Ions, vitamins and minerals Flashcards

1
Q

What is molar, mM, µM, nM, pM and fM and thei conversions?

A

Molar = one mole per litre

Millimolar (mM)       10-3
Micromolar (µM)     10-6
Nanomolar (nM)      10-9 
Picomolar  (pM) 	10-12 
Femtomolar  (fM) 	10-15
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2
Q

What is diffusion?

Is it faster over macroscopic or microscopic distances?

A
  • The process whereby atoms or molecules intermingle because of their random thermal motion.
  • Diffusion occurs rapidly over microscopic distances, but slowly over macroscopic distances.
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3
Q

What is a hypotonic solution?

A

Solution that has less solute and more water than another solution

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4
Q

What is the pathway of water in osmosis (tonicity of solutions)?

A

hyptonic ->isotonic->hypertonic

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5
Q

What are the two broad types of transport?

A

Transcellular - through epithelial cells

Paraceullular - through tight junctions and lateral intercellular spaces

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6
Q

Which membrane transporters are faster - channel or carrier protein?

A

channel protein

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7
Q

What are some types of ion channels?

A

Ion channels can be voltage gated, ligand gated, mechanically gated

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8
Q

What are the types of carrier protein mediated transport?

A

Uniport -one
Symport - cotransported
Antiport - counter transport

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9
Q

What is primary active transport and give an example?

A

Linked directly to cellular metabolism (ATP powered)

E.G. Sodium Potassium ATPase

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10
Q

What is secondary active transport and give an example?

A

Derives energy from concentration gradient of another substance actively transported

E.G. Bicarbonate/Chloride counter-transport, SGLT-1

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11
Q

What is the importance of facilitated diffusion?

A

Enhances rate a substance can flow down a concentration gradient
so it can reach equilibrium.

E.G. GLUT-5, GLUT-2

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12
Q

How are glucose and galactose absorbed?

A
  • Absorption of glucose & galactose is by secondary active transport
    Carrier protein = SGLT-1 on apical membrane.
  • SGLT1 can transport glucose uphill against its concentration gradient (so effective when glucose at levels in the lumen are below those in the enterocyte)
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13
Q

How is fructose absorbed?

A
  • Absorption of fructose is by facilitated diffusion
  • Carrier protein = GLUT-5 on apical membrane.
  • Effective at relatively low concentrations of fructose in the lumen as tissue and plasma levels are low
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14
Q

How does glucose exit the enterocyte and enter the blood?

A
  • Exit of glucose at the basolateral membrane is by facilitated diffusion. Carrier protein = GLUT-2, a high-capacity, low-affinity facilitative transporter.
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15
Q

What % and volume of water is absorbed by the GI tract and how?
Which part of the GI tract absorbs the most water?

A
  • 99%
  • It is absorbed by the action of ion absorption
  • Most water is absorbed in the small intestine (especially the jejunum)
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16
Q

How are many ions absorbed and are Ca2+ and iron completely absorbed?

A

Many ions absorbed slowly by passive diffusion and Ca2+ and iron are incompletely absorbed due to regulation.

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17
Q

How much water is absorbed by the small and large intestine?

A

SI - 8L

LI - 1.4 (DAILY)

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18
Q

Where does the water in the GI tract come from?

A
  • Ingestion (2L)
  • Saliva (1.2L)
  • Gastric secretions (2L)
  • Bile (0.7L)
  • Pancreas (1.2L)
  • Intestine (2.4L)
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19
Q

What is the name of the process by which water is reasborbed?

A

Standing gradient osmosis (driven by Na+)

20
Q

How does sodium enter enterocytes?

A

Sodium gets into the cells via different methods depending on location of the enterocyte:

  • Proximal bowel uses counter transport for H+
  • Jejunum uses cotransport with amino acids, monosaccharides
  • Ileum uses cotransport with Cl-
  • Colon uses restricted movement through ion channels
  • Cl- is cotransported with Na+ in the ileum and exchanged with HCO3- in the colon
21
Q

Describe the standing gradient osmosis

A

High intracellular sodium is controlled by:

  • Active transport of Na+ into lateral intercellular spaces by Na+/K+ATPase
  • Cl- and HCO3- transports into the intercellular space by electrochemical gradient of Na+
  • High concentration of ions in intercellular spaces (hypertonic)
  • Osmotic flow of water from the gut lumen via adjacent cells, tight junctions into the intercellular space
  • Water distends the intercellular channels and causes increased hydrostatic pressure
  • Ions and water move across the basement membrane of the epithelium and are carried away by the capillaries
22
Q

Calcium absorption - where does majority occur, what does a calcium deficiency do to absorption, what stimulates its absorption, how much is absorbed daily, and at rest what are the relative concentration of intra and extracellular calcium?

A
  • Most absorption of calcium occurs in the duodenum and ileum
  • A calcium deficiency increases the gut’s ability to absorb calcium
  • Vitamin D and parathyroid hormone stimulate absorption of calcium
  • Even though we ingest 1-6g of calcium a day, we only absorb about 0.7g of it
  • This is because it is regulated
  • At rest, there is a low (nm) intracellular concentration and a high (micromole) extracellular concentration
23
Q

How is calcium transported across the apical membrane?

