Digestion Flashcards

1
Q

What are nutrients?

A
  • chemical substances found in foods that are used in human body
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2
Q

Why are some nutrients essential?

A
  • essential nutrient = ones that cannot be synthesised
    • obtained from food only
  • water (is synthesised however, not sufficient amount)
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3
Q

What are two groups of vitamins?

A
  • water-soluble and lipid-soluble
    • water-soluble are easily excreted
    • lipid-soluble = A D E K (rest is water-sol.)
  • vitamins do not have a common structure
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4
Q

What is malnutrition?

A
  • imbalance of nutrients that causes health problems
    • deficiency, imbalance or excess
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5
Q

What are minerals?

A
  • essential chemical elements found in food (ions)
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6
Q

What are different minerals and their function?

A
  • Ca2+ — secondary messenger in signalling (muscle contraction. synapse); component of bones
  • Fe2+ — part of heme
  • Zn2+ — zinc fingers (found in proteins, enzymes)
  • Na+, K+ — membrane potential; signalling
  • I- — thyroid hormones (growth); nervous system development; metabolic processes
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7
Q

Are vitamins universal for all organisms?

A
  • no
  • some substances which are synthesized by human body may be vitamins for other animals
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8
Q

What is the role of vitamin C?

A
  • antioxidant
    • reduces molecules (electron donor)
    • during immunological response
    • synthesis of collagen
  • deficiency = scurvy
    • leads to bleeding gums and under skin
  • found in: veggies and fruits
  • unstable – amount lowers with time, temp increase, exposure to metals (iron and copper)
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9
Q

Do rats synthesise vitamin C?

A
  • yes
  • experiments with vitamin C deficiency could not be performed on rats
  • rats produce their own ascorbic acid (not a vitamin for them)
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10
Q

What are the consequences of scurvy?

A
  • pain in joints (lack of collagen)
  • haemorrhages (bleeding) from gums, under skin, disintegration of blood vessel walls
  • teeth loss
  • even death
  • anaemia
  • osteoporosis
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11
Q

What is the role of vitamin D?

A
  • produced in skin irradiated with UV
    • risk of skin cancer
    • instead of vitamin it should be prohormone
  • turned into calcitriol
    • transcription regulator for genes connected to calcium
  • Ca homeostasis
    • bone mineralisation, muscle contraction, nervous and cellular signalling,
    • immune response
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12
Q

What are the consequences of overdosage of vitamin D?

A
  • toxicity symptoms and hypercalemia
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13
Q

What is RDA (recommended daily amount) of vitamin D?

A
  • 30 min exposure to sunlight UV (or more)
  • depends on latitude, ageing, season, skin pigmentation, clothing
  • dietary supplementing needed
    • 5 μg/day
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14
Q

What are the consequences of vitamin D deficiency?

A
  • rickets
    • impeded growth, long bones deformation
  • osteomalacia
    • impaired calcium deposition in bones
    • lower mineral density
    • posture abnormalities
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15
Q

What are essential fatty acids?

A
  • omega 3 and 6
    • unsaturated
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16
Q

What are essential amino acids?

A
  • Phenylalanine
  • Threonine (if no Phe)
  • Valine
  • Tryptophan
  • Methionine
  • Leucine
  • Isoleucine
  • Lysine
  • Histidine
  • Arginine (in infants)
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17
Q

What are the consequences of starvation?

A
  • scarcity of food leading to deficiencies
  • lack of protein
    • breakdown of muscle tissue and other
    • instead essential amino acid are produced
      • cardiac muscle can be destroyed
  • anorexia = reduced appetite
    • anorexia nervous = psychiatric illness, voluntary starvation
      • weight, hair loss
      • loss of energy
      • skin bruises
      • suspension of menstrual cycle and ovulation
      • reduced blood pressure, slower heart rate
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18
Q

What are the consequences of plasma protein deficiency?

A
  • lack of amino acids —> lack of important blood plasma proteins (albumins)
    • maintain colloid osmotic pressure
  • tissue fluid doesn’t come back to circulatory system
    • retended in tissues
  • tissue swelling (in abdomen) = edema
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19
Q

What is phenylketonuria?

A
  • autosomal recessive genetic disorder
    • diagnosed in infants
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20
Q

What are the causes and consequences of phenylketonuria (PKU)?

A
  • caused by lack of enzyme converting phenylalanine —> tyrosine
  • phenylalanine converted into phenylpyruvate
    • later in urine
  • impairment of brain development
    • mental retardation
    • brain damage
    • seizures
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21
Q

What is PKU treatment?

