Absorption + Excretion in Digestion Flashcards

1
Q

What is absorption?

A

movement of molecules from GIT into blood stream - occurs in the small intestine

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2
Q

large folds in the intestine have finger-like projections (villi) which contain: (2)

A
  • blood supply aiding in absorption
  • lacteal which drains into lymph vessel for absorption of fats
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3
Q

epithelial cells line the ____ and have microscopic projections (microvilli) → brush border

A

villi

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4
Q

Villi + microvilli → large surface area to _____ rate of nutrient absorption

A

increase

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5
Q

Transport across epithelial cells → can be ____ or passive

A

active

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6
Q

What energy does active transport require? (2)

A

Active transport requires energy allowing more nutrients to be transport unlike diffusion alone.

Monosaccharides + amino acids + peptides + vitamins + glucose molecules are actively transported/pumped against their concentration gradient into the epithelial cells from where they enter the bloodstream.

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7
Q

Disaccharides are broken down into monosaccharides via _________ found on the brush border of epithelial cells lining the small intestine.

A

disaccharidase

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8
Q

How is Glucose + Galactose absorbed? (5)

A
  • absorbed via secondary active transport/co-transport with Na+
  • move against a concentration gradient from low concentration in the lumen to high concentration in cells
  • SGLT – sodium-glucose linked transporter protein → facilitates secondary active transport (requires some energy)
  • Using energy created by the sodium gradient which is created by the sodium-potassium pump → sodium is actively pumped out of the cell and potassium into the cell by using ATP
  • Glucose (moves against CG) is coupled with sodium (moves down CG)
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9
Q

How is fructose absorbed? (3)

A
  • Absorbed by cells via facilitated diffusion → No energy involved, passive
  • Protein in the membrane allows fructose to move across the phospholipid bilayer
  • Fructose moves down the concentration gradient therefore concentration is lower inside the cell
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10
Q

Monosaccharides absorbed enter the blood by ____ _____ moving down the concentration gradient.

A

facilitated diffusion

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11
Q

How are proteins absorbed?

A
  • Proteases break down proteins into peptides which are further broken down by the membrane-bound
    peptidases into free amino acids or slightly larger molecules.
  • Amino acids undergo secondary active transport/co-transport coupled with Na+. The energy comes from the
    sodium-potassium pump. Na+ moves down its CG, while the coupled amino acids move against their CG
    into the cells.
  • Short chains of amino acids (dipeptide/tripeptides) undergo secondary active transport coupled with H+. The short chains go against their CG while the H+ go down their CG. This H+ gradient is established +
    maintained by a sodium-hydrogen exchange protein.
  • In the cell, the short chains of peptides are broken done into free amino acids via peptidases. Some amino acids can be used to form enzymes to aid in digestion. Most amino acids move across the basal membrane out of epithelial cells by secondary active transport or facilitated diffusion into the bloodstream.
  • Small amounts of intact proteins can cross the epithelium via endocytosis into the cell and then out of the cell via exocytosis.

(- This occurs within infants
- Before infant can have fully functional immune
response, it relies on the antibodies to be absorbed
from mother’s milk)

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12
Q

What is the hepatic portal vein?

A
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13
Q

How does the absorption of lipids take place?

A
  1. Bile salts are secreted in duodenum to emulsify lipids
    making the lipid globules smaller to increase SA on
    which lipase can act
  2. Pancreatic lipase breaks down triglycerides to form
    free fatty acids + monoglycerides → hydrophobic
  3. Micelles → tiny spheres with fatty core and
    hydrophilic exterior allowing them to come to close to
    epithelial cells lining of the small intestine
  4. These fatty acids + monosaccharides which are
    brought close to the lining are absorbed and reform
    into triglycerides within the cells.
  5. Triglycerides then combine with cholesterol + protein
    + phospholipids = chylomicron (lipoproteins)
  6. These chylomicrons form secretory vesicles and exit
    the cells via exocytosis, entering the lacteals,
    combining to form lymph vessels, where they are
    carried away by the lymph, getting drained into the
    circulatory system by the subclavian vein
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14
Q

What is the large intestine? (2)

A
  • Begins at ileocecal junction, the last part of the small intestine (ileum) passes into the first part of the large
    intestine (cecum) via the ileocecal valve.
  • Chyme passes through the ascending colon, transverse colon, descending colon, sigmoid colon, into the
    rectum, out of the anus.
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15
Q

What are the components of the large intestine? (6)

A

the ascending colon
transverse colon
descending colon
sigmoid colon
rectum
anus

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16
Q

What is the function of the cecum?

A

acts as a pouch for chyme from small intestine, absorbs salts + electrolytes from the chyme.