A

Absorption via 2 types of transporter:

  1. Facilitated diffusion – IMcal (intestinal calcium binding protein)
  2. Ion channel
24
Q

How is calcium transported whilst maintaining low intracellular concentrations (because it is a signalling molecule)?

A
  • Binds to calbindin in cytosol to make it inactive
  • Calcium pumped out of basolateral surface by:
    Ca2+ATPase (PMCA)
  • PMCA has a high affinity but low capacity
  • Maintains the low intracellular concentration.
  • It is also pumped out by Na+/Ca2+ exchanger against its concentration gradient
  • It has a low affinity but high capacity so needs larger concentrations of calcium to be effective (hence it works before the PMCA to reduced the large calcium amounts)
25
What is vitamin D important for and what does a deficiency cause?
- needed for calcium absorption | - causes rickets or osteoporosis
26
How is vitamin D taken up and what are its functions?
Taken up by enterocytes Functions to: - Enhance transport of Ca2+ through cytosol - Increase level of calbindin - Increase number of Ca2+ATPase in membrane for faster extrusion from cell
27
What is iron needed for?
Oxygen transport (in haem) and oxidative phosphorylation (ETC)
28
Why must uptake of iron be regulated?
Iron in excess is toxic but there is no mechanism for excreting iron. Iron is necessary so must be absorbed fast but limited too.
29
How much iron do adults ingest and absorb daily?
15-20mg | Absorb 0.5-1.5mg
30
How is iron present in the diet (as what)?
a) inorganic iron (Fe3+ ferric, Fe2+ ferrous) | b) as part of heme (haem) group (haemoglobin, myoglobin and cytochromes)
31
Can we absorb Fe3+ or Fe2+?
Fe2+
32
How is Fe3+ absorbed then?
- Fe3+ forms insoluble salts with (e.g. hydroxide, phosphate, bicarbonate) - Vitamin C reduction from Fe3+ to Fe2+
33
How is iron as part of haem absorbed?
We absorb this intact into the enterocyte via haem carrier protein 1 (HCP-1) which endocytoses via receptor mediated endocytosis. Fe2+ is then liberated by haem oxygenases
34
How does iron enter the blood?
- Ferric enters the blood via ferroportin (FP) - Hephaestin (HP) is a copper dependant ferroxidase that converts Fe2+ to Fe3+ on the basolateral side - Fe3+ binds to apotransferrin and travels in blood as transferrin (TF) - Hepcidin supresses FP
35
How does iron get from the duodenum lumen into enterocytes?
Duodenal cytochrome B (Dcytb- a membrane enzyme) catalyzes the reduction of Fe3+ to Fe2+ Fe2+ transported into cytosol via divalent metal transporter 1 (DMT-1), a H+-coupled co-transporter. Haem can bind to haem carrier protein 1 (HCP-1) which endocytoses via receptor mediated endocytosis. Fe2+ is then liberated by haem oxygenases Fe2+ binds to unknown factors, carried to basolateral membrane, moves via ferroportin ion channel into blood.
36
How are iron ions stored in ferritin?
- Iron can bind to apoferritin in cytosol to form ferritin micelle - Ferritin is a blobular protein complex (each can store 400 iron ions) - Fe2+ then oxidises to Fe3+ which creates a protein shell. - The micelle is lost when the enterocytes are shunted off the tip of the villi and excreted - Irreversible binding of iron to ferritin in the epithelial cells - Iron/Ferritin is not available for transport into plasma - Iron/Ferritin is lost in the intestinal lumen and excreted in the faeces - Increase in iron concentration in the cytosol increases ferritin synthesis
37
What are vitamins?
Organic compounds that cannot be manufactured by the body but are vital to metabolism.
38
How are vitamins absorbed mainly?
Passive diffusion
39
How are vitamin A, D, E, K uptaken?
Fat soluble vitamins (e.g. A, D, E, K) are transported to the brush border by micelles while K is actively taken up
40
How are vitamin C, B12, B1 and folic acid taken up?
By specific transport mechanisms
41
Vitamin B12 - where is it stored and what does impaired absorption lead to?
- Liver contains a large store (2-5mg) | - Retards the maturation of RBCs = pernicious anaemia
42
Vitamin B12 release from food and transport to duodenum
- Most Vitamin B12 is bound to proteins in food - Stomach low pH and pepsin releases B12 from food but the B12 is easily denatured by HCl - B12 therefore binds to R protein (haptocorrin) which is released by parietal cells and in saliva - R proteins are then digested in the duodenum
43
How does vit B12 resist digestion in the SI and how does it get into the blood?
- B12 binds to Intrinsic Factor (IF) secreted by parietal cells - IF is resistant to digestion. - B12/IF complex binds to cubulin (cub) receptor in distal ileum and is endocytosed (possibly by receptor mediated methods) - B12/IF complex broken down in mitochondria, B12 binds to transcobalamin II (TCII) and travels to liver in the blood
44
How does vitamin B12 bound to TCll enter the liver?
- TCII receptors on the liver allow uptake of complex. | - Proteolysis then breaks down the TCII inside the cell
45
How does K+ diffuse in the SI and colon?
K+ diffuses in paracellularly in the small intestine and out in the colon
46
Is iron in haem or the inorgnaic ion more readily absorbed?
Haem - 20% absorbed | Inorganic - 5%