&#8230;<\/em><\/figcaption><\/figure>\n<div>\n<h1>Rocky Mountain Oysters<\/h1>\n<\/div>\n<p>First, they are peeled and pounded flat. Then, they are coated in flour, seasoned with salt and pepper, and deep fried. What are they? They are often called Rocky Mountain oysters, but they don\u2019t come from the sea. They may also be known as Montana tendergroin, cowboy caviar, or swinging beef \u2014 all names that hint at their origins. Here\u2019s another hint: they are harvested only from male\u00a0animals, such as bulls or sheep. What are they? In a word: testes.<\/p>\n<div>\n<h1>Testes and Scrotum<\/h1>\n<\/div>\n<p>The two\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3486\">testes<\/a><\/strong> (singular, testis) are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2506\">sperm<\/a>&#8211; and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3409\">testosterone<\/a>-producing gonads in male mammals, including male humans. These and other organs of the human male reproductive system are shown in Figure 18.3.2. The testes are contained within the <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5089\">scrotum<\/a>,<\/strong>\u00a0a pouch made of skin and smooth muscle that hangs down behind the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5091\">penis<\/a>.<\/p>\n<figure id=\"attachment_5159\" aria-describedby=\"caption-attachment-5159\" style=\"width: 2048px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5159\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Human_reproductive_system_Male-2.jpg\" alt=\"18.3.2 The Male Reproductive System\" width=\"2048\" height=\"1066\" \/><figcaption id=\"caption-attachment-5159\" class=\"wp-caption-text\"><em>Figure 18.3.2 The male reproductive system includes external organs (such as the penis and testes), and internal organs (such as the prostate gland and seminal vesicles). This view shows the organs from the side, so only one of each paired organ (such as the testes and seminal vesicles) is pictured.<\/em><\/figcaption><\/figure>\n<h2>Testes Structure<\/h2>\n<p>The testes are filled with hundreds of tiny tubes, called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5160\">seminiferous tubules<\/a>,<\/strong> which are the functional units of the testes. As shown in the longitudinal-section drawing of a testis in Figure 18.3.3, the seminiferous tubules are coiled and tightly packed within divisions of the testis called lobules. Lobules are separated from one another by internal walls (or septa).<\/p>\n<figure id=\"attachment_5161\" aria-describedby=\"caption-attachment-5161\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5161\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Testicle-2.jpg\" alt=\"18.3.3 Testicle\" width=\"500\" height=\"433\" \/><figcaption id=\"caption-attachment-5161\" class=\"wp-caption-text\"><em>Figure 18.3.3 This longitudinal-section drawing includes a testis on the left, its corresponding epididymis in the centre, and its related vas (or ductus) deferens on the right. The three structures are connected to create a tract through which sperm can travel.<\/em><\/figcaption><\/figure>\n<h3>Tunica<\/h3>\n<p>The multi-layered covering of each testis, called the tunica, protects the organ, ensures its blood supply, and separates the testis into lobules. There are three layers of the tunica: the tunica vasculosa, tunica albuginea, and tunica vaginalis. The latter two layers are labeled in the drawing above (Figure 18.3.3).<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5162\">tunica vasculosa<\/a><\/strong>\u00a0is the innermost layer of the tunica. It consists of connective tissue and contains arteries and veins that carry\u00a0blood\u00a0to and from the testis.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5163\">tunica albuginea<\/a><\/strong>\u00a0is the middle layer of the tunica. It is a dense layer of fibrous tissue that encases the testis. It also extends into the testis, creating the septa between lobules.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5164\">tunica vaginalis<\/a><\/strong>\u00a0is the outmost layer of the tunica. It actually consists of two layers of tissue separated by a thin fluid layer. The fluid reduces\u00a0friction\u00a0between the testes and the scrotum.<\/li>\n<\/ul>\n<h3>Seminiferous Tubules<\/h3>\n<p>One or more <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5160\">seminiferous tubules<\/a> are tightly coiled within each of the hundreds of lobules in the testis. A single testis normally contains a total of about 30 metres of these tightly packed tubules! As shown in the cross-sectional drawing of a seminiferous tubule in Figure 18.3.4, the tubule contains sperm in several different stages of development (spermatogonia, spermatocytes, spermatids, and spermatozoa). The seminiferous tubule is also lined with epithelial cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5169\"><strong>Sertoli\u00a0cells<\/strong><\/a>. These\u00a0cells\u00a0release a\u00a0hormone\u00a0(<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5170\">inhibin<\/a>) that helps regulate\u00a0sperm production. Adjacent Sertoli cells are closely spaced so large molecules cannot pass from the\u00a0blood\u00a0into the tubules. This prevents the male\u2019s immune system from reacting against the developing sperm, which may be antigenically different from his own self tissues. Cells of another type, called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5171\">Leydig cells<\/a><\/strong>, are found between the seminiferous tubules. Leydig cells produce and secrete testosterone.<\/p>\n<figure id=\"attachment_5182\" aria-describedby=\"caption-attachment-5182\" style=\"width: 1074px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5182\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Testis-cross-section-1-2.jpg\" alt=\"18.3.4 Testes Cross Section\" width=\"1074\" height=\"610\" \/><figcaption id=\"caption-attachment-5182\" class=\"wp-caption-text\"><em>Figure 18.3.4 A cross-sectional drawing of a testis and seminiferous tubule shows the lining of Sertoli cells and sperm in different stages of development within the tubule, and Leydig cells surrounding the tubule.<\/em><\/figcaption><\/figure>\n<h2>Other Scrotal Structures<\/h2>\n<p>Besides the two testes, the scrotum also contains a pair of organs called epididymes (singular, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5090\">epididymis<\/a>) and part of each of the paired <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5095\"><em>vas deferens<\/em><\/a> (or ducti deferens). Both structures play important functions in the production or transport of\u00a0sperm.<\/p>\n<h3>Epididymis<\/h3>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5160\">seminiferous tubules<\/a> within each testis join together to form ducts (called efferent ducts) that transport immature sperm to the epididymis associated with that testis. Each\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5090\">epididymis<\/a><\/strong> (plural, epididymes) consists of a tightly coiled tubule with a total length of about 6 metres. As shown in Figure 18.3.5, the epididymis is generally divided into three parts: the head (which rests on top of the testis), the body (which drapes down the side of the testis), and the tail (which joins with the <em>vas deferens<\/em> near the bottom of the testis). The functions of the two epididymes are to mature sperm, and then to store that mature sperm until they leave the body during an ejaculation, when they pass the sperm on to the <em>vas deferens<\/em>.<\/p>\n<figure id=\"attachment_5173\" aria-describedby=\"caption-attachment-5173\" style=\"width: 453px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5173\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Epididymis-KDS-2.jpg\" alt=\"18.3.5 Epididymis\" width=\"453\" height=\"500\" \/><figcaption id=\"caption-attachment-5173\" class=\"wp-caption-text\"><em>Figure 18.3.5 Each epididymis consists of a (a) head, (b) body, and (c) tail. The latter is directly connected to the (d) <\/em>vas deferens<em>. The gray egg-shaped structure in the drawing is the testis.<\/em><\/figcaption><\/figure>\n<h3><em>Vas Deferens<\/em><\/h3>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5095\"><em>vas deferens<\/em><\/a>,<\/strong> also known as sperm ducts, are a pair of thin tubes, each about 30 cm (almost 12 in) long, which begin at the epididymes in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5089\">scrotum<\/a>, and continue up into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2992\">pelvic cavity<\/a>. They are composed of ciliated epithelium and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2982\">smooth muscle<\/a>. These structures help the <em>vas deferens<\/em> fulfill their function of transporting sperm from the epididymes to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5174\">ejaculatory duct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">, which are accessory structures of the male reproductive system.<\/span><\/p>\n<div>\n<h1>Accessory Structures<\/h1>\n<\/div>\n<p>In addition to the structures within the scrotum, the male reproductive system includes several internal accessory structures that are shown in the detailed drawing in Figure 18.3.6. They include the ejaculatory ducts, seminal vesicles, and the prostate and bulbourethral (Cowper\u2019s) glands.<\/p>\n<figure id=\"attachment_5175\" aria-describedby=\"caption-attachment-5175\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5175\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/3D_Medical_Animation_Vas_Deferens-1-2.jpg\" alt=\"18.3.6 Accessory Glands\" width=\"1024\" height=\"576\" \/><figcaption id=\"caption-attachment-5175\" class=\"wp-caption-text\"><em>Figure 18.3.6 This detailed cross-sectional drawing of the male reproductive system clearly shows the accessory organs of reproduction, including the seminal vesicles, prostate gland, and Cowper\u2019s (bulbourethral) glands. Secretions from these structures help to form semen.<\/em><\/figcaption><\/figure>\n<h2>Seminal Vesicles<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5097\">seminal vesicle<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\"> are a pair of exocrine glands that each consist of a single tube, which is folded and coiled upon itself. Each vesicle is about 5 cm (almost 2 in) long and has an excretory duct that merges with the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5095\"><em>vas deferens<\/em><\/a> to form one of the two ejaculatory ducts. Fluid secreted by the seminal vesicles into the ducts makes up about 70% of the total volume of <\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4885\">semen<\/a>,<\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0which is the sperm-containing fluid that leaves the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5091\">penis<\/a> during an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5150\">ejaculation<\/a>. The fluid from the seminal vesicles is alkaline, so it gives semen a basic\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4330\">pH<\/a>\u00a0that helps prolong the lifespan of sperm after it enters the acidic secretions inside the female <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5143\">vagina<\/a>. Fluid from the seminal vesicles also contains\u00a0proteins, fructose (a simple sugar), and other substances that help nourish sperm.<\/span><\/p>\n<h2>Ejaculatory Ducts<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5174\">ejaculatory duct<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0form where the <em>vas deferens<\/em> join with the ducts of the seminal vesicles in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5096\">prostate gland<\/a>. They connect the <em>vas deferens<\/em> with the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4732\">urethra<\/a>. The ejaculatory ducts carry sperm from the <em>vas deferens<\/em>, as well as secretions from the seminal vesicles and prostate gland that together form semen. The substances secreted into semen by the glands as it passes through the ejaculatory ducts control its\u00a0pH\u00a0and provide\u00a0nutrients\u00a0to sperm, among other functions. The fluid itself provides sperm with a medium in which to \u201cswim.\u201d<\/span><\/p>\n<h2>Prostate Gland<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5096\">prostate gland<\/a><\/strong> is located just below the seminal vesicles. It is a walnut-sized organ that surrounds the urethra and its junction with the two ejaculatory ducts. The function of the prostate gland is to secrete a slightly alkaline fluid that constitutes close to 30% of the total volume of semen. Prostate fluid contains small quantities of\u00a0proteins, such as\u00a0enzymes. In addition, it has a very high\u00a0concentration\u00a0of zinc, which is an important nutrient for maintaining sperm quality and motility.<\/p>\n<h2>Bulbourethral Glands<\/h2>\n<p>Also called Cowper\u2019s glands, the two\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5183\">bulbourethral gland<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0are each about the size of a pea and located just below the prostate gland. The bulbourethral glands secrete a clear, alkaline fluid that is rich in\u00a0proteins. Each of the glands has a short duct that carries the secretions into the urethra, where they make up a tiny percentage of the total volume of semen. The function of the bulbourethral secretions is to help lubricate the urethra and neutralize any urine (which is acidic) that may remain in the urethra.<\/span><\/p>\n<div id=\"h5p-644\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-644\" class=\"h5p-iframe\" data-content-id=\"644\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"18.3 Glands of the Male Reproductive System\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 18.3.7 Male reproductive system.<\/em><\/p>\n<div>\n<h1>Penis<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5091\">penis<\/a><\/strong>\u00a0is the external male organ that has the reproductive function of delivering sperm to the female reproductive tract. This function is called intromission. The penis also serves as the organ that excretes urine.<\/p>\n<h2>Structure of the Penis<\/h2>\n<p>The structure of the penis and its location relative to other reproductive organs are shown in Figure 18.3.8. The part of the penis that is located inside the body and out of sight is called the root of the penis. The shaft of the penis is the part of the penis that is outside the body. The enlarged, bulbous end of the shaft is called the glans penis.<\/p>\n<figure id=\"attachment_5184\" aria-describedby=\"caption-attachment-5184\" style=\"width: 297px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5184\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Penile-Clitoral_Structure-2.png\" alt=\"18.3.7 Penis Structures\" width=\"297\" height=\"297\" \/><figcaption id=\"caption-attachment-5184\" class=\"wp-caption-text\"><em>Figure 18.3.8 This cross section shows the internal anatomy of the penis and related structures. The corpus spongiosum is the column of erectile tissue that contains the urethra. It is sometimes referred to simply as corpus cavernosum, like the other two columns of spongy tissue in the penis.<\/em><\/figcaption><\/figure>\n<h2>Urethra<\/h2>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4732\">urethra<\/a> passes through the penis to carry urine from the bladder \u2014 or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4885\">semen<\/a> from the ejaculatory ducts \u2014 through the penis and out of the body. After leaving the urinary bladder, the urethra passes through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5096\">prostate gland<\/a>, where the urethra is joined by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5174\">ejaculatory duct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">. From there, the urethra passes through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5091\">penis<\/a> to its external opening at the tip of the glans penis. Called the external urethral orifice, this opening provides a way for urine or semen to leave the body.<\/span><\/p>\n<h2>Tissues of the Penis<\/h2>\n<p>The penis is covered with skin (epithelium) that is unattached and free to move over the body of the penis. In an uncircumcised male, the glans penis is also mainly covered by epithelium, which (in this location) is called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5186\">foreskin<\/a>, and below which is a layer of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3538\">mucous membrane<\/a>. The foreskin is attached to the penis at an area on the underside of the penis called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5187\">frenulum<\/a>.<\/p>\n<p>As shown in the Figure 18.3.9, the interior of the penis consists of three columns of spongy tissue that can fill with blood and swell in size, allowing the penis to become erect. This spongy tissue is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5188\">corpus cavernosum<\/a> (plural, corpora cavernosa). Two columns of this tissue run side by side along the top of the shaft, and one column runs along the bottom of the shaft. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4732\">urethra<\/a> runs through this bottom column of spongy tissue, which is sometimes called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5189\">corpus spongiosum<\/a>. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5190\">glans penis<\/a> also consists mostly of spongy erectile tissue. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4386\">Vein<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4385\">arteries<\/a> run along the top of the penis, allowing blood circulation through the spongy tissues.<\/span><\/p>\n<figure id=\"attachment_5185\" aria-describedby=\"caption-attachment-5185\" style=\"width: 571px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5185\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Penis_cross_section.svg_-2.png\" alt=\"18.3.8 Penis Cross-section\" width=\"571\" height=\"245\" \/><figcaption id=\"caption-attachment-5185\" class=\"wp-caption-text\"><em>Figure 18.3.9 The penis consists mostly of spongy tissues that can fill with blood, stiffening the organ. The corpus cavernosum urethrae is now usually called corpus spongiosum.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<p>Lung,\u00a0heart, kidney, and other organ transplants have become relatively commonplace, so when they occur, they are unlikely to make the news. However, when the nation\u2019s first penis transplant took place, it was considered very newsworthy.<\/p>\n<p>In 2016, Massachusetts General Hospital in Boston announced that a team of its surgeons had performed the first penis transplant in the United States. The patient who received the donated penis was a 64-year-old cancer patient. During the 15-hour procedure, the intricate network of nerves and blood vessels of the donor penis were connected with those of the penis recipient. The surgery went well, but doctors reported it would be a few weeks until they would know if normal urination would be possible, and even longer before they would know if sexual functioning would be possible. At the time that news of the surgery was reported in the media, the patient had not shown any signs of rejecting the donated organ. Within 6 months, the patient was able to urinate properly and was beginning to regain sexual function.\u00a0 The surgeons also reported they were hopeful that such transplants would become relatively common, and that patient populations would expand to include wounded warriors and transgender males seeking to transition.<\/p>\n<p>The 2016 Massachusetts operation was not the first penis transplant ever undertaken. The world\u2019s first successful penis transplant was actually performed in 2014 in Cape Town, South Africa. A young man who had lost his penis from complications of a botched circumcision at age 18 was given a donor penis three years later. That surgery lasted nine hours and was highly successful. The young man made a full recovery and regained both urinary and sexual functions in the transplanted organ.<\/p>\n<p>In 2005, a man in China also received a donated penis in a technically successful operation. However, the patient asked doctors to reverse the procedure just two weeks later, because of psychological problems associated with the transplanted organ for both himself and his wife.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3486\">testes<\/a> are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2506\">sperm<\/a>&#8211; and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3409\">testosterone<\/a>-producing male <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3408\">gonads<\/a>. They are contained within the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5089\">scrotum<\/a>, a pouch that hangs down behind the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5091\">penis<\/a>. The testes are filled with hundreds of tiny, tightly coiled <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5160\">seminiferous tubules<\/a>, where sperm are produced. The tubules contain sperm in different stages of\u00a0development\u00a0and also <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5169\">Sertoli cells<\/a>, which secrete substances needed for sperm production. Between the tubules are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5171\">Leydig cells<\/a>, which secrete testosterone.<\/li>\n<li>Also contained within the scrotum are the two epididymes. Each <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5090\">epididymis<\/a> is a tightly coiled tubule where sperm mature and are stored until they leave the body during an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5150\">ejaculation<\/a>.<\/li>\n<li>The two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5095\"><em>vas deferens<\/em><\/a> are long, thin tubes that run from the scrotum up into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2992\">pelvic cavity<\/a>. During ejaculation, each <em>vas deferens<\/em> carries sperm from one of the two epididymes to one of the pair of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5174\">ejaculatory ducts<\/a>.<\/li>\n<li>The two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5097\">seminal vesicles<\/a> are glands within the pelvis that secrete fluid through ducts into the junction of each <em>vas deferens<\/em> and ejaculatory duct. This alkaline fluid makes up about 70% of semen, the sperm-containing fluid that leaves the penis during ejaculation. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4885\">Semen<\/a> contains alkaline substances and\u00a0nutrients\u00a0that sperm need to survive and \u201cswim\u201d in the female reproductive tract.<\/li>\n<li>The paired <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5174\">ejaculatory ducts<\/a>\u00a0form where the <em>vas deferens<\/em> joins with the ducts of the seminal vesicles in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5096\">prostate gland<\/a>. They connect the <em>vas deferens<\/em> with the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4732\">urethra<\/a>. The ejaculatory ducts carry sperm from the <em>vas deferens<\/em>, as well as secretions from the seminal vesicles and prostate gland that together form semen.<\/li>\n<li>The prostate gland is located just below the seminal vesicles, and it surrounds the urethra and its junction with the ejaculatory ducts. The prostate secretes an alkaline fluid that makes close to 30% of semen. Prostate fluid contains a high concentration of zinc, which sperm need to be healthy and motile.<\/li>\n<li>The paired <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5183\">bulbourethral glands<\/a>\u00a0are located just below the prostate gland. They secrete a tiny amount\u00a0of fluid into semen. The secretions help lubricate the urethra and neutralize any acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4717\">urine<\/a> it may contain.<\/li>\n<li>The penis is the external male organ that has the reproductive function of intromission, which is delivering sperm to the female reproductive tract. The penis also serves as the organ that excretes urine. The urethra passes through the penis and carries urine or semen out of the body. Internally, the penis consists largely of columns of spongy tissue that can fill with blood and make the penis stiff and erect. This is necessary for <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5149\">sexual intercourse<\/a> so intromission\u00a0can\u00a0occur.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>\n<div id=\"h5p-645\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-645\" class=\"h5p-iframe\" data-content-id=\"645\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"18.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the structure of a testis.<\/li>\n<li>Which parts of the\u00a0male reproductive system are connected by the ejaculatory ducts? What fluids enter and leave the ejaculatory ducts?<\/li>\n<li>A vasectomy is a form of birth control for men that is performed by surgically cutting or blocking the <em>vas deferens<\/em> so that sperm cannot be ejaculated out of the body. Do you think men who have a vasectomy emit semen when they ejaculate? Why or why not?<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Human Physiology - Functional Anatomy of the Male Reproductive System (Updated)\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/k60M1h-DKVY?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Human Physiology &#8211; Functional Anatomy of the Male Reproductive System (Updated), Janux, 2015.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"The Science of &#39;Morning Wood&#39;\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/D1et5NgT6bQ?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">The Science of &#8216;Morning Wood&#8217;, AsapSCIENCE, 2012.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-3\" title=\"I Had One Of The World&#39;s First Penis Transplants - Thomas Manning | This Morning\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Ot7CYjm9B7U?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">I Had One Of The World&#8217;s First Penis Transplants &#8211; Thomas Manning | This Morning, 2016.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 18.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lamb_fries.jpg\" rel=\"cc:attributionURL\">Lamb_fries<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/10039026@N03\" rel=\"nofollow\">Paul Lowry<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 18.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Human_reproductive_system_(Male).jpg\" rel=\"cc:attributionURL\">Human_reproductive_system_(Male)<\/a> by <a class=\"new\" title=\"User:Baresh25 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Baresh25&amp;action=edit&amp;redlink=1\">Baresh25<\/a> on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 18.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Testicle.jpg\" rel=\"cc:attributionURL\">Testicle<\/a> by Unknown Illustrator from <a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a>, of the <a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health<\/a>, Visuals Online, ID <a class=\"external text\" href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=1769\" rel=\"nofollow\">1769<\/a> <a href=\"https:\/\/creativecommons.org\/publicdomain\/mark\/1.0\/\" rel=\"license\">i<\/a>s in the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:public_domain).<\/p>\n<p><strong>Figure 18.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File%3AGray1150.png\" rel=\"cc:attributionURL\">Testis-cross-section<\/a> by Laura Guerin<span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\"> from <a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/25.1\/\">CK-12 Foundation<\/a> is used under a\u00a0<\/span><br \/>\n<\/span><a class=\"dxtrack-user-action Link__LinkItem-sc-15rka1e-0 kxTgHz\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-dx-desc=\"course_modality_image_attribution_license\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">CC BY-NC 3.0<\/span><\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img decoding=\"async\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img decoding=\"async\" class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.264717007.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 18.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Epididymis-KDS.jpg\" rel=\"cc:attributionURL\">Epididymis-KDS<\/a> by <a title=\"User:KDS444\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:KDS444\">KDS444<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<p><strong>Figure 18.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:3D_Medical_Animation_Vas_Deferens.jpg\" rel=\"cc:attributionURL\">3D_Medical_Animation_Vas_Deferens<\/a>\u00a0by <a href=\"https:\/\/www.scientificanimations.com\/wiki-images\/\">https:\/\/www.scientificanimations.com\/wiki-images<\/a> (image 26 of 191) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 18.3.7<\/strong><\/p>\n<p class=\"firstHeading\" lang=\"en\"><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Male_anatomy_blank.svg\">Male anatomy blank<\/a> [adapted] by <a style=\"font-size: 1em;\" title=\"User:Tsaitgaist\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Tsaitgaist\">Tsaitgaist<\/a><span style=\"font-size: 1em;\"> on Wikimedia Commons is used and adapted by Christine Miller under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\" rel=\"license\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license. (Original: <\/span><a style=\"font-size: 1em;\" title=\"File:Male anatomy.png\" href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Male_anatomy.png\">Male anatomy.png)<\/a><\/p>\n<p><strong>Figure 18.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Penile-Clitoral_Structure.JPG\" rel=\"cc:attributionURL\">Penile-Clitoral_Structure<\/a> by <a class=\"new\" title=\"User:Esseh (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Esseh&amp;action=edit&amp;redlink=1\">Esseh<\/a> on Wikimedia Commons is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\" rel=\"license\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/p>\n<p><strong>Figure 18.3.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Penis_cross_section.svg\" rel=\"cc:attributionURL\">Penis_cross_section.svg<\/a> by <a title=\"User:Mcstrother\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Mcstrother\">Mcstrother<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><span style=\"font-size: 1.424em; font-weight: bold;\"><br \/>\nReferences<\/span><\/p>\n<p class=\"hanging-indent\">AsapSCIENCE, (2012, November 14). The science of &#8216;morning wood&#8217;. YouTube. https:\/\/www.youtube.com\/watch?v=D1et5NgT6bQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Associated Press. (2016, May 17). Man receives new penis in 15-hour operation, the first transplant of its kind in U.S. history [online article]. Canada.com. http:\/\/www.canada.com\/health\/receives+penis+hour+operation+first+transplant+kind+history\/11922832\/story.html<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2012). Figure 3 Cross section of a testis and seminiferous tubules [digital image]. In <em>CK-12 Biology<\/em> (Section 25.1) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/25.1\/<\/p>\n<p class=\"hanging-indent\">Gallagher, J. (2015, March 13). South Africans perform first &#8216;successful&#8217; penis transplant (online article). BBC News. https:\/\/www.bbc.com\/news\/health-31876219<\/p>\n<p class=\"hanging-indent\">Grady, D. (2016, May 16).\u00a0 Cancer survivor receives first penis transplant in the United States [online article]. New York Times. https:\/\/www.nytimes.com\/2016\/05\/17\/health\/thomas-manning-first-penis-transplant-in-us.html<\/p>\n<p class=\"hanging-indent\">Janux. (2015, August 16). Human physiology &#8211; Functional anatomy of the male reproductive system (Updated). YouTube. https:\/\/www.youtube.com\/watch?v=k60M1h-DKVY&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">This Morning. (2016, June 15). I had one of the world&#8217;s first penis transplants &#8211; Thomas Manning | This Morning. YouTube. https:\/\/www.youtube.com\/watch?v=Ot7CYjm9B7U&amp;feature=youtu.be<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_5333_3486\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_3486\"><div tabindex=\"-1\"><p>a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_2506\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_2506\"><div tabindex=\"-1\"><p>A biological process which converts sugars such as glucose, fructose, and sucrose into cellular energy, producing ethanol and carbon dioxide as by-products.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_3409\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_3409\"><div tabindex=\"-1\"><p>A substance that takes part in and undergoes change during a chemical reaction.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5089\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5089\"><div tabindex=\"-1\"><p>Image shows a female clinician dressed in scrubs listening to the heartbeat of a patient.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5091\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5091\"><div tabindex=\"-1\"><p>Image shows a diagram of the heart with all chambers and major vessels labelled.  Arrows indicate blood flow.  Deoxygenated blood is brought the the right atrium by the superior and inferior vena cava.  The right atrium moves blood into the right ventricle, which then sends blood to the lungs via the pulmonary arteries.  Oxygenated blood returns to the heart from the lungs via the pulmonary veins and enters the left atrium.  From there, blood is pumped into the left ventricle and then into the aorta for distribution to the body.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5160\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5160\"><div tabindex=\"-1\"><p>Image shows a scanning electroflourescent pictomicrograph.  It shows the villi of the small intestine, with a layer of mucus, and then a multitude of smaller bacterial cells above the mucous.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5162\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5162\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4590\" aria-describedby=\"caption-attachment-4590\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4590\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Patrick_Bertoletti_eating_hot_dogs-2.jpg\" alt=\"15.3.1 Hot Dog Eating Contest\" width=\"400\" height=\"409\" \/><figcaption id=\"caption-attachment-4590\" class=\"wp-caption-text\"><em>Figure 15.3.1 Now that's a mouthful.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Competitive Eating<\/h1>\n<\/div>\n<p>This man is on his way to coming in third in an international hot dog eating contest (Figure 15.3.1). It may look as though he is regurgitating his hot dogs, but in fact, he is trying to get them into his mouth and down his throat as quickly as he can. In order to eat as many hot dogs as possible in the allotted time, he pushes several into his mouth at once, and doesn\u2019t bother doing much chewing. Chewing is normally the first step in the process of digestion.<\/p>\n<div>\n<h1>Digestion<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4549\">Digestion<\/a><\/strong>\u00a0of food is a form of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5721\">catabolism<\/a>, in which the food is broken down into small molecules that the body can absorb and use for energy, growth, and repair. Digestion occurs when food is moved through the digestive system. This process begins in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a> and ends in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a>. The final products of digestion are absorbed from the digestive tract, primarily in the small intestine. There are two different types of digestion that occur in the digestive system: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">mechanical digestion<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">chemical digestion<\/a>. Figure 15.3.2 summarizes the roles played by different digestive organs in mechanical and chemical digestion, both of which are described in detail below.<\/p>\n<div>\n<figure id=\"attachment_4591\" aria-describedby=\"caption-attachment-4591\" style=\"width: 446px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4591\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/2426_Mechanical_and_Chemical_DigestionN-2.jpg\" alt=\"15.3.2 Mechanical and Chemical Digestion\" width=\"446\" height=\"554\" \/><figcaption id=\"caption-attachment-4591\" class=\"wp-caption-text\"><em>Figure 15.3.2 Mechanical and chemical digestion along the GI tract.<\/em><\/figcaption><\/figure>\n<\/div>\n<div>\n<h2>Mechanical Digestion<\/h2>\n<\/div>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4592\" aria-describedby=\"caption-attachment-4592\" style=\"width: 192px\" class=\"wp-caption alignright\"><img class=\" wp-image-4592\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Eating-by-demorris-byrd-9BF6fBTnYA-unsplash-scaled-3.jpg\" alt=\"15.3.3\" width=\"192\" height=\"288\" \/><figcaption id=\"caption-attachment-4592\" class=\"wp-caption-text\"><em>Figure 15.3.3 The teeth play an important role in the mechanical digestion of food, starting with the first bite.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">Mechanical digestion<\/a><\/strong> is a physical process in which food is broken into smaller pieces without becoming changed chemically. It begins with your first bite of food (see Figure 15.3.3) and continues as you chew food with your teeth into smaller pieces. The process of mechanical digestion continues in the stomach. This muscular organ churns and mixes the food it contains, an action that breaks any solid food into still smaller pieces.<\/p>\n<p>Although some mechanical digestion also occurs in the\u00a0small intestine, it is mostly completed by the time food leaves the stomach. At that stage, food in the GI tract has been changed to the thick semi-fluid called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a>. Mechanical digestion is necessary so that chemical digestion can be effective. Mechanical digestion tremendously increases the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4593\">surface area<\/a> of food particles so they can be acted upon more effectively by digestive\u00a0enzymes.