A
  • incurable
  • low-phenylalanine diet
    • meat, nuts, cheese, dairy, legumes —> a lot
    • controlled amounts: bread, pasta, corn, potatoes
  • diet not enough
    • medication (BH4)
      • removal of phenylalanine
    • supplementing of tyrosine
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22
Q

How is appetite controlled?

A
  • Appetite Control Centre (ACC) in brain (hypothalamus)
  • sugar levels
    • insulin
  • adipose tissue
    • leptin
  • stomach filling state
    • ghrelin
  • smell (tasty or disgusting)
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23
Q

What are the risks of obesity?

A
  • diabetes II
  • high blood pressure
  • arteriosclerosis (atherosclerosis)
  • joint damage
  • impotence
  • self-esteem issues
  • thyroid dysfunctions
  • cancer
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24
Q

What are exocrine glands?

A
  • substances sent out of body
  • release them to ducts
    • not to blood stream (like endocrine glands)
  • examples: sweat, moll, mammary, sebaceous
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25
Q

What are parts of alimentary canal?

A
  • mouth, large intestine, small intestine, oesophagus, stomach, duodenum, rectum
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26
Q

What are digestive glands?

A
  • salivary glands
  • pyloric glands
    • stomach
  • pancreatic exocrine and endocrine glands
  • goblet cells
    • small intestine
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27
Q

What are accessory organs?

A
  • teeth, liver, gall bladder, bile duct, salivary glands, tongue, pancreas
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28
Q

What is digestion?

A
  • enzymatic breakdown into monomers
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29
Q

Which molecules are digested?

A
  • lipids —> fatty acids and glycerol
    • lipase + bile
  • proteins —> amino acids
    • pepsin
  • polysaccharides —> monosaccharides
    • amylase
    • beta-D-glycosidic bond no digested (cellulose)
  • nucleic acids —> nucleotides
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30
Q

What is the role of mouth in digestion?

A
  • teeth: chewing
  • tongue: mixing food with saliva + pushing bolus to oesophagus
  • saliva
    • antimicrobial gents (lysosomes)
    • digestion of starch by amylase
    • moistens bolus
31
Q

What is the role of stomach in digestion?

A
  • churning and mixing bolus with water and acid
    • muscle tissue
  • HCl
    • kills microorganisms
    • protein denaturation
  • protein digestion (pepsin)
  • bolus —> chyme
32
Q

What happens during the first phase of gastric secretion?

A
  • cephalic phase
    • signal is sent to the brain (senses)
33
Q

How is acid maintained in the stomach?

A
  • gastric acid in lumen
  • protection: mucus + dead cells
    • acid could damage stomach
  • proton pump (H+/K+ ATPase)
    • lower pH by exchanging H+ and K+
    • acid overproduction = inhibitors of the pump (medication)
      • not permanent —> pumps are recycled
34
Q

What is stomach ulcers?

A
  • gastric ulcers
  • lesion in stomach wall
    • lining exposed to juice
  • bleeding and pain
  • stress may contribute
35
Q

What is Helicobacter pylori?

A
  • bacterium
    • gastric mucous membrane destroyed
    • stomach ulcers
  • inflammation, toxins, exposure to acid, production of urease (toxic ammonia), more acid production
  • peptic ulcers can lead to cancer
    • H. pylori infections correlate
36
Q

What is the role of pancreas in digestion?

A
  • in duodenum (pancreatic juice)
  • endopeptidases (proteases) activates pepsin in stomach
  • lipase
  • amylase
  • HCO3- ions neutralise acid
  • nuclease
37
Q

What is the protein regulating pH in stomach?

A
  • proton pump
    • H+/ K+ ATPase
38
Q

What is the role of bile?

A
  • emulsifies lipids
    • lipase water soluble
    • lipids aren’t
  • dispersion of lipids = larger surface area
  • not an enzyme
39
Q

How are sugars digested?

A
  • starch (other polymers of glucose) —> maltose (by amylase)
  • at the surface of small intestine
    • maltose —> glucose (by maltase)
    • easy absorption
40
Q

What is the function of endopeptidases?

A
  • cut polypeptide chains in the middle
    • recognises bonds
  • producing shorter and shorter chains
    • individual amino acids
41
Q

What happens in small intestine?

A
  • digestion (beginning) and absorption (later)
  • neutralising stomach acid
42
Q

What allows for the movement of chyme?

