Chapter 46: Nutrition and Digestion (Part 3, Week 12) Flashcards

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1
Q

[Start 46.4 Mechanisms of Digestion and Absorption in Vertebrates]

What are most of the ingested carbohydrates in omnivores such as humans?

A

Polysaccharides (polymers of glucose) starch and cellulose from plants and glycogen from animals.

The remainder consists of simple carbohydrates, such as the monosaccharides fructose and glucose in fruit, and disaccharides (combinations of two monosaccharides), such as lactose in milk. Humans also add the disaccharide sucrose (table sugar) to their food. Certain other animals consume sucrose from sources such as maple sap and sugarcane.

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2
Q

Why does almost all polysaccharide digestion take place in the small intestine?

A

Due to the action of amylase secreted into the instestine by the pancreas.

The products of starch digestion via amylase are molecules of the disaccharide maltose. Maltose and any ingested sucrose and lactose are broken down into monosaccharides—fructose, glucose, and galactose—by enzymes located on the brush border of the small intestine epithelial cells.

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3
Q

T/F A large amount of polysaccharide is digested in the mouth by salivary amylase.

A

False. Only a very small amount.

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4
Q

What is the product created from the digestion of starch?

A

Molecules of the disaccharide maltose.

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5
Q

What monosaccharides are available after the the breakdown of the disaccharides of Maltose and ingested sucrose and lactose?

A

Fructose, glucose, and galactose by enzymes located on the brush border of the small intestine epithelial cells.

The monosaccharides are then absorbed into the epithelial cells. Fructose crosses the apical membrane (the surface facing the lumen) of the epithelial cells by facilitated diffusion, whereas glucose and galactose undergo secondary active transport coupled to Na+.

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6
Q

How do the monosaccharides then leave the epithelial cells?

A

Facilitated diffusion through transporters located in the basolateral membrane of the epithelial cells and enter the blood.

The circulatory system distributes the monosaccharides and other absorbed nutrients to the cells of the body.

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7
Q

T/F Most adult cats are lactose-intolerant.

A

True. It is a misconception.

Some visits to the veterinarian are related to GI symptoms caused by well-meaning owners who regularly feed milk to their adult pets.

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8
Q

Why do people and/or animals lose the ability to digest lactose?

A

Because the only dietary source for lactose is milk, it is not surprising that older mammals lose the ability to digest this disaccharide.

This occurs because the gene that encodes the enzyme lactase is shut off at the age of weaning or shortly thereafter.

The developmental mechanisms that turn off lactase production and activity are not firmly established, but they are known to involve decreased transcription of the lactase-encoding gene.

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9
Q

What happens if an adult mammal were to drink milk and it is lactose intolerant?

A

As a result, water that normally would be absorbed by osmosis with the digested monosaccharides formed from lactose would also remain in the intestine.

Farther along the alimentary canal, microorganisms in the large intestine digest some of the lactose for their own use and, in the process, release by-products such as hydrogen and other gases.

The combination of water retention and bacterial action results in GI symptoms such as diarrhea, gas, and cramps.

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10
Q

What is lactose intolerance an example of?

A

A human polymorphism.

A genetic trait that varies among people.

Surprisingly, the coding regions of this gene and its core promoter are identical whether individuals are lactose-tolerant or lactose-intolerant.

Recently, however, Finnish investigators uncovered two single-nucleotide changes located in presumed regulatory sites that control the expression of the lactase-encoding gene. These changes are associated with prolonged expression of the gene, allowing it to continue to beactive after weaning.

People carrying these mutations are lactose-tolerant and can consume milk products through adulthood. Bycomparison, adults who lack these mutations—and are thereforelactose-intolerant—can consume dairy products only in smallamounts or not at all. However, their ability to do so can begreatly improved if the product has been commercially treatedwith purifi ed lactase to predigest the lactose.

