Digestion and Absorption of Nutrients Flashcards
The major routes of absorption for glucose are:
SGLT-1, GLUT-5, and GLUT-2
Collectively the microvillous regions constitute the ___________.
Brush border
Final breakdown of carbohydrates, proteins and fats occur in:
Small Intestine
Is most commonly caused by deficiencies in carbohydrate-splitting enzymes in the intestinal brush border
Diarrhea caused by the poor assimilation of dietary carbohydrates
Peptide bonds are hydrolyzed by: ____________
Peptidases
Cleaves proteins at hydrophobic amino acids
Elastase
Luminal digestion of starch begins in mouth with the action of: ______________
Salivary α-amylase
Cellulase
Enzyme not present in human GI tract that is capable of digest the B-glucose bonds of cellulose and hemicellulose
Sercete enzymes in pancreas
Exocrine cells
Most nutrients are absorbed in: _____________
Ileum
High-molecular-weight polysaccharide similar to amylopectin in molecular structure but having considerably more 1,6- linkages
Glycogen
Is nonexistent because pancreatic amylase is secreted in tremendous excess.
Maldigestion of starch in humans
GI Physiology can be affected by:
Starvation, irradiation, and the loss of a portion of the bowel.
Exits the basolateral membrane by another facilitated diffusion, involving the GLUT-2 transporter.
Fructose
Acid secretion is stimulated by __________ and accompanied by morphologic changes in __________.
Extracellular Signals, Parietal Cells
Is the most frequently observed congenital disaccharidase deficiency and can exist in the absence of any other intestinal malfunction.
Lactase Deficiency
Solubilization is aided by the release of bile salts from the gallbladder, this process is stimulated by:
Cholecystokinin
The H + transported by the proton pump are supplied by:
Carbonic Anhydrase
Glucose and chemically related sugars are absorbed by: ______________
Na+ dependent secondary active transport process
Similar to amylose but in addition to α-1,4- linkages there is a α-1,6-linkage for every 20 to 30 glucose units.
Amylopectin
Final digestion of oligopeptides and dipeptides is carried out in the small intestine by:
Endopeptidases, Dipeptidases, and Aminopeptidases
Polysaccharides and oligosaccharides are absorbed as:
Polysaccharides
Who secrete enzyme in mouth?
Glandular Cells
Cimetidine or Ranitidine
H2 antagonist (prevent histamine release)
Cleaves proteins at aromatic amino acids
Chymotrypsin
The only products of sugar digestion are:
Glucose, Galactose, and Fructose
What happened to di and tripeptides within the enterocytes?
Are hydrolyzed to their constituent amino acids
Bile salts and pancreatic enzymes act on the lipid emulsion that take place in the:
Duodenum
Describe 2nd step of digestion
Secretion of enzymes that break down macromolecules to a mixture of oligomers, dimers, and monomers.
All lactose is broken down into glucose and galactose by
Lactase
Produces mainly 2-monoacyl glycerols (2- MAG), which are absorbed into enterocytes.
Pancreatic Lipase
Is approximately 50% of the calories ingested
Daily Intake of Carbs
In these cases the patients show no symptoms when they are fed fructose
Intolerance to glucose and galactose
Are associated with inflammation in the small bowel mucosa. These conditions are often attended by brush border enzyme deficiencies.
Celiac disease, certain bacterial infections, and some protozoan and helminth infections
Break down large polypeptides into smaller oligopeptides
Endopeptidases
Protects the stomach from the effects of the strong acid.
Alkaline Mucus secreted by epithelial cells
Who secrete enzymes in stomach?
Chief Cells
Covalently modifies cysteine residues located in the extracytoplasmic domain of the α- subunit and inhibits the proton pump, blocking H secretion
Omeoprazole
Cells that made digestion,
absorption, and secretion
Enterocytes
Secrete lysozymes and defensins that destroy bacteria or produce inflammatory responses.
Paneth Cells
The absorptive processes start in: ___________
The Jejunum
Is activated to pepsin in the acidic environment of the stomach lumen.
Pepsinogen
Is a disaccharide consisting of glucose and fructose
Sucrose
Acts on H2 receptors and is activated by gastrin
Histamine
Digestion and absorption of essentially all major dietary products take place in ______
Small Intestine
Describe 1st step of digestion
Lubrication and homogenization of food with fluids secreted by glands of the intestinal tract.
Osmotic retention of water in the lumen leads to:
Diarrhea, bloating, and abdominal pain
Describe 3rd step of digestion
Secretion of hydrogen ion and bicarbonate within different parts of the GI tract to optimize the conditions for enzymic hydrolysis.
During periods of health the principal substances absorbed from the colon are:
Water and Electrolytes
Facilitates absorption of vitamin B 12 in the intestine .
Intrinsic factor (IF) secreted by parietal cells
In humans, the time needed to replace the entire population of intestinal epithelial cells is:
3 to 6 days
Where is absorbed medium and short chain FA?
Are absorbed into the portal blood
Remains inactive in the presence of bile salts normally secreted into the small intestine.
Pancreatic Lipase
Recycling of bile acids and absorption of the SCFAs produced by:
Colonic Bacteria
Is the site of activity for a number of digestive enzymes, it is also the barrier that must be traversed by nutrients, water, and electrolytes on the way to the blood or lymph.