A
  • peristalsis
    • smooth muscles
    • away from mouth
      • circular muscles – no movement backwards
      • longitudinal muscles – movement along gut
      • vomiting = contraction of abdominal muscles
    • slow = time for digestion
  • another function of peristalsis: segmentation
43
Q

How is role of villus?

A
  • increases surface area for absorption
    • microvilli (increase even further)
    • blood vessel + lacteal (part of lymphatic system, lipid absorption)
44
Q

What are the layers of small intestine?

A
  • mucosa (closest to lumen)
    • folded inner layer (villi)
  • sub-mucosa
    • connective tissue
    • separation: mucosa - muscles
  • muscle layer
    • out: longitudinal
    • in: circular
  • serosa
    • most outer protective layer
    • fibrous connective tissue
45
Q

Why do tight junctions exist?

A
  • no substances can go between villi (absorption)
46
Q

What are the adaptations for absorption?

A
  • large surface area
    • villi & microvilli
  • short distance
    • single epithelial
  • concentration gradient
    • dense capillary network (blood flow)
    • lacteal for lipids
  • control of transport
    • tight junctions between cells
47
Q

What is the structure of brush border cells?

A
  • effective absorption
  • polarity
    • absorption surface and capillary facing surface
  • microvilli
  • mitochondria
  • protein transporters, pumps and channels
    • nutrients into bloodstream
48
Q

What is the type of transport used to move sugars?

A
  • glucose / galactose
    • co-transport (Na+) —> epithelial cells of villi
    • monosaccharides
      • facilitated diffusion —> capillaries
  • other sugars
    • facilitated diffusion —> epithelial cells of villi
    • monosaccharides (the same)
49
Q

What is co-transport?

A
  • protein that can bind 2 molecules
    • Na+ binds (moves down the gradient)
  • another molecule binds and is moved with the energy of Na+ (or other molecule)
    • against the gradient (active transport)
50
Q

What is the type of transport used to transport proteins?

A
  • amino acids
    • co-transport (Na+) —> epithelial cells (villi)
    • amino acids
      • simple diffusion —> capillaries
  • peptides (<5 a. a.)
    • co-transport (H+) —> villi
    • amino acids
51
Q

What is the type of transport used to move lipids?

A
  • triglycerides —> fatty acids + monoglycerides
    • simple diffusion —> epithelial cells of villi
  • fatty acids
    • facilitated diffusion (fatty acid transporters in microvilli)
    • inside epithelium cells —> recombines to triglycerides
      • cannot diffuse back
  • triglycerides with cholesterol —> form LDL
    • exocytosis —> villi
      • enter lacteal
      • lymph or bloodstream
52
Q

What happens in large intestine?

A
  • re-absporption of water
  • digestion of carbohydrates (symbiotic bacteria)
    • some of the products that are not digested in small intestine
  • formation of faeces
53
Q

What is the pathway of starch to glucose?

A
  • starch —> dextrins + maltose
    • amylase
    • intestinal lumen
  • dextrins + maltose —> glucose
    • enzymes + cells of brush border
  • glucose absorbed
    • facilitated and active transport
  • glucose to liver (in blood), absorbed in liver
    • triggered by glucagon
    • facilitated diffusion
    • glucose —> glycogen
54
Q

Why is fibre important in egestion?

A
  • movement of chyme and faeces
    • easy defecation
  • cellulose, waxes, lignin
  • absorbs water
55
Q

What happens to water in large intestine?

A
  • absorbed
    • contains many secretions (dilutes them)
    • easy absorption
  • speed of peristalsis
    • low speed —> constipation
    • high speed —> diarrhoea
56
Q

What is cholera and its mechanism?

A
  • cholera toxin produced by Vibrio cholerae
    • binds to epithelium in intestines
  • cascade: Cl-, Na+, HCO3- to gut lumen
  • water flows by osmosis —> extreme diarrhoea
    • dehydration
57
Q

What are the functions of the liver?

A
  • storage
    • glucose
    • lipids
  • detoxification
    • NH3
  • bile production
  • metabolism
58
Q

What are the 3 blood vessels involved in liver circulation and their function?

A
  • hepatic artery (incoming)
    • oxygen-rich blood
    • arterioles join sinusoids
  • hepatic portal vein (incoming)
    • blood from stomach and intestines (rich in nutrients), low oxygen
  • hepatic vein (coming out)
    • venues merge with sinusoids
    • blood to vena cava
59
Q

What is the structure of the liver?