<\/p>\n<h2>Chemical Digestion<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">Chemical digestion<\/a><\/strong>\u00a0is the biochemical process in which <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5777\">macromolecule<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\"> in food are changed into smaller molecules that can be absorbed into body fluids and transported to\u00a0cells throughout the body. Substances in food that must be chemically digested include\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5655\">carbohydrates<\/a>,\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5813\">protein<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">,\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5651\">lipid<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">, and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5475\">nucleic acids<\/a>. Carbohydrates must be broken down into simple <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_316\">sugar<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">, proteins into\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5707\">amino acid<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">, lipids into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5657\">fatty acids<\/a> and glycerol, and nucleic acids into nitrogen bases and sugars. Some chemical digestion takes place in the mouth and stomach, but most of it occurs in the first part of the\u00a0small intestine\u00a0(<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>).<\/span><\/p>\n<h3>Digestive\u00a0Enzymes<\/h3>\n<p>Chemical digestion could not occur without the help of many different digestive enzymes.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5757\">Enzymes<\/a><\/strong>\u00a0are\u00a0proteins\u00a0that catalyze, or\u00a0speed\u00a0up,\u00a0biochemical reactions. Digestive enzymes are secreted by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_6001\">exocrine gland<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0or by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4561\">mucosal layer<\/a> of epithelium lining the gastrointestinal tract. In the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a>, digestive enzymes are secreted by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4577\">salivary gland<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">. The lining of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a> secretes enzymes, as does the lining of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a>. Many more digestive enzymes are secreted by exocrine\u00a0cells\u00a0in the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a> and carried by ducts to the small intestine. The following table lists several important digestive enzymes, the organs and\/or glands that secrete them, the compounds they digest, and the pH necessary for optimal functioning. You can read more about them below.<\/span><\/p>\n<table class=\"grid\" style=\"height: 252px; width: 100%;\">\n<caption>Table 15.3.1: Digestive Enzymes<\/caption>\n<tbody>\n<tr style=\"height: 15px;\">\n<th scope=\"col\">Digestive\u00a0Enzyme<\/th>\n<th scope=\"col\">Source Organ<\/th>\n<th scope=\"col\">Site of Action<\/th>\n<th scope=\"col\">Reactant and Product<\/th>\n<th scope=\"col\">Optimal\u00a0pH<\/th>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Salivary Amylase<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Salivary Glands<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Mouth<\/td>\n<td style=\"height: 15px; width: 217.042px;\">starch + water \u21d2 maltose<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Neutral<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Pepsin<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Stomach<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Stomach<\/td>\n<td style=\"height: 15px; width: 217.042px;\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Acidic<\/td>\n<\/tr>\n<tr style=\"height: 29px;\">\n<td style=\"width: 137.042px; height: 29px;\">Pancreatic Amylase<\/td>\n<td style=\"width: 116.375px; height: 29px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 29px;\">Duodenum<\/td>\n<td style=\"width: 217.042px; height: 29px;\">starch + water \u21d2 maltose<\/td>\n<td style=\"width: 193.042px; height: 29px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Maltase<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Small intestine<\/td>\n<td style=\"height: 15px; width: 217.042px;\">maltose + water \u21d2 glucose<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Sucrase<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Small intestine<\/td>\n<td style=\"height: 15px; width: 217.042px;\">sucrose + water \u21d2 glucose + fructose<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Lactase<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Small intestine<\/td>\n<td style=\"height: 15px; width: 217.042px;\">lactose + water \u21d2\u00a0 glucose + galactose<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Lipase<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Duodenum<\/td>\n<td style=\"height: 15px; width: 217.042px;\">fat droplet and water \u21d2\u00a0 glycerol and fatty acids<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Trypsin<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Duodenum<\/td>\n<td style=\"height: 15px; width: 217.042px;\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Chymotrypsin<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Duodenum<\/td>\n<td style=\"height: 15px; width: 217.042px;\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 14px;\">\n<td style=\"width: 137.042px; height: 14px;\">Peptidases<\/td>\n<td style=\"width: 116.375px; height: 14px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 14px;\">Small intestine<\/td>\n<td style=\"width: 217.042px; height: 14px;\">peptides + water \u21d2<\/td>\n<td style=\"width: 193.042px; height: 14px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Deoxyribonuclease<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Duodenum<\/td>\n<td style=\"height: 15px; width: 217.042px;\">DNA + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Ribonuclease<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Pancreas<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Duodenum<\/td>\n<td style=\"height: 15px; width: 217.042px;\">RNA + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"height: 15px; width: 137.042px;\">Nuclease<\/td>\n<td style=\"height: 15px; width: 116.375px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 15px;\">Small intestine<\/td>\n<td style=\"height: 15px; width: 217.042px;\">nucleic acids + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px; height: 15px;\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 29px;\">\n<td style=\"width: 137.042px; height: 29px;\">Nucleosidases<\/td>\n<td style=\"width: 116.375px; height: 29px;\">Small intestine<\/td>\n<td style=\"width: 118.375px; height: 29px;\">Small intestine<\/td>\n<td style=\"width: 217.042px; height: 29px;\">nucleotides + water \u21d2 nitrogen base + phosphate sugar<\/td>\n<td style=\"width: 193.042px; height: 29px;\">Basic<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Chemical Digestion of\u00a0Carbohydrates<\/h3>\n<p>About 80% of digestible carbohydrates in a typical Western diet are in the form of the plant <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5683\">polysaccharide<\/a> amylose, which consists mainly of long chains of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5451\">glucose<\/a> and is one of two major components of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5459\">starch<\/a>. Additional dietary carbohydrates include the animal polysaccharide glycogen, along with some sugars, which are mainly <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4594\">disaccharide<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">.<\/span><\/p>\n<p>The process of chemical digestion for some carbohydrates is illustrated Figure 15.3.4. To chemically digest amylose and glycogen, the enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4578\">amylase<\/a> is required. The chemical digestion of these polysaccharides begins in the mouth, aided by amylase in saliva. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4595\">Saliva<\/a> also contains mucus \u2014 which lubricates the food \u2014 and hydrogen carbonate, which provides the ideal alkaline conditions for amylase to work. Carbohydrate digestion is completed in the small intestine, with the help of amylase secreted by the pancreas. In the digestive process, polysaccharides are reduced in length by the breaking of bonds between glucose monomers. The macromolecules are broken down to shorter polysaccharides and disaccharides, resulting in progressively shorter chains of glucose. The end result is molecules of the simple sugars glucose and maltose (which consists of two glucose molecules), both of which can be absorbed by the small intestine.<\/p>\n<p>Other sugars are digested with the help of different enzymes produced by the small intestine. Sucrose (or table sugar), for example, is a disaccharide that is broken down by the enzyme sucrase to form glucose and fructose, which are readily absorbed by the small intestine. Digestion of the sugar lactose, which is found in milk, requires the enzyme lactase, which breaks down lactose into glucose and galactose. Glucose and galactose are then absorbed by the small intestine. Fewer than half of all adults produce sufficient lactase to be able to digest lactose. Those who cannot are said to be lactose intolerant.<\/p>\n<figure id=\"attachment_4596\" aria-describedby=\"caption-attachment-4596\" style=\"width: 853px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4596\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate-digestion-by-Nutritional-Doublethink-on-Flickr-2.jpg\" alt=\"15.3.4\" width=\"853\" height=\"447\" \/><figcaption id=\"caption-attachment-4596\" class=\"wp-caption-text\"><em>Figure 15.3.4 The process of chemical digestion for some carbohydrates.<\/em><\/figcaption><\/figure>\n<h3>Chemical Digestion of\u00a0Proteins<\/h3>\n<p>Proteins consist of polypeptides, which must be broken down into their constituent\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5707\">amino acid<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\"> before they can be absorbed. An overview of this process is shown in Figure 15.3.5. Protein digestion occurs in the stomach and small intestine through the action of three primary enzymes: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4581\">pepsin<\/a> (secreted by the stomach), and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4597\">trypsin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4598\">chymotrypsin<\/a> (secreted by the pancreas). The stomach also secretes hydrochloric acid (HCl), making the contents highly acidic, which is a required condition for pepsin to work. Trypsin and chymotrypsin in the small intestine require an alkaline (basic) environment to work. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver <\/a>and bicarbonate from the pancreas neutralize the acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> as it empties into the small intestine. After pepsin, trypsin, and chymotrypsin break down proteins into peptides, these are further broken down into amino acids by other enzymes called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4600\">peptidase<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">, also secreted by the pancreas.<\/span><\/p>\n<figure id=\"attachment_4601\" aria-describedby=\"caption-attachment-4601\" style=\"width: 316px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4601\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Peptide-Digestion-by-Nutritional-Doublethink-on-Flickr-2.jpg\" alt=\"15.3.5\" width=\"316\" height=\"500\" \/><figcaption id=\"caption-attachment-4601\" class=\"wp-caption-text\"><em>Figure 15.3.5 Chemical digestion of proteins.<\/em><\/figcaption><\/figure>\n<h3>Chemical Digestion of\u00a0Lipids<\/h3>\n<p>The chemical digestion of\u00a0lipids\u00a0begins in the mouth. The salivary glands secrete the digestive enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">lipase<\/a>, which breaks down short-chain lipids into molecules consisting of two fatty acids. A tiny amount of\u00a0lipid\u00a0digestion may take place in the stomach, but most lipid digestion occurs in the small intestine.<\/p>\n<p>Digestion of lipids in the small intestine occurs with the help of another lipase enzyme from the pancreas, as well as bile secreted by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a>. As shown in the diagram below (Figure 15.3.6), bile is required for the digestion of lipids, because lipids are oily and do not dissolve in the watery chyme. Bile emulsifies (or breaks up) large globules of food lipids into much smaller ones, called micelles, much as dish detergent breaks up grease. The micelles provide a great deal more surface area to be acted upon by lipase, and also point the hydrophilic (\u201cwater-loving\u201d) heads of the fatty acids outward into the watery chyme. Lipase can then access and break down the micelles into individual fatty acid molecules.<\/p>\n<figure id=\"attachment_4603\" aria-describedby=\"caption-attachment-4603\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4603\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/f-d_2cd5d5d9f5207f31bcb1e4c0999fe1293e55ac837b592f0544c4ca7cIMAGE_THUMB_POSTCARD_TINYIMAGE_THUMB_POSTCARD_TINY-2.png\" alt=\"15.3.6 Fat Digestion\" width=\"500\" height=\"322\" \/><figcaption id=\"caption-attachment-4603\" class=\"wp-caption-text\"><em>Figure 15.3.6 <\/em><em>Bile from the liver and lipase from the pancreas help digest lipids in the small intestine.<\/em><\/figcaption><\/figure>\n<div>\n<h3>Chemical Digestion of Nucleic Acids<\/h3>\n<\/div>\n<p>Nucleic acids (DNA\u00a0and RNA) in foods are digested in the small intestine with the help of both pancreatic enzymes and enzymes produced by the small intestine itself. Pancreatic enzymes called ribonuclease and deoxyribonuclease break down\u00a0RNA\u00a0and DNA, respectively, into smaller nucleic acids. These, in turn, are further broken down into nitrogen bases and sugars by small intestine enzymes called nucleases.<\/p>\n<h3>Bacteria\u00a0in the\u00a0Digestive System<\/h3>\n<p id=\"x-ck12-MDQ0MTEwMWIwZGNlMTFjMjY1MGM2MDIyOWI5ZjIzY2Y.-364\">Your\u00a0large intestine\u00a0is not just made up of\u00a0cells. It is also an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5743\"><strong>ecosystem<\/strong><\/a>, home to trillions of bacteria known as the \"gut flora\" (Figure 15.3.7). But don't worry, most of these bacteria are helpful. Friendly bacteria live mostly in the large intestine and part of the small intestine. The acidic environment of the stomach does not allow bacterial growth.<\/p>\n<p id=\"x-ck12-ZWU4MjNiMTM2OWIwOTQ4NzNlNjQyYzQwNTQ0ZWNiYWI.-anw\">Gut bacteria have several roles in the body. For example, intestinal bacteria:<\/p>\n<ul id=\"x-ck12-ZTI1ZGMyZDY0OGQ0NGNjMTk0NzAzNDJkN2JjYjgzZTc.-95x\">\n<li>Produce\u00a0vitamin B12\u00a0and\u00a0vitamin K.<\/li>\n<li>Control the growth of harmful bacteria.<\/li>\n<li>Break down poisons in the\u00a0large intestine.<\/li>\n<li>Break down some substances in food that cannot be digested, such as fibre and some starches and sugars. Bacteria produce enzymes that digest carbohydrates in plant cell walls. Most of the nutritional value of plant material would be wasted without these bacteria. These help us digest plant foods like spinach.<\/li>\n<\/ul>\n<div id=\"x-ck12-ZjdiNWQ4OTY5NzQ4MGNjYzkxZWY3NWYxYTY3ODRkOGY.-sdb\" class=\"x-ck12-img-postcard x-ck12-nofloat\">\n<figure id=\"attachment_4604\" aria-describedby=\"caption-attachment-4604\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4604\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gut-Flora-by-NIH-Image-Gallery-on-Flickr-2.jpg\" alt=\"15.3.7\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-4604\" class=\"wp-caption-text\"><em>Figure 15.3.7 Commensal (good) bacteria (shown in red) reside among the mucus (green) and epithelial cells (blue) of a small intestine.<\/em><\/figcaption><\/figure>\n<\/div>\n<p id=\"x-ck12-ZmVlNzRmZjQ4ODA2NzFkNmQ1ZTQ2N2I5OTdkNjYzYTA.-onq\">A wide range of friendly bacteria live in the gut. Bacteria begin to populate the human\u00a0digestive system right after birth. Gut bacteria include <em>Lactobacillus<\/em>, the bacteria commonly used in probiotic foods such as yogurt, and\u00a0<em>E. coli<\/em>\u00a0bacteria. About a third of all bacteria in the gut are members of the\u00a0<em>Bacteroides<\/em>\u00a0species.\u00a0<em>Bacteroides<\/em>\u00a0are key in helping us digest plant food.<\/p>\n<p id=\"x-ck12-OTIzMWRlZWM4NzhmZjVjYmMyYmM3NGZlMGJhMmVmYWE.-ltm\">It is estimated that 100 trillion bacteria live in the gut. This is more than the human cells that make up you. It has also been estimated that there are more bacteria in your mouth than people on the planet \u2014 there are over 7 billion people on the planet!<\/p>\n<p id=\"x-ck12-ODU2NDVkODc1YTM5N2M2OGJiNjdkMmRhM2I5MjdkYjM.-65g\">The bacteria in your digestive system are from anywhere between 300 and 1,000 species. As these bacteria are helpful, your body does not attack them. They actually appear to the body's immune system as cells of the digestive system, not foreign invaders. The bacteria actually cover themselves with sugar molecules removed from the actual cells of the digestive system. This disguises the bacteria and protects them from the immune system.<\/p>\n<p id=\"x-ck12-ODc2Zjk5Y2ZkZmFkMDE4NWU3OGE3ZDFhZjNiMmQwNGU.-ecg\">As the bacteria that live in the human gut are beneficial to us, and as the bacteria enjoy a safe environment to live, the relationship that we have with these tiny organisms is described as mutualism, a type of symbiotic relationship.<\/p>\n<p id=\"x-ck12-ZTJkZmQ5OTExZjllODIwZmU5OGQwZmRhMDc5MjBkMWU.-5ie\">Lastly, keep in mind the small size of bacteria. Together, all the bacteria in your gut may weigh just about two pounds.<\/p>\n<h2>Control of the Digestive Process<\/h2>\n<p>The process of digestion is controlled by both hormones and nerves. Hormonal control is mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5985\">endocrine<\/a> hormones secreted by cells in the lining of the stomach and small intestine. These hormones stimulate the production of digestive enzymes, bicarbonate, and bile. The hormone secretin, for example, is produced by endocrine cells lining the duodenum of the small intestine. Acidic chyme entering the duodenum from the stomach triggers the release of secretin into the bloodstream. When the secretin returns via the circulation to the digestive system, it signals the release of bicarbonate from the pancreas. The bicarbonate neutralizes the acidic chyme.\u00a0 See Table 15.3.2 for a summary of the major hormones governing the process of chemical digestion.<\/p>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 239px;\" border=\"0\">\n<caption>Table 15.3.2: Major Hormones Governing Chemical Digestion<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\">Hormone<\/th>\n<th scope=\"col\">Source Organ<\/th>\n<th scope=\"col\">Target Organ<\/th>\n<th scope=\"col\">Trigger<\/th>\n<th scope=\"col\">Result<\/th>\n<\/tr>\n<tr>\n<th scope=\"row\">Gastrin<\/th>\n<td style=\"width: 17.0129%;\">Stomach walls<\/td>\n<td style=\"width: 16.1039%;\">Stomach<\/td>\n<td style=\"width: 23.8961%;\">High protein intake<\/td>\n<td style=\"width: 37.9925%;\">HCL and pepsin release, stomach churning<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Secretin<\/th>\n<td style=\"width: 17.0129%;\">Duodenum<\/td>\n<td style=\"width: 16.1039%;\">Pancreas<\/p>\n<p>Gallbladder<\/td>\n<td style=\"width: 23.8961%;\">Acidic chyme entering the duodenum<\/td>\n<td style=\"width: 37.9925%;\">Release sodium bicarbonate, release bile<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Cholecystokinin (CCK)<\/th>\n<td style=\"width: 17.0129%;\">Duodenum<\/td>\n<td style=\"width: 16.1039%;\">Pancreas<\/p>\n<p>Gallbladder<\/td>\n<td style=\"width: 23.8961%;\">Partially digested fat and protein in duodenum<\/td>\n<td style=\"width: 37.9925%;\">Release lipase, trypsin, release bile<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Nerves involved in digestion include those that connect digestive organs to the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5933\">central nervous system<\/a>, as well as nerves inside the walls of the digestive organs. Nerves connecting the digestive organs to the central nervous system cause smooth\u00a0muscles\u00a0in the walls of digestive organs to contract or relax as needed, depending on whether or not there is food to be digested. Nerves within digestive organs are stimulated when food enters the organs and stretches their walls. These nerves trigger the release of substances that\u00a0speed\u00a0up or slow down the movement of food through the GI tract and the secretion of digestive enzymes.<\/p>\n<div>\n<h1>Absorption<\/h1>\n<\/div>\n<p>When digestion is finished, it results in many simple nutrient molecules that must go through the process of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4553\">absorption<\/a><\/strong>\u00a0from the lumen of the GI tract\u00a0to\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2702\">blood<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4552\">lymph <\/a> vessels, so they can be transported to and used by cells throughout the body. A few substances are absorbed in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a> and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4560\">large intestine<\/a>. Water is absorbed in both of these organs, and some minerals and vitamins are also absorbed in the large intestine, but about 95% of nutrient molecules are absorbed in the small intestine. Absorption of the majority of these molecules takes place in the second part of the small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4605\">jejunum<\/a>. There are, however, a few exceptions \u2014 for example, iron is absorbed in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>, and vitamin B12 is absorbed in the last part of the small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4606\">ileum<\/a>. After being absorbed in the small intestine, nutrient molecules are transported to other parts of the body for storage or further chemical modification. Amino acids, for instance, are transported to the liver to be used for protein synthesis.<\/p>\n<p>The epithelial tissue lining the small intestine is specialized for absorption. It is highly enfolded and is covered with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4543\">villi<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4583\">microvilli<\/a>, creating an enormous surface area for absorption. As shown in Figure 15.3.8, each villus also has a network of blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5923\">capillaries<\/a> and fine lymphatic vessels called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4607\">lacteal<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0close to its surface. The thin surface layer of epithelial cells of the villi transports nutrients from the lumen of the small intestine into these capillaries and lacteals. Blood in the capillaries absorbs most of the molecules, including simple sugars, amino acids, glycerol, salts, and water-soluble vitamins (vitamin C and the many B vitamins). Lymph in the lacteals absorbs fatty acids and fat-soluble vitamins (vitamins A, D, E, and K).<\/span><\/p>\n<figure id=\"attachment_4608\" aria-describedby=\"caption-attachment-4608\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4608\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Figure_34_01_11f-2.png\" alt=\"15.3.8\" width=\"1024\" height=\"484\" \/><figcaption id=\"caption-attachment-4608\" class=\"wp-caption-text\"><em>Figure 15.3.8 This simplified drawing of an intestinal villus shows the capillaries and lacteals within it that carry away absorbed substances. Note that each cell in the thin surface layer of the villus is actually covered with microvilli that greatly increase the surface area for absorption.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Feature: My Human Body<\/span><\/p>\n<p>The process of digestion does not always go as it should. Many people suffer from indigestion, or dyspepsia, a condition of impaired digestion. Symptoms may include upper abdominal fullness or pain, heartburn, nausea, belching, or some combination of these symptoms. The majority of cases of indigestion occur without evidence of an organic disease that is likely to explain the symptoms. Anxiety or certain foods or medications (such as aspirin) may be contributing factors in these cases. In other cases, indigestion is a symptom of an organic disease, most often gastroesophageal reflux disease (GERD) or gastritis. In a small minority of cases, indigestion is a symptom of a peptic ulcer of the stomach or duodenum, usually caused by a bacterial infection. Very rarely, indigestion is a sign of\u00a0cancer.<\/p>\n<p>An occasional bout of indigestion is usually nothing to worry about, especially in people less than 55 years of age. However, if you suffer frequent or chronic indigestion, it\u2019s a good idea to see a doctor. If an underlying disorder such as GERD or an ulcer is causing the indigestion, this can and should be treated. If no organic disease is discovered, the doctor can recommend lifestyle changes or treatments to help prevent or soothe the symptoms of acute indigestion. Lifestyle changes might include modifications in eating habits, such as eating more slowly, eating smaller meals, or avoiding fatty foods. You also might be advised to refrain from taking certain medications, especially on an empty stomach. The use of antacids or other medications to relieve symptoms may also be recommended.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Digestion is a form of catabolism, in which food is broken down into small molecules that the body can absorb and use for\u00a0energy, growth, and repair. Digestion occurs when food moves through the gastrointestinal (GI) tract. The digestive process is controlled by both hormones and nerves.<\/li>\n<li>Mechanical digestion is a physical process in which food is broken into smaller pieces without becoming chemically changed. It occurs mainly in the mouth and stomach.<\/li>\n<li>Chemical digestion is a chemical process in which macromolecules \u2014 including carbohydrates, proteins, lipids, and nucleic acids \u2014 in food are changed into simple nutrient molecules that can be absorbed into body fluids. Carbohydrates are chemically digested to sugars, proteins to amino acids, lipids to fatty acids, and nucleic acids to individual nucleotides. Chemical digestion requires digestive enzymes. Gut flora carry out additional chemical digestion.<\/li>\n<li>Absorption occurs when the simple nutrient molecules that result from digestion are absorbed into\u00a0blood\u00a0or lymph.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define digestion. Where does it occur?<\/li>\n<li>\n<div id=\"h5p-621\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-621\" class=\"h5p-iframe\" data-content-id=\"621\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"15.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Identify two organ systems that control the process of digestion by the digestive system.<\/li>\n<li>What is mechanical digestion? Where does it occur?<\/li>\n<li>Describe chemical digestion.<\/li>\n<li>What is the role of enzymes in chemical digestion?<\/li>\n<li>What is absorption? When does it occur?<\/li>\n<li>Where does most absorption occur in the digestive system?\u00a0Why does most of the absorption occur in this organ, and not earlier in the GI tract?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/awtmTJW9ic8<\/p>\n<p style=\"text-align: center;\">Food for thought: How your belly controls your brain | Ruairi Robertson | TEDxFulbrightSantaMonica, TEDx Talks, 2015.<\/p>\n<p>https:\/\/youtu.be\/1sISguPDlhY<\/p>\n<p style=\"text-align: center;\">How the food you eat affects your gut - Shilpa Ravella, TED-Ed, 2017.<\/p>\n<p>https:\/\/youtu.be\/jP-9AD0wMOk<\/p>\n<p style=\"text-align: center;\">What causes heartburn? - Rusha Modi, TED-Ed, 2018.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Patrick_Bertoletti_eating_hot_dogs.jpg\" rel=\"cc:attributionURL\">Patrick_Bertoletti_eating_hot_dogs<\/a> by Michael on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 15.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2426_Mechanical_and_Chemical_DigestionN.jpg\" rel=\"cc:attributionURL\">2426_Mechanical_and_Chemical_DigestionN<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-7-chemical-digestion-and-absorption-a-closer-look\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 15.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/-9BF6fBTnYA\" rel=\"cc:attributionURL\">Eating tacos<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@byrdman85\">DeMorris Byrd<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/26293621276\" rel=\"cc:attributionURL\">Carbohydrate digestion<\/a> by <a class=\"owner-name truncate\" title=\"Go to Nutritional Doublethink's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/\" data-track=\"attributionNameClick\">Nutritional Doublethink<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/140675010@N07\/26273143671\" rel=\"cc:attributionURL\">Peptide Digestion<\/a> by <a class=\"owner-name truncate\" title=\"Go to Nutritional Doublethink's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/\" data-track=\"attributionNameClick\">Nutritional Doublethink<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/\"><span style=\"font-size: 1em;\">Bile from the liver and lipase from the pancreas help digest lipids in small intestine<\/span><\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.129918412.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 15.3.7<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/nihgov\/39825990953\" rel=\"cc:attributionURL\">Gut Flora by NIH Image Gallery on Flickr<\/a> by <a class=\"owner-name truncate no-outline\" title=\"Go to NIH Image Gallery's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nihgov\/\" data-track=\"attributionNameClick\">NIH Image Gallery<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_34_01_11f.png\" rel=\"cc:attributionURL\">Figure_34_01_11f<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Oestf0YE@6\/Digestive-Systems\">CNX OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure\u00a0<\/span><span class=\"os-number\">23.28<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"3621\" class=\"os-title\" data-type=\"title\">Digestion and absorption [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 23.7). OpenStax. <\/span>https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-7-chemical-digestion-and-absorption-a-closer-look<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 6 Both bile from the liver and lipase from the pancreas help digest lipids in the small intestine [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 17.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/<\/p>\n<p class=\"hanging-indent\">OpenStax. (2016, May 27) Figure 11 Villi are folds on the small intestine lining that increase the surface area to facilitate the absorption of nutrients. [digital image]. In <em>OpenStax, Biology<\/em> (Section 34.1). OpenStax CNX.\u00a0 https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Oestf0YE@6\/Digestive-Systems<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, March 23). How the food you eat affects your gut - Shilpa Ravella. YouTube. https:\/\/www.youtube.com\/watch?v=1sISguPDlhY&amp;feature=youtu.be<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer hanging-indent\">TED-Ed. (2018, November 1). What causes heartburn? - Rusha Modi. YouTube. https:\/\/www.youtube.com\/watch?v=jP-9AD0wMOk&amp;feature=youtu.be<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer hanging-indent\">TEDx Talks. (2015, December 7). Food for thought: How your belly controls your brain | Ruairi Robertson | TEDxFulbrightSantaMonica. YouTube. https:\/\/www.youtube.com\/watch?v=awtmTJW9ic8&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5163\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5163\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4590\" aria-describedby=\"caption-attachment-4590\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4590\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Patrick_Bertoletti_eating_hot_dogs-2.jpg\" alt=\"15.3.1 Hot Dog Eating Contest\" width=\"400\" height=\"409\"><figcaption id=\"caption-attachment-4590\" class=\"wp-caption-text\"><em>Figure 15.3.1 Now that's a mouthful.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Competitive Eating<\/h1>\n<\/div>\n<p>This man is on his way to coming in third in an international hot dog eating contest (Figure 15.3.1). It may look as though he is regurgitating his hot dogs, but in fact, he is trying to get them into his mouth and down his throat as quickly as he can. In order to eat as many hot dogs as possible in the allotted time, he pushes several into his mouth at once, and doesn\u2019t bother doing much chewing. Chewing is normally the first step in the process of digestion.<\/p>\n<div>\n<h1>Digestion<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4549\">Digestion<\/a><\/strong>\u00a0of food is a form of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_178\">catabolism<\/a>, in which the food is broken down into small molecules that the body can absorb and use for energy, growth, and repair. Digestion occurs when food is moved through the digestive system. This process begins in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a> and ends in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a>. The final products of digestion are absorbed from the digestive tract, primarily in the small intestine. There are two different types of digestion that occur in the digestive system: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">mechanical digestion<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">chemical digestion<\/a>. Figure 15.3.2 summarizes the roles played by different digestive organs in mechanical and chemical digestion, both of which are described in detail below.<\/p>\n<div>\n<figure id=\"attachment_4591\" aria-describedby=\"caption-attachment-4591\" style=\"width: 446px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4591\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/2426_Mechanical_and_Chemical_DigestionN-2.jpg\" alt=\"15.3.2 Mechanical and Chemical Digestion\" width=\"446\" height=\"554\"><figcaption id=\"caption-attachment-4591\" class=\"wp-caption-text\"><em>Figure 15.3.2 Mechanical and chemical digestion along the GI tract.<\/em><\/figcaption><\/figure>\n<\/div>\n<div>\n<h2>Mechanical Digestion<\/h2>\n<\/div>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4592\" aria-describedby=\"caption-attachment-4592\" style=\"width: 192px\" class=\"wp-caption alignright\"><img class=\" wp-image-4592\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Eating-by-demorris-byrd-9BF6fBTnYA-unsplash-scaled-3.jpg\" alt=\"15.3.3\" width=\"192\" height=\"288\"><figcaption id=\"caption-attachment-4592\" class=\"wp-caption-text\"><em>Figure 15.3.3 The teeth play an important role in the mechanical digestion of food, starting with the first bite.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">Mechanical digestion<\/a><\/strong> is a physical process in which food is broken into smaller pieces without becoming changed chemically. It begins with your first bite of food (see Figure 15.3.3) and continues as you chew food with your teeth into smaller pieces. The process of mechanical digestion continues in the stomach. This muscular organ churns and mixes the food it contains, an action that breaks any solid food into still smaller pieces.<\/p>\n<p>Although some mechanical digestion also occurs in the\u00a0small intestine, it is mostly completed by the time food leaves the stomach. At that stage, food in the GI tract has been changed to the thick semi-fluid called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a>. Mechanical digestion is necessary so that chemical digestion can be effective. Mechanical digestion tremendously increases the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4593\">surface area<\/a> of food particles so they can be acted upon more effectively by digestive\u00a0enzymes.<\/p>\n<h2>Chemical Digestion<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">Chemical digestion<\/a><\/strong>\u00a0is the biochemical process in which <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_289\">macromolecule<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\"> in food are changed into smaller molecules that can be absorbed into body fluids and transported to\u00a0cells throughout the body. Substances in food that must be chemically digested include\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_288\">carbohydrates<\/a>,\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_297\">protein<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">,\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_296\">lipid<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_306\">nucleic acids<\/a>. Carbohydrates must be broken down into simple <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_316\">sugar<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, proteins into\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_305\">amino acid<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, lipids into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_349\">fatty acids<\/a> and glycerol, and nucleic acids into nitrogen bases and sugars. Some chemical digestion takes place in the mouth and stomach, but most of it occurs in the first part of the\u00a0small intestine\u00a0(<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>).<\/span><\/p>\n<h3>Digestive\u00a0Enzymes<\/h3>\n<p>Chemical digestion could not occur without the help of many different digestive enzymes.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_304\">Enzymes<\/a><\/strong>\u00a0are\u00a0proteins\u00a0that catalyze, or\u00a0speed\u00a0up,\u00a0biochemical reactions. Digestive enzymes are secreted by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3398\">exocrine gland<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0or by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4561\">mucosal layer<\/a> of epithelium lining the gastrointestinal tract. In the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a>, digestive enzymes are secreted by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4577\">salivary gland<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">. The lining of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a> secretes enzymes, as does the lining of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a>. Many more digestive enzymes are secreted by exocrine\u00a0cells\u00a0in the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a> and carried by ducts to the small intestine. The following table lists several important digestive enzymes, the organs and\/or glands that secrete them, the compounds they digest, and the pH necessary for optimal functioning. You can read more about them below.