Digestion of Fats, vits, mins Flashcards

1
Q

How is the majority of water absorbed in the GIT?

A

Passive diffusion through the tight junction following the osmotic Na gdt

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2
Q

What does lipase act on?

A

The outside of a lipid droplet

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3
Q

How can lipase be made more efficient?

A

Reducing the size of lipid droplets

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4
Q

What is the effect of pancreatic lipase on TAGs?

A

TAG -> monoglyceride + 2 FAs

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5
Q

Is lipase water or fat soluble?

A

Water soluble

would be useless if soluble in fat

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6
Q

What is emulsification?

A

Large water droplets divided into smaller droplets (1mm) increasing its surface area

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7
Q

What are the requirements of emulsification?

A

Mechanical disruption

Emulsifying agent

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8
Q

How does mechanical disruption occur for gastric emulsification?

A

Smooth muscle contraction grinding/mixing lumenal contents

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9
Q

What are the emulsifying agents present in the gastric secretions?

A

Bile Salts

Phospholipids

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10
Q

What is the charge of emulsifying agents?

A

Amphiphatic (polar and non-polar portions)

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11
Q

What is the orientation of amphiphatic poles in fat droplets?

A

Non-polar side in the fat phase, polar in the water phase (makes it soluble)

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12
Q

What is the function of micelles?

A

Speed up the fat digestion process moreso that small droplets of fat
Carry FAs to the brush border membrane

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13
Q

How is the reformation of large fat droplets prevented?

A

Polar portions of the amphiphatic molecules repel the polar portions on others

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14
Q

Is the micelle absorbed?

A

No - the micelle is just a transportER

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15
Q

What are the components of a micelle?

A

Bile Salt
Phospholipids
Monoglycerides
Fatty acids

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16
Q

What is the effect of the acidic microclimate on micelles?

A

The FAs become proteinated, destabilising the micelle causing it to release them for diffusion across the membrane

17
Q

Are all FAs/MGs released at once?

A

No, some stored to contantly replenish free molecules

18
Q

Where do FAs/MGs go after entering the cell?

A

Smooth Endoplasmic Reticulum

19
Q

What does the sER do with FAs/MGs?

A

Reform into Triacylglycerols, then covered in an amphiphatic protein (emulsified)

20
Q

What happens with the TAG droplets?

A

Packaged into vesicles on sER membrane, processed by Golgi and exocytosed

21
Q

Where are TAG vesicles exocytosed into the extracellular fluid?

A

Serosal membrane

22
Q

What are extracellular fat droplets called?

A

Chylomicrons

23
Q

What do Chylomicrons contain? How large are they?

A
TAGs
PPLs
Cholesterol
Fat-soluble vitamins
1um diameter
24
Q

Where are Chylomicrons sent?

A

Passed into lacteals

25
What are lacteals?
Small lymphatic branches between endothelial cells
26
What are the fat soluble vitamins?
A D E K
27
What are the water soluble vitamins?
B group C Folic acid
28
How are water soluble vitamins absorbed?
Passive diffusion | Carrier mediated transport
29
Why is Vit B12 not passively absorbed?
Large charged molecule
30
How is B12 absorbed?
Binds to Intrinsic Factor in stomach | Absorbed by transport mechanism in Ileum
31
What is the name given to B12 deficiency?
``` Pernicious anaemia (RBC don't mature) ```
32
How much iron is absorbed in the intestine?
10%
33
What protein is used to transport iron across the brush border membrane?
DMT1 | Protein coupled
34
Where is iron transported to?
Duodenal enterocytes
35
How is iron bound in the cell?
Ferritin
36
What happens to unbound iron?
Transported across the serosal membrane | Stored as transferrin in the blood
37
What is the ferritin expression in Hyperaemia?
Increased ferritin levels, more iron bound in the cells
38
What is the ferritin expression in anaemia?
Decreased ferritin levels, less iron bound in cells, more in blood
39
What is the risk of having free iron in the cell/blood?
Formation of oxygen free radicals