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17
Q

What is the function of the appendix?

A

attached to the cecum, a vestigial organ however produces + stores good microbes and plays a minor role in immunity.

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18
Q

Moves along colon via ______ and becomes more solid as it moves because the colon completes the reabsorption of water.

A

peristalsis

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19
Q

How is water absorbed?

A

Occurs via osmosis through the cells walls into
vascular capillaries inside villi. Water is coupled to
solute absorption.

Most reabsorption occurs in small intestine. Large
intestine finishes reabsorption.

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20
Q

What is the rectum? (2)

A
  • Terminal portion of the large intestine
  • Faeces are stored until they may be eliminated
    from the anus
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21
Q

2 anal sphincters:

A
  • Involuntary internal sphincter
  • Voluntary external sphincter
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22
Q

What happens the rectum fills?

A

When rectum fills up, signal is sent to brain causing your involuntary internal sphincter to relax, pushing the faeces down. When you are ready, you voluntarily relax yoru external spincter to allow faeces to pass out the anus.

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23
Q

How is digestion regulated?

A

Each step in digestive system is activated only when needed.

These secretions and motility of the digestive tract are controlled by neural, endocrine and paracrine mechanisms.

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24
Q

Enetric nervous system →

A

network of nerve fibres that innervate the GIT, pancreas and gall bladder

25
Q

Endocrine →

A

chemical messengers secreted into the bloodstream and stimulate distant parts of the GIT

26
Q

Paracrine →

A

chemical messengers that diffuse through the tissue
fluids to stimulate nearby target cells

27
Q

Local stimulus in Neuronal reflex pathways of GIT=

A

stretch/distention of stomach, pH, osmolarity of chyme, products of digestion).

28
Q

How is local stimulus detected in the Neuronal reflex pathways of GIT?

A

This local stimulus is detected by the sensory receptors and neurons which then influence 1 of 2 neuronal
plexuses. If the reflex or all of the nerve form part of the Enteric nervous system (dedicated to GIT), the reflex is
called a short (myenteric) reflex.

29
Q

Neuronal plexus =

A

a network of intersecting nerves that serve the same part of the body.

30
Q

What is the myenteric pluexus?

A

Myenteric plexus → smooth muscles → lead to muscle contractions/relaxations → peristalsis of GIT

31
Q

What is the submucosal plexus?

A

Submucosal plexus → secretory cells → lead to exocrine secretions (enzymes, mucus, acid, bicarbonate) or endocrine and paracrine secretions

32
Q

How is the cephalic brain affected?

A

The sensory receptors and neurons stimulated by the local stimulus can also effect the cephalic brain
(central nervous system) and hence the neuronal plexuses via parasympathetic and sympathetic neurons.

33
Q

External stimuli (sight, smell of food making gastric juices getting released before food reaches it) can also
stimulate _____receptors which can have an effect on the cephalic brain, also influencing the control of_____.

If the cephalic brain or _____________ neurons are involved, which are outside the enteric nervous system, the reflex is called a long (vagovagal) reflex as it involves the _____.

A

sensory
GIT
parasympathetic/sympathetic
CNS

34
Q

External stimuli (sight, smell of food making gastric juices getting released before food reaches it) can also
stimulate _____receptors which can have an effect on the cephalic brain, also influencing the control of_____.

If the cephalic brain or _____________ neurons are involved, which are outside the enteric nervous system, the reflex is called a long (vasovagal) reflex as it involves the _____.

A

sensory
GIT
parasympathetic/sympathetic
CNS

35
Q

Local stimulus in Endocrine (hormonal) regulation of GIT=

A

→ small peptides and amino acids as well as stretching of the stomach walls → triggers release of gastrin

36
Q

What is gastrin?

A

Gastrin is released by endocrine cells found in epithelium of stomach. Gastrin stimulates the production of gastric juices. Gastrin is considered a hormone as it is transported via the bloodstream to its target cells.

37
Q

When chyme enters the duodenum, 2 hormones are released:

A
  1. Cholecystokinin (CCK)
    - Is released if the chyme is rich in fatty acids
    - Stimulates the release of digestive enzymes from pancrease and bile (emulsifies fat) from the gall
    bladder
  2. Secretin
    - Is released in response to low pH (acidic)
    - Stimulates pancreas to release bicarbonate ions (HCO3-) to neutralize the acidic chyme
38
Q

If chyme is rich in fats, high levels of _____ and ____ can help inhibit/slow down peristalsis and secretion of gastric juices in the stomach, slowing the amount of chyme that enters the duodenum, to slow
digestion and increase absorption.