<\/span><\/p>\n<table class=\"grid\" style=\"height: 252px;width: 100%\">\n<caption>Table 15.3.1: Digestive Enzymes<\/caption>\n<tbody>\n<tr style=\"height: 15px\">\n<th scope=\"col\">Digestive\u00a0Enzyme<\/th>\n<th scope=\"col\">Source Organ<\/th>\n<th scope=\"col\">Site of Action<\/th>\n<th scope=\"col\">Reactant and Product<\/th>\n<th scope=\"col\">Optimal\u00a0pH<\/th>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Salivary Amylase<\/td>\n<td style=\"height: 15px;width: 116.375px\">Salivary Glands<\/td>\n<td style=\"width: 118.375px;height: 15px\">Mouth<\/td>\n<td style=\"height: 15px;width: 217.042px\">starch + water \u21d2 maltose<\/td>\n<td style=\"width: 193.042px;height: 15px\">Neutral<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Pepsin<\/td>\n<td style=\"height: 15px;width: 116.375px\">Stomach<\/td>\n<td style=\"width: 118.375px;height: 15px\">Stomach<\/td>\n<td style=\"height: 15px;width: 217.042px\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px;height: 15px\">Acidic<\/td>\n<\/tr>\n<tr style=\"height: 29px\">\n<td style=\"width: 137.042px;height: 29px\">Pancreatic Amylase<\/td>\n<td style=\"width: 116.375px;height: 29px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 29px\">Duodenum<\/td>\n<td style=\"width: 217.042px;height: 29px\">starch + water \u21d2 maltose<\/td>\n<td style=\"width: 193.042px;height: 29px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Maltase<\/td>\n<td style=\"height: 15px;width: 116.375px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 15px\">Small intestine<\/td>\n<td style=\"height: 15px;width: 217.042px\">maltose + water \u21d2 glucose<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Sucrase<\/td>\n<td style=\"height: 15px;width: 116.375px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 15px\">Small intestine<\/td>\n<td style=\"height: 15px;width: 217.042px\">sucrose + water \u21d2 glucose + fructose<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Lactase<\/td>\n<td style=\"height: 15px;width: 116.375px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 15px\">Small intestine<\/td>\n<td style=\"height: 15px;width: 217.042px\">lactose + water \u21d2\u00a0 glucose + galactose<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Lipase<\/td>\n<td style=\"height: 15px;width: 116.375px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 15px\">Duodenum<\/td>\n<td style=\"height: 15px;width: 217.042px\">fat droplet and water \u21d2\u00a0 glycerol and fatty acids<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Trypsin<\/td>\n<td style=\"height: 15px;width: 116.375px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 15px\">Duodenum<\/td>\n<td style=\"height: 15px;width: 217.042px\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Chymotrypsin<\/td>\n<td style=\"height: 15px;width: 116.375px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 15px\">Duodenum<\/td>\n<td style=\"height: 15px;width: 217.042px\">protein + water \u21d2 peptides<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 137.042px;height: 14px\">Peptidases<\/td>\n<td style=\"width: 116.375px;height: 14px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 14px\">Small intestine<\/td>\n<td style=\"width: 217.042px;height: 14px\">peptides + water \u21d2<\/td>\n<td style=\"width: 193.042px;height: 14px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Deoxyribonuclease<\/td>\n<td style=\"height: 15px;width: 116.375px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 15px\">Duodenum<\/td>\n<td style=\"height: 15px;width: 217.042px\">DNA + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Ribonuclease<\/td>\n<td style=\"height: 15px;width: 116.375px\">Pancreas<\/td>\n<td style=\"width: 118.375px;height: 15px\">Duodenum<\/td>\n<td style=\"height: 15px;width: 217.042px\">RNA + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 137.042px\">Nuclease<\/td>\n<td style=\"height: 15px;width: 116.375px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 15px\">Small intestine<\/td>\n<td style=\"height: 15px;width: 217.042px\">nucleic acids + water \u21d2 nucleotide fragments<\/td>\n<td style=\"width: 193.042px;height: 15px\">Basic<\/td>\n<\/tr>\n<tr style=\"height: 29px\">\n<td style=\"width: 137.042px;height: 29px\">Nucleosidases<\/td>\n<td style=\"width: 116.375px;height: 29px\">Small intestine<\/td>\n<td style=\"width: 118.375px;height: 29px\">Small intestine<\/td>\n<td style=\"width: 217.042px;height: 29px\">nucleotides + water \u21d2 nitrogen base + phosphate sugar<\/td>\n<td style=\"width: 193.042px;height: 29px\">Basic<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Chemical Digestion of\u00a0Carbohydrates<\/h3>\n<p>About 80% of digestible carbohydrates in a typical Western diet are in the form of the plant <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_321\">polysaccharide<\/a> amylose, which consists mainly of long chains of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_317\">glucose<\/a> and is one of two major components of starch. Additional dietary carbohydrates include the animal polysaccharide glycogen, along with some sugars, which are mainly <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4594\">disaccharide<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">.<\/span><\/p>\n<p>The process of chemical digestion for some carbohydrates is illustrated Figure 15.3.4. To chemically digest amylose and glycogen, the enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4578\">amylase<\/a> is required. The chemical digestion of these polysaccharides begins in the mouth, aided by amylase in saliva. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4595\">Saliva<\/a> also contains mucus \u2014 which lubricates the food \u2014 and hydrogen carbonate, which provides the ideal alkaline conditions for amylase to work. Carbohydrate digestion is completed in the small intestine, with the help of amylase secreted by the pancreas. In the digestive process, polysaccharides are reduced in length by the breaking of bonds between glucose monomers. The macromolecules are broken down to shorter polysaccharides and disaccharides, resulting in progressively shorter chains of glucose. The end result is molecules of the simple sugars glucose and maltose (which consists of two glucose molecules), both of which can be absorbed by the small intestine.<\/p>\n<p>Other sugars are digested with the help of different enzymes produced by the small intestine. Sucrose (or table sugar), for example, is a disaccharide that is broken down by the enzyme sucrase to form glucose and fructose, which are readily absorbed by the small intestine. Digestion of the sugar lactose, which is found in milk, requires the enzyme lactase, which breaks down lactose into glucose and galactose. Glucose and galactose are then absorbed by the small intestine. Fewer than half of all adults produce sufficient lactase to be able to digest lactose. Those who cannot are said to be lactose intolerant.<\/p>\n<figure id=\"attachment_4596\" aria-describedby=\"caption-attachment-4596\" style=\"width: 853px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4596\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate-digestion-by-Nutritional-Doublethink-on-Flickr-2.jpg\" alt=\"15.3.4\" width=\"853\" height=\"447\"><figcaption id=\"caption-attachment-4596\" class=\"wp-caption-text\"><em>Figure 15.3.4 The process of chemical digestion for some carbohydrates.<\/em><\/figcaption><\/figure>\n<h3>Chemical Digestion of\u00a0Proteins<\/h3>\n<p>Proteins consist of polypeptides, which must be broken down into their constituent\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_305\">amino acid<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\"> before they can be absorbed. An overview of this process is shown in Figure 15.3.5. Protein digestion occurs in the stomach and small intestine through the action of three primary enzymes: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4581\">pepsin<\/a> (secreted by the stomach), and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4597\">trypsin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4598\">chymotrypsin<\/a> (secreted by the pancreas). The stomach also secretes hydrochloric acid (HCl), making the contents highly acidic, which is a required condition for pepsin to work. Trypsin and chymotrypsin in the small intestine require an alkaline (basic) environment to work. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver <\/a>and bicarbonate from the pancreas neutralize the acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> as it empties into the small intestine. After pepsin, trypsin, and chymotrypsin break down proteins into peptides, these are further broken down into amino acids by other enzymes called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4600\">peptidase<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, also secreted by the pancreas.<\/span><\/p>\n<figure id=\"attachment_4601\" aria-describedby=\"caption-attachment-4601\" style=\"width: 316px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4601\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Peptide-Digestion-by-Nutritional-Doublethink-on-Flickr-2.jpg\" alt=\"15.3.5\" width=\"316\" height=\"500\"><figcaption id=\"caption-attachment-4601\" class=\"wp-caption-text\"><em>Figure 15.3.5 Chemical digestion of proteins.<\/em><\/figcaption><\/figure>\n<h3>Chemical Digestion of\u00a0Lipids<\/h3>\n<p>The chemical digestion of\u00a0lipids\u00a0begins in the mouth. The salivary glands secrete the digestive enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">lipase<\/a>, which breaks down short-chain lipids into molecules consisting of two fatty acids. A tiny amount of\u00a0lipid\u00a0digestion may take place in the stomach, but most lipid digestion occurs in the small intestine.<\/p>\n<p>Digestion of lipids in the small intestine occurs with the help of another lipase enzyme from the pancreas, as well as bile secreted by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a>. As shown in the diagram below (Figure 15.3.6), bile is required for the digestion of lipids, because lipids are oily and do not dissolve in the watery chyme. Bile emulsifies (or breaks up) large globules of food lipids into much smaller ones, called micelles, much as dish detergent breaks up grease. The micelles provide a great deal more surface area to be acted upon by lipase, and also point the hydrophilic (\u201cwater-loving\u201d) heads of the fatty acids outward into the watery chyme. Lipase can then access and break down the micelles into individual fatty acid molecules.<\/p>\n<figure id=\"attachment_4603\" aria-describedby=\"caption-attachment-4603\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4603\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/f-d_2cd5d5d9f5207f31bcb1e4c0999fe1293e55ac837b592f0544c4ca7cIMAGE_THUMB_POSTCARD_TINYIMAGE_THUMB_POSTCARD_TINY-2.png\" alt=\"15.3.6 Fat Digestion\" width=\"500\" height=\"322\"><figcaption id=\"caption-attachment-4603\" class=\"wp-caption-text\"><em>Figure 15.3.6 <\/em><em>Bile from the liver and lipase from the pancreas help digest lipids in the small intestine.<\/em><\/figcaption><\/figure>\n<div>\n<h3>Chemical Digestion of Nucleic Acids<\/h3>\n<\/div>\n<p>Nucleic acids (DNA\u00a0and RNA) in foods are digested in the small intestine with the help of both pancreatic enzymes and enzymes produced by the small intestine itself. Pancreatic enzymes called ribonuclease and deoxyribonuclease break down\u00a0RNA\u00a0and DNA, respectively, into smaller nucleic acids. These, in turn, are further broken down into nitrogen bases and sugars by small intestine enzymes called nucleases.<\/p>\n<h3>Bacteria\u00a0in the\u00a0Digestive System<\/h3>\n<p id=\"x-ck12-MDQ0MTEwMWIwZGNlMTFjMjY1MGM2MDIyOWI5ZjIzY2Y.-364\">Your\u00a0large intestine\u00a0is not just made up of\u00a0cells. It is also an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_185\"><strong>ecosystem<\/strong><\/a>, home to trillions of bacteria known as the \"gut flora\" (Figure 15.3.7). But don't worry, most of these bacteria are helpful. Friendly bacteria live mostly in the large intestine and part of the small intestine. The acidic environment of the stomach does not allow bacterial growth.<\/p>\n<p id=\"x-ck12-ZWU4MjNiMTM2OWIwOTQ4NzNlNjQyYzQwNTQ0ZWNiYWI.-anw\">Gut bacteria have several roles in the body. For example, intestinal bacteria:<\/p>\n<ul id=\"x-ck12-ZTI1ZGMyZDY0OGQ0NGNjMTk0NzAzNDJkN2JjYjgzZTc.-95x\">\n<li>Produce\u00a0vitamin B12\u00a0and\u00a0vitamin K.<\/li>\n<li>Control the growth of harmful bacteria.<\/li>\n<li>Break down poisons in the\u00a0large intestine.<\/li>\n<li>Break down some substances in food that cannot be digested, such as fibre and some starches and sugars. Bacteria produce enzymes that digest carbohydrates in plant cell walls. Most of the nutritional value of plant material would be wasted without these bacteria. These help us digest plant foods like spinach.<\/li>\n<\/ul>\n<div id=\"x-ck12-ZjdiNWQ4OTY5NzQ4MGNjYzkxZWY3NWYxYTY3ODRkOGY.-sdb\" class=\"x-ck12-img-postcard x-ck12-nofloat\">\n<figure id=\"attachment_4604\" aria-describedby=\"caption-attachment-4604\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4604\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gut-Flora-by-NIH-Image-Gallery-on-Flickr-2.jpg\" alt=\"15.3.7\" width=\"400\" height=\"300\"><figcaption id=\"caption-attachment-4604\" class=\"wp-caption-text\"><em>Figure 15.3.7 Commensal (good) bacteria (shown in red) reside among the mucus (green) and epithelial cells (blue) of a small intestine.<\/em><\/figcaption><\/figure>\n<\/div>\n<p id=\"x-ck12-ZmVlNzRmZjQ4ODA2NzFkNmQ1ZTQ2N2I5OTdkNjYzYTA.-onq\">A wide range of friendly bacteria live in the gut. Bacteria begin to populate the human\u00a0digestive system right after birth. Gut bacteria include <em>Lactobacillus<\/em>, the bacteria commonly used in probiotic foods such as yogurt, and\u00a0<em>E. coli<\/em>\u00a0bacteria. About a third of all bacteria in the gut are members of the\u00a0<em>Bacteroides<\/em>\u00a0species.\u00a0<em>Bacteroides<\/em>\u00a0are key in helping us digest plant food.<\/p>\n<p id=\"x-ck12-OTIzMWRlZWM4NzhmZjVjYmMyYmM3NGZlMGJhMmVmYWE.-ltm\">It is estimated that 100 trillion bacteria live in the gut. This is more than the human cells that make up you. It has also been estimated that there are more bacteria in your mouth than people on the planet \u2014 there are over 7 billion people on the planet!<\/p>\n<p id=\"x-ck12-ODU2NDVkODc1YTM5N2M2OGJiNjdkMmRhM2I5MjdkYjM.-65g\">The bacteria in your digestive system are from anywhere between 300 and 1,000 species. As these bacteria are helpful, your body does not attack them. They actually appear to the body's immune system as cells of the digestive system, not foreign invaders. The bacteria actually cover themselves with sugar molecules removed from the actual cells of the digestive system. This disguises the bacteria and protects them from the immune system.<\/p>\n<p id=\"x-ck12-ODc2Zjk5Y2ZkZmFkMDE4NWU3OGE3ZDFhZjNiMmQwNGU.-ecg\">As the bacteria that live in the human gut are beneficial to us, and as the bacteria enjoy a safe environment to live, the relationship that we have with these tiny organisms is described as mutualism, a type of symbiotic relationship.<\/p>\n<p id=\"x-ck12-ZTJkZmQ5OTExZjllODIwZmU5OGQwZmRhMDc5MjBkMWU.-5ie\">Lastly, keep in mind the small size of bacteria. Together, all the bacteria in your gut may weigh just about two pounds.<\/p>\n<h2>Control of the Digestive Process<\/h2>\n<p>The process of digestion is controlled by both hormones and nerves. Hormonal control is mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2909\">endocrine<\/a> hormones secreted by cells in the lining of the stomach and small intestine. These hormones stimulate the production of digestive enzymes, bicarbonate, and bile. The hormone secretin, for example, is produced by endocrine cells lining the duodenum of the small intestine. Acidic chyme entering the duodenum from the stomach triggers the release of secretin into the bloodstream. When the secretin returns via the circulation to the digestive system, it signals the release of bicarbonate from the pancreas. The bicarbonate neutralizes the acidic chyme.\u00a0 See Table 15.3.2 for a summary of the major hormones governing the process of chemical digestion.<\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 239px\" border=\"0\">\n<caption>Table 15.3.2: Major Hormones Governing Chemical Digestion<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\">Hormone<\/th>\n<th scope=\"col\">Source Organ<\/th>\n<th scope=\"col\">Target Organ<\/th>\n<th scope=\"col\">Trigger<\/th>\n<th scope=\"col\">Result<\/th>\n<\/tr>\n<tr>\n<th scope=\"row\">Gastrin<\/th>\n<td style=\"width: 17.0129%\">Stomach walls<\/td>\n<td style=\"width: 16.1039%\">Stomach<\/td>\n<td style=\"width: 23.8961%\">High protein intake<\/td>\n<td style=\"width: 37.9925%\">HCL and pepsin release, stomach churning<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Secretin<\/th>\n<td style=\"width: 17.0129%\">Duodenum<\/td>\n<td style=\"width: 16.1039%\">Pancreas<\/p>\n<p>Gallbladder<\/td>\n<td style=\"width: 23.8961%\">Acidic chyme entering the duodenum<\/td>\n<td style=\"width: 37.9925%\">Release sodium bicarbonate, release bile<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Cholecystokinin (CCK)<\/th>\n<td style=\"width: 17.0129%\">Duodenum<\/td>\n<td style=\"width: 16.1039%\">Pancreas<\/p>\n<p>Gallbladder<\/td>\n<td style=\"width: 23.8961%\">Partially digested fat and protein in duodenum<\/td>\n<td style=\"width: 37.9925%\">Release lipase, trypsin, release bile<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Nerves involved in digestion include those that connect digestive organs to the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2975\">central nervous system<\/a>, as well as nerves inside the walls of the digestive organs. Nerves connecting the digestive organs to the central nervous system cause smooth\u00a0muscles\u00a0in the walls of digestive organs to contract or relax as needed, depending on whether or not there is food to be digested. Nerves within digestive organs are stimulated when food enters the organs and stretches their walls. These nerves trigger the release of substances that\u00a0speed\u00a0up or slow down the movement of food through the GI tract and the secretion of digestive enzymes.<\/p>\n<div>\n<h1>Absorption<\/h1>\n<\/div>\n<p>When digestion is finished, it results in many simple nutrient molecules that must go through the process of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4553\">absorption<\/a><\/strong>\u00a0from the lumen of the GI tract\u00a0to\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2702\">blood<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4552\">lymph <\/a> vessels, so they can be transported to and used by cells throughout the body. A few substances are absorbed in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a> and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4560\">large intestine<\/a>. Water is absorbed in both of these organs, and some minerals and vitamins are also absorbed in the large intestine, but about 95% of nutrient molecules are absorbed in the small intestine. Absorption of the majority of these molecules takes place in the second part of the small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4605\">jejunum<\/a>. There are, however, a few exceptions \u2014 for example, iron is absorbed in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>, and vitamin B12 is absorbed in the last part of the small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4606\">ileum<\/a>. After being absorbed in the small intestine, nutrient molecules are transported to other parts of the body for storage or further chemical modification. Amino acids, for instance, are transported to the liver to be used for protein synthesis.<\/p>\n<p>The epithelial tissue lining the small intestine is specialized for absorption. It is highly enfolded and is covered with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4543\">villi<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4583\">microvilli<\/a>, creating an enormous surface area for absorption. As shown in Figure 15.3.8, each villus also has a network of blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3501\">capillaries<\/a> and fine lymphatic vessels called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4607\">lacteal<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0close to its surface. The thin surface layer of epithelial cells of the villi transports nutrients from the lumen of the small intestine into these capillaries and lacteals. Blood in the capillaries absorbs most of the molecules, including simple sugars, amino acids, glycerol, salts, and water-soluble vitamins (vitamin C and the many B vitamins). Lymph in the lacteals absorbs fatty acids and fat-soluble vitamins (vitamins A, D, E, and K).<\/span><\/p>\n<figure id=\"attachment_4608\" aria-describedby=\"caption-attachment-4608\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4608\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Figure_34_01_11f-2.png\" alt=\"15.3.8\" width=\"1024\" height=\"484\"><figcaption id=\"caption-attachment-4608\" class=\"wp-caption-text\"><em>Figure 15.3.8 This simplified drawing of an intestinal villus shows the capillaries and lacteals within it that carry away absorbed substances. Note that each cell in the thin surface layer of the villus is actually covered with microvilli that greatly increase the surface area for absorption.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Feature: My Human Body<\/span><\/p>\n<p>The process of digestion does not always go as it should. Many people suffer from indigestion, or dyspepsia, a condition of impaired digestion. Symptoms may include upper abdominal fullness or pain, heartburn, nausea, belching, or some combination of these symptoms. The majority of cases of indigestion occur without evidence of an organic disease that is likely to explain the symptoms. Anxiety or certain foods or medications (such as aspirin) may be contributing factors in these cases. In other cases, indigestion is a symptom of an organic disease, most often gastroesophageal reflux disease (GERD) or gastritis. In a small minority of cases, indigestion is a symptom of a peptic ulcer of the stomach or duodenum, usually caused by a bacterial infection. Very rarely, indigestion is a sign of\u00a0cancer.<\/p>\n<p>An occasional bout of indigestion is usually nothing to worry about, especially in people less than 55 years of age. However, if you suffer frequent or chronic indigestion, it\u2019s a good idea to see a doctor. If an underlying disorder such as GERD or an ulcer is causing the indigestion, this can and should be treated. If no organic disease is discovered, the doctor can recommend lifestyle changes or treatments to help prevent or soothe the symptoms of acute indigestion. Lifestyle changes might include modifications in eating habits, such as eating more slowly, eating smaller meals, or avoiding fatty foods. You also might be advised to refrain from taking certain medications, especially on an empty stomach. The use of antacids or other medications to relieve symptoms may also be recommended.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Digestion is a form of catabolism, in which food is broken down into small molecules that the body can absorb and use for\u00a0energy, growth, and repair. Digestion occurs when food moves through the gastrointestinal (GI) tract. The digestive process is controlled by both hormones and nerves.<\/li>\n<li>Mechanical digestion is a physical process in which food is broken into smaller pieces without becoming chemically changed. It occurs mainly in the mouth and stomach.<\/li>\n<li>Chemical digestion is a chemical process in which macromolecules \u2014 including carbohydrates, proteins, lipids, and nucleic acids \u2014 in food are changed into simple nutrient molecules that can be absorbed into body fluids. Carbohydrates are chemically digested to sugars, proteins to amino acids, lipids to fatty acids, and nucleic acids to individual nucleotides. Chemical digestion requires digestive enzymes. Gut flora carry out additional chemical digestion.<\/li>\n<li>Absorption occurs when the simple nutrient molecules that result from digestion are absorbed into\u00a0blood\u00a0or lymph.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define digestion. Where does it occur?<\/li>\n<li>\n<div id=\"h5p-184\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-184\" class=\"h5p-iframe\" data-content-id=\"184\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"10.5 Label the hair shaft\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Identify two organ systems that control the process of digestion by the digestive system.<\/li>\n<li>What is mechanical digestion? Where does it occur?<\/li>\n<li>Describe chemical digestion.<\/li>\n<li>What is the role of enzymes in chemical digestion?<\/li>\n<li>What is absorption? When does it occur?<\/li>\n<li>Where does most absorption occur in the digestive system?\u00a0Why does most of the absorption occur in this organ, and not earlier in the GI tract?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/awtmTJW9ic8<\/p>\n<p style=\"text-align: center\">Food for thought: How your belly controls your brain | Ruairi Robertson | TEDxFulbrightSantaMonica, TEDx Talks, 2015.<\/p>\n<p>https:\/\/youtu.be\/1sISguPDlhY<\/p>\n<p style=\"text-align: center\">How the food you eat affects your gut - Shilpa Ravella, TED-Ed, 2017.<\/p>\n<p>https:\/\/youtu.be\/jP-9AD0wMOk<\/p>\n<p style=\"text-align: center\">What causes heartburn? - Rusha Modi, TED-Ed, 2018.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Patrick_Bertoletti_eating_hot_dogs.jpg\" rel=\"cc:attributionURL\">Patrick_Bertoletti_eating_hot_dogs<\/a> by Michael on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 15.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2426_Mechanical_and_Chemical_DigestionN.jpg\" rel=\"cc:attributionURL\">2426_Mechanical_and_Chemical_DigestionN<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-7-chemical-digestion-and-absorption-a-closer-look\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 15.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/-9BF6fBTnYA\" rel=\"cc:attributionURL\">Eating tacos<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@byrdman85\">DeMorris Byrd<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/26293621276\" rel=\"cc:attributionURL\">Carbohydrate digestion<\/a> by <a class=\"owner-name truncate\" title=\"Go to Nutritional Doublethink's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/\" data-track=\"attributionNameClick\">Nutritional Doublethink<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/140675010@N07\/26273143671\" rel=\"cc:attributionURL\">Peptide Digestion<\/a> by <a class=\"owner-name truncate\" title=\"Go to Nutritional Doublethink's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nutritionaldoublethink\/\" data-track=\"attributionNameClick\">Nutritional Doublethink<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/\"><span style=\"font-size: 1em\">Bile from the liver and lipase from the pancreas help digest lipids in small intestine<\/span><\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.129918412.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 15.3.7<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/nihgov\/39825990953\" rel=\"cc:attributionURL\">Gut Flora by NIH Image Gallery on Flickr<\/a> by <a class=\"owner-name truncate no-outline\" title=\"Go to NIH Image Gallery's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nihgov\/\" data-track=\"attributionNameClick\">NIH Image Gallery<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 15.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_34_01_11f.png\" rel=\"cc:attributionURL\">Figure_34_01_11f<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Oestf0YE@6\/Digestive-Systems\">CNX OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure\u00a0<\/span><span class=\"os-number\">23.28<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"3621\" class=\"os-title\" data-type=\"title\">Digestion and absorption [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 23.7). OpenStax. <\/span>https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-7-chemical-digestion-and-absorption-a-closer-look<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 6 Both bile from the liver and lipase from the pancreas help digest lipids in the small intestine [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 17.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.3\/<\/p>\n<p class=\"hanging-indent\">OpenStax. (2016, May 27) Figure 11 Villi are folds on the small intestine lining that increase the surface area to facilitate the absorption of nutrients. [digital image]. In <em>OpenStax, Biology<\/em> (Section 34.1). OpenStax CNX.\u00a0 https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Oestf0YE@6\/Digestive-Systems<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, March 23). How the food you eat affects your gut - Shilpa Ravella. YouTube. https:\/\/www.youtube.com\/watch?v=1sISguPDlhY&amp;feature=youtu.be<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer hanging-indent\">TED-Ed. (2018, November 1). What causes heartburn? - Rusha Modi. YouTube. https:\/\/www.youtube.com\/watch?v=jP-9AD0wMOk&amp;feature=youtu.be<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer hanging-indent\">TEDx Talks. (2015, December 7). Food for thought: How your belly controls your brain | Ruairi Robertson | TEDxFulbrightSantaMonica. YouTube. https:\/\/www.youtube.com\/watch?v=awtmTJW9ic8&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5164\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5164\"><div tabindex=\"-1\"><p>Image shows a woman doing a handstand.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5169\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5169\"><div tabindex=\"-1\"><p>Image is a GIF of an xray of someone swallowing.  You can see the bones of the head and neck from a side view.  The liquid is swallowed and flows in through the mouth, down the pharynx and down the esophagus.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5170\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5170\"><div tabindex=\"-1\"><p>Medical artwork showing the anatomical composition of the stomach in a sectional view on white background.  There are three layers of muscle in the stomach wall, each layer runs in a different direction: circular, longitudinal and oblique.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5171\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5171\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4610\" aria-describedby=\"caption-attachment-4610\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4610\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Handstand-by-jasper-garratt-v5gl4leh-Mk-unsplash-scaled-3.jpg\" alt=\"15.4.1 Handstand\" width=\"333\" height=\"500\" \/><figcaption id=\"caption-attachment-4610\" class=\"wp-caption-text\"><em>Figure 15.4.1 Let's hope gravity doesn't work too hard in this case.<\/em><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Head Stand<\/span><\/p>\n<p>Did you ever wonder what would happen if you tried to swallow food while standing on your head like this person in Figure 15.4.1? Many people think that food travels down the gullet from the mouth by the force of gravity. If that were the case, then food you swallowed would stay in your throat while you were standing on your head. In reality, your position doesn\u2019t have much to do with your ability to swallow. Food will travel from your mouth to your stomach whether you are standing upright or upside down. That\u2019s because the tube the food travels through \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4557\">esophagus<\/a> \u2014 moves the food along via muscular contractions known as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2890\">peristalsis<\/a>. The esophagus is one of several organs that make up the upper gastrointestinal tract.<\/p>\n<div>\n<h1>Organs of the Upper Gastrointestinal Tract<\/h1>\n<\/div>\n<p>Besides the esophagus, organs of the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4574\">upper gastrointestinal (GI) tract<\/a><\/strong>\u00a0include the mouth, pharynx, and stomach. These hollow organs are all connected to form a tube through which food passes during digestion. The only role in digestion played by the pharynx and esophagus is to move food through the GI tract. The mouth and stomach, in contrast, are organs where digestion \u2014 or the breakdown of food \u2014 also occurs. In both of these organs, food is broken into smaller pieces (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">mechanical digestion<\/a>), as well as broken down chemically (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">chemical digestion<\/a>). It should be noted that the first part of the small intestine (duodenum) is considered in some contexts to be part of the upper GI tract, but that practice is not followed here.<\/p>\n<div>\n<h1>Mouth<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a><\/strong>\u00a0is the first organ of the GI tract. Most of the oral cavity is lined with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3538\">mucous membrane<\/a>. This tissue produces mucus, which helps moisten, soften, and lubricate food. Underlying the mucous membrane is a thin layer of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2982\">smooth muscle<\/a> to which the mucous membrane is only loosely connected. This gives the mucous membrane considerable ability to stretch as you eat food. The roof of the mouth, called the palate, separates the oral cavity from the nasal cavity. The front part is hard, consisting of mucous membrane covering a plate of bone. The back part of the palate is softer and more pliable, consisting of mucous membrane over muscle and connective tissue. The hard surface of the front of the palate allows for pressure needed in chewing and mixing food. The soft, pliable surface of the back of the palate can move to accommodate the passage of food while swallowing. Muscles at either side of the soft palate contract to create the swallowing action.<\/p>\n<p>Several specific structures in the mouth are specialized for digestion. These include salivary glands, tongue, and teeth.<\/p>\n<h2>Salivary Glands<\/h2>\n<figure id=\"attachment_4611\" aria-describedby=\"caption-attachment-4611\" style=\"width: 357px\" class=\"wp-caption alignright\"><img class=\" wp-image-4611\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0780_SalivaryGlands-2.png\" alt=\"15.4.2\" width=\"357\" height=\"357\" \/><figcaption id=\"caption-attachment-4611\" class=\"wp-caption-text\"><em>Figure 15.4.2 Salivary glands in the mouth include the three major pairs of glands shown here.<\/em><\/figcaption><\/figure>\n<p>The mouth contains three pairs of major\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4577\">salivary glands<\/a><\/strong>, shown in Figure 15.4.2. These three pairs are all <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_6001\">exocrine gland<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0that secrete <\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4595\">saliva<\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0into the mouth through ducts.<\/span><\/p>\n<ol>\n<li>The largest of the three major pairs of salivary glands are the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4612\">parotid glands<\/a><\/strong>, which are located on either side of the mouth in front of the ears.<\/li>\n<li>The next largest pair is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5457\">submandibular glands<\/a><\/strong>, located beneath the lower jaw.<\/li>\n<li>The third pair is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5527\">sublingual glands<\/a><\/strong>, located underneath the tongue.<\/li>\n<\/ol>\n<p>In addition to these three pairs of major salivary glands, there are also hundreds of minor salivary glands in the oral mucosa lining the mouth and on the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4615\">tongue<\/a>. Along with the major glands, most of the minor glands secrete the digestive enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4578\">amylase<\/a>, which begins the chemical digestion of starch and glycogen (polysaccharides). However, the minor salivary glands on the tongue secrete the fat-digesting enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">lipase<\/a>, which in the mouth is called lingual lipase (to distinguish it from pancreatic lipase secreted by the pancreas).<\/p>\n<p>Saliva secreted by the salivary glands mainly helps digestion, but it also plays other roles. It helps maintain dental health by cleaning the teeth, and it contains <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5659\">antibodies<\/a> that help protect against infection. By keeping the mouth lubricated, saliva also allows the mouth movements needed for speech.<\/p>\n<h2>Tongue<\/h2>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4615\">tongue<\/a> is a fleshy, muscular organ that is attached to the floor of the mouth by a band of ligaments that gives it great mobility. This is necessary so the tongue can manipulate food for chewing and swallowing. Movements of the tongue are also necessary for speaking. The upper surface of the tongue is covered with tiny projections called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4616\">papillae<\/a>, which contain taste buds. The latter are collections of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3128\">chemoreceptor<\/a> cells (shown in Figure 15.4.3). These sensory cells sense chemicals in food and send the information to the brain via cranial nerves, thus enabling the sense of taste.<\/p>\n<figure id=\"attachment_4617\" aria-describedby=\"caption-attachment-4617\" style=\"width: 567px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4617\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1402_The_Tongue-2.jpg\" alt=\"15.4.3 Papillae\" width=\"567\" height=\"477\" \/><figcaption id=\"caption-attachment-4617\" class=\"wp-caption-text\"><em>Figure 15.4.3 There are several types of papillae located in different areas on the tongue.