Digestion and Absorption Flashcards

1
Q

What is the purpose of enterokinase?

A

It cleaves pepsinogen to pepsin

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2
Q

What enzymes come from the stomach?

A

pepsin

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3
Q

What enzymes come from the pancreas

A
amylase
trypsin
chymotrypsin
carboxypeptidase
lipase-colipase
phospholipase a
Cholesterol esterase
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4
Q

what enzymes come from intestine?

A
enterokinase
disaccharidases
maltase
sucrase
lactase
trehalase
isomaltase
peptidases
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5
Q

What is the most important part of the small bowel?

A

ileum, otherwise you can remove up to 60-70% and be fine.

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6
Q

Explain the changes of tight junctions in the small bowel as you go down

A

In the duodenum, the tight junctions are fairly loose.

once you get to the ileum, they are very tight.

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7
Q

What does amylase do? what type of link does it target?

A

Amylase digests to maltose and maltotriose.

Amylase targets 1:6 links

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8
Q

What is the most common disaccharide?

A

sucrose

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9
Q

How is glucose mainly absorbed: active or passive:

A

active

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10
Q

What are the three transporters for carbohydrate absorption? what are each’s actions?

A

SGLT1 - two Na and Glucose/Galactose

GLUT2 - exits for glucose, galactose, and fructose (all three competing for access to glut2 to exit luminal cell)

GLUT5 - fructose absorption

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11
Q

What is the first stage of protein degradation?

A

pepsin (breaks peptide border), breaking them into di/tripeptides, large peptides and free amino acids

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12
Q

where is trypsin cleaved?

A

cleaved in the brush border by enterokinase

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13
Q

How are carboxypeptidases A and B different from the other peptidases?

A

They only cleave off one enzyme at a time.

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14
Q

Explain the actions of trypsinogen

A

Trypsinogen is cleaved by enterokinase to trypsin. Trypsin then activates more trypsin, chymotrypsin, elastase, and carboxypeptidases A and B

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15
Q

How big can protein particles be to be absorbed in the small intestine?

A

at most, tripeptides. do not leave the lumenal cell until they are individual amino acids

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16
Q

When there is an absence of carriers for a basic amino acid, how do we absorb them?

A

We absorb them as dipeptides still so we can obtain that nutrients.

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17
Q

What is hartnup’s dz due to?

A

a lack of neutral amino acid carriers

18
Q

what can result from hartnup’s dz?

A

phellagra

19
Q

What are the major three enzymes of triglyceride breakdown?

A

pancreatic lipase
cholesterol ester hydrolase
phospholipase A2

20
Q

Explain the actions of pancreatic lipase (long answer)

A

Secreted as active substance. Breaks triglycerides, specifically on 1 and 3 arms. Yields 2 FAs and a monoglyceride.

Also acts on emulsion droplets, secreted 1:1 with colipase (not an enzyme) and binds to droplets displacing a BA, allowing PL to bind to emulsion droplet

Additionally binds to micelle to keep TG source nearby

21
Q

What are the actions of cholesterol ester hydrolase?

A

specific for all links of TG

nonspecific

22
Q

What does phospholipase A2 do?

A

releases FA from the 2nd carbon of glycerol

23
Q

What type of absorption is the most calorie intense absorption?

A

lipid absorption

24
Q

What does FABP do?

A

takes FA from the membrane to the SER, so you can maintain diffusion gradient

25
Q

What happens once you bring the FA to the SER?

A

we resynthesize TG in SER, with fatty acyl CoA synthase. going from acyl coa -> DG -> TG. The lacteal then absorbs the TG

26
Q

once the SER resynthesizes the TG, what happens?

A

They are taken to chylomicrons and released in the lymph by the lacteal

27
Q

What are the four fat soluble vitamins?

A

ADEK

28
Q

What do we need to absorb B12?

A

IF in the ileum

29
Q

How many liters of water does the duodenum and jejunum absorb?
the ileum?
the colon?

A

4

  1. 5
  2. 4
30
Q

In the colon, absorption of Cl is linked to secretion of what?

A

HCO3, which is why the stool water is very basic

31
Q

What is secreted in the colon in exchange for Na?

A

K,

32
Q

What are the two types of diarrhea? what are the xauses of each?

A

osmotic - impaired absorption, accumulation of solutes, lack of enzymes, decreased absorptive surface, precipitation of bile salts, motility

secretory - increased secretion by crypt cells, bacteria: cholera, increased secretory hormones, increased adenylate cyclase, activation of apical Cl channels

33
Q

What protein is needed for iron absorption?

A

Transferrin

34
Q

Where are satiety signals integrated?

A

hypothalamus

35
Q

What are the two parts of the arcuate nucleus of the hypothalamus? what are their functions?

A

POMC - neurons secreting aMSH (INH intake and stimulate metabolism)

NPY - stimulated by hunger, does opposite

36
Q

What does ghrelin do?

A

It stimulates food intake and the NPY and blocks the POMC

37
Q

Source, site of action and effect of Insulin

A

pancreatic beta cells

hypothalamus

decrease appetitei increase metabolism

38
Q

Source, site of action and effect of leptin

A

fat cells

hypothalamus, decrease NPY and increase POMC

decrease appetite and increase metabolism

39
Q

Source, site of action and effect of cck

A

i-cells of duodenum

vagal afferents

decrease appetite, decreased gastric empyting

40
Q

Source, site of action and effect of pyy

A

L-cells of ileum and colon

hypothalamus,

decrease appetite
increase gastric empyting

41
Q

Source, site of action and effect of ghrelin

A

endocrine cells of oxyntic gland area of the stomach

hypothalamus
increase appetite
gastric emptying