Exam 4 (Lecture 42) - Digestion and Absorption of Nutrients 2 Flashcards

1
Q

What is a protein made of?

A

Amino acids (up to 20 individual types)

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2
Q

List the proteolytic enzymes.

A

1) Pepsin
2) Chymosin (renin)
3) Trypsin
4) Chymotrypsin
5) Elastase
6) Carboxypeptidase A
7) Caboxypeptidase B

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3
Q

What are proteolytic enzymes required for?

A

Protein digestion

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4
Q

How do endopeptidases work?

A

Break proteins at internal points along the amino acid chains.

Results in the production of short chain peptides from complex proteins.

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5
Q

How do exopeptidases work?

A

Release individual amino acids from ends of peptide chains.

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6
Q

List the precursor, source, and activator for pepsin. Endopeptidase or exopeptidase?

A

1) Precursor
- pepsinogen

2) Source
- gastric glands

3) Activator
- HCl, pepsin

Endopeptidase

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7
Q

List the precursor, source, and activator for trypsin, chymotrypsin, elastase, carboxypeptidase A, carboxypeptidase B. Endopeptidase or Exopeptidase?

A

1) Trypsin:
- Precursor = trypsinogen
- Source = pancreas
- Activator = enterokinase, trypsin
Endopeptidase

2) Chymotrypsin:
- Precursor = chymotrypsinogen
- Source = gastric glands
- Activator = unknown

Endopeptidase

3) Elastase:
- Precursor = proelastase
- Source = pancreas
- Activator = trypsin

Endopeptidase

4) Carboxypeptidase A:
- Precursor = procarboxypeptidase A
- Source = pancreas
- Activator = trypsin

Exopeptidase

5) Carboxypeptidase B:
- Precursor = procarboxypeptidase B
- Source = pancreas
- Activator = trypsin

Exopeptidase

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8
Q

Trypsinogen from the pancreas is activated by _______? Where is this enzyme produced?

A

Enterokinase

Produced in duodenal mucosal cells.

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9
Q

Where does the luminal phase of protein digestion begin?

A

Stomach

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10
Q

Describe the cascade of intraluminal zymogen activation in the duodenum.

A
  • Activation of zymogens occurs in the lumen of the duodenum.
  • Pepsinogen from Chief cells is activated by HCl in the stomach lumen.
  • Trypsinogen from the pancreas is activated by enterokinase that is produced in the duodenal mucosal cells.
  • Trypsin serves as an autocatalytic agent to activate additional trypsinogen and the other pancreatic protein digesting enzymes.
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11
Q

Where is luminal phase protein digestion completed?

A

Duodenum

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12
Q

Describe the membranous phase of protein digestion.

A
  • Occurs due to the action of hydrolytic enzymes.
  • Membranous phase enzymes are synthesized within the enterocyte and chemically bound to the surface epithelium.
  • Peptide digesting enzymes (peptidases) are present on the enterocyte surface membrane and extend into the glycocalyx and inside the enterocyte.
    - Peptidases hydrolyze oligopeptides
    yielding free amino acids
    - Some of the longer-chain peptides are
    incompletely digested, yielding
    dipeptides and tripeptides
  • Di and tripeptides that are absorbed intact are subsequently hydrolyzed by the action of intracellular peptidases.
  • Results in the formation of free amino acids that are available for absorption into the bloodstream.
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13
Q

Describe neonatal digestion.

A

Proteins must be absorbed in tact (horses, cattle, sheep and swine).
- No antibodies are passed through the
placenta; must be acquired via
ingestion of colostrum

3 Primary Digestive Tract Alterations:
1) Acid secretion from the stomach is
delayed for several days after birth

  2) Trypsinogen secretion from pancreas
       is delayed (acid and trypsin digestion
       of proteins is avoided)

   3) A specialized intestinal epithelium
       present at birth is only capable of 
       engulfing soluble proteins in the 
       intestinal lumen and discharging 
       them into the lateral spaces

**After 24 hours, this special epithelium starts to disappear and large molecules can no longer be absorbed.

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14
Q

Describe small intestinal absorption. Why are active transport mechanisms needed?

A

Movement of digested products in SI:
Across enterocyte epithelium > enterocyte > blood

  • Molecules move across membrane barriers in response to chemical and electrical gradients.
  • When molecules can freely penetrate a membrane:
    - Movement across is determined by diffusion and
    differences in chemical and electrical gradients
    - Molecules flow from areas of high concentration to
       areas of lower concentration
    
    - Charged particles move to areas of  opposite charge. 
  • Active transport mechanisms are important in order to keep these electrochemical gradients in place so that molecules can flow from high concentration to low concentration.
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15
Q

Describe active transport.

A

During active transport, energy that is stored as ATP is expended to move ions or molecules across membranes against an electrical or chemical gradient.

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16
Q

Describe secondary active transport.

A

Secondary Active Transport:
- Transport mechanisms that harness the potential
energy of the sodium gradient.

  • Process proceeds only if there is an electrochemical gradient for the Na+
  • Large Na+ gradient (normal); provides the energy to “pull” the co-transported molecule (glucose) from an area of lower concentration to and area of higher concentration.

**Direct expenditure of energy is by the Na+K+ ATPase pump.
- Creates and maintains the Na+ electrochemical
gradient
- Glucose transport is secondary to the active transport
of sodium

17
Q

Describe tertiary active transport.

A

Chloride/Bicarbonate (Cl-/HCO3-) Antiport Exchanger

Occurs via transport pathway proteins and is driven by electrochemical gradients established by Na+/H+ exchanger.
- Na+/K+ ATPase pump (primary active transport)
establishes the gradient that drives the Na+/H+
exchanger (secondary)

  - Na+/H+ exchanger establishes the gradient that drives
    the Cl-/HCO3- exchanger (tertiary)
18
Q

Describe passive transport.

A

1) Transcellular Absorption:
- Absorption through the apical membrane using ion
channels

  - Ion channels are proteins within enterocyte apical
    membrane

 - No metabolic energy is directly required to effect ion
   movement

2) Paracellular Absorption:
- Absorption through the tight junctions between
enterocytes

** Transcellular and paracellular absorption work in a complementary manner to produce an efficient absorptive process.