Digestion and absorption of lipids- the handling of iron in the body Flashcards

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1
Q

What are the sites of lipid digestion?

A
  • The mouth, stomach, small intestine.
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2
Q

Discuss lipid digestion in the mouth.

A
  • Mechanical digestion: mastication emulsifies lipids into tiny droplets.
  • Chemical digestion: saliva contains lingual lipase which hydrolyses medium and long chain triglycerides.
  • Products are: diglycerides, monoglycerides + fatty acids. ‘Serine proteases’
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3
Q

Discuss lipid digestion in the stomach.

A
  • 2 enzymes act in stomach: lingual + gastric lipase.
  • Both hydrolyse ester bonds in medium and long chain triglycerides.
  • Products: diglycerides + fatty acids.
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4
Q

Discuss lipid digestion in the small intestines.

A
  • Emulsification continues, to increase surface area for the enzymes to work on.
  • This is achieved via peristalsis and bile salts secreted by gallbladder: detergent properties.
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5
Q

Discuss chemical digestion is small intestine.

A
  • Pancreas secretes pancreatic lipase + pancreatic co-lipase.
  • Act together to work on triglycerides. they form a complex that spreads over the surface of fat droplet.
  • Continue to hydrolyse triglycerides to monoacylglycerol and fatty acids.
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6
Q

What are the pancreatic enzymes involved in lipid degradation?

A
  • Cholesterol esterase: hydrolyses cholesterol esters to cholesterol and free fatty acids.
  • Phospholipase A2: digests phospholipid into Lyso-phospholipid by removing 1 fatty acid. Activated by trypsin.
  • Lysophospholipase: removes the remaining fatty acid, leaving glycerylphosphoryl.

*Bile salts required to encourage all.

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7
Q

What are products of lipid digestion?

A

Mixed micelle:
- Bile salts
- Free fatty acids
- Free cholesterol
- 2-monoacylglycerol
- Phospholipid

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8
Q

Discuss absorption of lipids into enterocytes.

A
  • Mixed micelle gets to brush borders.
  • Layer of water adjacent to brush border known as unstirred water layer.
  • As hydrophilic layer of micelles interacts with this layer.
  • It facilitates transport of the hydrophobic lipids across the water layer to the brush border membrane.
  • Short medium FAs don’t need micelle for transport.
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9
Q

Discuss chylomicron formation.

A

-FAs and monoglycerides are transported to ER
-then built back up into triglycerides.
- The triglycerides are grouped with other digestion products-phospholipids, cholesterol ester, free cholesterol.
- These products are packaged into a transporter known as chylomicrons and goes to Golgi apparatus.

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10
Q

Discuss the chylomicron life cycle.

A
  • Chylomicrons are extruded from Golgi apparatus into exocytotic vesicles.
  • Transported into the basolateral membrane.
  • These vesicles then fuse with the plasma membrane + undergo exocytosis, then dumped into extracellular space where there enter lymph.
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11
Q

Discuss iron level regulation?

A
  • Very carefully regulated.
  • Body has 2-4g of iron.
  • Average intake is 20mg daily.
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12
Q

Discuss Iron digestion.

A
  • Iron comes into body attached to haem(red meat) or non-haem iron (freely).
  • In the stomach + SI: haem iron hydrolysed by proteases to remove iron from haem group.
  • HCl also aids in releasing iron from food.
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13
Q

Discuss iron absorption.

A
  • For iron to enter enterocyte, needs to be in Fe2+.
  • Haem iron: absorbed into enterocyte via haem carrier protein 1.
  • Once inside, haem oxidase acts and we get Fe2+ and haem.
  • Non-haem iron: Fe3+ is reduced by reductase duodenal cytochrome B (DcytB) to Fe2+
  • Then transported via divalent metal transporter 1(DMT1).
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14
Q

Discuss the storage of iron.

A
  • Stored in enterocyte.
  • Iron is stored as Fe3+ as ferritin.
  • Fe2+ in enterocyte is converted back to Fe3+ by hephaestin.
  • Fe3+ is moved around body by transferrin.
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15
Q

What are the things that interfere with the absorption of iron?

A
  • Tannins in tea
  • Oxalate, Phytate from plants
  • Antacids that contain phosphate
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16
Q

Discuss iron transport.

A
  • Moved in Fe3+ state by transferrin.
  • Transferrin without Fe3+ is known as apotransferrin.
17
Q

How does iron enter a cell?

A
  • By receptor mediated endocytosis via a transferrin receptor.
  • When cell is deficient in iron it makes more transferrin receptors.
  • A CURL (compartment of uncoupling of receptor and ligand) is formed.
  • Fe3+ is released and stored in ferritin in the cytoplasm of the cell.
  • Apotransferrin is recycled to the surface of the cell.
18
Q

What is CURL?

A
  • Compartment of uncoupling of receptor and ligand.