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11
Q

How are proteins broken down to polypeptide fragments in the stomach? (2)

A

By pepsin and in the small intestine by proteases such as trypsin.

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12
Q

Why does the pancreas secrete its enzymes as inactive precursors?

A

This prevents the active enzymes from digesting the pancreas itself.

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13
Q

How is the inactive form of trypsin, called trypsinogen, activated in the small intestine?

The enzyme has two names.

A

It enters the small intestine, and is cleaved into the active molecule by the enzyme enterokinase AKA enteropeptidase.

The active site of which is located on the apical surfaces of intestinal epithelial cells.

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14
Q

T/F Trypsin activates the inactive forms of other pancreatic enzymes.

A

True.

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15
Q

How the small polypeptides from the broken down from polypeptides and proteins further digested and then absorbed?

A

The active site of which is located on the apical surfaces of intestinal epithelial cells breaks them down to amino acids.

Individual amino acids, coupled to Na+, then enter the epithelial cells by secondary active transport.

Amino acids leave these cells and enter the blood by facilitated diffusion across the basolateral membrane. Like carbohydrates, proteins are almost completely digested and absorbed in the duodenum of the small intestine.

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16
Q

How are individual amino acids cleaved by the proteases?

A

Together, these proteases cleave off one amino acid at a time from the N-terminus and C-terminus of polypeptide fragments.

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17
Q

What are most lipids in the form of and where does almost entirely all digestion occur?

A

Triglycerides

The small intestine.

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18
Q

What is the major fat-digesting enzyme, secreted by the pancreas?

A

Lipase

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19
Q

What does the lipase reaction in catalyzing the triglyceride produce?

A

2 free fatty acids + 1 monoglyceride

20
Q

What are poorly soluble in water and aggregate into large droplets, as youcan see if you shake a salad dressing made of oil and vinegar?

A

Fats

21
Q

Since lipase is a water-soluble enzyme, how is its digestive action limited in the small intestine?

A

Digestive action can only take place only at the surface layer of a lipid droplet.

22
Q

What is the process during digestion that disrupts large lipid droplets into many tiny droplets, thereby increasing their total surface area and providing greater exposure to lipase action?

What are the two steps or this process?

A

Emulsification

Emulsification occurs in two steps. First, the muscular contractions of the stomach and small intestine mechanically break up large lipid droplets into many smaller ones.

Second, the nonpolar portions of amphipathic molecules from bile (bile salts and phospholipids) dissolve in a lipid droplet; the polar (charged) regions dissolve in the surrounding watery chyme.

The charged hydrophilic groups of bile salts and phospholipids repel each other; this prevents the small lipid droplets from coalescing into larger ones. The resulting suspension of small lipid droplets is called an emulsion.

23
Q

What forms the micelles in order for absorption across the apical membrane of the small intestine epithelial cells?

A

Second action of bile salts and phospholipids.

24
Q

What do the micelles consist of?

And what happens with the rest of the process?

A

Micelles consist of bile salts, phospholipids, fatty acids, and monoglycerides clustered together.

Temporarily storing breakdown products of lipid digestion in micelles allows the products to remain in solution, so they can slowly diffuse out of the micelle and across the apical membrane of the epithelial cell.

Thus, the micelles keep most of the insoluble fat digestion products in small soluble aggregates while gradually releasing very small quantities of lipids to diffuse into the intestinal epithelium.

it is not the micelle that is absorbed but rather the individual lipid molecules that are released from the micelle.

25
Q

While in the epithelial cells, where are the fatty acids and monoglycerides are resynthesized into triglycerides?

A

In the smooth endoplasmic reticulum (SER)

This process decreases the concentration of cytosolic free fatty acids and monoglycerides in the epithelial cells, and so maintains a diffusion gradient for these molecules from the lumen into the cells.

26
Q

What is a large fat droplet coated with amphipathic proteins that perform an emulsifying function similar to that of bile salts?