A
  • built out of lobules
    • branches of portal veins and hepatic artery (to the central vein)
      • sinusoids — blood leaks from veins to structures
      • hepatocytes — washed by blood in sinusoids
        • direct uptake
60
Q

What is the structure of a sinusoid?

A
  • wide blood vessels (wider than capillaries)
  • fenestration — pores between endothelial cells
  • blood in direct contact with hepatocytes
  • Kupffer cells — macrophages (destroy erythrocytes)
  • no basal lamina (net of proteins)
    • no barrier
  • no tight junctions
61
Q

How are nutrients stored in the liver?

A
  • glucose
    • condensed to glycogen
    • released by glucagon
    • excess glucose = no osmotic balance
  • amino acids
    • excess toxic
  • vitamins A, D, B12, K
    • excess toxic
  • iron
    • toxic in the form of ions
    • stored with proteins (transferrin)
    • Kupfer cells kill erythrocytes
      • iron is uptaken (not wasted)
  • copper (used as coenzyme)
62
Q

Where are plasma proteins produced?

A
  • in endoplasmic reticulum and Golgi apparatus in hepatocytes (liver)
    • a lot with secretory granules
  • produced: albumins, fibrinogen
  • hepatocytes
63
Q

What is the pathway of cholesterol?

How is it absorbed

A
  1. cholesterol and triglycerides absorbed
    • incorporated into chylomicrons (large lipoproteins)
  2. secreted into lymph and later in liver
  3. fat to adipose tissue
    • taken up as fatty acids
  4. small chylomicrons remnant removed from plasma by liver
    • as HDL
  5. converted into bile
64
Q

What is the pathway of triglycerides?

A
  • fatty acids + triglyceride (with cholesterol) —> (very)LDL
  • between meals
    • fat to adipose and muscle tissues (chylomicron)
    • energy use or storage
65
Q

What are functions of cholesterol?

A
  • synthesis
    • vitamin D, steroid hormones, bile
  • membrane components
66
Q

How does liver detoxify substances?

A
  • toxic substances from blood
    • oxidised
    • processed by enzymes
      • alcohol dehydrogenase
  • production of urea
  • hydrophobic compounds —> transferred into hydrophilic
  • liver has regenerative potential
67
Q

How does liver recycle erythrocytes?

A
  • lifespan: 120 days
  • Kupffer cells
    • ingestion by phagocytosis
  • recycling
    • heme
      • iron —> production of new cells
      • bilirubin —> bile
    • globin (amino acids) —> return to bloodstream
68
Q

Where is bile formed and what are its components?

A
  • produced by liver, stored in gall bladder
  • released via bile duct (duodenum)
  • components: hydrogen carbonate ions, bile salts and pigments, cholesterol
69
Q

What is jaundice?

A
  • yellow skin, conjunctives and mucous membranes
  • high concentration of bilirubin (bile pigment)
  • liver disjunction
    • hepatitis
    • liver cancer
    • obstruction of bile duct
    • newborn jaundice: immature processes of bilirubin excretion
70
Q

What are the consequences of jaundice?

A
  • no need for treatment (as it is a symptom)
  • bilirubin accumulation in nervous tissue
    • neurological damage (brain)
    • infants and elderly
71
Q

What are conditionally essential vitamins?

A
  • conditionally essential: vitamin D&K
    • needed only in some circumstances
      (ex. vit K is needed for infant’s microbe which is underdeveloped)
72
Q

What is the structure of exocrine glands?

A
  • secretory cells in groups = acinus
    • around duct branch (not to bloodstream)
    • lots of endoplasmic reticulum and mitochondria
    • secretory vesicles
      • exocytosis to the ducts
73
Q

How is iron reused in synthesis of red blood cells?

A
  • red blood cells have transferrin receptors
    • synthesised in bone marrow by stem cells
    • receptor-iron complex enters cells
      • iron incorporated to heme
74
Q

How are gastric juices regulated?

A
  • nerves and hormones regulate digestive juices
  • sight / smell of food —> nerve impulses from brain via vagus nerve
    • from medulla
    • gland cells in stomach —> secrete components of gastric juice
  • chemoreceptors in stomach wall detect peptides
    • or stretch receptors detect distension of stomach
    • impulses to brain
  • brain —> vagus nerve
    • to endocrine cells (duodenum) —> gastric secretion
      • gastric —> secretion of acid and pepsinogen (exocrine gland cells in stomach wall)
  • secretin and somatostatin inhibit gastric secretion —> pH too low