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21 Cards in this Set

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  • Back
What are the 3 ways that the small intestine tries to maximize/amplify its surface area for absorption?
1. folds of Kerkring
2. microscopic villi and crypts of lieberkuhn
3. submicroscopic microvilli
Where are most carbs, proteins, and lipids absorbed?
duodenum
What enzyme is used to digest amylose? What are the products? where does it start working?
alpha-amylase

maltotriose and maltose

mouth and orad stomach
what enzyme is used to digest amylopectin (plant starch)? what are the products of digestion?
alpha-amylase

maltotriose, maltose, alpha-limit dextrin (1-6 links can't be broken)
What 3 enzymes are found on the brush border; what do they work on and what are their products?
1. Lactase: breaks down lactose into glucose and galactose
2. Glucoamylase: breaks down maltose and maltotriose into glucose
3. sucrase-isomaltase: breaks down sucrose and alpha 1,6-limit dextrans into glucose and fructose
Fructose enters the enterocyte via what channel?
GLUT5
Glucose and galactose enters the enterocyte via what channel? What is its mode of action?
SGLT-1

secondary active transport

so if a kid is glucose intolerants (sucks!) don't try to give them any galactose....they use the same transporter.
True/False: The rate limiting step of absorption of carbohydrates is UPTAKE
true!!!
it's NOT hydrolysis!
You have malabsorption/maldigestion.
What happened to you? What are some examples of a digestive enzyme deficiency? What about transport deficiency?
Digestive enzyme: lactase, chronic alcoholism

transport: defect in SGLT-1

maybe you have celiac dz, bacterial/protozoan infection.
What transporter is used on the basolateral side of the enterocyte for nutrients to enter bloodstream?
GLUT2
In order to digest protein in the lumen, you need what 2 kinds of proteases?
1. gastric
2. pancreatic
where and how does protein digestion begin?
it starts in the stomach with pepsin
What are the 2 classes of pancreatic proteases, and which enzymes are included in both?
Endopeptidases: trypsin, chymotrypsin, elastase
Exopeptidases: carboxypeptidase A and B
What is needed to convert trypsinogen into trypsin?
enterokinase!!!
what does trypsin do?
it converts precursors to active proteases.
chymotrypsinogen-->chymotrypsin
proelastase-->elastase
procarboxypeptidase A&B-->carboxypeptidase A&B
what happens if you have pancreatitis?
you have premature activation of trypsinogen so you activate all these proteases and you autodigest your pancreas.
where does pepsinogen come from and how does it get converted to its active form of pepsin?
pepsinogen is secreted by chief cells (after they're stimulated by vagus). H+ (from parietal cells that are also stimulated by vagus) then causes the conversion from pepsinogen to pepsin.
What is the name of the cotransporter that is used to bring large peptides into the cell?
PepT1

(H/oligopeptide)
___and ____peptides are absorbed better than free amino acids. They use what transporter?
Di and tripeptides

they use PepT1
list the hormonal triggers and actions that facilitate protein assimilation
acetylcholine (Ach)-->vagus
secretin to get pancreatic enzymes
How is protein handled after luminal digestion
1. free amino acid goes straight through
2. di/tri peptides can go straight through
3. di/tri peptides can go back into cytoplasm and get broken down some more.