GI absorption Flashcards

1
Q

what does absorption refer too

A

small molecules move through epithelila cells into underlying blood or lymphatic vessels

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2
Q

where does absorption tend to occur

A

-about 90% occurs in the small intestine

-10% in the stomach and large intestine

-any undigested or unabsopred material is passed into large intestine

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3
Q

how does absorption occur in the small intestine

A

simple diffusion, facillitated diffusion, osmosis and active transport

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4
Q

what kind of substances can diffuse through cell membeane without the aid of a channell

A

small, lipid soluble substances
e.g. steroid hormones

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5
Q

name the 2 types of active transport mechanisms and describe them

A

-Primary active transportdirectly uses a source of chemical energy (e.g., ATP) to move molecules across a membrane against their gradient.

-Secondary active transport(cotransport), on the other hand, uses an electrochemical gradient – generated by active transport – as an energy source to move molecules against their gradien

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6
Q

why is the sodium-potassium pump a key in the intestinal absorption

A

-moves 3 Na ions out of cells and 2K into them.

-also plays a major role in generating voltage across cell membrane

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7
Q

what macronutrients and micronutrients need to be absorped

A

macronutrients:

-Carbohydrates
-Lipids
-Proteins

micronutrients:

-Nucleic Acids
-Vitamins
-Minerals
-Water
-Drugs

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8
Q

discuss the carbohydrate startch

A

-long chains of glucose units (polysacharides)

-found in rice,pasta,potatoes ect

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9
Q

discuss the carbohydrate sugar

A

-shorter chains (mono-or-dissacharides)
-found in fruit and veg or dairy

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10
Q

what may a person experience who lacks the enzyme lactase

A

lactose intolerance
-diarrhoea
-flatulence

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11
Q

which monosaccharides require energy for absoprtion

A

-glucose
-galactase

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12
Q

why is fructose unable to be transported against electrochemical gradient

A

because its absoprbed by facillitated diffusion

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13
Q

discuss proteins and how we absorb them

A

-dietary sources of protein (meat,fish,eggs,)
-imtake varies across world
-also absorb proteins from digestive juices and dead mucousal cells
-long chains of amino acids (polypeptides)

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14
Q

name the proteins found in the following organs and describe what they do

A

stomach
-pepsin
produce smaller polypetide chains

pancreas
-trypsin
produce small peptide chains

small intestine microvilli
-specific peptidases
produce tripeptides, dipeptides and amino acids

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15
Q

what absorbs Di and Tri peptides

A

taken up by PepT1
-allows AAs to be liberated and absorbed into bloodstream

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16
Q

define lipids and list examples of some

A

sunstances that are more soluble in organic solvents than water

-triglycerides
-phospholipids
-cholesterol
-steroids
-fat soluble vitamins

17
Q

what are the effects of lipases triglycerides

A

break them into monoglycerides and fatty acids (short or long chain)

18
Q

discuss emulsification of lipids

A

breaks large lipid droplets into smaller droplets
-increase the surface area

-begins in stomach without churning

bile salts
-hydrophillic and hydrophobic regions

Recombined in sER of SI epithelial cells
FFA + monoglyceride → triglyceride

Proteins added
Chylomicrons formed
Triglycerides (90%)
Cholesterol (5%)
Phospholipids (4%)
Protein(1%)

19
Q

why do chylomicrons enter lymph rather than blood

how do they then enter the bloodstream

A

-they are too large to enter the blood

-lymphatic capillaries lack basement membrane and are more permeable to large particles

-they travel through lymphatic system to thoracic duct into bloodstream and then by blood to adipose tisseu

20
Q

list some organic substances that cannot be manufactured in the body

A

-vitamin C
-thiamine
-vitamin D
-vitamin A
-B12

21
Q

discuss vitamin absorption in the small intestine

A

fat-soluble vitamins -(A,D,K,E) carried by micelles and then diffuse into absorptive cells

water soluble vitamins- (C,B) absorbed by diffusion or by passive or active transport

vitamin B12-binds with intrinsic factor, is absorbed by endocytosis

22
Q

discuss vitamin absoption in the large intestine

A

-vitamin K and B vitamins from bacterial metabolism are absorbed

23
Q

why would a bile duct blockage lead to vitamin E deficinecy

A

-vitamin E is a fat soluble so must be carried via a micelle

-bile duct delivers bile to SI to allow micelle generation

24
Q

discuss electrolytes

A

-mostly along the length of small intestine
-usually active transport

ron and calcium absorbed in duodenum
-ionic iron is stored in mucosal cells with ferritin
-Ca2+ absoprtion is regulates by vitamin D and parathyroid hormone (PTH)

25
discuss electrolyte absorption
-Na+ is coupled with absorption of glucose and amino acids -K+ diffuses in response to osmotic gradients
26
discuss water absorption
-9L fluid absorbed per day -95% is absorbed in the small intestine by osmosis -Disturbance in mechanisms leads to water loss -Net osmosis occurs whenever a concentration gradient is established by active transport of solutes  -Water uptake is coupled with solute uptake -water absorption is paracellular and tightly regulated
27
discuss the causes of malabsorption
-anything that interferes with delivery of bile or pamcreatic juice -damaged intestinal mucosa (bacterial infection) gluten-sensitive enteropathy (celiac disease) -gluten damages the intestinal villi and brish border -treated by eliminating gluten from diet (all grains but rice and corn)