<\/em><\/figcaption><\/figure>\n<p>There are five basic tastes detected by the chemoreceptor cells in taste buds: saltiness, sourness, bitterness, sweetness, and umami (often described as a meaty taste). Contrary to popular belief, taste buds for the five basic tastes are not located on different parts of the tongue. Why does taste matter? The taste of food helps to stimulate the secretion of saliva from the salivary glands. It also helps us to eat foods that are good for us, instead\u00a0of\u00a0rotten or toxic foods. The detection of saltiness, for example, enables the control of salt intake and salt balance in the body. The detection of sourness may help us avoid spoiled foods, which often taste sour due to fermentation by bacteria. The detection of bitterness warns of poisons, because many plants defend themselves with toxins that taste bitter. The detection of sweetness guides us to foods that supply quick energy. The detection of umami may signal protein-rich foods.<\/p>\n<h2>Teeth<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5455\">teeth<\/a><\/strong> are complex structures made of a bone-like material called dentin and covered with enamel, which is the hardest tissue in the body. Adults normally have a total of 32 teeth, with 16 in each jaw. The right and left sides of each jaw are mirror images in terms of the numbers and types of teeth they contain. Teeth have different shapes to suit them for different aspects of mastication (chewing). The different types of teeth are illustrated in Figure 15.4.4.<\/p>\n<figure id=\"attachment_4623\" aria-describedby=\"caption-attachment-4623\" style=\"width: 453px\" class=\"wp-caption alignright\"><img class=\" wp-image-4623\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1024px-3D_Medical_Animation_Still_Showing_Types_of_Teeth-2.jpg\" alt=\"15.4.4 Teeth\" width=\"453\" height=\"255\" \/><figcaption id=\"caption-attachment-4623\" class=\"wp-caption-text\"><em>Figure 15.4.4 In adults, both sides of each jaw normally have the same numbers of the four types of teeth shown here.<\/em><\/figcaption><\/figure>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4619\">Incisors<\/a><\/strong>\u00a0are the sharp, blade-like teeth at the front of the mouth. They are used for cutting or biting off pieces of food. In adults, there are normally four incisors in each jaw, or eight in total.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4620\">Canines<\/a><\/strong>\u00a0are the pointed teeth on either side of the incisors. They are used for tearing foods that are tough or stringy. Adults normally have two canines in each jaw, or four altogether.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4621\">Premolars<\/a><\/strong>\u00a0and\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4622\">molars<\/a><\/strong>\u00a0are cuboid teeth with cusps and grooves that are located on the sides and toward the back of the jaws. Premolars are closer to the front of the mouth. Molars are larger and have more cusps than premolars, but both are used for crushing and grinding food. Adults normally have two premolars and three molars on each side of each jaw, for a total of eight premolars and twelve molars.<\/li>\n<\/ul>\n<div>\n<h1>Pharynx<\/h1>\n<\/div>\n<p>The tube-like <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4296\">pharynx<\/a> (see Figure 15.4.5 below) plays a dual role as an organ of both respiration and digestion. As part of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2912\">respiratory system<\/a>, it conducts air between the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4295\">nasal cavity<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4298\">larynx<\/a>. As part of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5969\">digestive system<\/a>, it allows swallowed food to pass from the oral cavity to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4557\">esophagus<\/a>. Anything swallowed has priority over inhaled air when passing through the pharynx. During swallowing, the backward motion of the tongue causes a flap of elastic cartilage \u2014 called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4302\">epiglottis<\/a> \u2014 to close over the opening to the larynx. This prevents food or drink from entering the larynx.<\/p>\n<figure id=\"attachment_4625\" aria-describedby=\"caption-attachment-4625\" style=\"width: 424px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4625\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Illu01_head_neck-2.jpg\" alt=\"15.4.5\" width=\"424\" height=\"430\" \/><figcaption id=\"caption-attachment-4625\" class=\"wp-caption-text\"><em>Figure 15.4.5 The tongue moves backward during swallowing to cause the epiglottis to cover the opening to the larynx. As a result, food passes from the pharynx to the esophagus \u2014 and not into the larynx.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Esophagus<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4557\">esophagus<\/a><\/strong> (shown in Figure 15.4.6) is a muscular tube through which food is pushed from the pharynx to the stomach. The esophagus passes through an opening in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4292\">diaphragm<\/a> (the large breathing muscle that separates the abdomen from the thorax) before reaching the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a>. In adults, the esophagus averages about 25 cm (about 9.8 inches) in length, depending on a person\u2019s height. The inner lining of the esophagus consists of mucous membrane, which provides a smooth, slippery surface for the passage of food. The cells of this membrane are constantly being replaced as they are worn away from the frequent passage of food over them.<\/p>\n<figure id=\"attachment_4626\" aria-describedby=\"caption-attachment-4626\" style=\"width: 234px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4626\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ZenkerSchraeg-2.gif\" alt=\"15.4.6 Esophagus\" width=\"234\" height=\"600\" \/><figcaption id=\"caption-attachment-4626\" class=\"wp-caption-text\"><em>Figure 15.4.6 The esophagus moves food by peristalsis from the pharynx to the stomach. Note, this x-ray of a swallow shows a fraction of the ingested liquid being trapped in an atypical diverticulum of the esophagus.<\/em><\/figcaption><\/figure>\n<p>When food is not being swallowed, the esophagus is closed at both ends by upper and lower esophageal sphincters.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4627\">Sphincters<\/a><\/strong>\u00a0are rings of muscle that can contract to close off openings between structures. The upper esophageal sphincter is triggered to relax and open by the act of swallowing, allowing a bolus of food to enter the esophagus from the pharynx. Then, the esophageal sphincter closes again to prevent food from moving back into the pharynx from the esophagus.<\/p>\n<p>Once in the esophagus, the food <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4579\">bolus<\/a> travels down to the stomach, pushed along by the rhythmic contraction and relaxation of muscles (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2890\">peristalsis<\/a>). The lower esophageal sphincter is located at the junction between the esophagus and the stomach. This sphincter opens when the bolus reaches it, allowing the food to enter the stomach. The sphincter normally remains closed at other times to prevent the contents of the stomach from entering the esophagus. Failure of this sphincter to remain completely closed can lead to heartburn. If it happens chronically, it can lead to <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gerd\/symptoms-causes\/syc-20361940\">gastroesophageal reflux disease<\/a> (GERD), in which the mucous membrane of the esophagus may become damaged by the highly acidic contents of the stomach.<\/p>\n<p>See the video below to see how the parts of the upper GI tract work together to carry out swallowing:<\/p>\n<p>https:\/\/youtu.be\/pNcV6yAfq-g<\/p>\n<p style=\"text-align: center;\">Swallowing, uploaded by Alejandra Cork, 2012.<\/p>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Stomach<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a><\/strong> is a J-shaped organ (shown in Figure 15.4.7) that is joined to the esophagus at its upper end, and to the first part of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a> (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>) at its lower end. When the stomach is empty of food, it normally has a volume of about 75 millilitres, but it can expand to hold up to about a litre of food. Waves of muscle contractions (peristalsis) passing through the muscular walls of the stomach cause the food inside to be mixed and churned. The wall of the stomach has an extra layer of muscle tissue not found in other organs of the GI tract that helps it squeeze and mix the food. These movements of the stomach wall contribute greatly to mechanical digestion by breaking the food into much smaller pieces. The churning also helps mix the food with stomach secretions that aid in its chemical digestion.<\/p>\n<div>\n<figure id=\"attachment_4628\" aria-describedby=\"caption-attachment-4628\" style=\"width: 412px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4628\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/stomach-layers-white-cc_20190410_1053046020-2.jpg\" alt=\"15.4.7\" width=\"412\" height=\"293\" \/><figcaption id=\"caption-attachment-4628\" class=\"wp-caption-text\"><em>Figure 15.4.7 The stomach is connected at the top to the esophagus and at the bottom to the duodenum of the small intestine. The pylorus, or pyloric sphincter, controls emptying of the stomach into the small intestine. The outer surface of the stomach is covered with fibrous connective tissue. There are three layers of muscle in the stomach wall. Each layer runs in a different direction: circular, longitudinal and oblique.<\/em><\/figcaption><\/figure>\n<\/div>\n<p>Secretions of the stomach include gastric acid, which consists mainly of hydrochloric acid (HCl). This makes the stomach contents highly acidic, which is necessary so that the enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4581\">pepsin<\/a> \u2014 also secreted by the stomach \u2014 can begin the digestion of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5813\">protein<\/a>. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4571\">Mucus<\/a> is secreted by the lining of stomach to provide a slimy protective coating against the otherwise damaging effects of gastric acid. The fat-digesting enzyme <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">lipase<\/a> is secreted in small amounts in the stomach, but very little fat digestion occurs there.<\/p>\n<p>By the time food has been in the stomach for about an hour, it has become the thick, semi-liquid <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a>. When the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4559\">small intestine<\/a> is ready to receive chyme, a sphincter between the stomach and duodenum \u2014 called the pyloric sphincter \u2014 opens to allow the chyme to enter the small intestine for further digestion and absorption.<\/p>\n<div>\n<h1>Feature: Reliable Sources<\/h1>\n<\/div>\n<p>The ongoing epidemic of obesity in the wealthier nations of the world, including Canada, has led to the development of several different bariatric surgeries that modify the stomach to help obese patients reduce their food intake and lose weight. Go online to learn more about bariatric surgery. Find sources you judge to be reliable that answer the following questions:<\/p>\n<ol>\n<li>Who qualifies for bariatric surgery?<\/li>\n<li>Describe the bariatric surgeries commonly called stomach stapling, lap band, and gastric sleeve. How does each type of surgery modify the stomach? In terms of weight loss, how effective is each type?<\/li>\n<li>What are the major potential risks of bariatric surgery?<\/li>\n<li>Besides weight loss, what other benefits have been shown to result from bariatric surgery?<\/li>\n<\/ol>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Organs of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4574\">upper gastrointestinal (GI) tract<\/a> include the mouth, pharynx, esophagus, and stomach.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4297\">mouth<\/a> is the first organ of the GI tract. It has several structures that are specialized for digestion, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4577\">salivary glands<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4615\">tongue<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5455\">teeth<\/a>. Both <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4550\">mechanical digestion<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4551\">chemical digestion<\/a> of carbohydrates and fats begin in the mouth.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4296\">pharynx<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4557\">esophagus<\/a> move food from the mouth to the stomach, but are not involved in the process of digestion or absorption. Food moves through the esophagus by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2890\">peristalsis<\/a>.<\/li>\n<li>Mechanical and chemical digestion continue in the stomach. Acid and digestive enzymes secreted by the stomach start the chemical digestion of proteins. The stomach turns masticated food into a semi-fluid mixture called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a>.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-622\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-622\" class=\"h5p-iframe\" data-content-id=\"622\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"15.4 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Identify structures in the mouth that are specialized for digestion.<\/li>\n<li>Describe digestion in the mouth.<\/li>\n<li>What general role do the pharynx and esophagus play in the digestion of food?<\/li>\n<li>How does food travel through the esophagus?<\/li>\n<li>Describe digestion in the stomach.<\/li>\n<li>Describe the differences between how air and food normally move past the pharynx.<\/li>\n<li>Name two structures in the mouth that contribute to mechanical digestion.<\/li>\n<li>What structure normally keeps stomach contents from backing up into the esophagus?<\/li>\n<li>Thirty minutes after you eat a meal, where is most of your food located? Explain your answer.<\/li>\n<li>What are two roles of mucus in the upper GI tract?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/zGoBFU1q4g0<\/p>\n<p style=\"text-align: center;\">What causes cavities? - Mel Rosenberg, TED-Ed, 2016.<\/p>\n<p>https:\/\/youtu.be\/gCrmFbgT37I<\/p>\n<p style=\"text-align: center;\">How does alcohol make you drunk? - Judy Grisel, TED-Ed, 2020.<\/p>\n<p>https:\/\/youtu.be\/twJBEypJDfU<\/p>\n<p style=\"text-align: center;\">Gastric Bypass Surgery: One Patient\u2019s Journey - Mayo Clinic, 2014.<\/p>\n<p>https:\/\/youtu.be\/u_1sVri3b2w<\/p>\n<p style=\"text-align: center;\">Here's What Happens In Your Body When You Swallow Gum | The Human Body, Tech Insider, 2018.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/v5gl4leh-Mk\" rel=\"cc:attributionURL\">Handstand, Pender Island, B.C.<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@jaspergarrattphotography\">Jasper Garratt<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0780_SalivaryGlands.png\" rel=\"cc:attributionURL\">Blausen_0780_SalivaryGlands<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 15.4.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1402_The_Tongue.jpg\" rel=\"cc:attributionURL\">1402_The_Tongue<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/14-1-sensory-perception\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 15.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:3D_Medical_Animation_Still_Showing_Types_of_Teeth.jpg\" rel=\"cc:attributionURL\">1024px-3D_Medical_Animation_Still_Showing_Types_of_Teeth<\/a>\u00a0by <a href=\"http:\/\/www.scientificanimations.com\/\">http:\/\/www.scientificanimations.com<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 15.4.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Illu01_head_neck.jpg\" rel=\"cc:attributionURL\">Illu01_head_neck<\/a> by <a title=\"User:Arcadian\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Arcadian\">Arcadian<\/a> from <a href=\"https:\/\/training.seer.cancer.gov\/head-neck\/anatomy\/overview.html\">NCI\/ SEER Training Modules<\/a> on Wikimedia Common is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/public_domain).<\/p>\n<p><strong>Figure 15.4.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ZenkerSchraeg.gif\" rel=\"cc:attributionURL\">ZenkerSchraeg<\/a> by <a class=\"external text\" href=\"http:\/\/www.braegelmann.de\/bernd\" rel=\"nofollow\">Bernd Br\u00e4gelmann<\/a>\u00a0<a title=\"User:Braegel\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Braegel\">Braegel<\/a> on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a>\u00a0 (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0 (Courtesy of Dr. Martin Steinhoff. It is not known whether there is a possibly necessary approval from the patient.)<\/p>\n<p><strong>Figure 15.4.7<\/strong><\/p>\n<p><a href=\"http:\/\/www.medicalgraphics.de\/en\/free-pictures\/free-pictures\/miscellaneous\/stomach-layers-white-cc-472.html\" rel=\"cc:attributionURL\">Anatomy stomach \u2013 white<\/a> by www.medicalgraphics.de from <a href=\"http:\/\/www.medicalgraphics.de\/en\/free-pictures\/free-pictures\/miscellaneous\/stomach-layers-white-cc-472.html\">MedicalGraphics<\/a> is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/\">CC BY-ND 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Alejandra Cork. (2012). Swallowing. YouTube. https:\/\/www.youtube.com\/watch?v=pNcV6yAfq-g&amp;t=4s<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1597545683623\" data-highlight-id=\"5d333280-1dcc-4af7-a378-e35ebd44bb2d\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2016, May 27). Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1597545683623\" data-highlight-id=\"5d333280-1dcc-4af7-a378-e35ebd44bb2d\" data-highlighted=\"true\">14.3<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"20203\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1597545683623\" data-highlight-id=\"5d333280-1dcc-4af7-a378-e35ebd44bb2d\" data-highlighted=\"true\">The tongue [digital image]. In <em>Anatomy and Physiology<\/em> (Section 14.1). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/14-1-sensory-perception<\/span><\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Mayo Clinic. (2014, August 26). Gastric bypass surgery: One patient\u2019s journey - Mayo Clinic. https:\/\/www.youtube.com\/watch?v=twJBEypJDfU&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Gastroesophageal reflux disease (GERD) [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/gerd\/symptoms-causes\/syc-20361940<\/p>\n<p class=\"hanging-indent\">Tech Insider. (2018, March 20). Here's what happens in your body when you swallow gum | The human body. YouTube. https:\/\/www.youtube.com\/watch?v=u_1sVri3b2w&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2020, April 9). How does alcohol make you drunk? - Judy Grisel. YouTube. https:\/\/www.youtube.com\/watch?v=gCrmFbgT37I&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2016, October 17). What causes cavities? - Mel Rosenberg. YouTube. https:\/\/www.youtube.com\/watch?v=zGoBFU1q4g0&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5090\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5090\"><div tabindex=\"-1\"><p>Image shows a diagram of the cross sectional layering of heart tissues.  As described in the preceding paragraph, the endocardium is a thin layer on the inside of the heart chambers, and myocardium is an extremely thick layer of cardiac muscle, and the pericardium consists of two membranes separated by fluid.  The visceral pericardium envelopes the myocardium and the parietal pericardium envelopes the entire heart structure.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5095\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5095\"><div tabindex=\"-1\"><p>Image shows a flowchart of the path of blood through the heart.  Beginning at the lungs, oxygenated blood enters the pulmonary veins, then enters the left atrium.  Blood then passes through the bicuspid AV valve to enter the left ventricle, which contracts to send blood through the aortic semilunar valve into the aorta.  The aorta connects to arteries of the systemic circuit and ultimately deliver oxygen to body tissues.  From here, blood is deoxygenated and returns to the heart via veins which merge to form the two vena cava.  The vena cava delivers blood to the right atrium, which contracts to send blood through the tricuspid AV valve into the right ventricle, which contracts to send blood through the pulmonary semilunar valve into the pulmonary arteries and to the lungs for re-oxygenation.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_2992\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_2992\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1241\" aria-describedby=\"caption-attachment-1241\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4373\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/humidifier-on-pxfuel.com-1-scaled-1.jpg\" alt=\"13.7.1 Humidifier\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-1241\" class=\"wp-caption-text\"><em>Figure 13.7.1 Humidifier or light show?<\/em><\/figcaption><\/figure>\n<h1>Case Study Conclusion: Cough That Won't Quit<\/h1>\n<p>Inhaling the moist air from a humidifier or steamy shower can feel particularly good if you have a respiratory system infection, such as bronchitis. The moist air helps to loosen and thin mucus in the respiratory system, allowing you to breathe easier.<\/p>\n<p>In the beginning of this chapter, you learned about Erica, who developed acute bronchitis after getting a cold. She had a worsening cough, a sore throat due to coughing, and chest congestion. She was also coughing up thick mucus.<\/p>\n<figure id=\"attachment_1241\" aria-describedby=\"caption-attachment-1241\" style=\"width: 238px\" class=\"wp-caption alignleft\"><img class=\"wp-image-1241 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bronchitis-e1591985479820.jpg\" alt=\"13.7.2 Bronchitis\" width=\"238\" height=\"445\"><figcaption id=\"caption-attachment-1241\" class=\"wp-caption-text\"><em>Figure 13.7.2 The function of mucus is to trap pathogens and other potentially dangerous particles that enter the respiratory system from the air. However, when too much mucus is produced in response to an infection (as in the case of bronchitis), it can interfere with normal airflow. The body responds by coughing as it tries to rid itself of the pathogen-laden mucus.<\/em><\/figcaption><\/figure>\n<p>Acute bronchitis usually occurs after a cold or flu, usually due to the same <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4283\">viruses<\/a> that cause cold or flu. Because bronchitis is not usually caused by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2588\">bacteria<\/a> (although it can be), in most cases, antibiotics are not an effective treatment.<\/p>\n<p>Bronchitis affects the bronchial tubes, which, as you have learned, are air passages in the lower respiratory tract. The main bronchi branch off of the trachea and then branch into smaller bronchi, and then bronchioles. In bronchitis, the walls of the bronchi become inflamed, which makes them narrower. There is also excessive production of mucus in the bronchi, which further narrows the pathway where air can flow through. Figure 13.7.2, shows how bronchitis affects the bronchial tubes.<\/p>\n<p>The treatment for most cases of bronchitis involves thinning and loosening the mucus so that it can be effectively coughed out of the airways. This can be done by drinking plenty of fluids, using humidifiers or steam, and \u2014 in some cases \u2014 using over-the-counter medications (such as expectorants). Dr. Choo recommended some of these treatments to Erica, and also warned against using cough suppressants. Cough suppressants work on the nervous system to suppress the cough reflex. When a patient has a \u201cproductive\u201d cough (which means they are coughing up mucus), doctors generally advise them not to take cough suppressants, so that they can cough the mucus out of their bodies.<\/p>\n<p>When Dr. Choo was examining Erica, she used a pulse oximeter to measure the oxygen level in her blood. Why did she do this? As you have learned, the bronchial tubes branch into bronchioles, which ultimately branch into the alveoli of the lungs. The alveoli are where gas exchange occurs between the air and the blood to take in oxygen and remove carbon dioxide and other wastes. By checking Erica\u2019s blood oxygen level, Dr. Choo was making sure that her clogged airways were not impacting her level of much-needed oxygen.<\/p>\n<p>Erica has acute bronchitis, but you may recall that\u00a0<em>chronic<\/em> bronchitis was discussed earlier in this chapter (<a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/chapter\/15-5-disorders-of-the-respiratory-system\/\">Section 13.5<\/a>) as a term that describes the symptoms of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4354\">chronic obstructive pulmonary disease<\/a> (COPD). COPD is often due to tobacco smoking, and it causes damage to the walls of the alveoli. Acute bronchitis, on the other hand, typically occurs after a cold or flu, and involves inflammation and mucus build-up in the bronchial tubes. As implied by the difference in their names, chronic bronchitis is an ongoing, long-term condition, while acute bronchitis is likely to resolve relatively quickly with proper rest and treatment.<\/p>\n<p>Erica uses e-cigarettes (vaping), so she is more likely to develop chronic respiratory conditions, such as COPD. As you have learned, smoking damages the respiratory system, along with many other systems of the body. Smoking and vaping increases the risk of respiratory infections, including bronchitis and flu, due to its damaging effects on the respiratory and immune systems. Dr. Choo strongly encouraged Erica to quit vaping, not only so that her acute bronchitis resolves, but so that she can avoid future infections and other negative health outcomes associated with vaping and smoking, including COPD and lung cancer.<\/p>\n<p>As you have learned in this chapter, the respiratory system is critical to carry out the gas exchange necessary for life\u2019s functions, and to protect the body from pathogens and other potentially harmful substances in the air. But this ability to interface with the outside air has a cost. The respiratory system is prone to infections, as well as damage and other negative effects from allergens, mold, air pollution, cigarette smoke and vaping. While exposure to most of these things cannot be avoided, not smoking is an important step you can take to protect this organ system \u2014 as well as many other systems of your body.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1><span style=\"color: #ffffff\">Chapter 13 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you learned about the respiratory system. Specifically, you learned that:<\/p>\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4286\">Respiration<\/a> is the process in which oxygen moves from the outside air into the body, and carbon dioxide and other waste gases move from inside the body to the outside air. It involves two subsidiary processes: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4287\">ventilation<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4288\">gas exchange<\/a>.<\/li>\n<li>The organs of the respiratory system form a continuous system of passages, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4289\">respiratory tract<\/a>. It has two major divisions: the upper respiratory tract and the lower respiratory tract.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4290\">upper respiratory tract<\/a> includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4295\">nasal cavity<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4296\">pharynx<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4298\">larynx<\/a>. All of these organs are involved in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4294\">conduction<\/a>, or the movement of air into and out of the body. Incoming air is also cleaned, humidified, and warmed as it passes through the upper respiratory tract. The larynx is also called the voice box, because it contains the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4320\">vocal cords<\/a>, which are needed to produce vocal sounds.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4291\">lower respiratory tract<\/a> includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4304\">trachea<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4309\">bronchi<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4310\">bronchioles<\/a>, and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2990\">lungs<\/a>. The trachea, bronchi, and bronchioles are involved in conduction. Gas exchange takes place only in the lungs, which are the largest organs of the respiratory tract. Lung tissue consists mainly of tiny air sacs called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4311\">alveoli<\/a>, which is where gas exchange takes place between air in the alveoli and the blood in capillaries surrounding them.<\/li>\n<\/ul>\n<\/li>\n<li>The respiratory system protects itself from potentially harmful substances in the air by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4318\">mucociliary escalator<\/a>. This includes mucus-producing cells, which trap particles and pathogens in incoming air. It also includes tiny hair-like <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1597\">cilia<\/a> that continually move to sweep the mucus and trapped debris away from the lungs and toward the outside of the body.<\/li>\n<li>The level of carbon dioxide in the blood is monitored by cells in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2554\">brain<\/a>. If the level becomes too high, it triggers a faster rate of breathing, which lowers the level to the normal range. The opposite occurs if the level becomes too low. The respiratory system exchanges gases with the outside air, but it needs the cardiovascular system to carry the gases to and from cells throughout the body.<\/li>\n<li>Breathing, or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4287\">ventilation<\/a>, is the two-step process of drawing air into the lungs (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4325\">inhalation<\/a>) and letting air out of the lungs (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4326\">exhalation<\/a>). Inhaling is an active process that results mainly from contraction of a muscle called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4292\">diaphragm<\/a>. Exhaling is typically a passive process that occurs mainly due to the elasticity of the lungs when the diaphragm relaxes.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Breathing is one of the few vital bodily functions that can be controlled consciously, as well as unconsciously. Conscious control of breathing is common in many activities, including swimming and singing. However, there are limits on the conscious control of breathing. If you try to hold your breath, for example, you will soon have an irrepressible urge to breathe.<\/li>\n<li>Unconscious breathing is controlled by respiratory centers in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3075\">medulla<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3076\">pons<\/a> of the brainstem. They respond to variations in blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4330\">pH<\/a> by either increasing or decreasing the rate of breathing as needed to return the pH level to the normal range.<\/li>\n<li>Nasal breathing is generally considered to be superior to mouth breathing, because it does a better job of filtering, warming, and moistening incoming air. It also results in slower emptying of the lungs, which allows more oxygen to be extracted from the air.<\/li>\n<\/ul>\n<\/li>\n<li>Gas exchange is the biological process through which gases are transferred across <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2169\">cell membranes<\/a>\u00a0to either enter or leave the blood. Gas exchange takes place continuously between the blood and cells throughout the body, and also between the blood and the air inside the lungs.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Gas exchange in the lungs takes place in alveoli. The pulmonary artery carries deoxygenated blood from the heart to the lungs, where it travels through pulmonary capillaries, picking up oxygen and releasing carbon dioxide. The oxygenated blood then leaves the lungs through pulmonary veins.<\/li>\n<li>Gas exchange occurs by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1655\">diffusion<\/a> across cell membranes. Gas molecules naturally move down a concentration gradient from an area of higher concentration to an area of lower concentration. This is a passive process that requires no energy.<\/li>\n<li>Gas exchange by diffusion depends on the large surface area provided by the hundreds of millions of alveoli in the lungs. It also depends on a steep concentration gradient for oxygen and carbon dioxide. This gradient is maintained by continuous blood flow and constant breathing.<\/li>\n<\/ul>\n<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4348\">Asthma<\/a> is a chronic inflammatory disease of the airways in the lungs, in which the airways periodically become inflamed. This causes swelling and narrowing of the airways, often with excessive mucus production, leading to difficulty breathing and other symptoms. Asthma is thought to be caused by a combination of genetic and environmental factors. Asthma attacks are triggered by allergens, air pollution, or other factors.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4351\">Pneumonia<\/a> is a common inflammatory disease of the respiratory tract in which inflammation affects primarily the alveoli, which become filled with fluid that inhibits gas exchange. Most cases of pneumonia are caused by viral or bacterial infections. Vaccines are available to prevent pneumonia. Treatment often includes prescription antibiotics.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4354\">Chronic obstructive pulmonary disease<\/a> (COPD) is a lung disease characterized by chronic poor airflow, which causes shortness of breath and a productive cough. It is caused most often by tobacco smoking, which leads to breakdown of connective tissues in the lungs. Alveoli are reduced in number and elasticity, making it impossible to fully exhale air from the lungs. There is no cure for COPD, but stopping smoking may reduce the rate at which COPD worsens.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4356\">Lung cancer<\/a> is a malignant tumor characterized by uncontrolled cell growth in tissues of the lung. It results from accumulated DNA damage, most often caused by tobacco smoking. Lung cancer is typically diagnosed late, so most cases cannot be cured. It may be treated with surgery, chemotherapy, and\/or radiation therapy.<\/li>\n<li>Smoking is the single greatest cause of preventable death worldwide. It has adverse effects on just about every body system and organ. Tobacco smoke affects not only smokers, but also non-smokers who are exposed to secondhand smoke. The nicotine in tobacco is highly addictive, making it very difficult to quit smoking.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>A major health risk of smoking is\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4356\">lung cancer<\/a>. Smoking also increases the risk of many other types of cancer. Tobacco smoke contains dozens of chemicals that are known carcinogens.<\/li>\n<li>Smoking is the primary cause of COPD. Chemicals \u2014 such as carbon monoxide and cyanide in tobacco smoke \u2014 reduce the elasticity of alveoli so the lungs can no longer fully exhale air.<\/li>\n<li>Smoking and\/or vaping damages the cardiovascular system and increases the risk of high blood pressure, blood clots, heart attack, and stroke. Smoking also has a negative impact on blood lipid levels.<\/li>\n<li>A wide diversity of additional adverse health effects \u2014 such as erectile dysfunction, female infertility, and slow wound healing \u2014 are attributable to smoking.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>As you have learned, the respiratory system brings in oxygen to the body and removes waste gases to the atmosphere \u2014 but these molecules wouldn\u2019t get to where they need to go without the cardiovascular system to transport them via the bloodstream. Read the next chapter to learn about how the cardiovascular system carries out these critical functions.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 13 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-249\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-249\" class=\"h5p-iframe\" data-content-id=\"249\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Chapter 13 Review\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the relationship between the bronchi, secondary bronchi, tertiary bronchi, and bronchioles.<\/li>\n<li>Deoxygenated and oxygenated blood both travel to the lungs. Describe what happens to that blood when it gets to the lungs.<\/li>\n<li>Explain the difference between ventilation and gas exchange.<\/li>\n<li>Which way do oxygen and carbon dioxide flow during gas exchange in the lungs, and why?\u00a0Which way do oxygen and carbon dioxide flow during gas exchange between the blood and the body\u2019s cells, and why?<\/li>\n<li>Why does the body require oxygen, and why does it emit\u00a0carbon dioxide as a waste product?<\/li>\n<li>What do coughing and sneezing have in common?<\/li>\n<li>COPD can cause\u00a0too much carbon dioxide in the blood. Answer the following questions about this:\n<ol type=\"a\">\n<li>How does COPD cause there to be too much carbon dioxide in the blood?<\/li>\n<li>What does this do to the blood pH?<\/li>\n<li>How does the body respond to this change in blood pH?<\/li>\n<\/ol>\n<\/li>\n<li>What are three different types of things that can enter the respiratory system and cause illness or injury? Describe the negative health effects of each in your answer.<\/li>\n<li>Where are the respiratory centers of the brain located?\u00a0What is the main function of the respiratory centers of the brain?