Ions, Vitamins, Minerals Flashcards

1
Q

Quantify the following units:

Molar (M)
Milimolar (mM)
Micromolar (uM)
Nanomolar (nM) 
Picomolar (pM) 
Femtomolar (fM)
A

Mole (M) - one mole per litre

mM - 10^-3

uM - 10^-6

nM - 10^-9

pM - 10^-12

fM - 10^-15

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2
Q

Diffusion:

What is diffusion?

Diffusion occurs rapidly over what type of distances and slowly over what type of distances?

What do multicellular organisms evolve to bring individual cells within diffusion range?

What acts as a diffusion barrier?

What type of molecules diffuse easily? What type of molecules don’t?

A

Diffusion - process whereby atoms/molecules intermingle bc of their random thermal motion

Diffusion fast over microscopic distances
Diffusion slow over macroscopic distances

multicellular organisms evolve circulatory systems to bring individual cells within diffusion range

Cell membrane acts as diffusion barrier

Lipid soluble (non polar) molecules can diffuse more easily than water soluble (polar) molecules

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3
Q

How do molecules cross the epithelium to enter the bloodstream?

A

Paracellular transport- through tight junctions and lateral intercellular spaces

Transcellular transport - through the epithelial cells

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4
Q

Membrane transport:

Solutes can cross cell membranes by?

Types of transport proteins?

What type of transport protein transports solutes faster?

A

Solutes can cross cell membranes by:

  • simple diffusion
  • facilitated diffusion
  • active transport

Two types of transport proteins:
Channel proteins - aqueous pores. Can have ion channels - specific to ions
Carrier proteins - binds to solute and undergoes conformational change to transport it across membrane. Can carry out uniport, symport or anti port

Transport much faster through channel protein than carrier proteins

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5
Q

Types of active transport?

What is facilitated transport/diffusion?

A

Active transport requires energy:
-Primary active transport - linked directly to cellular metabolism, uses ATP

-Secondary active transport - derives energy from conc grad of another substance that’s actively transported

Facilitated transport:
Enhances rate a substance can flow down its conc grad, doesn’t require energy

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6
Q

Examples of primary active transporters?

Examples of secondary active transporters?

Examples of facilitated diffusion?

A

Primary active transporters:

  • Na+/K+ ATPase (pancreatic HCO3- secretion)
  • H+/K+ ATPase (stomach - parietal cell)

Secondary active transporters:

  • SGLT-1 co-transport (small bowel absorption of monosaccharides)
  • HCO3-/Cl- counter transport (pancreatic HCO3- secretion)
  • Na+/H+ counter transport (pancreatic HCO3- secretion)

Facilitated diffusion:
GLUT-5, GLUT-2 (small bowel absorption of monosaccharides)

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7
Q

Absorption of carbohydrates:

Via what type of transport are glucose and galactose absorbed?
Through what type of transporter protein?
When is this type of transport especially effective?

A

Absorption of glucose & galactose is by secondary active transport. Carrier protein = SGLT-1 on apical membrane

SGLT1 can transport glucose uphill against its conc grad (esp effective when glucose levels in the lumen are below those in the enterocyte)

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8
Q

How is fructose absorbed? Through what type of transporter protein if any?

What concs of fructose is this effective at?

A

Fructose is absorbed via facilitated diffusion
Carrier protein = GLUT-5 on apical membrane

Effective at relatively low concs of fructose in the lumen as tissue and plasma levels are low

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9
Q

How does glucose exit at the basolateral membrane?

Through what type of transporter protein if any?

A

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

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10
Q

Water & electrolytes:

What % of water presented to the GI tract is absorbed?

Absorption of water is powered by the absorption of what?

Where is the greatest amount of water absorbed?

How are many ions absorbed?

How are calcium and iron absorbed?

A

99% of the H2O presented to the GI tract is absorbed

Absorption of water is powered by the absorption of ions

Greatest amount of water is absorbed in the small intestine, esp the jejunum

Many ions slowly absorbed by passive diffusion

Calcium and iron are incompletely absorbed, this absorption is regulated

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11
Q

How much water is absorbed a day in the small bowel?

How much water a day is absorbed in the large bowel?

A

Water absorbed in small bowel : ~8L

Water absorbed in the large bowel: ~ 1.4L

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12
Q

Standing gradient osmosis:

Driven by what ion?

Transport of this ion becomes more efficient when?

Describe its transport at each of these locations:

  • proximal bowel?
  • jejunum?
  • ileum?
  • colon
A

Driven by Na+

-transport of Na+ from lumen into enterocyte-complex
Becomes more efficient as travel down intestine:
-counter transport in exchange for H+ (proximal bowel)
-Co-transport with amino acids, monosaccharides (jejunum)
-Co-transport with Cl- (ileum)
-restricted movement through ion channels (colon)

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13
Q

Absorption of other ions:

How is Cl- transported in:
-Ileum
-Colon
What type of transport is this?

How is K+ transported in small intestine and the colon?
What type of transport is this?

