1. GI Part 5 Flashcards

1
Q

what are the most abundant organic molecules in nature

A

carbohydrates

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2
Q

list the functions of carbohydrates (4)

A
  1. energy source
  2. storage form of energy
  3. cell membrane component (communication)
  4. structural component (cell wall of bacteria)
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3
Q

what are all carbohydrates made of

A

monosaccharides

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4
Q

what is an example of a 5 carbon monosaccharide and a 6 carbon monosacchraide

A

5 carbons: pentoses – ribose

6 carbons: hexoses – glucose

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5
Q

what are disaccharides

A

monosaccharides linked by glycosidic bonds

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6
Q

what is an oligosaccharide

what is a polysaccharide

A

3-10 monosaccharides

> 10 monosaccharides (up to 100)

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7
Q

what are examples of disaccharides

A

sucrose
lactose
maltose

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8
Q

what is lactose

A

glucose + galactose connected by B linkage

milk sugar

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9
Q

where does carbohydrate digestion start in pigs and humans

A

begins in mouth – alpha-amylase in salivary glands

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10
Q

what are the major dietary carbohydrates (4)

A
  1. starch
  2. glycogen
  3. saccharose
  4. lactose
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11
Q

how is further digestion of carbohydrates achieved

how is digestion finished

A

further digestion achieved by pancreatic enzymes

digestion is finished by enzyme secreted in the intestinal mucosa

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12
Q

where does absorption of carbohydrates take place

A

duodenum and upper jejunum

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13
Q

what is the absorption of carbohydrates mediated by

A

mediated by a Na-dependent transport mechanism (SGLT1) present at apical membrane

mediated by facilitated transport mechanisms at the apical membrane (GLUT5) and the basolateral membrane (GLUT2)

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14
Q

where are proteins denatured

A

in the stomach

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15
Q

what are proteins partially hydrolyzed by

what percentage of ingested proteins are hydrolyzed by this

A

pepsin

12-15%

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16
Q

where does final digestion and absorption of proteins take place

A

small intestine

17
Q

what does pepsin turn proteins into

what does it turn peptides into

A

pepsin hydrolyzes proteins into oligopeptides

pepsin hydrolyzes peptides into amino acids

18
Q

what type of transport system do most amino acids use

what type of transport system do di and tripeptides use

A

most amino acids use secondary transport systems

di and tripeptides use tertiary transport systems

19
Q

how do amino acids get into the portal vein

A

facilitated diffusion

20
Q

what is amphipathic character

what parts of lipids are in each category of amphipathic character

A

both hydrophobic and hydrophilic

CH3(CH2)n – hydrophobic hydrocarbon chain

COO- – hydrophilic carboxyl group (ionized at pH 7)

21
Q

what are lipids used to synthesize (6)

A
  1. prostaglandins
  2. steroid hormones
  3. phospholipids
  4. platelet activating factor (PAF)
  5. sphingomyelin – component of myelin in nerve fibers
  6. bile acids produced from cholesterol
22
Q

where does emulsification occur and what does it do and why is it important

A

emulsification occurs in the duodenum

aims to reduce the surface area of the hydrophobic lipid droplets

crucial for lipase function which binds at the interface droplet/aqueous solution

23
Q

what emulsifies fat droplets

A

bile acids

24
Q

what do bile acids consist of

A

sterol ring

side chain of amino acids (taurine or glycine)

25
Q

what character of lipids allows emulsification

A

amphipathic character

26
Q

what are the main dietary lipids (3)

A
  1. cholesterol esters
  2. phospholipids
  3. triglycerides
27
Q

where does lipid digestion start

A

stomach – gastric lipase

28
Q

steps of lipid digestion (6)

A
  1. bile acids emulsify large fat droplets
  2. emulsified fat droplets are still too large to enter the spaces of the microvilli
  3. pancreas lipases hydrolyze triglycerides into monoglycerides and free fatty acids
  4. these are surrounded by bile acids to form micelles
  5. micelles can get into cell by diffusion, bile salts remain in the lumen
  6. inside the cell monoglycerides and free fatty acids combine to create triglycerides
29
Q

what forms mixed micells

A

monoglycerides
free fatty acids
cholesterol
liposoluble vitamins

30
Q

what are the liposoluble vitamins

A

A
D
E
K

31
Q

how are mixed micelles absorbed

A

mixed micelles approach the brush border membrane of enterocytes where they will be absorbed

32
Q

do short chain fatty acids form mixed micelles

A

no

they are small enough to be directly absorbed

33
Q

what happens to long chain fatty acids once they are absorbed

A

long chain fatty acids go into the endoplasmic reticulum for re-esterification (re-synthesis) of more complex lipids – MAG + FFA = TAG

34
Q

what do triglycerides then become after re-esterification

A

chylomicrons

35
Q

how are chylomicrons release and where to

A

chylomicrons are released by exocytosis into the lymphatic vessel

36
Q

how do chylomicrons get to the blood

A

once in the lymphatic vessel they travel through the thoracic duct to the left subclavian vein and into the blood

37
Q

do chylomicrons go through the liver

A

no they bypass the liver because they go into the lymphatic system instead of the portal vein