<\/li>\n<li>Smoking increases the risk of getting influenza, commonly known as the flu. Explain why this could lead to a greater risk of pneumonia.<\/li>\n<li>If a person has a gene that caused them to get asthma, could changes to their environment (such as more frequent cleaning) help their asthma? Why or why not?<\/li>\n<li>Explain why nasal breathing generally stops particles from entering the body at an earlier stage than mouth breathing does.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 13.7.1<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/de\/photos\/%C3%A4therische-%C3%B6le-aroma-diffusor-4074315\/\">Tags: Essential Oils Aroma Diffuser Diffuse Led<\/a> by <a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/de\/users\/asundermeier-448808\/\">asundermeier<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/unsplash.com\/license\">Pixabay License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 13.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bronchitis.jpg\" rel=\"cc:attributionURL\">Bronchitis<\/a> by <a href=\"https:\/\/www.nhlbi.nih.gov\/health-topics\/bronchitis\">National Heart Lung and Blood Institute<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_2982\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_2982\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4169\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Look-by-ali-yahya-155huuQwGvA-unsplash-scaled-1.jpg\" alt=\"12.3.1 Eyes\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.1 \"Eye\" can see you.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Work Those Eye Muscles!<\/h1>\n<\/div>\n<p>Imagine the man in Figure 12.3.1 turns his eyes in your direction. This is a very small movement, considering the conspicuously large and strong external eye muscles that control eyeball movements. These muscles have been called the strongest muscles in the human body relative to the work they do. However, the external eye muscles actually do a surprising amount of work. Eye movements occur almost constantly during waking hours, especially when we are scanning faces or reading. Eye muscles are also exercised nightly during the phase of sleep called rapid eye movement sleep. External eye muscles can move the eyes because they are made mainly of muscle tissue.<\/p>\n<div>\n<h1>What is Muscle Tissue?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2817\">Muscle tissue<\/a><\/strong>\u00a0is a soft tissue that makes up most of the tissues in the muscles of the human muscular system. Other tissues in muscles\u00a0are\u00a0connective tissues, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4166\">tendons<\/a>\u00a0that attach\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2981\">skeletal muscles<\/a>\u00a0to\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2552\">bones<\/a>\u00a0and sheaths of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2815\">connective tissues<\/a>\u00a0that cover or line muscle tissues. Only muscle tissue <em>per se<\/em>, has cells with the ability to contract.<\/p>\n<p>There are three major types of muscle tissues in the human body: skeletal, smooth, and cardiac muscle tissues. Figure 12.3.2 shows how the three types of muscle tissues appear under magnification. When you read about each type below, you will learn why the three types appear as they do.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 535px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-511\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Skeletal_Smooth_Cardiac.jpg\" alt=\"12.3 Muscle types\" width=\"535\" height=\"900\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.2 These magnified images show (a) skeletal muscle tissue, (b) smooth muscle tissue, and (c) cardiac muscle tissue.<\/em><\/figcaption><\/figure>\n<div>\n<h2>Skeletal Muscle Tissue<\/h2>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2981\">Skeletal muscle<\/a><\/strong>\u00a0is muscle tissue that is attached to\u00a0bones\u00a0by\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4166\">tendons<\/a>, <\/strong>which are bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3970\">collagen<\/a> fibres. Whether you are moving your eyes or running a marathon, you are using skeletal muscles. Contractions of skeletal muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3004\">voluntary<\/a>, or under conscious control of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2579\">central nervous system<\/a> via the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3014\">somatic nervous system<\/a>. Skeletal muscle tissue is the most common type of muscle tissue in the human body. By weight, an average adult male is about 42% skeletal muscles, and the average adult female is about 36% skeletal muscles. Some of the major skeletal muscles in the human body are labeled in Figure 12.3.3 below.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 387px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg\"><img class=\"wp-image-4171\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Anterior_and_Posterior_Views_of_Muscles-scaled-1.jpg\" alt=\"12.4.3 Major Skeletal muscles\" width=\"387\" height=\"900\"><\/a><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.3 Major skeletal muscles of the body. View this image full size here: <a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg\" aria-label=\"Image of Major Skeletal muscles\">http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg<\/a> <br \/><\/em><\/figcaption><\/figure>\n<h2>Skeletal Muscle Pairs<\/h2>\n<p>To move bones in opposite directions, skeletal muscles often consist of muscle pairs that work in opposition to one another, also called antagonistic muscle pairs.\u00a0 For example, when the biceps muscle (on the front of the upper arm) contracts, it can cause the elbow joint to flex or bend the arm, as shown in Figure 12.3.4. When the triceps muscle (on the back of the upper arm) contracts, it can cause the elbow to extend or straighten the arm. The biceps and triceps muscles, also shown in Figure 12.3.4, are an example of a muscle pair where the muscles work in opposition to each other.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-1072\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Antagonistic-Muscle-Pair-by-CK-12-Foundation.jpg\" alt=\"12.3 Antagonistic Muscle Pair\" width=\"500\" height=\"427\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\">Figure 12.3.4 Triceps and biceps muscles in the upper arm are opposing muscles that move the arm at the elbow in opposite directions.<\/figcaption><\/figure>\n<h2>Skeletal Muscle Structure<\/h2>\n<p>Each skeletal muscle consists of hundreds \u2014 or even\u00a0<em>thousands<\/em> \u2014 of skeletal muscle fibres, which are long, string-like cells. As shown in Figure 12.3.5 below, skeletal muscle fibres are individually wrapped in connective tissue called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4173\">endomysium<\/a><\/strong>. The skeletal muscle fibres are bundled together in units called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4174\">muscle fascicles<\/a><\/strong>, which\u00a0are surrounded by sheaths of connective tissue\u00a0called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4175\">perimysium<\/a><\/strong>. Each fascicle contains between ten and 100 (or even more!) skeletal muscle fibres. Fascicles, in turn, are bundled together to form individual skeletal muscles, which are wrapped in connective tissue called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4176\">epimysium<\/a><\/strong>. The connective tissues in skeletal muscles have a variety of functions. They support and protect muscle fibres, allowing them to withstand the forces of contraction by distributing the forces applied to the muscle. They also provide pathways for nerves and blood vessels to reach the muscles. In addition, the epimysium anchors the muscles to tendons.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 675px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1074 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Muscle_Fibes_large.jpg\" alt=\"11.3.5 Muscle Fibers Structure\" width=\"675\" height=\"741\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.5 Each skeletal muscle has a structure of bundles within bundles. Bundles of muscle fibres make up a muscle fascicle, and bundles of fascicles make up a skeletal muscle. At each level of bundling, a connective tissue membrane surrounds the bundle.<\/em><\/figcaption><\/figure>\n<p>The same bundles-within-bundles structure is replicated within each muscle fibre. As shown in Figure 12.3.6, a muscle fibre consists of a bundle of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4180\">myofibrils<\/a>, which are themselves bundles of protein filaments. These protein filaments consist of thin filaments of the protein <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4181\"><strong>actin<\/strong><\/a>, which are anchored to structures called Z discs, and thick filaments of the protein <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4182\"><strong>myosin<\/strong><\/a>. The filaments are arranged together within a myofibril in repeating units called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4179\">sarcomeres<\/a>,<\/strong> which run from one Z disc to the next. The sarcomere is the basic functional unit of skeletal and cardiac muscles. It contracts as actin and myosin filaments slide over one another. Skeletal muscle tissue is said to be striated, because it appears striped. It has this appearance because of the regular, alternating A (dark) and I (light) bands of filaments arranged in sarcomeres inside the muscle fibres. Other components of a skeletal muscle fibre include multiple nuclei and mitochondria.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 801px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-1075\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Muscle_Fibers_small.jpg\" alt=\"11.3 Sarcomere\" width=\"801\" height=\"642\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.6 Bundles of protein filaments form a myofibril, and bundles of myofibrils make up a single muscle fibre. I and A bands refer to the positioning of myosin and actin fibres in a myofibril. Sarcoplasmic reticulum is a specialized type of endoplasmic reticulum that forms a network around each myofibril. It serves as a reservoir for calcium ions, which are needed for muscle contractions. H zones and Z discs are also involved in muscle contractions, which you can read about in the concept Muscle Contraction.<\/em><\/figcaption><\/figure>\n<h2>Slow- and Fast-Twitch Skeletal Muscle Fibres<\/h2>\n<p>Skeletal muscle fibres can be divided into two types, called slow-twitch (or type I) muscle fibres and fast-twitch (or type II) muscle fibres.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4184\">Slow-twitch muscle fibres<\/a><\/strong> are dense with capillaries and rich in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2383\">mitochondria<\/a> and myoglobin, which is a protein that stores oxygen until needed for muscle activity. Relative to fast-twitch fibres, slow-twitch fibres can carry more oxygen and sustain aerobic (oxygen-using) activity. Slow-twitch fibres can contract for long periods of time, but not with very much force. They are relied upon primarily in endurance events, such as distance running or cycling.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4185\">Fast-twitch muscle fibres<\/a><\/strong> contain fewer capillaries and mitochondria and less myoglobin. This type of muscle fibre can contract rapidly and powerfully, but it fatigues very quickly. Fast-twitch fibres can sustain only short, anaerobic (non-oxygen-using) bursts of activity. Relative to slow-twitch fibres, fast-twitch fibres contribute more to muscle strength and have a greater potential for increasing in mass. They are relied upon primarily in short, strenuous events, such as sprinting or weightlifting.<\/li>\n<\/ul>\n<p>Proportions of fibre types vary considerably from muscle to muscle and from person to person. Individuals may be genetically predisposed to have a larger percentage of one type of muscle fibre than the other. Generally, an individual who has more slow-twitch fibres is better suited for activities requiring endurance, whereas an individual who has more fast-twitch fibres is better suited for activities requiring short bursts of power.<\/p>\n<div>\n<h1>Smooth Muscle<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2982\">Smooth muscle<\/a><\/strong>\u00a0is muscle tissue in the walls of internal organs and other internal structures such as\u00a0blood vessels. When smooth muscles contract, they help the organs and vessels carry out their functions.\u00a0When smooth muscles in the stomach wall contract, for example, they squeeze the food inside the stomach, helping to mix and churn the food and break it into smaller pieces. This is an important part of digestion. Contractions of smooth muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3005\">involuntary<\/a>, so they are not under conscious control. Instead, they are controlled by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2935\">autonomic\u00a0nervous system<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2218\">hormones<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3056\">neurotransmitters<\/a>, and other physiological factors.<\/p>\n<h2>Structure of Smooth Muscle<\/h2>\n<p>The\u00a0cells\u00a0that make up smooth muscle are generally called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4157\">myocytes<\/a>. <\/strong>Unlike the muscle fibres of striated muscle tissue, the myocytes of smooth muscle tissue do not have their filaments arranged in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4179\">sarcomeres<\/a>. Therefore, smooth tissue is not striated. However, the myocytes of smooth muscle do contain <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4180\">myofibrils<\/a>, which in turn contain bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4182\">myosin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4181\">actin<\/a> filaments. The filaments cause contractions when they slide over each other, as shown in Figure 12.3.7.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1076 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Smooth_Muscle_Contraction.jpg\" alt=\"11.3.7 Smooth Muscle Contraction\" width=\"1024\" height=\"212\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.7 The basic mechanism of muscle contraction in smooth muscle is the same as that in other types of muscle tissue.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Functions of Smooth Muscle<\/span><\/p>\n<\/div>\n<p>Unlike striated muscle, smooth muscle can sustain very long-term contractions. Smooth muscle can also stretch and still maintain its contractile function, which striated muscle cannot. The elasticity of smooth muscle is enhanced by an extracellular matrix secreted by myocytes. The matrix consists of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4187\">elastin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3970\">collagen<\/a>, and other stretchy fibres. The ability to stretch and still contract is an important attribute of smooth muscle in organs such as the stomach and uterus (see Figures 12.3.8 and 12.3.9), both of which must stretch considerably as they perform their normal functions.<\/p>\n<table class=\"no-lines aligncenter\" style=\"border-collapse: collapse;width: 51.6508%;height: 383px\" border=\"0\">\n<tbody>\n<tr style=\"height: 473px\">\n<td style=\"width: 675.063px;text-align: center;height: 473px\">\n<figure id=\"attachment_1079\" aria-describedby=\"caption-attachment-1079\" style=\"width: 358px\" class=\"wp-caption alignleft\"><img class=\"wp-image-1079\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0747_Pregnancy.png\" alt=\"11.3.8 Uterus Smooth Muscle\" width=\"358\" height=\"358\"><figcaption id=\"caption-attachment-1079\" class=\"wp-caption-text\"><em>Figure 12.3.8 The muscular uterine wall stretches to a great extent to accommodate a growing fetus, yet it can still contract with great force during the labour that precedes childbirth. At that time, it can exert up to 100 pounds of force.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 676.063px;height: 473px\">\n<figure id=\"attachment_1080\" aria-describedby=\"caption-attachment-1080\" style=\"width: 320px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1080\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Size_of_Uterus_Throughout_Pregnancy-02.jpg\" alt=\"12.3.9 Growing uterus.\" width=\"320\" height=\"427\"><figcaption id=\"caption-attachment-1080\" class=\"wp-caption-text\"><em>Figure 12.3.9 The uterus will continue to expand further into the abdominal cavity as pregnancy progresses.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: left\">The following list indicates where many smooth muscles are found, along with some of their specific functions.<\/p>\n<ul>\n<li>Walls of organs of the gastrointestinal tract (such as the esophagus, stomach, and intestines), moving food through the tract by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2890\">peristalsis<\/a><\/li>\n<li>Walls of air passages of the respiratory tract (such as the bronchi), controlling the diameter of the passages and the volume of air that can pass through them<\/li>\n<li>Walls of organs of the male and female reproductive tracts; in the uterus, for example, pushing a baby out of the uterus and into the birth canal<\/li>\n<li>Walls of structures of the\u00a0urinary system, including the urinary bladder, allowing the bladder to expand so it can hold more urine, and then contract as urine is released<\/li>\n<li>Walls of\u00a0blood vessels, controlling the diameter of the vessels and thereby affecting\u00a0blood\u00a0flow and\u00a0blood pressure<\/li>\n<li>Walls of lymphatic vessels, squeezing the fluid called lymph through the vessels<\/li>\n<li>Iris of the\u00a0eyes, controlling the size of the pupils and thereby the amount of light entering the eyes<\/li>\n<li>Arrector pili in the skin, raising hairs in\u00a0hair\u00a0follicles in the\u00a0dermis<\/li>\n<\/ul>\n<div>\n<h1>Cardiac Muscle<\/h1>\n<\/div>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 441px\" class=\"wp-caption alignright\"><img class=\" wp-image-1082\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1024px-Blausen_0470_HeartWall.png\" alt=\"11.3 Cardiac Muscle\" width=\"441\" height=\"441\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.10 The thick wall of the heart consists mainly of cardiac muscle tissue called myocardium.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2568\">Cardiac muscle<\/a><\/strong> is found only in the wall of the heart. It is also called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4191\">myocardium<\/a>. As shown in Figure 12.3.10, myocardium is enclosed within connective tissues, including the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4193\">endocardium<\/a> on the inside of the heart and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4194\">pericardium<\/a> on the outside of the heart. When cardiac muscle contracts, the heart beats and pumps blood. Contractions of cardiac muscle are involuntary, like those of smooth muscles. They are controlled by electrical impulses from specialized cardiac muscle cells in an area of the heart muscle called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4195\">sinoatrial node<\/a>.<\/p>\n<p>Like skeletal muscle, cardiac muscle is striated because its filaments are arranged in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4179\">sarcomeres<\/a> inside the muscle fibres. However, in cardiac muscle, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4180\">myofibrils<\/a> are branched at irregular angles rather than arranged in parallel rows (as they are in skeletal muscle). This explains why cardiac and skeletal muscle tissues look different from one another.<\/p>\n<p>The cells of cardiac muscle tissue are arranged in interconnected networks. This arrangement allows rapid transmission of electrical impulses, which stimulate virtually simultaneous contractions of the cells. This enables the cells to coordinate contractions of the heart muscle.<\/p>\n<p>The heart is the muscle that performs the greatest amount of physical work in the course of a lifetime. Although the power output of the heart is much less than the maximum power output of some other muscles in the human body, the heart does its work continuously over an entire lifetime without rest. Cardiac muscle contains a great many <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2383\">mitochondria<\/a>, which produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2072\">ATP<\/a> for\u00a0energy\u00a0and help the heart resist fatigue.<\/p>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 330px\" class=\"wp-caption alignleft\"><img class=\" wp-image-1085\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tipet_e_kardiomiopative.png\" alt=\"12.3 Types of Cardiomyopathy\" width=\"330\" height=\"456\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.11 Cardiomyopathy results in decreased ability of the heart to circulate blood properly through the body. There are several types of cardiomyopathy.<\/em><\/figcaption><\/figure>\n<p>Cardiomyopathy is a disease in which the muscles of the heart are no longer able to effectively pump blood to the body \u2014 extreme forms of this disease can lead to heart failure.\u00a0 There are four main types of cardiomyopathy (also illustrated in Figure 12.3.11):<\/p>\n<ul>\n<li>Dilated (congestive) cardiomyopathy: the left ventricle (the chamber itself) of the heart becomes enlarged and can't pump blood our to the body.\u00a0 This is normally related to coronary artery disease and\/or heart attack<\/li>\n<li>Hypertrophic cardiomyopathy: abnormal thickening of the muscular walls of the left ventricle make the chamber less able to work properly.\u00a0 This condition is more common in patients with a family history of the disease.<\/li>\n<li>Restrictive cardiomyopathy: the myocardium becomes abnormally rigid and inelastic and is unable to expand in between heartbeats to refill with blood.\u00a0 Restrictive cardiomyopathy typically affects older people.<\/li>\n<li>Arrhythmogenic right ventricular cardiomyopathy: the right ventricular muscle is replaced by adipose or scar tissue, reducing elasticity and interfering with normal heartbeat and rhythm.\u00a0 This disease is often caused by genetic mutations.<\/li>\n<\/ul>\n<p>Cardiomyopathy is typically diagnosed with a physical exam supplemented by medical and family history, an angiogram, blood tests, chest x-rays and electrocardiograms.\u00a0 In some cases your doctor would also requisition a CT scan and\/or genetic testing.<\/p>\n<p>When treating cardiomyopathy, the goal is to reduce symptoms that affect everyday life.\u00a0 Certain medications can help regularize and slow heart rate, decrease chances of blood clots and cause vasodilation in the coronary arteries.\u00a0 If medication is not sufficient to manage symptoms, a pacemaker or even a heart transplant may be the best option.\u00a0 Lifestyle can also help manage the symptoms of cardiomyopathy \u2014 people living with this disease are encouraged to avoid drug and alcohol use, control high blood pressure, eat a healthy diet, get ample rest and exercise, as well as reduce stress levels.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2817\">Muscle tissue<\/a> is a soft tissue that makes up most of the tissues in the muscles of the human muscular system. It is the only type of tissue that has cells with the ability to contract.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2981\">Skeletal muscle<\/a> tissue is attached to bones by tendons. It allows <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3004\">voluntary<\/a> body movements.<\/li>\n<li>Skeletal muscle\u00a0is the most common type of muscle tissue in the human body. To move <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2552\">bones<\/a>\u00a0in opposite directions, skeletal muscles often consist of pairs of muscles that work in opposition to one another to move bones in different directions at\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3949\">joints<\/a>.<\/li>\n<li>Skeletal muscle fibres are bundled together in units called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4174\">muscle fascicles<\/a>, which are bundled together to form individual skeletal muscles. Skeletal muscles also have connective tissue supporting and protecting the muscle tissue.<\/li>\n<li>Each skeletal muscle fibre consists of a bundle of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4180\">myofibrils<\/a>, which are bundles of protein filaments. The filaments are arranged in repeating units called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4179\">sarcomeres<\/a>, which are the basic functional units of skeletal muscles. Skeletal muscle tissue is striated because of the pattern of sarcomeres in its fibres.<\/li>\n<li>Skeletal muscle fibres can be divided into two types, called<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4184\"> slow-twitch<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4185\">fast-twitch fibres<\/a>. Slow-twitch fibres are used mainly in aerobic endurance activities, such as long-distance running. Fast-twitch fibres are used mainly for non-aerobic, strenuous activities, such as sprinting. Proportions of the two types of fibres vary from muscle to muscle and person to person.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2982\">Smooth muscle<\/a> tissue is found in the walls of internal organs and vessels. When smooth muscles contract, they help the organs and vessels carry out their functions. Contractions of smooth muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3005\">involuntary<\/a> and controlled by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2935\">autonomic\u00a0nervous system<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2218\">hormones<\/a>, and other substances.<\/li>\n<li>Cells of smooth muscle tissue are not striated because they lack sarcomeres, but the cells contract in the same basic way as striated muscle cells. Unlike striated muscle, smooth muscle can sustain very long-term contractions and maintain its contractile function, even when stretched.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2568\">Cardiac muscle<\/a> tissue is found only in the wall of the heart. When cardiac muscle contracts, the heart beats and pumps blood. Contractions of cardiac muscle are involuntary, like those of smooth muscles. They are controlled by electrical impulses from specialized cardiac cells.<\/li>\n<li>Like skeletal muscle, cardiac muscle is striated because its filaments are arranged in sarcomeres inside the muscle fibres. However, the myofibrils are branched instead of arranged in parallel rows, making cardiac and skeletal muscle tissues look different from one another.<\/li>\n<li>The heart is the muscle that performs the greatest amount of physical work in the course of a lifetime. Its cells contain a great many <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2383\">mitochondria<\/a> to produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2072\">ATP<\/a> for\u00a0energy\u00a0and help the heart resist fatigue.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is muscle tissue?<\/li>\n<li>\n<div id=\"h5p-220\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-220\" class=\"h5p-iframe\" data-content-id=\"220\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"12.3 Muscular Tissue Flashcards\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-221\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-221\" class=\"h5p-iframe\" data-content-id=\"221\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"12.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Where is skeletal muscle found, and what is its general function?<\/li>\n<li>Why do many skeletal muscles work in pairs?<\/li>\n<li>Describe the structure of a skeletal muscle.<\/li>\n<li>Relate muscle fibre structure to the functional units of muscles.<\/li>\n<li>Why is skeletal muscle tissue striated?<\/li>\n<li>Where is smooth muscle found? What controls the contraction of smooth muscle?<\/li>\n<li>Where is cardiac muscle found? What controls its contractions?<\/li>\n<li>The heart muscle is smaller and less powerful than some other muscles in the body. Why is the heart the muscle that performs the greatest amount of physical work in the course of a lifetime? How does the heart resist fatigue?<\/li>\n<li>Give one example of connective tissue that is found in muscles. Describe one of its functions.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=3_PYnWVoUzM<\/p>\n<p style=\"text-align: center\">What happens during a heart attack? - Krishna Sudhir, TED-Ed, 2017.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=bwOE1MEginA&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Three types of muscle | Circulatory system physiology | NCLEX-RN | KhanAcademyMedicine, 2012.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 12.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/155huuQwGvA\" rel=\"cc:attributionURL\">Look by ali-yahya-155huuQwGvA<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@ayahya09\">Ali Yahya<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 12.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:414_Skeletal_Smooth_Cardiac.jpg\" rel=\"cc:attributionURL\">Skeletal_Smooth_Cardiac<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1105_Anterior_and_Posterior_Views_of_Muscles.jpg\" rel=\"cc:attributionURL\">Anterior_and_Posterior_Views_of_Muscles<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/11-2-naming-skeletal-muscles\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/\" rel=\"cc:attributionURL\">Antagonistic Muscle Pair<\/a> by <span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">Laura Guerin at <\/span><\/span><span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\"><a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/\">CK-12 Foundation<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a><\/span><\/span><span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.\u00a0<\/span><\/span><\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 12.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1007_Muscle_Fibes_(large).jpg\" rel=\"cc:attributionURL\">Muscle_Fibes_(large)<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle\">OpenStax <\/a>on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1022_Muscle_Fibers_(small).jpg\" rel=\"cc:attributionURL\">Muscle_Fibers_(small)<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1028_Smooth_Muscle_Contraction.jpg\" rel=\"cc:attributionURL\">Smooth_Muscle_Contraction<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0747_Pregnancy.png\" rel=\"cc:attributionURL\">Blausen_0747_Pregnancy<\/a> by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2917_Size_of_Uterus_Throughout_Pregnancy-02.jpg\" rel=\"cc:attributionURL\">Size_of_Uterus_Throughout_Pregnancy-02<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/28-4-maternal-changes-during-pregnancy-labor-and-birth\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.10<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0470_HeartWall.png\" rel=\"cc:attributionURL\">1024px-Blausen_0470_HeartWall<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.11<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Tipet_e_kardiomiopative.png\" rel=\"cc:attributionURL\">Tipet_e_kardiomiopative<\/a>\u00a0by <a class=\"extiw\" title=\"en:User:Npatchett\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Npatchett\">Npatchett<\/a> at English Wikipedia on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license. (Work derived from <a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0165_Cardiomyopathy_Dilated.png\">Blausen 0165 Cardiomyopathy Dilated<\/a>\u00a0by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus)<\/a><\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). <span class=\"os-title-label\">Figure\u00a0<\/span><span class=\"os-number\">4.18<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"26615\" class=\"os-title\" data-type=\"title\">Muscle tissue<\/span> [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion<\/p>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 28.18 Size of uterus throughout pregnancy [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 28.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/28-4-maternal-changes-during-pregnancy-labor-and-birth<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2016, May 18). <\/span><\/span><\/span>Figure 10.3 The three connective tissue layers <span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2016, May 18). Figure\u00a0<span class=\"os-number\">10.4<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"30047\" class=\"os-title\" data-type=\"title\">Muscle fiber <\/span><\/span><\/span><\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2016, May 18). <\/span><\/span><\/span>Figure 10.24 Muscle contraction <span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.8). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2016, May 18). Figure\u00a0<span class=\"os-number\">11.5<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\">Overview of the muscular system<\/span><\/span><\/span><\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">\u00a0[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 11.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/11-2-naming-skeletal-muscles<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2012). Figure 5 Triceps and biceps muscles in the upper arm are opposing muscles. [digital image]. In <em>CK-12 Biology<\/em> (Section 21.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/ (Last modified August 11, 2017.)<\/p>\n<p class=\"hanging-indent\">khanacademymedicine. (2012, October 19). Three types of muscle | Circulatory system physiology | NCLEX-RN | Khan Academy. YouTube.<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, February 14).\u00a0 What happens during a heart attack? - Krishna Sudhir. YouTube. https:\/\/www.youtube.com\/watch?v=3_PYnWVoUzM&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5174\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5174\"><div tabindex=\"-1\"><p>Image shows a diagram highlighting the different sections of the small intestine.  The duodenum is the shortest portion and is the part of the small intestine that receives chyme directly from the stomch.  Next, chyme would pass through the jejenum and then finally the ileum.  The jejenum and ileum are a similar length (2.5-3 meters).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5097\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5097\"><div tabindex=\"-1\"><p>Image shows a diagram of the location of the sinoatrial and atrioventricular nodes.  The SA node is located at the top right corner of the right atrium, and the AV node is in left wall of the right atrium, very close to the tricuspid AV valve.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4885\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4885\"><div tabindex=\"-1\"><p>Image shows a photograph of an Amish man.  His hairstyle and beard with no mustache is evidence that he is married.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5150\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5150\"><div tabindex=\"-1\"><p>As per caption<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4330\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4330\"><div tabindex=\"-1\"><h1 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\"><span style=\"font-size: 1.424em;\">What Are You Made of?<\/span><\/h1>\n<figure id=\"attachment_250\" aria-describedby=\"caption-attachment-250\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img class=\"wp-image-250 size-medium\" style=\"color: #373d3f; font-weight: bold; font-size: 1em;\" title=\" Arawalk Cay, The Bahamas, by Gregory Culmer, on Unsplash, is used under the Unsplash license\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Man-sitting-2.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><figcaption id=\"caption-attachment-250\" class=\"wp-caption-text\"><em>Figure 3.2.1 What are we?<\/em><\/figcaption><\/figure>\n<p>Your entire body is made of cells and cells are made of molecules.If you look at your hand, what do you see? Of course, you see skin, which consists of <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5665\">cells<\/a><\/strong>. But what are skin cells\u00a0<em>made<\/em>\u00a0of? Like all living\u00a0cells, they are made of matter. In fact,\u00a0<em>all<\/em>\u00a0things are made of matter.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5635\">Matter<\/a><\/strong>\u00a0is anything that takes up space and has mass. Matter, in turn, is made up of chemical substances. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5731\">chemical substance<\/a><\/strong>\u00a0is matter that has a definite\u00a0composition\u00a0that is\u00a0consistent\u00a0throughout. A chemical substance may be either an\u00a0element\u00a0or a\u00a0compound.<\/p>\n<h1>Elements and Atoms<\/h1>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5747\">element<\/a><\/strong>\u00a0is a\u00a0pure substance. It cannot be broken down into other types of substances. Each\u00a0element\u00a0is made up of just one type of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5711\">atom<\/a><\/strong>.<\/p>\n<h2>Structure of an\u00a0Atom<\/h2>\n<figure id=\"attachment_253\" aria-describedby=\"caption-attachment-253\" style=\"width: 226px\" class=\"wp-caption alignright\"><img class=\"wp-image-253\" title=\"Lithium Atom diagram, by AG Caesar, is used under a CC BY-SA 4.0 International license\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Atom-diagram-2.png\" alt=\"Diagram of a lithium atom. Three protons and four neutrons are in the nucleus, and three electrons are orbiting the nucleus.\" width=\"226\" height=\"226\" \/><figcaption id=\"caption-attachment-253\" class=\"wp-caption-text\"><em>Figure 3.2.2 An atom consists of three subatomic components: protons, neutrons and electrons.<\/em><\/figcaption><\/figure>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5711\">atom<\/a><\/strong> is the smallest particle of an element that still has the properties of that element. Every substance is composed of atoms. Atoms are extremely small, typically about a ten-billionth of a metre in diametre. However, atoms <em>do not<\/em> have well-defined boundaries, as suggested by the atomic model shown\u00a0below.