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77 Cards in this Set

  • Front
  • Back

Most carbohydrates of the diet are…

large polysaccrides or disaccharides

Process of separating poly/disaccharides

hydrolysis

Most fats in diet are…

triglyccerides

What are triglycerides composed of

glycerol plus fatty acids

3 major sources of carbohydrates

sucrose, lactose, starches (others: amylose, glycogen, alcohol, lactic acid, pyruvic acid, pectins, dextrins, carbohydrate derivatives in measts)

What enzymes does saliva contain

ptyalin (alpha-amalase secreted by parotid glands);

No more than what percent of food is hydrolyzed in the mouth

5%

How long can food continue digesting in stomach before mixing with gastric secretions

1 hour

What pH does salivary amalase become inactive

4

how much starch is hydrolyzed before mixing with gastric secretions

as much as 30-40%

How long does it take for starches to be completely hydrolyze once entering duodenum

15-30 minutes (pancreatic amalase is several times more powerful)

What enzymes do the enterocytes lining villi of small intestine contain?

lactase, sucrase, maltase, and alpha-dextrinase

What makes up lactose

glucose and galactose

what makes up sucrose

fructose and glucose

How are monosaccrides absorbed

fdirectly into portal blood

monosaccride breakdown percents once digested

glucose 80%, galactose and fructose each around 10%

What secrets HCl

parietal (oxyntic) cells (pH of 0.8 when first secreted, then 2-3 when mixed in stomach)

Major constituent of intercellular CT of meat

collagen; broken down by pepsin (must be broken down before other proteins an penetrate meat)

Where does most digestion occur

upper small intestine in duodenum and jejunum

pancreatic enzymes that act on chyme entering duodenum

trypsin, chymotrypsin, carboxypeptidase, proelastase

what does carboxypeptidase do

cleaves individual aas from carboxyl ends of polypeptides

What do trypsin and chymotrypsin do

split protein molecules into small polypeptides

Most proteins get digested down to…

dipeptides and tripeptides

where are peptidases located

brush border microvilli membranes

Two types of peptidase enzymes that are especially important

1) aminopolypeptidase 2) several dipeptidases (split remaining polypepetides into di and tri pieces)

Where are di and tripeptides transported

through microvillar membrane into interior of enterocyte

Where are most peptides split into individual aas

in cystol; they pass into blood once formed

Fat digestion in stomach

small amount by lingual lipase (from saliva); less than 10% fat digestion

Where does emulsification begin

in stomach with agitation to mix food/fat with products of digestion

Most emulsification occurs where

in duodenum with bile (bile salts plus lecithin)

What is the purpose of bile

emusification; reduces interfacial tension of fat and makes it soluble

average diameter of fat after emulsification

~1 um; 1000-fold increase in SA

Most important enzymes for digesting triglycerides

pancreatic lipase (enough released to digest everything it can reach in 1 minute); enterocytes also have lipase, not usually needed

What transports fatty acids to prevent reversal of digestion

bile salts (remove monoglycerides and free fatty acids)

Bile salt micelle specs

3-6 um with 20-40 molecules; ferries

Cholesterol esters

combination of cholesterol and one fatty acid molecule; most common dietary cholesterol

quantity of fluid absorbed by intestines each day

1.5 L from ingested fluid and 7 L of GI secretions

How much fluid is absorbed in small intestines

all but 1.5 L

What substances can be absorbed through the stomach

high lipid-soluble substances like alcohol and aspirin in small quantities

folds that increase the suface area in small intestine

valvulae conniventes; increase SA 3 fold

where are the folds most developed

duodenum and jejunum; protrude as much as 8 mm into lumen

How far do villi project from suface of mucosa

~1 mm; increase SA 10 fold

how much do microvilli increase SA

at least 20 fold

Organization of villus

1) vascular system to absorb 2) central lacteal

daily absorption from small intestine

several hundred grams carbs, 100+ grams fat, 50-100 grams aas, 50-100 grams ions, 7-8 L water

absorption capacity of small intestine per day

serveral kg of carbs, 500 g fats, 500-700 g proteins, 20+ L water

What can the large intestine absorb

additional water, ions, very few nutrients

How is water transported

entirely through diffusion

Sodium absorption/use in body

20-30 g secreted into intestine, 5-8 g eaten; must absorb 25-30 g (1/7 of all body sodium)