____________ are formed in intestinal epithelial cells from absorbed fats in the diet.

A

Chylomicrons

Chylomicrons are released by exocytosis from the epithelial cells andenter lacteals. The fluid from the lacteals eventually empties into the blood.

27
Q

What does not require digestion and are absorbed in their complete form? (3)

A

Vitamins, minerals, and water.

28
Q

How are most water-soluble vitamins absorbed?

How are most fat-soluble vitamins absorbed?

A

The fluid from the lacteals eventually empties into the blood.

A, D, E, and K—follow the pathway for lipid absorption

29
Q

What happens if there is interference with the secretion of bile or the action of bile salts in the intestine?

A

Greatly decreases the absorption of fat-soluble vitamins.

30
Q

Where does the majority of water absoprtion occur?

A

Occurs in the small intestine.

Epithelial membranes of the small intestine are very permeable to water, which diffuses across the epithelium whenever an osmotic gradient is established by the active absorption of solutes, particularly Na+, Cl–, and HCO3–.

Other minerals, such as K+, Mg2+,and Ca2+, are present in smaller concentrations and are also absorbed by this mechanism, as are trace elements such as zinc and iodine.

The mechanisms of absorption of these molecules generally involve transport proteins.

31
Q

[Start 46.5 Neural and Endocrine Control of Digestion]

What are the digestive systems of animals are regulated by what?

A

The nervous and endocrine systems

32
Q

What, specifically, control the volume of saliva produced, the amount of acid produced in the stomach, the timing and amount of secretions from the gallbladder and pancreas, and the rate and strength of muscle contractions along the alimentary canal?

A

Neurotransmitters from neurons and hormones from endocrine glands.

33
Q

WHat are the two major ways that the nervous system can affect the activities of the digestive system?

A
  1. local control of muscle and glandular activity by the neurons within the alimentary canal
  2. long-distance regulation by the brain
34
Q

What functions in local control of the digestive system?

A

The length of the alimentary canal is a highly branched, interconnected collection of neurons.

These neurons interact with nearby smooth muscles, glands, and epithelial cells. Stimulation of neuronal activity at one point along the alimentary canal can lead to signals that are transmitted up and down the length of the canal.

When food enters the small intestine, for example, the intestine is expanded. This directly activates stretch-sensitive neurons in the intestinal wall. Signals are sent from these neurons to the smooth muscles of the stomach, where they decrease the strength of the contractions of those muscles. This slows the rate at which chyme moves from the stomach into the small intestine, giving the intestine sufficient time for digestion and absorption of the amounts of chyme it receives.

In this way, the alimentary canal can regulate its own function independent of the brain.

35
Q

What results from the brain communicating with the neurons in the walls of the stomach and intestines?

A

It influences the movement and secretory activity of the alimentary canal.

For example, emotional stress, a brain-related event, can affect digestive processes. Likewise, the sight, smell, and taste of food activate digestive functions even before food reaches the stomach.

These stimuli when processed by the nervous system act via nerves from the brain as a feedforward mechanism, so saliva production, stomach activity, and digestion are ready to begin immediately once food is ingested.

36
Q

Hormones are chemical messengers secreted by specialized cells into the blood, where they travel to all parts of an animal’s body and act on various target cells.

Where are the hormones that control the digestive system secreted mainly from?

A

Cells scattered throughout the epithelium of the stomach and small intestine.

One surface of each hormone-producing cell is exposed to the lumen of the alimentary canal.

37
Q

What stimulates cells in the stomach epithelium to release a hormone called gastrin, which reaches all the parts of the stomach through the bloodstream?

A

The chyme.

Gastrin - A hormone secreted by cells of the vertebrate stomach that stimulates smooth muscle contraction and acid production by stomach cells and helps move chyme into the small intestine.

38
Q

What does the arrival of chyme into the small intestine stimulate the release of?

A

Hormones cholecystokinin (CCK) and secretin from the intestinal epithelial cells.