Brush Border
The H + secretion is dependent on: ________
The parallel export of K + through luminal K + channels
Triggers the release of the main digestive enzymes by the pancreas as well as the contraction of the gallbladder to release bile.
Cholecystokinin in pancreatic phase of digestion
Responsible for the exit of glucose and galactose from the absorbing cell
GLUT-2
Cells that secrete mucus
Goblet Cells
Comprises approximately 30% of the total carbs intake
Sucrose
Are synthesized as inactive zymogens and are only activated on their release to the gut lumen
Enzymes involved in the digestion of protein (proteases)
Enzymes in mouth
Amilasa and Lingual Lipase
Consists of cholesterol, cholesteryl esters, phospholipids, and nonesterified fatty acids (NEFA).
Tryacyglycerols
Wich Enzyme is responsible for active Pancreatic Lipase?
Colipase
-Binds to both the waterlipid interface and the pancreatic lipase, activating the enzyme.
Secrete pepsinogen, which is a precursor of pepsin
Chief Cells
Enzymes secreted by small intestine:
Enterokinase, Disaccharides, Maltase, Sucrase, Lactase, Trehalase, Isomaltase, Peptidase, Dipeptidase
Luminal digestion of starch ends in small intestine with the action of: ______________
Pancreatic a-amilase
Cleaves proteins at arginine and lysine residues
Trypsin
____________ are transferred to the rough endoplasmic reticulum for resynthesis into TGs by a FA binding protein
Greater than 12 carbons FA
Major enzyme secreted by the pancreas
Pancreatic Lipase
Enzymes of stomach
Pepsin and Gastric Lipase
Remove amino acids from the carboxy terminus of the polypeptide
Carboxypeptidase
Is the most active enzyme, but sucrase and isomaltase also cleave these bonds
Glucoamylase
Parietal cell activity is stimulated by the action of: ___________
Histamine
Describe the protein digestion in the stomach.
- The HCl reduces the pH to 1-2, with consequent denaturation of dietary proteins
- Denaturation unfolds polypeptide chains, making proteins more accessible to proteases
- Chief cells of gastric mucosa secrete pepsin
Human salivary and pancreatic amylases have optimum activities near ______ pH and are activated by _________.
Neutral, Cl
Cleaves 100% of sucrose to yield glucose and fructose.
Sucrase
Is a high-molecular-weight compound consisting of two polysaccharides, amylose and amylopectin
Starch
Remove amino acids from amino terminus
Aminopeptidases
Mixing of food and initiation of digestion take place in: ____________
The mouth and stomach
Transport the lipids to the brush border of the enterocyte
Micelles
Enzyme secreted by pancreas
Amylase, Trypsin, Chymotripsin, Carboxypeptidase, Elastase, etc
Secreted bile salts pass into the ileum, where they are reabsorbed and transferred back to the liver through the:________________
Enterohepatic Circulation
In this patients the SGLT-1 transporter is absent, whereas GLUT-5 is present
Patients with intolerance to glucose and galactose
Is secreted by G cells and is triggered by food entering the stomach
Gastrin
Is a rare disease found primarily in children.
Intolerance of sucrose and Isomaltose
Treatment of acid-related symptoms, such as dyspepsia or gastroesophageal reflux, can be achieved with:
Antiacids, H2 antagonist or proton pump inhibitors
Act as detergents and reversibly form lipid aggregates, micelles
Bile Acids
Antiacids function
Neutralize PH
What happened in the final step of digestion of peptides?
The transfer of free amino acids out of the enterocyte into the portal blood
Cell proliferation, differentiation, and maturation are influenced by:
GI hormones, growth factors, and the nature of the material in the lumen.
Is involved in the absorption of water and electrolytes and participates in the recirculation of the bile acids to the liver.
Large Intestine
Comprises approximately 1% of the total carbs intake
Maltose
Comprises approximately 50% of the total carbs intake
Starch
Is a straight-chain polymer of glucose linked by α-1,4-glycosidic bonds
Amylose
Hydrolysis of oligomers and dimers is mediated by:
Membrane-bound enzymes.
The end product of digestion of peptides are:
Free amino acids and di- and tripeptides.
Products of amylase action on starch and other major dietary sugars are hydrolyzed by: _________
Brush Border Carbohydrases
Generate hydrogen ions through the action of carbonic anhydrase and then pump them into the lumen by an ATP-dependent proton pump on the luminal membrane.
Parietal Cells
Comprises approximately 6% of the total carbs intake
Lactose
Is the chemical breakdown of food by enzymes
Digestion
Emulsification of dietary lipids are mediated by:
Bile Acids
Converts trypsinogen to active trypsin
Duodenal Enteropeptidase
Uptake processes include:
Active and Passive Diffusion
Fructose is absorbed by:_____________
Na+ independent facilitated diffusion
Are absorbed by secondary active transport via an Na +- dependent carrier system (SGLT-1).
Glucose and Galactose
Control the flux of solutes and fluid between the lumen and blood
Enterocyte Membrane
Pass directly through the enterocytes into the hepatic portal system
Medium and Short Chain FA (>10)