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13 Cards in this Set

  • Front
  • Back
Key principles of absorption of macromolecules
Absorption of macronutrients (molecules that provide energy and substrate for growth, cellular repair, and reproduction) is a matter of life or death

The small intestine is where this happens.

The enterocytes lining the small intestine are a barrier between the inside and outside worlds

Digestion & absorption enable macronutrient molecules to pass selectively through the barrier

Macronutrients are large bio-polymers:
- Carbohydrates (chains of sugars)
- Proteins (chains of amino acids)
- Fats (fatty acids esterified to glycerol)

These molecules are too large to be transported (absorption) through enterocyte cell membranes

Before they can be absorbed, they must be broken down into smaller constituent molecules (digestion)
Sites of digestion: glucose, protein, lactose, peptides, TG
Glucose: none

Protein: intraluminal

Lactose: brush border

Peptides: intracellular

Triglycerides: combined
Processes involved in absorption of macromolecules
Mechanical (increases surface area)
- Mouth and teeth - mastication
- Stomach - trituration into particles and emulsions
Chemical (enzymatic depolymerization)
- Mouth & stomach: amylase, gastric lipase, pepsin
- Pancreatic enzymes: amylase, lipase, proteases
- Enterocyte enzymes: disaccharidases, peptidases
Physical-chemical (increases solubility)
- Intraluminal formation of lipid-bile salt micelles
Biophysical (transmembrane transport)
- Highly specific membrane transport proteins
Carbohydrate digestion and absorption: source, type and structures
Source: plants, fungi, animals (glycogen)

Types and structures:
- Simple Sugars: glucose, fructose, galactose
- Disaccharides: maltose (glucose + glucoses), sucrose (glucose + fructose), lactose (glucose + galactose)
- Polysaccharides:
--Dextrins & Starches: simple linear glucose polymers
--Glycogen: highly branched alpha-linked glucose polymers
--Cellulose: linear beta-linked glucose polymers
Carbohydrate digestion and absorption: luminal digestion, brush border digestion, sugar transporters
Luminal Digestion
- Salivary alpha-amylase: breaks starch 1:4 links

Brush Border Digestion
- Lactase: lactose to glucose + galactose
- Sucrase: sucrose to glucose + fructose
- Glucoamylase: breaks starch 1:4 links
- alpha-dextrinase (isomaltase): breaks starch 1:6 links

Sugar Transporters
- SGLT1: Apical glu/gal transporter
--Cotransporter with Na+
- GLUT2: Basolateral glu/gal transporter
- GLUT5: Apical/basolateral fructose transporter
--Facilitated diffusion
Carbohydrate digestion and absorption: intraluminal digestion
Maltase
Alpha-dextrinase

Break 1:6 links
Protein digestion and absorption: source, structure, AA classes
Source: animals, fish, plants

Structure:
- Linear polymers of 20 amino acids

Amino acid classes:
- Polar: Gly, Ala, Ser, Thr, Asn, Asp
- Aromatic: Phe, Tyr, Trp
- Charged: Glu-, Asp-, Lys+, Arg+, His+
- Branched chain: Val, Leu, Ile
- Cyclic: Pro
- Sulfur containing: Met, Cys
Protein digestion and absorption: luminal digestion, brush border digestion, transporters
Luminal Digestion - stomach
- Gastric pepsin (the only acidic peptidase)
--Don't really need
Luminal Digestion – small intestine
- Pancreatic peptidases
- Enterocyte peptidases

Brush Border Digestion
- Amino-oligopeptidase: oligopeptides-> 2,3 AA
- Aminopeptidase: di- and tri-peptides -> single AA
- Dipeptidyl-aminopeptidase -> removes Ala, Pro

Transporters: amino acid specific
Lipid digestion and absorption: source, energy, types and structure, solubility
Source: animals, fish, plants, fungi

Most concentrated storage form of energy

Lipid types and structures:
- Triglycerides – Fatty acids (3) esterified to glycerol
- Phospholipids – Fatty acids (2) esterified to PC
- Cholesterol – sterol

Very Low solubility
- Absorption varies
- TG, PL: 95%
- Cholesterol: 50%
Lipid digestion and absorption: luminal digestion, brush border, intracellular events
Luminal Digestion - stomach
- Lingual & gastric lipases release some FA’s
- Stomach mixing forms emulsion particles
Luminal Digestion - small intestine
- Pancreatic lipase releases large amounts of FA
- Hydrolysis products form mixed micelles

Brush Border - passive diffusion

Intracellular Events:
- Re-esterification to TG
- Chylomicron assembly and secretion
Triglyceride digestion and absorption: gastric and small intestine
Stomach:
-Gastric mixing
-Lingual and gastric lipase hydrolyze dietary fats and liberate FA’s, mono- and di-glycerides
-These serve as lipid emulsifying agents

Small bowel lumen
-Pancreatic lipase-colipase forms 2-monoglycerides and fatty acids
-Lipid solubilization in mixed micelles
Absorption of micellar lipids at the brush border
Mixed micelles diffuse through unstirred layer at brush border.

Through simple diffusion (no transporters), lipids dissociate from micelle and pass through membrane into cell.
-Slow process, requires a lot of small bowel

Within enterocyte, monoglycerides and FA are reassembled into TG.

Then packaged and coated with protein products to form chylomicrons.

Chylomicrons are so large they cannot reenter bloodstream but are instead absorbed into lymphatics
Regional nutrient absorption
Carbohydrates
-Most digestion is complete by the upper third of small bowel

Protein, fat, H20, Na+
-Take entire small bowel

Bile salts
-Absorbed in ileum (only location of transporter)
-Can't be compensated

Vitamin B12
-Absorbed in ileum

Iron
-Duodenum