<\/p>\n<div>\n<p><span style=\"text-align: initial; font-size: 1em;\">Every <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5711\">atom<\/a><\/strong> is composed of a central area \u2014 called the\u00a0<\/span><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5717\">nucleus<\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0\u2014 and one or more subatomic particles called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5751\">electrons<\/a><\/strong>, which move around the nucleus. The nucleus\u00a0<\/span><em style=\"text-align: initial; font-size: 1em;\">also<\/em><span style=\"text-align: initial; font-size: 1em;\">\u00a0consists of subatomic particles. It contains one or more <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5823\">proton<\/a><\/strong>s and typically a similar number of <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5795\">neutrons<\/a><\/strong>. The number of protons in the\u00a0<\/span>nucleus<span style=\"text-align: initial; font-size: 1em;\">\u00a0determines the type of element an atom represents. An atom of hydrogen, for example, contains just one\u00a0<\/span>proton<span style=\"text-align: initial; font-size: 1em;\">. Atoms of the same element may have different numbers of neutrons in the nucleus. Atoms of the same element with the same number of protons \u2014 but different numbers of neutrons \u2014 are called\u00a0<\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5767\">isotopes<\/a>.<\/strong><\/p>\n<\/div>\n<p>Protons have a positive electric charge and neutrons have no electric charge. Virtually all of an atom's mass is in the protons and neutrons in the\u00a0nucleus. Electrons surrounding the nucleus have almost no mass,\u00a0as well as\u00a0a negative electric charge. If the number of protons and electrons in an atom are equal, then an atom is electrically neutral, because the positive and negative charges cancel each other out. If an atom has more or fewer electrons than protons, then it has an overall negative or positive charge, respectively, and it is called an\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5765\">ion<\/a><\/strong><strong>.<\/strong><\/p>\n<p>The negatively-charged electrons of an atom are attracted to the positively-charged protons in the nucleus by a force called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5745\">electromagnetic force<\/a>,<\/strong>\u00a0for which opposite charges attract. Electromagnetic force between protons in the nucleus causes these subatomic particles to repel each other, because they have the same charge. However, the protons and neutrons in the nucleus are attracted to each other by a different force, called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5787\">nuclear force<\/a>,<\/strong>\u00a0which is usually stronger than the electromagnetic force. Nuclear force repels the positively-charged protons from each other.<\/p>\n<h2>Periodic Table of the Elements<\/h2>\n<p>There are almost 120 known elements. As you can see in the Periodic Table of the Elements shown\u00a0below, the majority of elements are\u00a0metals. Examples of metals are iron (Fe) and copper (Cu). Metals are shiny and good conductors of electricity and\u00a0heat. Nonmetal elements are far fewer in number. They include hydrogen (H) and oxygen (O). They lack the properties of metals.<\/p>\n<div>\n<p>\u00a0The periodic table of the elements arranges elements in groups based on their properties. The element most important to life is carbon (C). Find carbon in the table. What type of element is it: metal or nonmetal?<\/p>\n<\/div>\n<div>\n<figure id=\"attachment_259\" aria-describedby=\"caption-attachment-259\" style=\"width: 573px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-259\" title=\"Periodic Table Armtuk3 by Armtuk, is used under CC BY-SA 3.0 license.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Periodic-table-2.png\" alt=\"The Periodic Table of Elements\" width=\"573\" height=\"470\" \/><figcaption id=\"caption-attachment-259\" class=\"wp-caption-text\"><em>Figure 3.2.3 The Periodic Table of Elements.<\/em><\/figcaption><\/figure>\n<h2>Compounds and Molecules<\/h2>\n<\/div>\n<p>A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5733\">compound<\/a><\/strong>\u00a0is a unique substance that consists of two or more elements combined in fixed proportions. This means that the\u00a0composition\u00a0of a\u00a0compound\u00a0is always the same. The smallest particle of most compounds in living things is called a\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5779\">molecule<\/a>.<\/strong><\/p>\n<figure id=\"attachment_285\" aria-describedby=\"caption-attachment-285\" style=\"width: 256px\" class=\"wp-caption alignright\"><img class=\"wp-image-285 size-full\" title=\"Water molecule, by Sakurambo, is released into the public domain.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Water-molecule-1-2.png\" alt=\"Image shows a model of a water molecule. A large central oxygen atom is connected to two adjacent, smaller white hydrogen atoms.\" width=\"256\" height=\"184\" \/><figcaption id=\"caption-attachment-285\" class=\"wp-caption-text\"><em>Figure 3.2.4 A molecule of water consists of one atom of oxygen and two atoms of hydrogen connected by covalent bonds.<\/em><\/figcaption><\/figure>\n<p>Consider\u00a0water\u00a0as an example. A molecule of water always contains one atom of oxygen and two atoms of hydrogen. The\u00a0composition\u00a0of water is expressed by the\u00a0chemical formula\u00a0H<sub>2<\/sub>O. A model of a water molecule is shown in Figure 3.2.4.<\/p>\n<p>What causes the atoms of a\u00a0water\u00a0molecule to \u201cstick\u201d together? The answer is\u00a0<em>chemical bonds<\/em>. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5727\">chemical bond<\/a><\/strong>\u00a0is a force that holds together the atoms of molecules. Bonds in molecules involve the sharing of electrons among atoms. New\u00a0chemical bonds\u00a0form when substances react with one another. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5729\">chemical reaction<\/a><\/strong>\u00a0is a process that changes some chemical substances into others. A\u00a0chemical reaction\u00a0is needed to form a compound, and another chemical reaction is needed to separate the substances in that compound.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>All <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5635\"><strong>matter<\/strong><\/a> consists of chemical substances. A <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5731\"><strong>chemical substance<\/strong><\/a> has a definite composition\u00a0which is consistent\u00a0throughout. A chemical substance may be either an element or a compound.<\/li>\n<li>An <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5747\"><strong>element<\/strong><\/a> is a\u00a0pure substance\u00a0that cannot be broken down into other types of substances.<\/li>\n<li>An <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5711\"><strong>atom<\/strong><\/a> is the smallest particle of an element that still has the properties of that element. Atoms, in turn, are composed of subatomic particles, including negative <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5751\"><strong>electrons<\/strong><\/a>, positive <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5823\"><strong>protons<\/strong><\/a>, and neutral <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5795\"><strong>neutrons<\/strong><\/a>. The number of protons in an atom determines the element it represents.<\/li>\n<li>Atoms have equal numbers of electrons and protons, so they have no charge. Ions are atoms that have lost or gained electrons,\u00a0and as a result\u00a0have either a positive or negative charge. Atoms with the same number of protons \u2014 but different numbers of neutrons \u2014 are called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5767\"><strong>isotopes<\/strong><\/a>.<\/li>\n<li>There are almost 120 known elements. The majority of elements are\u00a0metals. A smaller number are\u00a0nonmetals. The latter include carbon, hydrogen, and oxygen.<\/li>\n<li>A compound is a substance that consists of two or more elements in a unique composition. The smallest particle of a compound is called a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5779\"><strong>molecule<\/strong><\/a>.\u00a0Chemical bonds\u00a0hold together the atoms of molecules. Compounds can form only in\u00a0chemical reactions, and they can break down only in other chemical reactions.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-454\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-454\" class=\"h5p-iframe\" data-content-id=\"454\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Label the atom\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What is an element? Give three examples.<\/li>\n<li>Define <em>compound<\/em>. Explain how compounds form.<\/li>\n<li>Compare and contrast atoms and molecules.<\/li>\n<li>The compound called water can be broken down into its constituent elements by applying an electric current to it. What ratio of elements is produced in this process?<\/li>\n<li>Relate ions and isotopes to elements and atoms.<\/li>\n<li>What is the most important element to life?<\/li>\n<li>Iron oxide is often known as rust \u2014 the reddish substance you might find on corroded metal. The chemical formula for this type of iron oxide is Fe<sub>2<\/sub>O<sub>3<\/sub>. Answer the following questions about iron oxide and briefly explain each answer.\n<ol type=\"a\">\n<li>Is iron oxide an element or a compound?<\/li>\n<li>Would one particle of iron oxide be considered a molecule or an atom?<\/li>\n<li>Describe the relative proportion of atoms in iron oxide.<\/li>\n<li>What causes the Fe and O to stick together in iron oxide?<\/li>\n<li>Is iron oxide made of metal atoms, metalloid atoms, nonmetal atoms, or a combination of any of these?<\/li>\n<\/ol>\n<\/li>\n<li>14C is an isotope\u00a0of carbon used in the radiocarbon dating of organic material. The most common isotope of carbon is\u00a012C. Do you think\u00a014C and\u00a012C have different numbers of neutrons or protons? Explain your answer.<\/li>\n<li>Explain why ions have a positive or negative charge.<\/li>\n<li>Name the three subatomic particles described in this section.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=yQP4UJhNn0I&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center;\">Just how small is an atom? TED-Ed, 2012<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 3.2.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/z7uU0C-4iUo\">Man Sitting<\/a>, by <a href=\"https:\/\/unsplash.com\/@junkanoo_media\">Gregory Culmer<\/a>, on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a>, is used under the <a href=\"https:\/\/unsplash.com\/license\">Unsplash license<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 3.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Atom_Diagram.svg\">Lithium Atom diagram<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:AG_Caesar?uselang=bn\">AG Caesar<\/a>, is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\">CC BY-SA 4.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en)<\/p>\n<p><strong>Figure 3.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Periodic_Table_Armtuk3.svg\">Periodic Table Armtuk3<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Armtuk&amp;action=edit&amp;redlink=1\">Armtuk<\/a>, is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">)<\/a>\u00a0license.<\/p>\n<p><strong>Figure 3.2.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Water_molecule.svg\">Water molecule<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Sakurambo~commonswiki\">Sakurambo<\/a>, is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">TED-Ed. (2012, April 16). Just how small is an atom. YouTube. https:\/\/www.youtube.com\/watch?v=yQP4UJhNn0I&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5143\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5143\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div>\n<figure id=\"attachment_4539\" aria-describedby=\"caption-attachment-4539\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4539\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Bread-by-sergio-arze-cWXibBbXx44-unsplash-scaled-3.jpg\" alt=\"15.1.1 Bread\" width=\"400\" height=\"274\" \/><figcaption id=\"caption-attachment-4539\" class=\"wp-caption-text\"><em>Figure 15.1.1 Bread \u2014 Are you a glutton for gluten?<\/em><\/figcaption><\/figure>\n<h1>Case Study: Please Don\u2019t Pass the Bread<\/h1>\n<\/div>\n<p>Angela and Saloni are college students who met in physics class. They decide to study together for their upcoming midterm, but first, they want to grab some lunch. Angela says there is a particular restaurant she would like to go to, because they are able to accommodate her dietary restrictions. Saloni agrees and they head to the restaurant.<\/p>\n<p>At lunch, Saloni asks Angela what is special about her diet. Angela tells her that she can\u2019t eat <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4541\">gluten<\/a>. Saloni says, \u201cMy cousin did that for a while because she heard that gluten is bad for you. But it was too hard for her to not eat bread and pasta, so she gave it up.\u201d Angela tells Saloni that avoiding gluten isn\u2019t optional for her \u2014 she has <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4542\">celiac disease<\/a>. Eating even very small amounts of gluten could damage her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5969\">digestive system<\/a>.\u00a0 It can be difficult for people living with celiac disease to find foods when eating out.<\/p>\n<p>You have probably heard of gluten, but what is it, and why is it harmful to people with celiac disease? Gluten is a protein present in wheat and some other grains (such as barley, rye, and oats), so it is commonly found in foods like bread, pasta, baked goods, and many packaged foods, like the ones pictured in Figure 15.1.2.<\/p>\n<div id=\"h5p-618\">\n<div class=\"h5p-content\" data-content-id=\"618\"><\/div>\n<\/div>\n<p><em>Figure 15.1.2 Gluten is a protein present in foods like bread, pasta, and baked goods.<\/em><\/p>\n<p>For people with celiac disease, eating gluten causes an autoimmune reaction that results in damage to the small, finger-like <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4543\">villi<\/a> lining the small intestine, causing them to become inflamed and flattened (see Figure 15.1.3). This damage interferes with the digestive process, which can result in a wide variety of symptoms including diarrhea, anemia, skin rash, bone pain, depression, and anxiety, among others. The degree of damage to the villi can vary from mild to severe, with more severe damage generally resulting in more significant symptoms and complications. Celiac disease can have serious long-term consequences, such as osteoporosis, problems in the nervous and reproductive systems, and the development of certain types of cancers.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4544\" aria-describedby=\"caption-attachment-4544\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img class=\"size-full wp-image-4544\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease-2.jpg\" alt=\"15.1.2\" width=\"1024\" height=\"576\" \/><figcaption id=\"caption-attachment-4544\" class=\"wp-caption-text\"><em>Figure 15.1.3 How celiac disease can affect the villi of the small intestine. Here, the villi on the right represent the expected structure of healthy villi. The villi on the bottom right are celiac-affected villi; inflammation has caused them to deform, reducing their ability to function efficiently, if at all.<\/em><\/figcaption><\/figure>\n<p>Why does\u00a0celiac disease cause so many different types of symptoms and have such significant negative health consequences? As you read this chapter and learn about how the digestive system works, you will see just how important the villi of the small intestine are to the body as a whole. At the end of the chapter, you will learn more about celiac disease, why it can be so serious, and whether it is worth avoiding gluten for people who do not have a diagnosed medical issue with it.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter Overview: Digestive System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the digestive system, which processes food so that our bodies can obtain nutrients. Specifically, you will learn about:<\/p>\n<ul>\n<li>The structures and organs of the gastrointestinal (GI) tract through which food directly passes. This includes the mouth, pharynx, esophagus, stomach, small intestine, and large intestine.<\/li>\n<li>The functions of the GI tract, including mechanical and chemical digestion, absorption of nutrients, and the elimination of solid waste.<\/li>\n<li>The accessory organs of digestion \u2014 the liver, gallbladder, and pancreas \u2014 which secrete substances needed for digestion into the GI tract, in addition to performing other important functions.<\/li>\n<li>Specializations of the tissues of the digestive system that allow it to carry out its functions.<\/li>\n<li>How different types of nutrients (such as carbohydrates, proteins, and fats) are digested and absorbed by the body.<\/li>\n<li>Beneficial bacteria that live in the GI tract and help us digest food, produce vitamins, and protect us from harmful pathogens and toxic substances.<\/li>\n<li>Disorders of the digestive system, including inflammatory bowel diseases, ulcers, diverticulitis, and gastroenteritis (commonly known as \u201cstomach flu\u201d).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read this chapter, think about the following questions related to celiac disease:<\/p>\n<ol>\n<li>What are the general functions of the small intestine? What do the villi in the small intestine do?<\/li>\n<li>Why do you think celiac disease causes so many different types of symptoms and potentially serious complications?<\/li>\n<li>What are some other autoimmune diseases that involve the body attacking its own digestive system?<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/cWXibBbXx44\" rel=\"cc:attributionURL\">Bread<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@sergich\">Sergio Arze<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.1.2<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/7zfQ6sbWVyE\">Paste cu sos de ro\u0219ii<\/a> by <a href=\"https:\/\/unsplash.com\/@inasestrjevitovschii\">Sestrjevitovschii Ina<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/dLNu65g0jMA\">Cookies and More<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@sarah_elizabeth\">Sarah Shaffer<\/a>\u00a0on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/vWjvnhkjziI\">Raspberry waffles<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@belleam\">Izabelle Acheson<\/a>\u00a0on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/d4hPtKyQkoc\">Homemade croissant &amp; pain au chocolat<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@crispinto\">Cristiano Pinto<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong>Figure 15.1.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease.jpg\" rel=\"cc:attributionURL\">Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease<\/a>\u00a0by <a href=\"https:\/\/www.scientificanimations.com\/wiki-images\/\">www.scientificanimations.com<\/a> (image 140\/191) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5096\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5096\"><div tabindex=\"-1\"><p>Image shows systole and diastole of the heart.  In diastole, the ventricles of the heart are relaxed and are able to receive blood from the atria.  In systole, both ventricles contract, squeezing the blood out and into the pulmonary trunk and aorta.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4732\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4732\"><div tabindex=\"-1\"><p>As described in the caption.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5183\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5183\"><div tabindex=\"-1\"><p>Image shows a diagram of the vessels going into and out of the liver.  The hepatic artery bring blood from the heart to the liver and the hepatic vein returns this blood to the heart.  The portal vein brings blood from the lower GI tract to the liver.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5186\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5186\"><div tabindex=\"-1\"><p>As per caption<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_3538\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_3538\"><div tabindex=\"-1\"><p>The space occurring between two or more membranes. In cell biology, it's most commonly described as the region between the inner membrane and the outer membrane of a mitochondrion or a chloroplast.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5187\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5187\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4656\" aria-describedby=\"caption-attachment-4656\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4656\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Scleral_Icterus-2.jpg\" alt=\"15.6.1 Jaundiced eye\" width=\"400\" height=\"223\" \/><figcaption id=\"caption-attachment-4656\" class=\"wp-caption-text\"><em>Figure 15.6.1 \"Look deep into my eyes.\"<\/em><\/figcaption><\/figure>\n<div>\n<h1>Jaundiced Eyes<\/h1>\n<\/div>\n<p>Did you ever hear of a person looking at something or someone with a \u201cjaundiced eye\u201d? It means to take a negative view, such as envy, maliciousness, or ill will. The expression may be based on the antiquated idea that liver bile is associated with such negative emotions as these, as well as the fact that excessive liver bile causes jaundice, or yellowing of the eyes and skin. Jaundice is likely a sign of a liver disorder or blockage of the duct that carries bile away from the liver. Bile contains waste products, making the liver an organ of excretion. Bile has an important role in digestion, which makes the liver an accessory organ of digestion, too.<\/p>\n<div>\n<h1>What Are\u00a0Accessory Organs of Digestion?<\/h1>\n<\/div>\n<figure id=\"attachment_4657\" aria-describedby=\"caption-attachment-4657\" style=\"width: 438px\" class=\"wp-caption alignright\"><img class=\" wp-image-4657\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0428_Gallbladder-Liver-Pancreas_Location-1-2.png\" alt=\"15.6.2 Accessory Organs of the Digestive System\" width=\"438\" height=\"876\" \/><figcaption id=\"caption-attachment-4657\" class=\"wp-caption-text\"><em>Figure 15.6.2 The liver, gallbladder, and pancreas are the major accessory organs of digestion. In this figure, the pink tubular structure that starts at the lower stomach and wraps around the pancreas is the duodenum of the small intestine. This is where the accessory organs secrete their digestive substances.<\/em><\/figcaption><\/figure>\n<p>Accessory organs of digestion\u00a0are organs that secrete substances needed for the chemical digestion of food, but through which food does not actually pass as it is digested. Besides the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a>, the major accessory organs of digestion are the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a> and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a>. These organs secrete or store substances that are needed for digestion in the first part of the\u00a0small intestine\u00a0\u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a> \u2014 where most chemical digestion takes place. You can see the three organs and their locations in Figure 15.6.2.<\/p>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Liver<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a><\/strong>\u00a0is a vital organ located in the upper right part of the abdomen. It lies just below the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4292\">diaphragm<\/a>, to the right of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a>. The liver plays an important role in digestion by secreting <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">bile<\/a>, but the liver has a wide range of additional functions unrelated to digestion. In fact, some estimates put the number of functions of the liver at about 500! A few of them are described below.<\/p>\n<h2>Structure of the Liver<\/h2>\n<p>The liver is a reddish brown, wedge-shaped structure. In adults, the liver normally weighs about 1.5 kg (about 3.3 lb). It is both the heaviest internal organ and the largest gland in the human body. The liver is divided into four lobes of unequal size and shape. Each lobe, in turn, is made up of lobules, which are the functional units of the liver. Each lobule consists of millions of liver cells, called hepatic cells (or hepatocytes). They are the basic metabolic cells that carry out the various functions of the liver.<\/p>\n<p>As shown in Figure 15.6.3, the liver is connected to two large blood vessels: the hepatic artery and the portal vein. The hepatic artery carries oxygen-rich blood from the aorta, whereas the portal vein carries blood that is rich in digested nutrients from the GI tract and wastes filtered from the blood by the spleen. The blood vessels subdivide into smaller arteries and capillaries, which lead into the liver lobules. The nutrients from the GI tract are used to build many vital biochemical compounds, and the wastes from the spleen are degraded and excreted.<\/p>\n<figure id=\"attachment_4658\" aria-describedby=\"caption-attachment-4658\" style=\"width: 495px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4658\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg_-2.png\" alt=\"15.6.3 Hepatic and Portal vessels\" width=\"495\" height=\"502\" \/><figcaption id=\"caption-attachment-4658\" class=\"wp-caption-text\"><em>Figure 15.6.3 The portal vein supplies the liver with wastes filtered out of the blood in the spleen, as well as nutrients from the gastrointestinal tract. Oxygen-rich blood enters the liver via the hepatic artery.<\/em><\/figcaption><\/figure>\n<h2>Functions of the Liver<\/h2>\n<p>The main digestive function of the liver is the production of bile.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a><\/strong>\u00a0is a yellowish alkaline\u00a0liquid\u00a0that consists of\u00a0water, electrolytes, bile salts, and cholesterol, among other substances, many of which are waste products. Some of the components of bile are synthesized by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4659\">hepatocyte<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">. The rest are extracted from the\u00a0blood.<\/span><\/p>\n<p>As shown in Figure 15.6.4, bile is secreted into small ducts that join together to form larger ducts, with just one large duct carrying bile out of the liver. If bile is needed to digest a meal, it goes directly to the duodenum through the common bile duct. In the duodenum, the bile neutralizes acidic chyme from the stomach and emulsifies fat globules into smaller particles (called micelles) that are easier to digest chemically by the enzyme lipase. Bile also aids with the absorption of vitamin K. Bile that is secreted when digestion is not taking place goes to the gallbladder for storage until the next meal. In either case, the bile enters the duodenum through the common bile duct.<\/p>\n<figure id=\"attachment_4660\" aria-describedby=\"caption-attachment-4660\" style=\"width: 789px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4660\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gallbladder-by-NIH-Image-Gallery-on-Flickr-CC-BY-NC-24312875104_e6ab50150b_h-2.jpg\" alt=\"15.6.4\" width=\"789\" height=\"526\" \/><figcaption id=\"caption-attachment-4660\" class=\"wp-caption-text\"><em>Figure 15.6.4 The common bile duct carries bile from the liver and gallbladder to the duodenum.<\/em><\/figcaption><\/figure>\n<p>Besides its roles in digestion, the liver has many other vital functions:<\/p>\n<ul>\n<li>The liver synthesizes glycogen from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5451\">glucose<\/a> and stores the glycogen as required to help regulate blood sugar levels. It also breaks down the stored glycogen to glucose and releases it back into the blood as needed.<\/li>\n<li>The liver stores many substances in addition to glycogen, including vitamins A, D, B12, and K. It also stores the\u00a0minerals\u00a0iron and copper.<\/li>\n<li>The liver synthesizes numerous <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5813\">proteins<\/a>\u00a0and many of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5707\">amino acids<\/a>\u00a0needed to make them. These proteins have a wide range of functions. They include fibrinogen, which is needed for blood clotting; insulin-like growth factor (IGF-1), which is important for childhood growth; and albumen, which is the most abundant protein in blood serum and functions to transport fatty acids and steroid hormones in the blood.<\/li>\n<li>The liver synthesizes many important\u00a0lipids, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5531\">cholesterol<\/a>,\u00a0triglycerides, and lipoproteins.<\/li>\n<li>The liver is responsible for the breakdown of many waste products and toxic substances. The wastes are excreted in bile or travel to the\u00a0kidneys, which excrete them in urine.<\/li>\n<\/ul>\n<p>The liver is clearly a vital organ that supports almost every other organ in the body. Because of its strategic\u00a0location\u00a0and diversity of functions, the liver is also prone to many diseases, some of which cause loss of liver function. There is currently no way to compensate for the absence of liver function in the long term, although liver dialysis techniques can be used in the short term. An artificial liver has not yet been developed, so liver transplantation may be the only option for people with liver failure.<\/p>\n<div>\n<h1>Gallbladder<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a><\/strong> is a small, hollow, pouch-like organ that lies just under the right side of the liver (see Figure 15.6.5). It is about 8 cm (about 3 in) long and shaped like a tapered sac, with the open end continuous with the cystic duct. The gallbladder stores and concentrates bile from the liver until it is needed in the duodenum to help digest lipids. After the bile leaves the liver, it reaches the gallbladder through the cystic duct. At any given time, the gallbladder may store between 30 to 60 mL (1 to 2 oz) of bile. A hormone stimulated by the presence of fat in the duodenum signals the gallbladder to contract and force its contents back through the cystic duct and into the common bile duct to drain into the duodenum.<\/p>\n<figure id=\"attachment_4662\" aria-describedby=\"caption-attachment-4662\" style=\"width: 563px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4662\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gallbladder_organ-1-2.png\" alt=\"15.6.5 Gallbladder\" width=\"563\" height=\"563\" \/><figcaption id=\"caption-attachment-4662\" class=\"wp-caption-text\"><em>Figure 15.6.5 The gallbladder is connected to the common duct by the cystic duct. It stores bile secreted by the liver.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Pancreas<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a><\/strong> is a glandular organ that is part of both the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5969\">digestive system<\/a> and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5985\">endocrine system<\/a>. As shown in Figure 15.6.6, it is located in the abdomen behind the stomach, with the head of the pancreas surrounded by the duodenum of the small intestine. The pancreas is about 15 cm (almost 6 in) long, and it has two major ducts: the main pancreatic duct and the accessory pancreatic duct. Both of these ducts drain into the duodenum.<\/p>\n<figure id=\"attachment_4665\" aria-describedby=\"caption-attachment-4665\" style=\"width: 519px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4665\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0698_PancreasAnatomy-2.png\" alt=\"15.6.6\" width=\"519\" height=\"519\" \/><figcaption id=\"caption-attachment-4665\" class=\"wp-caption-text\"><em>Figure 15.6.6 Pancreatic digestive enzymes and bicarbonate travel to the duodenum through the pancreatic ducts. The main pancreatic duct joins with the common bile duct before the latter enters the duodenum.<\/em><\/figcaption><\/figure>\n<p>As an endocrine gland, the pancreas secretes several <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5661\">hormones<\/a>, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2590\">insulin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_6043\">glucagon<\/a>, which circulate in the blood. The\u00a0endocrine hormones\u00a0are secreted by clusters of\u00a0cells\u00a0called pancreatic islets (or islets of Langerhans). As a digestive organ, the pancreas secretes many digestive\u00a0enzymes\u00a0and also bicarbonate, which helps neutralize acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> after it enters the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>. The pancreas is stimulated to secrete its digestive substances when food in the stomach and duodenum triggers the release of endocrine hormones into the blood that reach the pancreas via the bloodstream. The pancreatic digestive enzymes are secreted by clusters of cells called acini, and they travel through the pancreatic ducts to the duodenum. In the duodenum, they help to chemically break down\u00a0carbohydrates,\u00a0proteins,\u00a0lipids, and\u00a0nucleic acids\u00a0in chyme. The pancreatic digestive enzymes include:<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4578\">Amylase<\/a><\/strong>, which helps digest starch and other carbohydrates.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4597\">Trypsin<\/a><\/strong>\u00a0and\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4598\">chymotrypsin<\/a><\/strong>, which help digest proteins.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">Lipase<\/a><\/strong>, which helps digest lipids.<\/li>\n<li><strong>Deoxyribonucleases<\/strong>\u00a0and\u00a0<strong>ribonucleases<\/strong>, which help digest nucleic acids.<\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.6 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Accessory organs of digestion are organs that secrete substances needed for the chemical digestion of food, but through which food does not actually pass as it is digested. The accessory organs include the liver, gallbladder, and pancreas. These organs secrete or store substances that are carried to the duodenum of the\u00a0small intestine\u00a0as needed for digestion.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a> is a large organ in the abdomen that is divided into lobes and smaller lobules, which consist of metabolic\u00a0cells\u00a0called hepatic cells, or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4659\">hepatocytes<\/a>. The liver receives oxygen in blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4413\">aorta<\/a> through the hepatic artery. It receives\u00a0nutrients\u00a0in blood from the GI tract and wastes in blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4497\">spleen<\/a> through the portal vein.<\/li>\n<li>The main digestive function of the liver is the production of the alkaline\u00a0liquid\u00a0called bile. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a> is carried directly to the duodenum by the common bile duct or to the gallbladder first for storage. Bile neutralizes acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> that enters the duodenum from the stomach, and also emulsifies fat globules into smaller particles (micelles) that are easier to digest chemically.<\/li>\n<li>Other vital functions of the liver include regulating blood sugar levels by storing excess sugar as glycogen, storing many\u00a0vitamins and minerals, synthesizing numerous proteins and lipids, and breaking down waste products and toxic substances.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a> is a small pouch-like organ near the liver. It stores and concentrates bile from the liver until it is needed in the duodenum to neutralize chyme and help digest lipids.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a> is a glandular organ that secretes both\u00a0endocrine hormones\u00a0and digestive\u00a0enzymes. As an endocrine gland, the pancreas secretes insulin and glucagon to regulate blood sugar. As a digestive organ, the pancreas secretes digestive enzymes into the duodenum through ducts. Pancreatic digestive enzymes include amylase (starches) trypsin and chymotrypsin (proteins), lipase (lipids), and ribonucleases and deoxyribonucleases (RNA\u00a0and DNA).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Name three accessory organs of digestion. How do these organs differ from digestive organs that are part of the GI tract?<\/li>\n<li>\n<div id=\"h5p-624\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-624\" class=\"h5p-iframe\" data-content-id=\"624\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"15.6 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the liver and its blood supply.<\/li>\n<li>Explain the main digestive function of the liver and describe the components of bile and it's importance in the digestive process.<\/li>\n<li>What type of secretions does the pancreas release as part of each body system?<\/li>\n<li>List pancreatic enzymes that work in the duodenum, along with the substances they help digest.<\/li>\n<li>What are two substances produced by accessory organs of digestion that help neutralize chyme in the small intestine? Where are they produced?<\/li>\n<li>People who have their gallbladder removed sometimes have digestive problems after eating high-fat meals. Why do you think this happens?<\/li>\n<li>Which accessory organ of digestion synthesizes cholesterol?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/8dgoeYPoE-0<\/p>\n<p style=\"text-align: center;\">What does the pancreas do? - Emma Bryce, TED-Ed. 2015.<\/p>\n<p>https:\/\/youtu.be\/wbh3SjzydnQ<\/p>\n<p style=\"text-align: center;\">What does the liver do? - Emma Bryce, TED-Ed, 2014.<\/p>\n<p>https:\/\/youtu.be\/a0d1yvGcfzQ<\/p>\n<p style=\"text-align: center;\">Scar wars: Repairing the liver, nature video, 2018.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Scleral_Icterus.jpg\" rel=\"cc:attributionURL\">Scleral_Icterus<\/a> by <a class=\"new\" title=\"User:Sedooka (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Sedooka&amp;action=edit&amp;redlink=1\">Sheila J. Toro<\/a> on Wikimedia Commons is used under a \u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 15.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0428_Gallbladder-Liver-Pancreas_Location.png\" rel=\"cc:attributionURL\">Blausen_0428_Gallbladder-Liver-Pancreas_Location<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 15.