Hormonal Control of Digestion and Water BalanceHormones are small chemicals that get released in the body in response to a certain trigger. Once set loose in the body, they travel through the blood to a particular area, where they bind to a receptor and cause some sort of biological response.
We're going to go ahead and assume that you don't eat food 24 hours a day, seven days a week. Since you, and most other animals, are not chowing down constantly, that's where hormones come in to play. Digestion hormones always stand at the ready, but are only released when food needs to be digested to build up the body's energy stores. Since these hormones wear Team Digestion shirts, they'll act to stimulate certain chemical reactions to facilitate digestion of fatty acids, for example.
There are three primary digestion hormones with some fancy names: gastrin, cholecystokinin, and secretin.
First there's gastrin. It's released in the stomach by peptide-containing chime. That's the gooey mess of partially digested food. It stimulates the secretion of gastric acid—aka hydrochloric acid (HCl)— by the parietal cells, which then gets to work breaking down that leftover slice of pepperoni pizza. It also makes those chief cells secrete pepsinogen so proper digestion can occur.
Cholecystokinin gets released when amino acid- or fatty acid-enriched chyme greets the small intestine. When it swoops into action, this hormone will stimulate the release of bile and pancreatic digestion enzymes that can further break down the food. Since it's multi-talented, it also will block peristalsis and gastric emptying, keeping the chyme in the intestine until it's good and ready to move further down the digestive system.
Secretin is also released by the pancreas when the acidic chyme gets to the small intestine, and it's the stuff that stimulates bicarbonate (HCO3-) release. This way, all that acid the stomach just whipped up doesn't chew up the intestinal lining in the duodenum. That highly acidic environment was great for the stomach, whose hardy walls can tolerate it as it breaks down food. That corrosive environment doesn't play so well in the intestine, which is where secretin comes in. It's one of cholecystokinin's best buds, and they work together in releasing those pancreatic enzymes. This is teamwork at its molecular finest.
For those hormones, showing up and doing their thing is part of the regular digestive process. There are other hormones that are only released when things get out of whack. When duty calls, these hormones swoop into action. Think of them sort of like a chemical SWAT team. These hormones kick in and help with osmoregulation and blood pressure when the body's balance gets off-kilter. Since we just finished talking about maintaining water and salt balance in the kidney, we'll look at the hormones that help in that process:
- Antidiuretic hormone (ADH)
- Atrial natriuretic peptide (ANP)
When ADH is released into the blood, it travels to the kidney and makes the nephron's distal and collecting tubules more permeable to water. It adds these water-selective aquaporin channels to the cell membranes, and more water is taken from the tubule and put back into the blood. So the more circulating ADH, the more water that is reabsorbed and returned to the blood. It basically takes the body's ability to pull water from ingested fluid, and cranks it up to 11.
If the body is conserving water, the urine volume decreases. ADH doesn't stop there. It also increases urea reabsorption at the ascending Loop to help maintain the high osmolarity in the interstitial fluid, and gets the ascending Loop to work in overdrive. In the end, ADH decreases the blood osmolarity (by increasing the amount of water conserved) and gets it closer in line to where it should be. Envision ADH as Rocky's boxing trainer, screaming at him to gut out just ten more push-ups as he trains for his championship bout. Except instead of a mealy-mouthed boxer, it's a hormone. And instead of push-ups, it's water reabsorption.
But wait, that's not all. If your blood osmolarity changes by just 2-3%, the same osmoreceptor cells will also influence the perception of thirst. If you are in the sweltering jungle and sweating profusely, your blood osmolarity will increase, and you will combat this loss of fluid 2 ways: increasing the desire to find a clear stream of water and by releasing ADH to increase water reabsorption. When you finally have to go, it'll just be a little bit.
The opposite happens when the blood osmolarity is too high: ADH levels drop off, the collecting duct isn't very water-permeable, and you make lots of dilute urine.
Perhaps you've cut your finger pretty badly while slicing up a pineapple, and you lost a lot of blood. Yikes. In more physiological (and less gory) terms, your blood volume and/or pressure have dropped. In this case, your body will activate the renin-angiotensin-aldosterone system (RAAS).
Here's a schematic diagram describing how RAAS is activated and what each hormone does.
When the body first recognizes decreased blood volume/pressure, the juxtaglomerular apparatus, a tiny part of the kidney that supplies blood to the glomerulus, will secrete a hormone called renin. Try to say that one ten times fast. Renin stimulates a chemical reaction that creates a peptide called angiotensin II. It's a handy peptide to have around when you are dehydrated. It causes a tightening of the blood vessels, and increases blood pressure. It also stimulates ADH secretion and thirst, increases salt and water reabsorption, and stimulates the release of aldosterone. Got all of that? Good.
Table 2. Summary of the handy osmoregulating hormones.
|Hormone||Responds to …||Acts on …||Physiological Response|
|Anti-diuretic hormone||↑ blood osmolarity||Distal tubule / collecting duct||↑ water reabsorption|
|Angiotensin II||↑ renin||Proximal tubule||↑ NaCl and water reabsorption|
|Aldosterone||↑Angiotensin II||Thick ascending Loop, distal tubule / collecting duct||↑ NaCl and water reabsorption|
|Atrial natriuretic peptide||↑ blood volume||Collecting duct||↓ NaCl and water reabsorption|
Aldosterone is released from the adrenal cortex, but acts at the thick ascending Loop and the distal tubules, causing greater Na+ and water reabsorption. Not only that, but it also stimulates K+ and H+ secretion into the future urine at the distal tubule. Basically, aldosterone is telling the kidney to preserve more Na+ and water, because more of those two things means more blood volume and increased pressure—just the things you need when you're bleeding profusely. To recap: renin leads to angiotensin II, which leads to aldosterone, which acts on the nephron to make sure you don't pass out on the kitchen floor due to severe blood loss. Whew. Saved by the renin.
That's all well and good, but sooner or later you're going to have to switch off the reinforcements. There's a peptide hormone that counters RAAS, and works to decrease blood volume. When the heart senses increased blood volume and/or pressure (perhaps because RAAS is no longer needed since it got things back on track), it releases ANP. This peptide travels to the juxtaglomerular apparatus where it blocks renin release (and thus blocks angiotensin II and aldosterone secretion) and decreases water and salt reabsorption at the collecting duct. It gets the blood volume/pressure back to where it should be.
Think of these three osmoregulating hormone systems as The Three Amigos, The Three Stooges, or the Charlie's Angels of the kidney. They work together to make sure the kidney is able to control salt concentration, blood volume, and blood pressure.
Now let's take a step back and think about this. We've been talking about a lot of different topics: nutrition, digestion and salt balance. But they don't all exist in a vacuum. Nope, they all lean on each other to make up our happy existence like the three beams supporting a tee pee. Without nutrition and digestion, there wouldn't be any salt for the body to balance. It goes the other way too; as the body balances its salt, it sends signals to the brain to tweak the nutrition you take in. It's what makes you thirsty. It's all connected like a finely-tuned machine, all aimed at keeping you chugging along, happy, and healthy.