A

Secretin
CCK

39
Q

Somatostatin: (3)

A
  • chemical messenger
  • stimulated release by the high number of H+ ions or high acidity in the stomach lumen from the lining of the
    stomach
  • somatostatic has an inhibitory effect on nearby target cells, inhibiting the release of gastrin, which helps lowers
    H+ ion concentration (HCl) (reduces the amount of gastric juices), thereby lowering acidity.
40
Q

Phases of gastrointestinal control: (3)

A
  1. Cephalic phase (head)
  2. Gastric phase (when food reaches the stomach)
  3. Intestinal phase (as chyme moves into small intestine)
41
Q

What is the cephalic phase?

A

In cephalic phase, taste, smell or thought of food leads to nervous impulses sent to the medulla oblongata
which cause parasympathetic neurons via the vagus nerves to stimulate release of HCl and pepsin. Leads to
secretion of gastrin.

42
Q

What is the gastric phase?

A

In the gastric phase, food enters and distends the stomach. This distention activates the parasympathetic reflex via the medulla oblongata and directly affects gastric glands. Results in the continuous secretion of HCl and pepsin.

43
Q

What is the intestinal phase?

A

In intestinal phase, chyme enters duodenum. Gastric secretion is no longer needed when ph < 2 or lipids
are in chyme. The lipids + H+ ions cause impulses to medulla oblongata to decrease parasympathetic
stimulation of the gastric glands to lower gastric secretion. Local reflexes in the wall of the gut inhibit
gastric secretions. Causes release of secretin, gastric inhibitory peptide and cholecystokinin to inhibit gastric
secretions.

44
Q

How is appetite regulated? (2)

A
  • Appetite regulation is a number of homeostatic
    mechanisms that control the body’s storage and
    metabolism of fat.
  • Hormones that play a role in appetite regulation
    target the satiety centre in the hypothalamus in the
    brain.
45
Q

Satiety:

A

→ the feeling of fullness and the suppression of hunger for a period of time after a meal

46
Q

What hormones are involved in the regulation of appetite? (4)

A

Ghrelin
Hormone PYY
Leptin
Insulin

47
Q

What is Ghrelin? (4)

A
  • Hunger hormone
  • Secreted by stomach, pancreas, kidneys and hypothalamus
  • Released in repsonse to food deprivation
  • Triggers feeling of hunger → appetite stimulant
48
Q

What is Hormone PYY? (4)

A
  • Secreted by small intestine
  • Secreted after a meal
  • Decreases stomach motility, allowing for increased reabsorption of water + electrolytes
  • Suppresses appetite + counters ghrelin
49
Q

What is Leptin? (4)

A
  • Produced by adipose/fat tissue
  • Directly proportional to amount of adipose tissue
  • Suppresses appetite to reduce amt. of adipose tissue
  • Obesity – leptin resistance, high amounts
50
Q

What is insulin? (2)

A
  • Secreted in response to high blood glucose
  • Suppresses appetite
51
Q

What is feasting?

A

Feasting: excess energy is stored as glycogen in liver and muscle cells, additional excess energy is stored in
fat in adipose cells.

52
Q

What is fasting?

A

Fasting: body expends liver glycogen, then draws on muscle glycogen and fat .

53
Q

low blood glucose =
high blood glucose =

A

secretion of glucagon
secretion of insulin

54
Q

Since glucose is a major fuel for cellular respiration and a key source of biosynthesis, maintaining blood
glucose concentration within the normal range is critical.

How is homeostasis maintained?

A
55
Q

What is diabetes mellitus?

A

Diabetes = ‘to pass’ (refers to large amt. of urine passed)
Mellitus = ‘honey’ (large amounts of glucose in urine)

56
Q

What is a healthy pancreas?

A

Healthy: pancreas secretes insulin which binds to receptors on liver or muscle cells, allowing for insulin to
be taken into the cells, stored as glycogen.

57
Q

What is type 1 diabetes?

A

Type 1: autoimmune disease as pancreas fails to produce insulin “insulin dependent” (can be treated by injecting insulin). No insulin is bound to receptors therefore high blood glucose.

58
Q

What is type 2 diabetes?

A

Type 2: later onset in life. Insulin is produced but the insulin receptor is less responsive. Cell fails to responds to insulin properly. “insulin resistant”. Occurs due to obesity, sedentary lifestyle. Requires change in lifestyle in order to reduce blood glucose.

59
Q

It is better to eat carbohydrates with more _____ sugars as they take longer to digest therefore less glucose enters in the bloodstream, unlike drinking a cooldrink with simple sugars as that overloads the bloodstream with glucose.

A

complex