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg\" rel=\"cc:attributionURL\">Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg<\/a> by <a class=\"external text\" href=\"http:\/\/www.cancerresearchuk.org\/\" rel=\"nofollow\">Cancer Research UK<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> \u00a0(https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 15.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/flic.kr\/p\/D3rQHN\" rel=\"cc:attributionURL\">Gallbladder<\/a> by <a class=\"owner-name truncate\" title=\"Go to NIH Image Gallery's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nihgov\/\" data-track=\"attributionNameClick\">NIH Image Gallery<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\">CC BY-NC 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Figure 15.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Gallbladder_(organ).png\" rel=\"cc:attributionURL\">Gallbladder_(organ) (1)<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license. (See a\u00a0<a class=\"external text\" href=\"http:\/\/blausen.com\/?Topic=1252\" rel=\"nofollow\">full animation<\/a> of this medical topic at blausen.com.)<\/p>\n<p><strong>Figure 15.6.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0698_PancreasAnatomy.png\" rel=\"cc:attributionURL\">Blausen_0698_PancreasAnatomy<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">nature video. (2018, December 19). Scar wars: Repairing the liver. YouTube. https:\/\/www.youtube.com\/watch?v=a0d1yvGcfzQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2014, November 25). What does the liver do? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=wbh3SjzydnQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, February 19). What does the pancreas do? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=8dgoeYPoE-0&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5188\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5188\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4656\" aria-describedby=\"caption-attachment-4656\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4656\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Scleral_Icterus-2.jpg\" alt=\"15.6.1 Jaundiced eye\" width=\"400\" height=\"223\"><figcaption id=\"caption-attachment-4656\" class=\"wp-caption-text\"><em>Figure 15.6.1 \"Look deep into my eyes.\"<\/em><\/figcaption><\/figure>\n<div>\n<h1>Jaundiced Eyes<\/h1>\n<\/div>\n<p>Did you ever hear of a person looking at something or someone with a \u201cjaundiced eye\u201d? It means to take a negative view, such as envy, maliciousness, or ill will. The expression may be based on the antiquated idea that liver bile is associated with such negative emotions as these, as well as the fact that excessive liver bile causes jaundice, or yellowing of the eyes and skin. Jaundice is likely a sign of a liver disorder or blockage of the duct that carries bile away from the liver. Bile contains waste products, making the liver an organ of excretion. Bile has an important role in digestion, which makes the liver an accessory organ of digestion, too.<\/p>\n<div>\n<h1>What Are\u00a0Accessory Organs of Digestion?<\/h1>\n<\/div>\n<figure id=\"attachment_4657\" aria-describedby=\"caption-attachment-4657\" style=\"width: 438px\" class=\"wp-caption alignright\"><img class=\" wp-image-4657\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0428_Gallbladder-Liver-Pancreas_Location-1-2.png\" alt=\"15.6.2 Accessory Organs of the Digestive System\" width=\"438\" height=\"876\"><figcaption id=\"caption-attachment-4657\" class=\"wp-caption-text\"><em>Figure 15.6.2 The liver, gallbladder, and pancreas are the major accessory organs of digestion. In this figure, the pink tubular structure that starts at the lower stomach and wraps around the pancreas is the duodenum of the small intestine. This is where the accessory organs secrete their digestive substances.<\/em><\/figcaption><\/figure>\n<p>Accessory organs of digestion\u00a0are organs that secrete substances needed for the chemical digestion of food, but through which food does not actually pass as it is digested. Besides the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a>, the major accessory organs of digestion are the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a> and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a>. These organs secrete or store substances that are needed for digestion in the first part of the\u00a0small intestine\u00a0\u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a> \u2014 where most chemical digestion takes place. You can see the three organs and their locations in Figure 15.6.2.<\/p>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Liver<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a><\/strong>\u00a0is a vital organ located in the upper right part of the abdomen. It lies just below the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4292\">diaphragm<\/a>, to the right of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4558\">stomach<\/a>. The liver plays an important role in digestion by secreting <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">bile<\/a>, but the liver has a wide range of additional functions unrelated to digestion. In fact, some estimates put the number of functions of the liver at about 500! A few of them are described below.<\/p>\n<h2>Structure of the Liver<\/h2>\n<p>The liver is a reddish brown, wedge-shaped structure. In adults, the liver normally weighs about 1.5 kg (about 3.3 lb). It is both the heaviest internal organ and the largest gland in the human body. The liver is divided into four lobes of unequal size and shape. Each lobe, in turn, is made up of lobules, which are the functional units of the liver. Each lobule consists of millions of liver cells, called hepatic cells (or hepatocytes). They are the basic metabolic cells that carry out the various functions of the liver.<\/p>\n<p>As shown in Figure 15.6.3, the liver is connected to two large blood vessels: the hepatic artery and the portal vein. The hepatic artery carries oxygen-rich blood from the aorta, whereas the portal vein carries blood that is rich in digested nutrients from the GI tract and wastes filtered from the blood by the spleen. The blood vessels subdivide into smaller arteries and capillaries, which lead into the liver lobules. The nutrients from the GI tract are used to build many vital biochemical compounds, and the wastes from the spleen are degraded and excreted.<\/p>\n<figure id=\"attachment_4658\" aria-describedby=\"caption-attachment-4658\" style=\"width: 495px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4658\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg_-2.png\" alt=\"15.6.3 Hepatic and Portal vessels\" width=\"495\" height=\"502\"><figcaption id=\"caption-attachment-4658\" class=\"wp-caption-text\"><em>Figure 15.6.3 The portal vein supplies the liver with wastes filtered out of the blood in the spleen, as well as nutrients from the gastrointestinal tract. Oxygen-rich blood enters the liver via the hepatic artery.<\/em><\/figcaption><\/figure>\n<h2>Functions of the Liver<\/h2>\n<p>The main digestive function of the liver is the production of bile.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a><\/strong>\u00a0is a yellowish alkaline\u00a0liquid\u00a0that consists of\u00a0water, electrolytes, bile salts, and cholesterol, among other substances, many of which are waste products. Some of the components of bile are synthesized by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4659\">hepatocyte<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">. The rest are extracted from the\u00a0blood.<\/span><\/p>\n<p>As shown in Figure 15.6.4, bile is secreted into small ducts that join together to form larger ducts, with just one large duct carrying bile out of the liver. If bile is needed to digest a meal, it goes directly to the duodenum through the common bile duct. In the duodenum, the bile neutralizes acidic chyme from the stomach and emulsifies fat globules into smaller particles (called micelles) that are easier to digest chemically by the enzyme lipase. Bile also aids with the absorption of vitamin K. Bile that is secreted when digestion is not taking place goes to the gallbladder for storage until the next meal. In either case, the bile enters the duodenum through the common bile duct.<\/p>\n<figure id=\"attachment_4660\" aria-describedby=\"caption-attachment-4660\" style=\"width: 789px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4660\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gallbladder-by-NIH-Image-Gallery-on-Flickr-CC-BY-NC-24312875104_e6ab50150b_h-2.jpg\" alt=\"15.6.4\" width=\"789\" height=\"526\"><figcaption id=\"caption-attachment-4660\" class=\"wp-caption-text\"><em>Figure 15.6.4 The common bile duct carries bile from the liver and gallbladder to the duodenum.<\/em><\/figcaption><\/figure>\n<p>Besides its roles in digestion, the liver has many other vital functions:<\/p>\n<ul>\n<li>The liver synthesizes glycogen from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_317\">glucose<\/a> and stores the glycogen as required to help regulate blood sugar levels. It also breaks down the stored glycogen to glucose and releases it back into the blood as needed.<\/li>\n<li>The liver stores many substances in addition to glycogen, including vitamins A, D, B12, and K. It also stores the\u00a0minerals\u00a0iron and copper.<\/li>\n<li>The liver synthesizes numerous <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_297\">proteins<\/a>\u00a0and many of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_305\">amino acids<\/a>\u00a0needed to make them. These proteins have a wide range of functions. They include fibrinogen, which is needed for blood clotting; insulin-like growth factor (IGF-1), which is important for childhood growth; and albumen, which is the most abundant protein in blood serum and functions to transport fatty acids and steroid hormones in the blood.<\/li>\n<li>The liver synthesizes many important\u00a0lipids, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4661\">cholesterol<\/a>,\u00a0triglycerides, and lipoproteins.<\/li>\n<li>The liver is responsible for the breakdown of many waste products and toxic substances. The wastes are excreted in bile or travel to the\u00a0kidneys, which excrete them in urine.<\/li>\n<\/ul>\n<p>The liver is clearly a vital organ that supports almost every other organ in the body. Because of its strategic\u00a0location\u00a0and diversity of functions, the liver is also prone to many diseases, some of which cause loss of liver function. There is currently no way to compensate for the absence of liver function in the long term, although liver dialysis techniques can be used in the short term. An artificial liver has not yet been developed, so liver transplantation may be the only option for people with liver failure.<\/p>\n<div>\n<h1>Gallbladder<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a><\/strong> is a small, hollow, pouch-like organ that lies just under the right side of the liver (see Figure 15.6.5). It is about 8 cm (about 3 in) long and shaped like a tapered sac, with the open end continuous with the cystic duct. The gallbladder stores and concentrates bile from the liver until it is needed in the duodenum to help digest lipids. After the bile leaves the liver, it reaches the gallbladder through the cystic duct. At any given time, the gallbladder may store between 30 to 60 mL (1 to 2 oz) of bile. A hormone stimulated by the presence of fat in the duodenum signals the gallbladder to contract and force its contents back through the cystic duct and into the common bile duct to drain into the duodenum.<\/p>\n<figure id=\"attachment_4662\" aria-describedby=\"caption-attachment-4662\" style=\"width: 563px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4662\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Gallbladder_organ-1-2.png\" alt=\"15.6.5 Gallbladder\" width=\"563\" height=\"563\"><figcaption id=\"caption-attachment-4662\" class=\"wp-caption-text\"><em>Figure 15.6.5 The gallbladder is connected to the common duct by the cystic duct. It stores bile secreted by the liver.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Pancreas<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a><\/strong> is a glandular organ that is part of both the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2913\">digestive system<\/a> and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2909\">endocrine system<\/a>. As shown in Figure 15.6.6, it is located in the abdomen behind the stomach, with the head of the pancreas surrounded by the duodenum of the small intestine. The pancreas is about 15 cm (almost 6 in) long, and it has two major ducts: the main pancreatic duct and the accessory pancreatic duct. Both of these ducts drain into the duodenum.<\/p>\n<figure id=\"attachment_4665\" aria-describedby=\"caption-attachment-4665\" style=\"width: 519px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4665\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0698_PancreasAnatomy-2.png\" alt=\"15.6.6\" width=\"519\" height=\"519\"><figcaption id=\"caption-attachment-4665\" class=\"wp-caption-text\"><em>Figure 15.6.6 Pancreatic digestive enzymes and bicarbonate travel to the duodenum through the pancreatic ducts. The main pancreatic duct joins with the common bile duct before the latter enters the duodenum.<\/em><\/figcaption><\/figure>\n<p>As an endocrine gland, the pancreas secretes several <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_377\">hormones<\/a>, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2590\">insulin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3405\">glucagon<\/a>, which circulate in the blood. The\u00a0endocrine hormones\u00a0are secreted by clusters of\u00a0cells\u00a0called pancreatic islets (or islets of Langerhans). As a digestive organ, the pancreas secretes many digestive\u00a0enzymes\u00a0and also bicarbonate, which helps neutralize acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> after it enters the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4576\">duodenum<\/a>. The pancreas is stimulated to secrete its digestive substances when food in the stomach and duodenum triggers the release of endocrine hormones into the blood that reach the pancreas via the bloodstream. The pancreatic digestive enzymes are secreted by clusters of cells called acini, and they travel through the pancreatic ducts to the duodenum. In the duodenum, they help to chemically break down\u00a0carbohydrates,\u00a0proteins,\u00a0lipids, and\u00a0nucleic acids\u00a0in chyme. The pancreatic digestive enzymes include:<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4578\">Amylase<\/a><\/strong>, which helps digest starch and other carbohydrates.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4597\">Trypsin<\/a><\/strong>\u00a0and\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4598\">chymotrypsin<\/a><\/strong>, which help digest proteins.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4602\">Lipase<\/a><\/strong>, which helps digest lipids.<\/li>\n<li><strong>Deoxyribonucleases<\/strong>\u00a0and\u00a0<strong>ribonucleases<\/strong>, which help digest nucleic acids.<\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.6 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Accessory organs of digestion are organs that secrete substances needed for the chemical digestion of food, but through which food does not actually pass as it is digested. The accessory organs include the liver, gallbladder, and pancreas. These organs secrete or store substances that are carried to the duodenum of the\u00a0small intestine\u00a0as needed for digestion.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2989\">liver<\/a> is a large organ in the abdomen that is divided into lobes and smaller lobules, which consist of metabolic\u00a0cells\u00a0called hepatic cells, or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4659\">hepatocytes<\/a>. The liver receives oxygen in blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4413\">aorta<\/a> through the hepatic artery. It receives\u00a0nutrients\u00a0in blood from the GI tract and wastes in blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4497\">spleen<\/a> through the portal vein.<\/li>\n<li>The main digestive function of the liver is the production of the alkaline\u00a0liquid\u00a0called bile. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4599\">Bile<\/a> is carried directly to the duodenum by the common bile duct or to the gallbladder first for storage. Bile neutralizes acidic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4582\">chyme<\/a> that enters the duodenum from the stomach, and also emulsifies fat globules into smaller particles (micelles) that are easier to digest chemically.<\/li>\n<li>Other vital functions of the liver include regulating blood sugar levels by storing excess sugar as glycogen, storing many\u00a0vitamins and minerals, synthesizing numerous proteins and lipids, and breaking down waste products and toxic substances.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_4586\">gallbladder<\/a> is a small pouch-like organ near the liver. It stores and concentrates bile from the liver until it is needed in the duodenum to neutralize chyme and help digest lipids.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_3197\">pancreas<\/a> is a glandular organ that secretes both\u00a0endocrine hormones\u00a0and digestive\u00a0enzymes. As an endocrine gland, the pancreas secretes insulin and glucagon to regulate blood sugar. As a digestive organ, the pancreas secretes digestive enzymes into the duodenum through ducts. Pancreatic digestive enzymes include amylase (starches) trypsin and chymotrypsin (proteins), lipase (lipids), and ribonucleases and deoxyribonucleases (RNA\u00a0and DNA).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Name three accessory organs of digestion. How do these organs differ from digestive organs that are part of the GI tract?<\/li>\n<li>\n<div id=\"h5p-187\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-187\" class=\"h5p-iframe\" data-content-id=\"187\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"10.6 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the liver and its blood supply.<\/li>\n<li>Explain the main digestive function of the liver and describe the components of bile and it's importance in the digestive process.<\/li>\n<li>What type of secretions does the pancreas release as part of each body system?<\/li>\n<li>List pancreatic enzymes that work in the duodenum, along with the substances they help digest.<\/li>\n<li>What are two substances produced by accessory organs of digestion that help neutralize chyme in the small intestine? Where are they produced?<\/li>\n<li>People who have their gallbladder removed sometimes have digestive problems after eating high-fat meals. Why do you think this happens?<\/li>\n<li>Which accessory organ of digestion synthesizes cholesterol?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/8dgoeYPoE-0<\/p>\n<p style=\"text-align: center\">What does the pancreas do? - Emma Bryce, TED-Ed. 2015.<\/p>\n<p>https:\/\/youtu.be\/wbh3SjzydnQ<\/p>\n<p style=\"text-align: center\">What does the liver do? - Emma Bryce, TED-Ed, 2014.<\/p>\n<p>https:\/\/youtu.be\/a0d1yvGcfzQ<\/p>\n<p style=\"text-align: center\">Scar wars: Repairing the liver, nature video, 2018.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Scleral_Icterus.jpg\" rel=\"cc:attributionURL\">Scleral_Icterus<\/a> by <a class=\"new\" title=\"User:Sedooka (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Sedooka&amp;action=edit&amp;redlink=1\">Sheila J. Toro<\/a> on Wikimedia Commons is used under a \u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 15.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0428_Gallbladder-Liver-Pancreas_Location.png\" rel=\"cc:attributionURL\">Blausen_0428_Gallbladder-Liver-Pancreas_Location<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 15.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg\" rel=\"cc:attributionURL\">Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg<\/a> by <a class=\"external text\" href=\"http:\/\/www.cancerresearchuk.org\/\" rel=\"nofollow\">Cancer Research UK<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> \u00a0(https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 15.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/flic.kr\/p\/D3rQHN\" rel=\"cc:attributionURL\">Gallbladder<\/a> by <a class=\"owner-name truncate\" title=\"Go to NIH Image Gallery's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nihgov\/\" data-track=\"attributionNameClick\">NIH Image Gallery<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\">CC BY-NC 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Figure 15.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Gallbladder_(organ).png\" rel=\"cc:attributionURL\">Gallbladder_(organ) (1)<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license. (See a\u00a0<a class=\"external text\" href=\"http:\/\/blausen.com\/?Topic=1252\" rel=\"nofollow\">full animation<\/a> of this medical topic at blausen.com.)<\/p>\n<p><strong>Figure 15.6.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0698_PancreasAnatomy.png\" rel=\"cc:attributionURL\">Blausen_0698_PancreasAnatomy<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">nature video. (2018, December 19). Scar wars: Repairing the liver. YouTube. https:\/\/www.youtube.com\/watch?v=a0d1yvGcfzQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2014, November 25). What does the liver do? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=wbh3SjzydnQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, February 19). What does the pancreas do? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=8dgoeYPoE-0&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5189\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5189\"><div tabindex=\"-1\"><p>Image shows a person's elbows with a rash that has caused redness and scabbing.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5190\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5190\"><div tabindex=\"-1\"><p>Image shows a diagram of the large intestine.  There are multiple abnormal little pouches on the exterior of the colon.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4386\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4386\"><div tabindex=\"-1\"><\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4385\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4385\"><div tabindex=\"-1\"><div>\n<figure id=\"attachment_1015\" aria-describedby=\"caption-attachment-1015\" style=\"width: 372px\" class=\"wp-caption alignright\"><img class=\"wp-image-1015\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Auto-Assembly-line-2.jpg\" alt=\"Image shows a long line of sports cars in a factory. The cars are not yet fully assembled.\" width=\"372\" height=\"293\"><figcaption id=\"caption-attachment-1015\" class=\"wp-caption-text\"><em>Figure 3.10.1. Auto assembly line.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1em\">Created by:\u00a0CK-12\/Adapted by Christine Miller<\/span><\/p>\n<h1>Assembly Line<\/h1>\n<\/div>\n<p>We stay alive because millions of different <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_287\">chemical reactions<\/a> are taking place inside our bodies all the time. Each of our <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_175\">cells<\/a> is like the busy auto assembly line pictured in Figure 3.10.1. Raw materials, half-finished products, and waste materials are constantly being used, produced, transported, and excreted. The \"workers\" on the cellular assembly line are mainly enzymes. These are the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_297\">proteins<\/a> that make <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1021\">biochemical reactions<\/a> happen.<\/p>\n<div>\n<h1>What Are Biochemical Reactions?<\/h1>\n<\/div>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_287\">Chemical reactions<\/a>\u00a0that take place inside living things are called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1021\">biochemical reactions<\/a>.<\/strong>\u00a0The sum of all the biochemical reactions in an organism is called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_176\">metabolism<\/a><\/strong>. Metabolism includes both <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_992\">exothermic<\/a> (energy-releasing)\u00a0chemical reactions\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1009\">endothermic<\/a> (energy-absorbing) chemical reactions.<\/p>\n<h2>Catabolic Reactions<\/h2>\n<p>Exothermic reactions in organisms are called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1024\">catabolic reactions<\/a><\/strong>. These reactions break down molecules into smaller units and release\u00a0energy. An example of a catabolic reaction is the breakdown of glucose during\u00a0cellular respiration, which releases energy that\u00a0cells\u00a0need to carry out life processes.<\/p>\n<h2>Anabolic Reactions<\/h2>\n<p>Endothermic reactions in organisms are called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1025\">anabolic reactions<\/a><\/strong>. These reactions build up bigger molecules from smaller ones and absorb\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_302\">energy<\/a>. An example of an anabolic reaction is the joining of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_305\">amino acids<\/a>\u00a0to form a\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_297\">protein<\/a>. Which type of reactions \u2014 catabolic or anabolic \u2014 do you think occur when your body digests food?<\/p>\n<div>\n<h2>Enzymes<\/h2>\n<\/div>\n<figure id=\"attachment_1028\" aria-describedby=\"caption-attachment-1028\" style=\"width: 276px\" class=\"wp-caption alignleft\"><img class=\" wp-image-1028\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Enzyme_activation_energy-2.png\" alt=\"Image shows a graph of the energy in a chemical reaction as reactants A and B are converted to product AB. The activation energy for this reaction is shown in two ways: with and without an enzyme. The activation energy with the enzyme is lower than without.\" width=\"276\" height=\"259\"><figcaption id=\"caption-attachment-1028\" class=\"wp-caption-text\"><em>Figure 3.10.2. The activation energy for a reaction is lowered in the presence of an enzyme<\/em>.<\/figcaption><\/figure>\n<p>Most of the biochemical reactions that happen inside of living organisms\u00a0require\u00a0help. Why is this the case? For one thing, temperatures inside living things are usually too low for biochemical reactions to occur quickly enough to maintain life. The concentrations of reactants may also be too low for them to come together and react. Where do the biochemical reactions get the help they need to proceed? From the enzymes.<\/p>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_304\">enzyme<\/a><\/strong> is a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_297\">protein<\/a> that speeds up a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1021\">biochemical reaction<\/a>. It is a biological <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1026\">catalyst<\/a>. An enzyme generally works by reducing the amount of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1002\">activation energy<\/a> needed to start the reaction. The graph in Figure 3.10.2 shows the activation energy needed for glucose to combine with oxygen. Less activation energy is needed when the correct <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_304\">enzyme<\/a> is present than when it is not present.<\/p>\n<div>\n<p>An enzyme speeds up the reaction by lowering the required activation energy. Compare the activation energy needed with and without the enzyme.<\/p>\n<\/div>\n<h2>How Well Enzymes Work<\/h2>\n<p>Enzymes are involved in most biochemical reactions, and they do their jobs extremely well. A typical biochemical reaction that would take several days or even several centuries to\u00a0happen\u00a0without an enzyme is likely to occur in just a split second with the proper enzyme! Without enzymes to\u00a0speed\u00a0up biochemical reactions, most organisms could not survive.<\/p>\n<p>Enzymes are substrate-specific. The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_1032\">substrate<\/a><\/strong>\u00a0of an enzyme is the specific substance it affects. Each enzyme works only with a particular substrate, which explains why there are so many different enzymes. In addition, for an enzyme to work, it requires specific conditions, such as the right\u00a0temperature\u00a0and\u00a0pH. Some enzymes work best under acidic conditions, for example, while others work best in neutral environments.<\/p>\n<h3>Enzyme-Deficiency Disorders<\/h3>\n<p>There are hundreds of known inherited metabolic disorders in humans. In most of them, a single enzyme is either not produced by the body at all, or is otherwise produced in a form that doesn't work. The missing or defective enzyme is like an absentee worker on the cell's assembly line. Imagine the auto assembly line from the image at the start of this section.\u00a0 What if the worker who installed the steering wheel was absent?\u00a0 How would this impact the overall functioning of the vehicle?\u00a0 When an enzyme is missing, toxic chemicals build up, or an essential product isn't made. Generally, the normal enzyme is missing because the individual with the disorder inherited two copies of a gene mutation, which may have originated many generations previously.<\/p>\n<p>Any given inherited metabolic disorder is generally quite rare in the general\u00a0population. However, there are so many different metabolic disorders that a total of one in 1,000 to 2,500 newborns can be expected to have one.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\">3.10 Summary<\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Biochemical reactions are chemical reactions that take place inside of living things. The sum of all of the biochemical reactions in an organism is called\u00a0metabolism.<\/li>\n<li>Metabolism includes catabolic reactions, which are energy-releasing (exothermic) reactions, as well as anabolic reactions, which are energy-absorbing (endothermic) reactions.<\/li>\n<li>Most biochemical reactions need a biological\u00a0catalyst\u00a0called an enzyme to\u00a0speed\u00a0up the reaction. Enzymes reduce the amount of\u00a0activation energy\u00a0needed for the reaction to begin. Most enzymes are\u00a0proteins that affect just one specific substance, which is called the enzyme's substrate.<\/li>\n<li>There are many inherited metabolic disorders in humans. Most of them are caused by a single defective or missing enzyme.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">3.10 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What are biochemical reactions?<\/li>\n<li>Define metabolism.<\/li>\n<li>Compare and contrast catabolic and anabolic reactions.<\/li>\n<li>Explain the role of enzymes in biochemical reactions.<\/li>\n<li>What are enzyme-deficiency disorders?<\/li>\n<li>Explain why the relatively low temperature of living things,\u00a0along with\u00a0the low\u00a0concentration\u00a0of reactants, would cause biochemical reactions to occur very slowly in the body without enzymes.<\/li>\n<li>Answer the following questions about what happens after you eat a sandwich.\n<ul>\n<li>Pieces of the sandwich go into your stomach, where there are digestive enzymes that break down the food. Which type of metabolic reaction is this? Explain your answer.<\/li>\n<li>During the process of digestion, some of the sandwich is broken down into glucose, which is then further broken down to release energy that your cells can use. Is this an exothermic endothermic reaction? Explain your answer.<\/li>\n<li>The\u00a0proteins\u00a0in the cheese, meat, and bread in the sandwich are broken down into their component\u00a0amino acids. Then your body uses those amino acids to build new proteins. Which kind of metabolic reaction is represented by the building of these new proteins? Explain your answer.<\/li>\n<\/ul>\n<\/li>\n<li>Explain why your body doesn\u2019t just use one or two enzymes for all of its biochemical reactions.<\/li>\n<li>A ________ is the specific substance that an enzyme affects in a biochemical reaction.<\/li>\n<li>An enzyme is a biological _____________ .\n<ul type=\"A\">\n<li>catabolism<\/li>\n<li>form of activation energy<\/li>\n<li>catalyst<\/li>\n<li>reactant<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">3.10 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=qgVFkRn8f10&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">Enzymes (Updated), by The Amoeba Sisters, 2016.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=8m6RtOpqvtU&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">What triggers a chemical reaction? - Kareem Jarrah, TED-Ed, 2015.<\/p>\n<\/div>\n<\/div>\n<div id=\"menu\" class=\"style-scope ytd-video-primary-info-renderer\">\n<div id=\"top-level-buttons\" class=\"style-scope ytd-menu-renderer\"><span style=\"font-size: 1.424em;font-weight: bold\">Attributions<\/span><\/div>\n<\/div>\n<p><strong>Figure 3.10.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Final_assembly_2.jpg\" rel=\"cc:attributionURL\">Auto Assembly line<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/32659528@N00\">Brian Snelson<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 3.10.2<\/strong><\/p>\n<section class=\"standard post-453 chapter type-chapter status-publish hentry focusable\" data-type=\"chapter\">\n<div class=\"media-atttributions\">\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Enzyme_activation_energy.png\" rel=\"cc:attributionURL\">Enzyme_activation_energy<\/a>\u00a0by G. Andruk [<span class=\"licensetpl_attr\"><a class=\"extiw\" title=\"en:User:IMeowbot\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:IMeowbot\">IMeowbot<\/a>\u00a0at the\u00a0<a class=\"extiw\" title=\"w:\" href=\"https:\/\/en.wikipedia.org\/wiki\/\">English language Wikipedia]<\/a><\/span>, is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/p>\n<\/div>\n<\/section>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Amoeba Sisters. (<span style=\"font-size: 1em\">2016, August 28). Enzymes (updated). YouTube. https:\/\/www.youtube.com\/watch?v=qgVFkRn8f10&amp;feature=youtu.be<\/span><\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, January 15). What triggers a chemical reaction? - Kareem Jarrah. YouTube. https:\/\/www.youtube.com\/watch?v=8m6RtOpqvtU&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_3408\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_3408\"><div tabindex=\"-1\"><p>A type of disease in which cells of the central nervous system stop working or die. Neurodegenerative disorders usually get worse over time and have no cure. They may be genetic or be caused by a tumor or stroke.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_4717\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_4717\"><div tabindex=\"-1\"><div>\n<p>&nbsp;<\/p>\n<div id=\"h5p-534\">\n<div class=\"h5p-content\" data-content-id=\"534\"><\/div>\n<\/div>\n<p><em>Figure 7.4.1 Construction \u2014 It's important to have the right materials for the job.\u00a0\u00a0<\/em><\/p>\n<h1>The Right Material for the Job<\/h1>\n<p>Building a house is a big job and one that requires a lot of different materials for specific purposes.\u00a0 As you can see in Figure 7.4.1, many different types of materials are used to build a complete house, but each type of material fulfills certain functions.\u00a0 You wouldn't use insulation to cover your roof, and you wouldn't use lumber to wire your home.\u00a0 Just as a builder chooses the appropriate materials to build each aspect of a home (wires for electrical, lumber for framing, shingles for roofing), your body uses the right <em>cells<\/em> for each type of role.\u00a0 When many cells work together to perform a specific function, this is termed a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2801\">tissue<\/a>.<\/p>\n<h1>Tissues<\/h1>\n<\/div>\n<p>Groups of connected cells form tissues. The cells in a tissue may all be the same type, or they may be of multiple types. In either case, the cells in the tissue work together to carry out a specific function, and they are always specialized to be able to carry out that function better than any other type of tissue.\u00a0 There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues. We use tissues to build organs and organ systems.\u00a0 The 200 types of cells that the body can produce based on our single set of DNA can create all the types of tissue in the body.<\/p>\n<h1>Epithelial Tissue<\/h1>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2814\">Epithelial tissue<\/a><\/strong>\u00a0is made up of cells that line inner and outer body surfaces, such as the skin and the inner surface of the digestive tract. Epithelial tissue that lines inner body surfaces and body openings is called\u00a0<strong>mucous membrane.<\/strong>\u00a0This type of epithelial tissue produces\u00a0<strong>mucus<\/strong>, a slimy substance that coats mucous membranes and traps pathogens, particles, and debris. Epithelial tissue protects the body and its internal organs, secretes substances (such as hormones) in addition to mucus, and absorbs substances (such as nutrients).<\/p>\n<p>The key identifying feature of epithelial tissue is that it contains a free surface and a basement membrane.\u00a0 The free surface is not attached to any other cells and is either open to the outside of the body, or is open to the inside of a hollow organ or body tube.\u00a0 The basement membrane anchors the epithelial tissue to underlying cells.<\/p>\n<p>Epithelial tissue is identified and named by shape and layering.\u00a0 Epithelial cells exist in three main shapes: squamous, cuboidal, and columnar.\u00a0 These specifically shaped cells can, depending on function, be layered several different ways: simple, stratified, pseudostratified, and transitional.<\/p>\n<p>Epithelial tissue forms coverings and linings and is responsible for a range of functions including diffusion, absorption, secretion and protection.\u00a0 The shape of an epithelial cell can maximize its ability to perform a certain function.\u00a0 The thinner an epithelial cell is, the easier it is for substances to move through it to carry out diffusion and\/or absorption.\u00a0 The larger an epithelial cell is, the more room it has in its cytoplasm to be able to make products for secretion, and the more protection it can provide for underlying tissues. Their are three main shapes of epithelial cells: squamous (which is shaped like a pancake- flat and oval), cuboidal (cube shaped), and columnar (tall and rectangular).