39
Q

What does the release of cholecystokinin (CCK) accomplish in the small intestine?

A

Stimulates release of pancreatic enzymes into the small intestine and contraction of the gallbladder.

40
Q

What does the release of secretin accomplish in the small intestine?

A

Stimulates release of bicarbonate (HCO3–) ions from the pancreas into the small intestine.

41
Q

What are among the most common GI problems registered by hospitals and physicians? (3)

A

Diarrhea, heartburn, and ulcers

42
Q

According to the WHO, how many cases of diarrhea happen worldwide?

A

2 billion cases

Diarrhea is loose, watery stools occuring at least three times per day-every year.

43
Q

What does diarrhea typically result from?

A

Typically they result from infection with a pathogen, such as a virus or bacterium.

Other times, however, diarrhea may be caused by food sensitivities (such as lactose intolerance, reactions to medications, stress-related disorders, or parasites that inhabit the rectum and colon.

44
Q

What is one cause of diarrhea that stands apart as particularly dangerous?

A

Cholera is a disease caused bythe bacterium
Vibrio cholerae, usually ingested by consuming contaminated food or water.

Each year at least 2,000 people die of cholera worldwide, with another 100,000 people contracting the disease but surviving.

Nearly all cases of cholera occur in Africa, parts of Asia (notably China), and India, although scattered outbreaks have occurred nearly everywhere
except the U.S., with the most recent worldwide pandemic lasting from 1961 to 1971.

V. cholerae releases a toxin that alters the permeability of ions across the lining of the large intestine, resulting in a massive flow of these ions, followed by water, due to osmosis, into the intestinal lumen.

As with all cases of diarrhea, the chief concern with cholera is the loss of nutrients and water and the dehydration that ensues. In addition to killing the bacteria with antibiotics, therefore, the major treatment of cholera is the same as for any cause of diarrhea, which includes drinking solutions of ions and water to replace those that were lost in the feces.

45
Q

How many people in the U.S. suffer at some time from heartburn (more properly called acid reflux, or gastroesophageal reflux)?

A

1 in 4

The term heartburn is a misnomer, because although the painful burning sensations of this disorder may be felt in the vicinity of the heart, they are caused by stomach acid and arise within the esophagus.

46
Q

What are some causes of heartburn?

A
  • Overeating, for example, enlarges the volume of the stomach to the point of forcing its contents through the esophageal sphincter.
  • Lying down after a big meal removes the effect of gravity on food in the stomach and may allow some acid to leak backward.
  • Heartburn is also associated with smoking and consumption of alcohol, citrus fruits (which are acidic), chocolate (which contains theobromine, an alkaloid related to caffeine that relaxes the esophageal sphincter), and fatty foods (which take longer to digest than other foods and therefore slow the rate at which the stomach empties).
  • One of the most common causes is pregnancy. Toward the latter third of pregnancy, the growing fetus pushes up on the abdominal contents, which tends to force material from the stomach into the esophagus.

Common antacids contain calcium carbonate, which buffers the acid in the stomach and esophagus. In severe cases, heartburn can damage the walls of the esophagus enough to cause a chronic cough and pain, or even perforate the esophagus. Antacids may not be sufficient to treat these individuals, who are instead given drugs that inhibit the stomach’s ability to produce acid. These drugs are among the most widely prescribed medications in the U.S.

47
Q

What is an erosion of the wall of the alimentary canal; typically occurs in the lower esophagus, stomach, or duodenum?

A

Ulcer

These sites have the greatest exposure to acid.

Ulcers are typically less than an inch wide; if left
untreated, contents of the lumen may leak into the surrounding body cavity, where enzymes and acids from the stomach can do considerable damage.

As many as 20 million Americans have an ulcer. Each year, 40,000 patients require surgery to repair tissue damaged by ulcers, and around 6,000 die due to complications from the disease.