Digestion and Absorption Flashcards

1
Q

What is the basic chemical structure, dietary sources and function of carbohydrates?

A

Monosaccharides (e.g. glucose, fructose, galactose)
Disacharides - 2 monosaccharides joined by glycosidic bond (e.g. sucrose Gl+F, maltose Gl+Gl, lactose Gl+Ga)
Polysaccharides - multipile joined by glycosidic (e.g. starch - amylose and amylopectin, fibre)

Dietary source: potatoes, bread, rice, pasta, cereals

Function: energy source

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2
Q

What is the basic chemical structure, dietary sources and function of protein?

A

Amino acids joined together by peptide bonds and folded into primary, secondary and tertiary structures

Dietary source: meat, fish, dairy, lentils, nuts, seeds, tofu

Function: repair and growth

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3
Q

What is the basic chemical structure, dietary sources and function of fats?

A

Triglycerides: 90%, glycerol + 3 fatty acids (sat vs unsat)
Cholesterol
Phospholipids: glycerol + phosphate group + 2 fatty acids

Dietary sources: animal foods such as meat fat, butter, cheese and cream (saturated); from plants (unsaturated) such as olive and rape seed, nuts, cholesterol from plants and animals, dairy products, palm and coconut oil

Function: plasma membrane (c + p), long term energy store, insulation

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4
Q

What are the main features of a balanced diet?

A

Eat well guide:
1/3 veg and fruit
1/3 wholegrain or higher fibre carbs
Protein (mainly from beans and pulses)
Dairy and alternatives
Oils and spreads
Water
2000 - 2500 kcal per day from all food and drink

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5
Q

Describe the digestive events in the mouth

A

Mastication: breaks up food and moistens it
Carbohydrates are broken down by alpha amylase to maltotriose, maltose and alpha-limit dextrin
Proteins = no digestion as no protease
Lipids: v small amount broken down by lingual lipase

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6
Q

Describe the digestive events in the stomach

A

Churning and mixed with gastric juices
Nothing happens to carbohydrates
HCl activates pepsin and denatures proteins
Gastric lipase has minor contribution to lipids

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7
Q

Describe the digestive events in the small intestines

A

Chyme mixed with pancreatic juice and bile in the duodenum
- Alpha-amylase further digests starch, brush border disaccharidases (maltase, sucrase, lactase) result in monosaccharides
- Proteins cleaved by trypsin, chymotrypsin, elastase, carboxypeptidases to produce increasingly smaller peptides/ dipeptides, brush border peptidases produce dipeptides and amino acids
Lipids: pancreatic lipase digests lipids to monoglycerides and fatty acids, phospholipase digests phospholipids to lysolectithin and fatty acids
Jejunum: completes digestion and some nutrient absorption
Ileum: nutrient absorption

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8
Q

What is the role of the pancreas in digestion?

A

Exocrine function: makes up majority of pancreas, release pancreatic juices which contain multiple enzymes, releases alkali secretions which neutralise stomach pH making an optimum pH for enzyme activity
Endocrine function: secretion of insulin and glucagon

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9
Q

What is the role of the liver in digestion?

A

Production and secretion of bile
Bile is then stored in the gall bladder and released into the duodenum after a meal
Bile salts emulsify fat particles and aid in the absorption of fats by forming complexes called micelles, solubilisation and transport of lipids in aq environment
- synthesised from cholesterol, amphipathic (hydrophobic cholesterol part and hydrophilic amino acid part - gives emulsive properties)

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10
Q

Where are digestive enzymes secreted from?

A

Glandular cells in mouth
Cheif cells in stomach
Excorine cells of pancreas
Enzymes bount to apical membrane of enterocytes

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11
Q

What is a zymogen? Give examples

A

a pro-enzyme
- Many enzymes are synthesised as inactive peptides that are then activated by cleavage of peptide bonds
- The inactive precursor is called a zymogen
E.g. pepsinogen is the zymogen to pepsin, prothrombin is the zymogen to thrombin

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12
Q

Enzymes involved in digestion of carbohydrates

A

Alpha amylase (in salivary secretion and duodenum) cleaves alpha 1-4 bond
Maltase, sucrase and lactase (on brush border) break disaccharides into monosacharides

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13
Q

Enzymes involved in digestion of proteins

A

Pepsin (chief cells produce pepsinogen which is then activated by release of HCl from parietal cells in stomach) - an endopeptidase (forms smaller oligopeptides)

Trypsin, chymotrypsin, elastase, carboxypeptidases produce increasingly smaller peptides/ dipeptides

Brush border peptidases produce dipeptides/ amino acids

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14
Q

Where are most of the enzymes produced? Which ones? Divide into released as zymogens and in active forms

A

Pancreas
As zymogens:
- trypsin, chymotrypsin, carboxypeptidase, elastase (proteins), phospholipase (phospholipids)
In active form:
Amylase (starch), lipase (triglycerides), ribonuclease (RNA), deoxyribonuclease (DNA)

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15
Q

Enzymes involved in digestion of lipids

A

Lingual lipase (in mouth - minor contribution)
Gastric lipase (in stomach - minor contribution)
Pancreatic lipase (duodenum) - breaks lipids into monoglycerides and fatty acids
Phospholipase digests phospholipids to lysolecithin and fatty acids

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16
Q

What are the 3 methods of absorption?

A

Passive absorption
Facilitated transport
Active transport

17
Q

How are lipids absorbed?

A

Production of lipid digestion solubilised in intestinal lumen in mixed mucelles with aid of bile salts
Micelles diffuse across brush border where lipids are release
Short chain fatty acids –> directly into blood
Larger chains –> reformed into chylomicron (protein lipid structure), secreated into lymphatics

18
Q

How are monosaccharides absorbed?

A

Glucose and galactose absorbed by sodium dependent co-transport
Move from lumen into cell on sodium glucose cotransporter
Sodium shuttled out by Na/K pump maintaining electrochemical gradient

Fructose transported by facilitated diffusion

GLUT2 transporter moves all into blood

19
Q

How are amino acids absorbed?

A

By inestinal epithelial cells
Similar to monosaccharide mechanism
Energy required to maintain electrochemical gradient

20
Q

What makes Sucrose?

A

Glucose + fructose

21
Q

What makes lactose?

A

Glucose & galactose

22
Q

What makes maltose?

A

2x glucose