A

Cl- co-transported w Na+ (ileum), exchanged with HCO3- (colon) into enterocytes. - secondary active transport

K+ diffuses in via paracellular pathways in small intestine, leaks out between cells in colon
-passive transport

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14
Q

Standing gradient osmosis:

What happens to Intracellular sodium (in the enterocyte)?

A

Active transport of Na+ into the lateral intercellular spaces by Na+K+ATPase transport in the lateral plasma membrane

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15
Q

Standing gradient osmosis:

Why are Cl- and HCO3- transported into the intercellular spaces?

What causes the fluid in the intercellular spaces to be hypertonic?

A

Cl- and HCO3- transported into the intercellular spaces due to electrical potential created by the Na+ transport

High conc of ions in the intercellular spaces causes the fluid there to be hypertonic

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16
Q

Standing gradient osmosis:

How does water flow from the gut lumen into the intercellular space?

Water distending the intercellular channels causes what?

Ions and water moving across the basement membrane of the epithelium are carried away by what?

A

Osmotic flow of water from the gut lumen via adjacent cells, tight junctions into the intercellular space

Water dis tends the intercellular channels and causes increased hydrostatic pressure

Ions and water move across the basement membrane of the epithelium & are carried away by the capillaries

17
Q

Calcium:

Where is Ca2+ absorbed?

What does a Ca2+ deficient diet result in?

What vitamin and hormone stimulates absorption of Ca2+?

How much calcium do we get from diet and secretions a day? How much is absorbed a day?

A

Duodenum and ileum absorb Ca2+

Ca2+ deficient diet increases guts ability to absorb

Vitamin D and parathyroid hormone stimulate absorption of Ca2+

Diet 1-6g/day, secretions 0.6g. Absorb 0.7g

18
Q

Calcium:

What is low intracellular Ca2+ conc?

What is high extracellular fluid Ca2+ conc?
In the plasma?
In the lumen?

A

Low intracellular [Ca2+] approx 100 nM (0.1 uM)
-> can increase 10-100 fold during various cellular functions

High extracellular fluid [Ca2+] approx 1-3mM

  • plasma [Ca2+] ~ 2.2-2.6 mM
  • Luminal [Ca2+] varies in mM range
19
Q

How are Calcium ions carried across apical membranes?

A

1) intestinal calcium binding protein (IMcal) - facilitated diffusion
2) ion channel

20
Q

What are the implications for transport of Ca2+ into the cell from the lumen?

What are the implications for Ca2+ transport across the cell?

A

Implications for transport of Ca2+ into the cell from the lumen: Ca2+ acts as an intracellular signalling molecule

Implications for Ca2+ transport across the cell:

  • need to transport Ca2+ while maintaining low intracellular concs
  • binds to calbindin in cytosol, preventing its action as an intracellular signal
21
Q

Calcium:

Via what plasma membrane transporter (1) are calcium ions pumped across the basolateral membrane?

Describe the affinity and capacity of this transporter for Ca2+
What is the benefit of this?

A

Ca2+ pumped across basolateral membrane by plasma membrane.
Ca2+ ATPase (PMCA) against conc grad

PMCA has a high affinity for Ca2+ (but low capacity)

Maintains the v low concs of calcium normally observed within a cell

22
Q

Calcium:

Via what plasma membrane transporter (2) are calcium ions pumped across the basolateral membrane?

Describe the affinity and capacity of this transporter for Ca2+
What does this transporter require in order to be effective?

A

Ca2+ pumped across basolateral membrane by plasma membrane Na+/Ca2+ exchanger against conc grad

The Na+/Ca2+ exchanger has a low affinity for ca2+ but a high capacity. Requires larger concentrations of Ca2+ to be effective

23
Q

Vitamin D:

What is vitamin D essential for?

What does a deficiency in vitamin D cause?

What are the consequences of 1,25-dihydroxy D3 being taken up by enterocytes?
Hint: enhances transport of? Increases levels of? Increases rate of?

A

Essential for normal Ca2+ absorption

Deficiency in vitamin D causes rickets, osteoporosis

1, 25-dihydroxy D3 taken up by enterocytes:

  • enhances the transport of Ca2+ through the cytosol
  • increases the levels of calbindin
  • increases rate of extrusion across basolateral membrane by increasing the level of Ca2+ ATPase in the membrane
24
Q

Iron:

What can iron act as?

What processes in the body is iron critical for?

A

Iron can act as an electron donor and an electron acceptor

Iron is critical for: 
Oxygen transport (RBCs) 
Oxidative phosphorylation (mitochondrial transport chain)
25
Q

When is iron toxic?

What are the implications for iron absorption?

How is iron present in the diet as?

A

Iron is toxic in excess, but body has no mechanism for actively excreting iron

Adult ingests approx 15-20mg/day
But absorbs only 0.5-1.5 mg/day

Iron present in the diet is:

a) inorganic iron (Fe3+ ferric, Fe2+ ferrous)
b) as part of haem group (haemoglobin, myoglobin, cytochromes)

26
Q

Iron:

What type of iron can not be absorbed?

