Gastrointestinal: Digestion and absoprtion Flashcards

1
Q

What are the 2 composites of food?

A

Macro and micro constituents

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2
Q

What are the macro-constituents? (3)

A
  • Carbohydrate
  • Protein
  • Lipids
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3
Q

What are the micro-constituents? (3)

A
  • Vitamins
  • Minerals
  • Water
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4
Q

How much carb should we get a day and what is it consumed as?

A

250-800g a day

Disaccharides or polysaccharides

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5
Q

What are examples of carbs? (6)

A
Sucrose
Lactose
Maltose
Starch
Glycogen
Cellulose
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6
Q

What is the carbohydrate problem and what enzymes are used to solve it? (2)

A

Can only be absorbed as monosaccharides

  • Salivary amylase
  • pancreatic amylase
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7
Q

What are the 5 other digestion enzymes and where are they located?

A
Dectrinase 
Glucoamylase
Sucrase
Lactase
Maltase
Located in the brush border of small intestine
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8
Q

How are monosaccharides such as glucose (2) and fructose absorbed?

A

Glucose: Secondary active transport across apical membrane
Glucose: Facilitated diffusion across basolateral membrane
Fructose: facilitated diffusion across both membranes

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9
Q

How much protein a day should we get and where do we get it from? (3)

A

125g/day, only need 40-50g though

  • consumed in diet
  • secreted into lumen of intestinal tract
  • sloughed off with cells lining intestinal tract
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10
Q

What are examples of protein digestion products? (3)

A
  • amino acids
  • dipeptides
  • tripeptides
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11
Q

What are the 3 types of proteases?

A

Endopeptidases
Zymogens
Exopeptidases

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12
Q

What does a exopeptidase do? (2)

A

Cleave off A.A. from one end of polypeptide

Product = A.A.

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13
Q

What does an endopeptidase do? (2)

A

Split polypeptide at interior peptide bonds

Product = small peptide fragment

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14
Q

What do zymogens do? (4)

A
  • inactive storage form of proteases
  • Stored im zymogen granules
  • Secreted by exocytosis
  • Activated by proteolytic activation
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15
Q

How is protein digested in the stomach? (2)

A

Pepsin is secreted: pepsinogen

Activated by acid

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16
Q

How is pepsin activated and what does it do? (3)

A

Chief cell secrete pepsinogen
HCl cleaves pepsinogen to pepsin
Parietal cells secrete HCl

17
Q

List the proteases in the pancreas (3) and the brush border (2):

A

Pancreas: trypsin, chymotrypsin, carboxypeptidase

Brush border: aminopeptidase, enterokinase

18
Q

How are amino acids absorbed?

A
  1. Cross apical membrane - active transport
  2. Broken down inside cell to A.A.
  3. Amino acids cross basolateral membrane - facilitated diffusion
19
Q

How much lipid should we intake a day?

A

25-160g/day - 90% triglyceride

20
Q

Why are lipids hard to digest and absorb? (3)

A
  • Not water soluble
  • Do not mix with stomach/intestinal contents
  • Form fat droplets
21
Q

What is the enzyme of lipid digestion called?

22
Q

Where is lipase secreted from and how does it work?

A

Secreted from the pancreas

Bind to the edge of the fat droplets

23
Q

What are bile salts and where are they secreted from?

A

Bile salts break lipids into smaller droplets

Synthesised in the liver from cholesterol

24
Q

What do triglycerides turn into?

A

Monoglyceride + 2 fatty acids

25
How are monoglycerides and fatty acids absorbed? (3)
Simple diffusion across epithelium - due to equilibrium Enter smooth ER - reform triglycerides Lipids enter Golgi - packaged into chylomicrons
26
What happens to chylomicrons? (2)
Secreted by exocytosis into interstitial fluid | Enter lymphatic system via lacteal
27
What is the route of enterohepatic circulation? (8)
1. Liver 2. Gallbladder 3. Common bile duct 4. Duodenum 5. Bile salts 6. Ileum 7. Capillaries 8. Hepatic portal vein
28
How do we absorb vitamins? (3)
Absorbed with lipids (A, D, E, K) Dissolve in droplets, micelles, chylomicrons Some require special transport systems (B12)
29
How do we absorb minerals? (3)
Solvent drag with water reabsorption (Na+) Passively follows sodium absorption (Cl-) Passively absorbed (K+)
30
How do we absorb calcium? (4)
- Actively absorbed in duodenum and jejunum - Binds to brush border protein - Transported to epithelial cell - Transported across basolateral membrane by Ca2+ pump
31
How do we absorb iron? (5)
- Transferrin secreted by enterocytes in small intestine - Transferrin binds iron - Taken into cell by endocytosis - Some stored as ferritin in enterocytes - Some transported into blood
32
How do we absorb and secrete bicarbonate? (2)
Jejunum - bicarbonate ions passively absorbed | Ileum and colon - bicarbonate secreted in exchange for chloride ions
33
How do we absorb water? (4)
- 7L of secretions - 2L intake - Passive absorption - Follows solutes by osmosis
34
What are the 3 absorbing abnormalities?
- Failiure of substances to reach absorbing epithelium - Absorbing substances unavailable - Loss of absorptive surface