<\/p>\n<div id=\"h5p-535\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-535\" class=\"h5p-iframe\" data-content-id=\"535\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Cell Shapes\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.2 The shape of epithelial tissues is important.\u00a0\u00a0<\/em><\/p>\n<p>Epithelial tissue will also organize into different layerings depending on their function.\u00a0 For example, multiple layers of cells provide excellent protection, but would no longer be efficient for diffusion, whereas a single layer would work very well for diffusion, but no longer be as protective; a special type of layering called transitional is needed for organs that stretch, like your bladder.\u00a0 Your tissues exhibit the layering that makes them most efficient for the function they are supposed to perform. There are four main layerings found in epithelial tissue: simple (one layer of cells), stratified (many layers of cells), pseudostratified (appears stratified, but upon closer inspection is actually simple), and transitional (can stretch, going from many layers to fewer layers).<\/p>\n<div id=\"h5p-536\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-536\" class=\"h5p-iframe\" data-content-id=\"536\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Cell Layering\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.3 The layerings found in epithelial tissues is important.\u00a0\u00a0<\/em><\/p>\n<p>See Table 7.4.1 for a summary of the different layering types and shapes epithelial cells can form and their related functions and locations.<\/p>\n<p style=\"text-align: left;\"><strong>Table 7.4.1 <\/strong><\/p>\n<p style=\"text-align: left;\"><em>Summary of Epithelial Tissue Cells<\/em><\/p>\n<p><img class=\"size-full wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-2.jpg\" alt=\"\" width=\"937\" height=\"1502\" \/><\/p>\n<p>So far, we have identified epithelial tissue based on shape and layering.\u00a0 The representative diagrams we have seen so far are helpful for visualizing the tissue structures, but it is important to look at real examples of these cells.\u00a0 Since cells are too tiny to see with the naked eye, we rely on microscopes to help us study them.\u00a0\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2879\">Histology<\/a><\/strong> is the study of the microscopic anatomy and cells and tissues.\u00a0 See Table 7.4.2 to see some examples of slides of epithelial tissues prepared for the purpose of histology.<\/p>\n<p><strong>Table 7.4.2<\/strong><\/p>\n<p><em>Epithelial Tissues and Histological Samples<\/em><\/p>\n<p>&nbsp;<\/p>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 84.3373%; height: 843px;\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px;\">\n<td style=\"width: 8.45179%; height: 14px;\">Epithelial Tissue Type<\/td>\n<td style=\"width: 16.9932%; height: 14px;\">Tissue Diagram<\/td>\n<td style=\"width: 52.855%; height: 14px;\">Histological Sample<\/td>\n<\/tr>\n<tr style=\"height: 286px;\">\n<td style=\"width: 8.45179%; height: 286px;\">Stratified squamous<\/p>\n<p>(from skin)<\/td>\n<td style=\"width: 16.9932%; height: 286px;\"><img class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313321713-2.jpg\" alt=\"\" width=\"107\" height=\"39\" \/><\/td>\n<td style=\"width: 52.855%; height: 286px;\"><img class=\"wp-image-2836\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Epithelial_Tissues_Stratified_Squamous_Epithelium_40230842160-scaled-e1589313552577-2.jpg\" alt=\"\" width=\"328\" height=\"300\" \/><\/td>\n<\/tr>\n<tr style=\"height: 227px;\">\n<td style=\"width: 8.45179%; height: 227px;\">Simple cuboidal<\/p>\n<p>(from kidney tubules)<\/td>\n<td style=\"width: 16.9932%; height: 227px;\"><img class=\"wp-image-2830 aligncenter\" style=\"font-size: 14.4px;\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313076678-2.jpg\" alt=\"\" width=\"158\" height=\"36\" \/><\/td>\n<td style=\"width: 52.855%; height: 227px;\"><img class=\"wp-image-2833\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Simple-cuboidal-epithelial-tissue-histology-by-Berkshire-Community-College-on-flickr-2.jpg\" alt=\"\" width=\"393\" height=\"222\" \/><\/td>\n<\/tr>\n<tr style=\"height: 167px;\">\n<td style=\"width: 8.45179%; height: 167px;\">Pseudostratified ciliated columnar<\/p>\n<p>(from trachea)<\/td>\n<td style=\"width: 16.9932%; height: 167px;\"><img class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313435536-2.jpg\" alt=\"\" width=\"151\" height=\"87\" \/><\/td>\n<td style=\"width: 52.855%; height: 167px;\"><img class=\"wp-image-2837\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Pseudostratified_Epithelium-e1589314776658-2.jpg\" alt=\"\" width=\"415\" height=\"298\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h1>Connective Tissue<\/h1>\n<p>Bone and blood are examples of connective tissue.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2815\">Connective tissue<\/a><\/strong> is very diverse. In general, it forms a framework and support structure for\u00a0body tissues\u00a0and organs.\u00a0It's\u00a0made up of living cells\u00a0separated by non-living material, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_6005\">extracellular matrix<\/a>, which can be\u00a0solid\u00a0or\u00a0liquid.\u00a0The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is\u00a0liquid\u00a0plasma.<\/p>\n<p>The key identifying feature of connective tissue is that is is composed of a scattering of cells in a non-cellular matrix. There are three main categories of connective tissue, based on the nature of the matrix. They \u00a0look very different from one another, which is a reflection of their different functions:<\/p>\n<ol>\n<li>Fibrous connective tissue: is characterized by a matrix which is flexible and is made of protein fibres including collagen, elastin and possibly reticular fibres.\u00a0 These tissues are found making up tendons, ligaments, and body membranes.<\/li>\n<li>Supportive connective tissue: is characterized by a solid matrix and is what is used to make bone and cartilage.\u00a0 These tissues are used for support and protection.<\/li>\n<li>Fluid connective tissue: is characterized by a fluid matrix and includes both blood and lymph.<\/li>\n<\/ol>\n<h2>Fibrous Connective Tissue<\/h2>\n<p>Fibrous connective tissue contains cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_6011\">fibroblasts<\/a>.\u00a0 These cells produce fibres of collagen, elastin, or reticular fibre which makes up the matrix of this type of connective tissue.\u00a0 Based on how tightly packed these fibres are and how they are oriented changes the properties, and therefore the function of the fibrous connective tissue.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Loose fibrous connective tissue:\u00a0<\/strong> composed of a loose and disorganized weave of collagen and elastin fibres, creating a tissue that is thin and flexible, yet still tough.\u00a0 This tissue, which is also sometimes referred to as \"areolar tissue\", is found in membranes and surrounding blood vessels and most body organs.\u00a0 As you can see from the diagram in Figure 7.4.4, loose fibrous connective tissue fulfills the definition of connectives tissue since it is a scattering of cells (fibroblasts) in a non-cellular matrix (a mesh of collagen and elastin fibres).\u00a0 There are two types of specialized loose fibrous connective tissue: reticular and adipose.\u00a0 Adipose tissue stores fat and reticular tissue forms the spleen and lymph nodes.<br \/>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 68.8679%; height: 373px;\" border=\"0\">\n<tbody>\n<tr style=\"height: 172px;\">\n<td style=\"width: 46.3774%; height: 172px;\">\n<figure id=\"attachment_2857\" aria-describedby=\"caption-attachment-2857\" style=\"width: 343px\" class=\"wp-caption alignnone\"><img class=\" wp-image-2857\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Loose-fibrous-connective-tissue-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"343\" height=\"284\" \/><figcaption id=\"caption-attachment-2857\" class=\"wp-caption-text\"><em>Figure 7.4.4 Diagram of loose fibrous connective tissue consists of a scattering of fibroblasts in a non-cellular matrix of loosely woven collagen and elastin fibres.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 40.5573%; height: 172px;\">\n<figure id=\"attachment_2858\" aria-describedby=\"caption-attachment-2858\" style=\"width: 323px\" class=\"wp-caption alignnone\"><img class=\"wp-image-2858\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Connective_Tissue_Loose_Aerolar_39977986150-scaled-e1589924098592-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"323\" height=\"295\" \/><figcaption id=\"caption-attachment-2858\" class=\"wp-caption-text\"><em>Figure 7.4.5 Microscopic view of loose fibrous connective tissue.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<li><strong>Dense Fibrous Connective<\/strong> <strong>Tissue:\u00a0<\/strong>composed of a dense mat of parallel collagen fibres and a scattering of fibroblasts, creating a tissue that is very strong.\u00a0 Dense fibrous connective tissue forms tendons and ligaments, which connect bones to muscles and\/or bones to neighbouring bones.<br \/>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 85.6604%; height: 159px;\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 50%;\">\n<figure id=\"attachment_2865\" aria-describedby=\"caption-attachment-2865\" style=\"width: 343px\" class=\"wp-caption alignnone\"><img class=\" wp-image-2865\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense-Fibrous-Connective-Tissue-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"343\" height=\"340\" \/><figcaption id=\"caption-attachment-2865\" class=\"wp-caption-text\"><em>Figure 7.4.6 Dense fibrous connective tissue is composed of fibroblasts and a dense parallel packing of collagen fibres.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 50%;\">\n<figure id=\"attachment_2866\" aria-describedby=\"caption-attachment-2866\" style=\"width: 362px\" class=\"wp-caption alignnone\"><img class=\" wp-image-2866\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense_connective_tissue-400x-e1589925818790-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"362\" height=\"326\" \/><figcaption id=\"caption-attachment-2866\" class=\"wp-caption-text\"><em>Figure 7.4.7 Microscopic view of dense fibrous connective tissue.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<\/ul>\n<h2>Supportive Connective Tissue<\/h2>\n<p>Supportive connective tissue exhibits the defining feature of connective tissue in that it is a scattering of cells in a non-cellular matrix; what sets it apart from other connective tissues is its solid matrix.\u00a0 In this tissue group, the matrix is solid- either bone or cartilage.\u00a0 While fibrous connective tissue contained cells called fibroblasts which produced fibres, supportive connective tissue contains cells that either create bone (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_5637\">osteocytes<\/a>) or cells that create cartilage (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2872\">chondrocytes<\/a>).<\/p>\n<h3>Cartilage<\/h3>\n<p>Chondrocytes produce the cartilage matrix in which they reside.\u00a0 Cartilage is made up of protein fibres and chondrocytes in lacunae.\u00a0 This is tissue is strong yet flexible and is used many places in the body for protection and support.\u00a0 Cartilage is one of the few tissues that is not vascular (doesn't have a direct blood supply) meaning it relies on diffusion to obtain nutrients and gases; this is the cause of slow healing rates in injuries involving cartilage.\u00a0 There are three main types of cartilage:<\/p>\n<ul>\n<li><strong>Hyaline cartilage<\/strong>: a smooth, strong and flexible tissue.\u00a0 Found at the ends of ribs and long bones, in the nose, and comprising the entire fetal skeleton.<\/li>\n<li><strong>Fibrocartilage<\/strong>: a very strong tissue containing thick bundles of collagen.\u00a0 Found in joints that need cushioning from high impact (knees, jaw).<\/li>\n<li><strong>Elastic cartilage<\/strong>: contains elastic fibres in addition to collagen,\u00a0 giving support with the benefit of elasticity.\u00a0 Found in earlobes and the epiglottis.<br \/>\n<figure id=\"attachment_2873\" aria-describedby=\"caption-attachment-2873\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2873\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Types_of_Cartilage-new-2.jpg\" alt=\"Types of Connective Tissue\" width=\"550\" height=\"651\" \/><figcaption id=\"caption-attachment-2873\" class=\"wp-caption-text\"><em>Figure 7.4.8 Three types of cartilage, each with distinct characteristics based on the nature of the matrix.<\/em><\/figcaption><\/figure>\n<\/li>\n<\/ul>\n<h3 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\">Bone<\/h3>\n<p>Osteocytes produce the bone matrix in which they reside.\u00a0 Since bone is very solid, these cells reside in small spaces called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2870\">lacunae<\/a>.\u00a0 This bone tissue is composed of collagen fibres embedded in calcium phosphate giving it strength without brittleness.\u00a0 There are two types of bone: compact and spongy.<\/p>\n<ul>\n<li><strong>Compact bone:<\/strong> has a dense matrix organized into cylindrical units called osteons.\u00a0 Each osteon contains a central canal (sometimes called a Harversian Canal) which allows for space for blood vessels and nerves, as well as concentric rings of bone matrix and osteocytes in lacunae, as per the diagram here.\u00a0 Compact bone is found in long bones and forms a shell around spongy bone.<\/li>\n<\/ul>\n<figure id=\"attachment_2875\" aria-describedby=\"caption-attachment-2875\" style=\"width: 609px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2875\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Compact_bone_histology_2014-scaled-3.jpg\" alt=\"Compact Bone\" width=\"609\" height=\"405\" \/><figcaption id=\"caption-attachment-2875\" class=\"wp-caption-text\"><em>Figure 7.4.9 Compact bone is composed of organized units called osteons.<\/em><\/figcaption><\/figure>\n<ul>\n<li>Spongy bone: a very porous type of bone which most often contains bone marrow.\u00a0 It is found at the end of long bones, and makes up the majority of the ribs, shoulder blades and flat bones of the cranium.<\/li>\n<\/ul>\n<figure id=\"attachment_2876\" aria-describedby=\"caption-attachment-2876\" style=\"width: 347px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-2876 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bone_normal_and_degraded_micro_structure-e1589929753605-2.jpg\" alt=\"Spongy Bone\" width=\"347\" height=\"376\" \/><figcaption id=\"caption-attachment-2876\" class=\"wp-caption-text\"><em>Figure 7.4.10 Spongy bone contains a latticework of bone and open spaces to house bone marrow. Due to its structure, it is strong yet flexible, which is why it is found at the end of long bones.<\/em><\/figcaption><\/figure>\n<h3>Fluid Connective Tissue<\/h3>\n<p>Fluid connective tissue has a matrix that is fluid; unlike the other two categories of connective tissue, the cells that reside in the matrix do not actually <em>produc<\/em>e the matrix. Fibroblasts make the fibrous matrix, chondrocytes make the cartilaginous matrix, osteocytes make the bony matrix, yet blood cells <strong>do not<\/strong> make the fluid matrix of either lymph or plasma.\u00a0 This tissue still fits the definition of connective tissue in that it is still a scattering of cells in a non-cellular matrix.<\/p>\n<p>There are two types of fluid connective tissue:<\/p>\n<ul>\n<li><strong>Blood:<\/strong> blood contains three types of cells suspended in plasma, and is contained in the cardiovascular system.\n<ul>\n<li>Eryththrocytes, more commonly called red blood cells, are present in high numbers (roughly 5 million cells per mL) and are responsible for delivering oxygen from to the lungs to all the other areas of the body. These cells are relatively small in size with a diameter of around 7 micrometres and live no longer than 120 days.<\/li>\n<li>Leukocytes, often referred to as white blood cells, are present in lower numbers (approximately 5 thousand cells per mL) are responsible for various immune functions.\u00a0 They are typically larger than erythrocytes, but can live much longer, particularly white blood cells responsible for long term immunity.\u00a0 The number of leukocytes in your blood can go up or down based on whether or not you are fighting an infection.<\/li>\n<li>Thrombocytes, also known as platelets, are very small cells responsible for blood clotting.\u00a0 Thrombocytes are not actually true cells, they are fragments of a much larger cell called a megakaryocyte.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Lymph:<\/strong> contains a liquid matrix and white blood cells and is contained in the lymphatic system, which ultimately drains into the cardiovascular system.<\/li>\n<\/ul>\n<div id=\"h5p-537\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-537\" class=\"h5p-iframe\" data-content-id=\"537\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Fluid Connective Tissue - Blood - Image Hotspot\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.11 A stained lymphocyte surrounded by red blood cells viewed using a light microscope.\u00a0<\/em><\/p>\n<h1>Muscular Tissue<\/h1>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2817\">Muscular tissue<\/a><\/strong> is made up of cells\u00a0 that have the unique ability to contract- which is the defining feature of muscular tissue.\u00a0 There are three major types of muscle tissue, as pictured in Figure 7.4.12 skeletal, smooth, and cardiac muscle tissues.<\/p>\n<h2>Skeletal Muscle<\/h2>\n<p>Skeletal muscles are voluntary muscles, meaning that you exercise conscious control over them.\u00a0 Skeletal muscles are attached to bones by tendons, a type of connective tissue. When these muscles shorten to pull on the bones to which they are attached, they enable the body to move. When you are exercising, reading a book, or making dinner, you are using skeletal muscles to move your body to carry out these tasks.<\/p>\n<p>Under the microscope, skeletal muscles are striated (or striped) in appearance, because of their internal structure which contains alternating protein fibres of actin and myosin.\u00a0 Skeletal muscle is described as multinucleated, meaning one \"cell\" has many nuclei.\u00a0 This is because in utero, individual cells destined to become skeletal muscle fused, forming muscle fibres in a process known as myogenesis.\u00a0 You will learn more about skeletal muscle and how it contracts in the Muscular System.<\/p>\n<figure id=\"attachment_2887\" aria-describedby=\"caption-attachment-2887\" style=\"width: 489px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2887\" src=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2020\/05\/Skeletal_muscle_\u6a2a\u7eb9\u808c1.jpg#fixme\" alt=\"Skeletal Muscle\" width=\"489\" height=\"275\" \/><figcaption id=\"caption-attachment-2887\" class=\"wp-caption-text\"><em>Figure 7.4.12 Skeletal muscle is striated and multinucleated.<\/em><\/figcaption><\/figure>\n<h2>Smooth Muscle<\/h2>\n<p><strong>Smooth\u00a0muscles<\/strong> are nonstriated muscles- they still contain the muscle fibres actin and myosin, but not in the same alternating arrangement seen in skeletal muscle.\u00a0 \u00a0Smooth muscle is found in the tubes of the body - in the walls of blood vessels and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control meaning that they operate unconsciously, via the autonomic nervous system.\u00a0 Smooth muscles move substances through a wave of contraction which cascades down the length of a tube, a process termed <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2890\">peristalsis<\/a>.\u00a0 <\/strong><\/p>\n<p>Watch the YouTube video \"<a href=\"https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4\">What is Peristalsis<\/a>\" by <a href=\"https:\/\/www.youtube.com\/channel\/UCxTlkZfjArUobBAeVwzJjYg\/feed\">Mister Science<\/a> to see peristalsis in action.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4<\/p>\n<p style=\"text-align: center;\">What is Peristalsis, Mister Science, 2018.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2889\" aria-describedby=\"caption-attachment-2889\" style=\"width: 391px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-2889 \" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Smooth_Muscle_new-e1590202536987-2.jpg\" alt=\"Smooth Muscle\" width=\"391\" height=\"380\" \/><figcaption id=\"caption-attachment-2889\" class=\"wp-caption-text\"><em>Figure 7.4.13 Smooth muscle is non-striated and each oval-shaped cell contains a single nuclei. (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/em><\/figcaption><\/figure>\n<figure id=\"attachment_2888\" aria-describedby=\"caption-attachment-2888\" style=\"width: 410px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2888\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/PeristalsisN-2.jpg\" alt=\"Peristalsis\" width=\"410\" height=\"306\" \/><figcaption id=\"caption-attachment-2888\" class=\"wp-caption-text\"><em>Figure 7.4.14 Peristalsis is a wave-like contraction of smooth muscle which pushes the contents of a tube ahead of the wave of contraction.<\/em><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2>Cardiac Muscle<\/h2>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nCardiac muscles<\/strong><span style=\"font-weight: normal; text-align: initial; font-size: 1em;\"> work involuntarily, meaning they are regulated by the autonomic nervous system.\u00a0 This is probably a good thing, since you wouldn't want to have to consciously concentrate on keeping your heart beating all the time! Cardiac muscle, which is found only in the heart, is mononucleated and striated (due to alternating bands of myosin and actin). Their contractions cause the heart to pump blood. In order to make sure entire sections of the heart contract in unison, cardiac muscle tissue contains special cell junctions called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2891\">intercalated discs<\/a>, which conduct the electrical signals used to \"tell\" the chambers of the heart when to contract.<\/span><\/p>\n<figure id=\"attachment_2893\" aria-describedby=\"caption-attachment-2893\" style=\"width: 584px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2893\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cardiac-Muscle-1-2.jpg\" alt=\"Cardiac Muscle\" width=\"584\" height=\"438\" \/><figcaption id=\"caption-attachment-2893\" class=\"wp-caption-text\"><em>Figure 7.4.15 Cardiac muscle cells contain a single nucleus, have a striated appearance, and are joined by specialized junctions called intercalated discs.<\/em><\/figcaption><\/figure>\n<h2>Nervous Tissue<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5333_2818\">Nervous tissue<\/a><\/strong> is made up of neurons and a group of cells called neuroglia (also known as glial cells).\u00a0 Nervous tissue makes up the central nervous system (mainly the brain and spinal cord) and peripheral nervous system (the network of nerves that runs throughout the rest of the body).\u00a0 The defining feature of nervous tissue is that it is specialized to be able to generate and conduct nerve impulses.\u00a0 This function is carried out by neurons, and the purpose of neuroglia is to support neurons.<\/p>\n<p>A neuron has several parts to its structure:<\/p>\n<ul>\n<li>Dendrites which collect incoming nerve impulses<\/li>\n<li>A cell body, or soma, which contains the majority of the neuron's organelles, including the nucleus<\/li>\n<li>An axon, which carries nerve impulses away from the soma, to the next neuron in the chain<\/li>\n<li>A myelin sheath, which encases the axon and increases that rate at which nerve impulses can be conducted<\/li>\n<li>Axon terminals, which maintain physical contact with the dendrites of neighbouring neurons<\/li>\n<\/ul>\n<figure id=\"attachment_2896\" aria-describedby=\"caption-attachment-2896\" style=\"width: 411px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2896\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Neuron.svg_-2.png\" alt=\"\" width=\"411\" height=\"221\" \/><figcaption id=\"caption-attachment-2896\" class=\"wp-caption-text\"><em>Figure 7.4.16 Neurons a cell which specialize in conducting electrical impulses.<\/em><\/figcaption><\/figure>\n<div>\n<p>Neuroglia can be understood as support staff for the neuron.\u00a0 The neurons have such an important job, they need cells to bring them nutrients, take away cell waste, and build their mylein sheath.\u00a0 There are many types of neuroglia, which are categorized based on their function and\/or their location in the nervous system.\u00a0 Neuroglia outnumber neurons by as much as 50 to 1, and are much smaller.\u00a0 See the diagram in 7.4.17 to compare the size and number of neurons and neuroglia.<\/p>\n<figure id=\"attachment_2897\" aria-describedby=\"caption-attachment-2897\" style=\"width: 553px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-2897\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nervous-Tissue-close-up-2.jpg\" alt=\"Nervous Tissue\" width=\"553\" height=\"415\" \/><figcaption id=\"caption-attachment-2897\" class=\"wp-caption-text\"><em>Figure 7.4.17 Neuroglia, the small cells seen here, outnumber neurons (the two larger cells) by as much as 50 to 1.<\/em><\/figcaption><\/figure>\n<p>Try out this memory game to test your tissues knowledge:<\/p>\n<div id=\"h5p-538\">\n<div class=\"h5p-content\" data-content-id=\"538\"><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Summary<\/span><\/h1>\n<\/header>\n<ul>\n<li>\u00a0Tissues are made up of cells working together.<\/li>\n<li>There are four main types of tissues: epithelial, connective, muscular and nervous.<\/li>\n<li>Epithelial tissue makes up the linings and coverings of the body and is characterized by having a free surface and a basement membrane.\u00a0 Types of epithelial tissue are distinguished by shape of cell (squamous, cuboidal or columnar) and layering (simple, stratified, pseudostratified and transitional).\u00a0 Different epithelial tissues can carry out diffusion, secretion, absorption, and\/or protection depending on their particular cell shape and layering.<\/li>\n<li>Connective tissue provides structure and support for the body and is characterized as a scattering of cells in a non-cellular matrix.\u00a0 There are three main categories of connective tissue, each characterized by a particular type of matrix:\n<ul>\n<li>Fibrous connective tissue contains protein fibres.\u00a0 Both loose and dense fibrous connective tissue belong in this category.<\/li>\n<li>Supportive connective tissue contains a very solid matrix, and includes both bone and cartilage.<\/li>\n<li>Fluid connective tissue contains cells in a fluid matrix with the two types of blood and lymph.<\/li>\n<\/ul>\n<\/li>\n<li>Muscular tissue's defining feature is that it is contractile.\u00a0 There are three types of muscular tissue:\u00a0 skeletal muscle which is found attached to the skeleton for voluntary movement, smooth muscle which moves substances through body tubes, and cardiac muscle which moves blood through the heart.<\/li>\n<li>Nervous tissue contains specialized cells called neurons which can conduct electrical impulses.\u00a0 Also found in nervous tissue are neuroglia, which support neurons by providing nutrients, removing wastes, and creating myelin sheath.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define the term tissue.<\/li>\n<li>\n<div id=\"h5p-539\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-539\" class=\"h5p-iframe\" data-content-id=\"539\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>If a part of the body needed a lining that was both protective, but still able to absorb nutrients, what would be the best type of epithelial tissue to use?<\/li>\n<li>\n<div id=\"h5p-540\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-540\" class=\"h5p-iframe\" data-content-id=\"540\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Connective Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Where do you find skeletal muscle?\u00a0 Smooth muscle? Cardiac muscle?<\/li>\n<li>\n<div id=\"h5p-541\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-541\" class=\"h5p-iframe\" data-content-id=\"541\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Guess the Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What are some of the functions of neuroglia?<\/li>\n<li>\n<div id=\"h5p-542\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-542\" class=\"h5p-iframe\" data-content-id=\"542\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Neuron\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=O0ZvbPak4ck<\/p>\n<p style=\"text-align: center;\">Types of Human Body Tissue, MoomooMath and Science, 2017.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=uHbn7wLN_3k<\/p>\n<p style=\"text-align: center;\">How to 3D print human tissue - Taneka Jones, TED-Ed, 2019.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=1Qfmkd6C8u8<\/p>\n<p style=\"text-align: center;\">How bones make blood - Melody Smith, TED-Ed, 2020.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 7.4.1<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/Za9oagRJNLM\">Construction man kneeling in front of wall<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/qJa6WDmRNwM\">Beige wooden frame<\/a> by\u00a0<a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/_Agl-CUoQvc\">Tambour on green<\/a> by <a href=\"https:\/\/unsplash.com\/@chatelp\">Pierre Ch\u00e2tel-Innocenti<\/a>on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/pixabay.com\/es\/photos\/construcci%C3%B3n-esp%C3%A1rragos-fontaner%C3%ADa-273291\/\">Tags: Construction Studs Plumbing Wiring<\/a> by <a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/es\/users\/JWahl-167616\/\">JWahl<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/es\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/es\/service\/license\/).<\/li>\n<\/ul>\n<p><strong>Figure 7.4.2 and Figure 7.4.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_columnar_epithelium_tissue.svg\">Simple columnar epithelium tissue<\/a>\u00a0by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_cuboidal_epithelium.svg\">Simple cuboidal epithelium<\/a> by <span style=\"font-size: 14.4px;\"><a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/a><\/span>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_squamous_epithelium.svg#mw-jump-to-license\">Simple squamous epithelium<\/a> by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\n<\/ul>\n<p><strong>Figure 7.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_06.jpg\" rel=\"cc:attributionURL\">Loose fibrous connective tissue<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 7.4.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/39977986150\/\">Connective Tissue: Loose Aerolar<\/a> by <a href=\"http:\/\/blogs.berkshirecc.edu\/bccoer\" rel=\"noreferrer nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal public domain dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/p>\n<p><strong>Figure 7.4.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_07.jpg\" rel=\"cc:attributionURL\">Dense Fibrous Connective Tissue<\/a> by by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 7.4.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Dense_connective_tissue-400x.jpg\" rel=\"cc:attributionURL\">Dense_connective_tissue-400x<\/a> by <a class=\"new\" title=\"User:J Jana (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:J_Jana&amp;action=edit&amp;redlink=1\">J Jana<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:412_Types_of_Cartilage-new.jpg\" rel=\"cc:attributionURL\">Types_of_Cartilage-new<\/a> by<span style=\"text-align: initial; font-size: 1em;\">\u00a0<a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Figure 7.4.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Compact_bone_histology_2014.jpg\" rel=\"cc:attributionURL\">Compact_bone_histology_2014<\/a> by <a title=\"User:Athikhun.suw\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Athikhun.suw\">Athikhun.suw<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.10<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bone_normal_and_degraded_micro_structure.jpg\" rel=\"cc:attributionURL\">Bone_normal_and_degraded_micro_structure<\/a> by <a class=\"new\" title=\"User:Gtirouflet (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Gtirouflet&amp;action=edit&amp;redlink=1\">Gtirouflet<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.11<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lymphocyte2.jpg\">Lymphocyte2<\/a> by <a class=\"mw-userlink\" title=\"User:NicolasGrandjean\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:NicolasGrandjean\">NicolasGrandjean<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0 [No machine-readable author provided. NicolasGrandjean\u00a0is assumed, based on copyright claims.]<\/p>\n<p><strong>Figure 7.4.12<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Skeletal_muscle_%E6%A8%AA%E7%BA%B9%E8%82%8C1.JPG\" rel=\"cc:attributionURL\">Skeletal_muscle_\u6a2a\u7eb9\u808c1<\/a> by <a title=\"User:\u4e4c\u62c9\u8de8\u6c2a\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:%E4%B9%8C%E6%8B%89%E8%B7%A8%E6%B0%AA\">\u4e4c\u62c9\u8de8\u6c2a<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.13<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1021_Smooth_Muscle_new.jpg\" rel=\"cc:attributionURL\">Smooth_Muscle_new<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0 <\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.14<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2404_PeristalsisN.jpg\" rel=\"cc:attributionURL\">Peristalsis<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.15<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6197702211\/in\/photostream\/\" rel=\"cc:attributionURL\">400x Cardiac Muscle<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used and adapted by Christine Miller under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\">CC BY-NC 2.0<\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Figure 7.4.16<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Neuron.svg\" rel=\"cc:attributionURL\">Neuron.svg<\/a> by <a class=\"new\" title=\"User:Dhp1080 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Dhp1080&amp;action=edit&amp;redlink=1\">User:Dhp1080<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.17<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6198225348\/in\/album-72157627663341815\/\" rel=\"cc:attributionURL\">400x Nervous Tissue <\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\" rel=\"license\">CC BY-NC 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Table 7.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg#\/media\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg\">Summary of Epithelial Tissue Cells<\/a>, <span style=\"text-align: initial; font-size: 1em;\">by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Table 7.4.2<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160).jpg\" rel=\"cc:attributionURL\">Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160)<\/a> by<br \/>\n<a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/146824358@N03\" rel=\"nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/41681552782\/\" rel=\"cc:attributionURL\">Simple cuboidal epithelial tissue histology<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/\">Berkshire Community College<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2304_Pseudostratified_Epithelium.jpg\" rel=\"cc:attributionURL\">Pseudostratified_Epithelium<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/li>\n<\/ul>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 4.8 Summary of epithelial tissue cells [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">4.16<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">Types of cartilage [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects <\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure 10.23 Smooth muscle [digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.8). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span><\/span><\/span>Figure 22.5 Pseudostratified ciliated columnar epithelium <span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">[digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 22.1). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system <\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\"><span id=\"65771\" class=\"os-title\" data-type=\"title\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">23.5<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"4684\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">Peristalsis [diagram]. <span id=\"65771\" class=\"os-title\" data-type=\"title\">In <em>Anatomy and Physiology<\/em> (Section 23.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\">Mister Science. (2018). What is peristalsis? YouTube. https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4<\/p>\n<p class=\"hanging-indent\">MoomooMath and Science. (2017, May 18). Types of human body tissue. YouTube. https:\/\/www.youtube.com\/watch?v=O0ZvbPak4ck&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 6 Loose connective tissue [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 7 Fibrous connective tissue from the tendon [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">TED-Ed. (2019, October 17). How to 3D print human tissue - Taneka Jones. YouTube. https:\/\/www.youtube.com\/watch?v=uHbn7wLN_3k&amp;feature=youtu.be<\/span><\/p>\n<p class=\"hanging-indent\">TED-Ed. (2020, January 27). How bones make blood - Melody Smith. YouTube. https:\/\/www.youtube.com\/watch?v=1Qfmkd6C8u8&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5333_5149\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5333_5149\"><div tabindex=\"-1\"><p>Image shows a diagram illustrating how peristalsis pushes food through the digestive tract by squeezing just behind the food, pushing it forward.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-5333","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":5313,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5333\/revisions"}],"predecessor-version":[{"id":6512,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5333\/revisions\/6512"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/5313"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5333\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=5333"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=5333"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=5333"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=5333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}