Fe3+ insoluble salts with?

What is the role of vitamin C in iron metabolism?

Absorption of heme?

A

Cannot absorb Fe3+, only Fe2+

Fe3+ insoluble salts with:

  • hydroxide
  • phosphate
  • HCO3-

Vitamin C reduces Fe3+ to Fe2+

Heme smaller part of diet, but more readily of absorbed (20% of presented)

27
Q

Heme:

How available is dietary heme?

How is heme absorbed into the enterocyte? Via what transporter protein and what process?

What enzyme is Fe2+ liberated by?

A

Dietary heme is highly bioavailable

Heme is absorbed intact into the enterocyte

Evidence that this occurs via heme carrier protein 1 (HCP-1),
And via receptor-mediated endocystosis

Fe2+ liberated by Heme oxygenase

28
Q

Iron uptake:

What enzyme catalyses the reduction of Fe3+ to Fe2+ in the process of iron absorption in the duodenum?

How is Fe2+ transported? (What transporter)

How is Fe2+ carried to the basolateral membrane? How does Fe2+ move into the blood?

A

Duodenal cytochrome B (Dcytb) catalyses the reduction of Fe3+ to Fe2+ in the process of iron absorption in the duodenum

Fe2+ transported via divalent metal transporter 1 (DMT-1), a H+ - coupled co-transporter

Fe2+ binds to unknown factors, carried to basolateral membrane, moves via ferroportin ion channel into blood

29
Q

Iron:

What is Hephaestin?

What is the role of apotransferrin?

How can iron absorption be decreased?

A

Hephaestin: transmembrane copper dependent ferroxidase that converts Fe2+ to Fe3+

Fe3+ binds to apotransferrin, travels in blood as transferrin

Hepcidin, major iron regulating protein, suppresses ferroportin function to decrease iron absorption

30
Q

Ferritin:

Ferritin binds to apoferritin in cytosol to form?

What type of protein is ferritin?

How many iron ions can a single ferritin molecule store?

What happens when dietary iron is absorbed in excess?

What happens to ferritin store in enterocytes?

A

Binds to apoferrotin in cytosol to form ferritin micelle

Ferritin is globular protein complex. Fe2+ is oxidised to Fe3+ -> crystallises within protein shell

Single ferritin molecule can store up to 4,000 iron ions

In excess dietary iron absorption, produce more ferritin

Ferritin stored in enterocytes prevents absorption of too much iron

31
Q

Ferritin:

Describe the binding of iron to ferritin in epithelial cells

Where is iron/ferritin not available for transport into?

Where is iron/ferritin lost?

A

Irreversible binding of iron to ferritin in 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

32
Q

Vitamins:

What are vitamins?

What is the predominant mechanism for transport of vitamins?

How are fat soluble vitamins transported to brush border? How is K taken up by active transport?

Which vitamins have specific transport mechanisms?

A

Vitamins = compounds that can’t be manufactured by the body but vital to metabolism

Passive diffusion predominant mechanism

Fat soluble vitamins (A, D, E, K) transported to brush border in micelles. K taken up by active transport

Specific transport mechanisms for vitamin C (ascorbic acid), folic acid, vitamin B1 (thiamine), vitamin B12

33
Q

Vitamin B12:

Where is vitamin B12 stored?

What does impaired absorption of vitamin B12 lead to?

What is most vitamin B12 in food bound to?

A

Liver contains large store (2-5 mg)

Impaired absorption of vit B12 maturation of red blood cells - pernicious anaemia

Most Vit B12 in food is bound to proteins

34
Q

R protein:

What triggers the release of free vitamin b12 in the stomach?

What is b12 easily denatured by?

How is the denaturation of b12 in the stomach avoided?

A

In the stomach, low pH and the digestion of proteins by pepsin releases free vit B12
-> but b12 is easily denatured by HCl

Denaturation of B12 in the stomach is avoided by:
B12 binding to R protein (haptocorrin)- released in saliva and from parietal cells
R proteins digested in duodenum

35
Q

Intrinsic factor (IF):

What is IF? What is it secreted by?

What is vit b12/IF resistant to?

What happens if there’s no IF?

What does vit B12/IF complex bind to in order to be taken up in distal ileum?

A

Vitamin B12 binding glycoprotein secreted by parietal cells

Vitamin B12/IF is resistant to digestion

If no IF then no absorption of vit B12

Vit B12/IF complex binds to cubilin receptor, taken up in distal ileum

36
Q

Vitamin B12:

Where is vit B12/IF complex broken down?

What does B12 bind to before it cross the basolateral membrane?

What protein is B12 bound to when it travels to the liver?

What allows the B12/protein complex to be taken up by cells

What breaks the protein down inside cells?

A

Once in cell, vit B12/IF complex broken

B12 binds to protein transcobalamin II (TCII) and then crosses basolateral membrane

Travels to liver bound to TCII

TCII receptors on cells allow them to uptake complex

Proteolysis breaks down TCII inside the cell