What percent of intestinal sodium passes into feces

less than 0.5%; important in absorbing sugars and aas

Na+ in intestinal epithelial cells

1) transported actively into paracellular spaces 2)Cl- atoms follow Na+ 3) Na+ concentration in cells low (50mEq/L) 4)Na+ concentration in chyme ~142 mEq/L 5) Na+ follows gradient into cells

How does aldosterone affect Na+

within 1-3 hours of release, increases activation of enzyme and transport mechanisms for all aspects of Na+ absorption in intestinal epithelium

Increased Na+ absorption causes…

secondary increase in Cl- and water absorption (plus some other substances)

Cl- ion absoprtion

rapidly absorbed in upper small intestine; fixes the electronegativity in chyme/electropositivity in paracellular spaces created by Na+

Bicarb absorption in small intestine

1) when Na+ absorbed, moderate amount of H+ secreted into lumen 2) H+ combine with bicarb to form H2CO3 3) dissociated into water and CO2 4) water stays in chyme, CO2 absorbed directly into blood and expired in lungs

Bicarb secretion in ileum and large intestine

epithelial cells secrete bicarb in exchange for Cl-; neutralizes acid products formed by bacteria

Flow of water in large intestines

young/immature epithelial cells secrete NaCl into lumen which is reabsorbed by older/mature epithelial cells

How does cholera and other diarrheal bacteria cause their effect

stimulate fold secretion/young epithelial cells so greatly, old cells can not absorb quickly enough

What specifically causes oversecretion with cholera

formation of excess cyclic adenosine monophosphate, which opens large numbers of Cl- channels

How are Calcium ions absorbed

actively by duodenum; controlled by PTH and vit D

Monovalent vs divalent ion absorption

monovalent ions absorbed with ease in great quantities, divalent absorbed in small amounts

Glucose absorption

sodium co-transport mechanism (secondary active transport); facilitated diffusion into blood from epithelial cells

Galactose absoption

almost same as glucose (secondary active transport with Na+)

Fructose absorption

facilitated diffusion all the way through intestinal epithelium; transport rate 1/2 of glucose and galactose

peptide/aa absorption

most through Na+ co-transport; a few only use facilitated diffusion; at least 5 types of transport proteins for aa and peptides have been found

lipid absorption

transported by micelles and are immediately absorbed into epithelial cell membrane

How much fat can be absorbed without/with bile micelles

40-50 % versus 97%

What happens to lipids once in epitheial cytoplasm

taken up by smooth ER and used to make new triglycerides which are released as chylomicrons into lymph and go to thoracic duct

Why so some lipids absorb directly into portal blood

short and some medium chain fatty acids are water soluble and absorbed directly

How much chyme enters colon each day

1500 mL; most absorption in proximal 1/2 of colon

tight jxns in large vs small intestine

much tighter in large intestine; prevents back-diffusion of ions

What causes osmotic gradient for water absorption in large intestine

absorption od Na+ and Cl- ions

max absorption of colon

5-8 L of fluid and electrolytes/day

Fxn of bacteria in colon

1) digest some cellulose 2) vit K, vit B12, thiamine, riboflavin production 3) flatus (CO2, H2, and methane)

composition of feces

3/4 water 1/4 solid matter

Solid matter composition of feces

30% dead baccteria, 10-20% fat, 10-20 organic matter, 2-3% protein, 30% undigested roughage

What causes brown color of feces

stercobilin and urobilin (derivatives of bilirubin)