Lecture 27: Absorption Flashcards

1
Q

What is absorption?

A

▪ Movement of solutes and water from the GIT lumen
▪ across the epithelium
▪ into the interstitial fluid
▪ and then into the blood or lymph

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2
Q

Where does bulk absorption occur?

A

Bulk absorption in “leaky” epithelium

Small intestine:
▪ Main site of absorption
▪ 90% of water and sodium
▪ All nutrients

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3
Q

Where does fine tuning absorption occur?

A

Regulated/ fine tuning absorption in “tight” epithelium

Large intestine:
▪ 9% of water and sodium

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4
Q

What are the five factors affecting absorption?

A
  1. Reduction in nutrient size by chemical digestion
  2. Motility
  3. Transport across GIT epithelium
  4. Surface area available for absorption
  5. Removal from interstitial fluid
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5
Q

What are the three main driving forces for particles to move across a membrane?

A

▪ ATP: primary active transport

▪ Electrochemical gradient: secondary active transport, facilitated diffusion & passive diffusion

▪ Osmotic gradient: movement of water

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6
Q

Is the paracellular pathway (between cells) selective?

A

Relatively non-selective (tight junctions only barrier)

▪ If the tight junctions are “leaky” AND the particle is small enough it can move via the paracellular pathway

▪ If the tight junctions are “tight” particles are unable to
move via the paracellular pathway

NOTE:
Requires a gradient as the driving force

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7
Q

How do lipid soluble particles cross the transcellular pathway (two cell membranes)?

A

Lipid soluble particles:
▪ Diffuse through the membrane
▪ Requires a gradient as the driving force:
- Chemical /concentration gradient

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8
Q

How do water soluble particles cross the transcellular pathway (two cell membranes)?

A

Water soluble particles
▪ Require a channel or transporter membrane protein to cross the membrane

▪ Requires a driving force:
- ATP: primary active transport
- Osmotic gradient: for movement of water
- Electrical, chemical (concentration) or electrochemical (both) gradient

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9
Q

How does surface area effect absorption?

A

Greater the surface area the faster the rate of
absorption

Achieved by:
▪ Length of intestine (6 m)
▪ Circular folds (plicae circulares)
▪ Villi
▪ Microvilli

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10
Q

How does removing particles from interstitial fluid effect absorption and how is this achieved?

A

Prevent build up of particles in the interstitial fluid after absorption:

Achieved by
▪ High blood flow to intestines
▪ Blood vessels and lacteals close to the basolateral side of
epithelial cells

Reason?
To maintain a driving force for absorption of nutrients from the GIT

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11
Q

Which of the following statements is NOT correct?
1. Particles can only be absorbed via the paracellular pathway in epithelia with “tight” tight junctions.
2. Segmentation increases absorption in the small intestine.
3. Lipid soluble particles can be absorbed via the transcellular pathway.
4. The greater the surface area in the GIT the faster the rate of absorption.

A

1

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12
Q

What are the two pathways for carbohydrate and proteins absorption?

A
  1. PASSIVE absorption: via paracellular pathway (concentration gradient)
  2. ACTIVE absorption: via transcellular pathway
    ▪ Driving force = Sodium gradient generated by
    Na+/K+-ATPase
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13
Q

How are monosaccharides transported across the cell membranes?

A

Apical membrane:
▪ Secondary active transport via sodium-glucose cotransporter

Basolateral membrane:
▪ Facilitated diffusion via glucose carrier/transporter

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14
Q

How are amino acids transported across the cell membranes?

A

Apical membrane:
▪ Secondary active transport via
sodium-amino acid cotransporter

Basolateral membrane:
▪ Facilitated diffusion via amino acid carrier/transporter

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15
Q

How are di and tri protein peptides absorbed?

A

Only ACTIVE absorption via the transcellular pathway

Driving force:
▪ Negative membrane potential generated by Na+/K+-ATPase creates electrical gradient for H+

Apical membrane:
▪ Secondary active transport via H+- peptide cotransporter
▪ Inside the cytoplasm peptidases digest small peptides to amino acids

Basolateral membrane:
▪ Facilitated diffusion via amino acid carrier/transporter

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16
Q

How are lipids absorbed?

A

Lumen and Apical membrane:
▪ Free fatty acids and monoglycerides move by simple
diffusion from micelle into cell
▪ Micelle not absorbed
▪ Bile salts absorbed in ileum

Intracellular:
▪ Transported to the endoplasmic reticulum and resynthesized to triglycerides
▪ Packaged into chylomicrons

Basolateral membrane:
▪ TAGs exocytosed in chylomicrons
▪ Enter lymph via lacteals of villi

17
Q

Di and tri peptide absorption:
1. requires co-transport with bile salts.
2. occurs by co-transport with sodium.
3. occurs by co-transport with H+
4. occurs via the paracellular pathway

A

3

18
Q

How is water absorbed in the small intestine?

A

Passive movement via osmosis

Driving force:
▪ Osmotic gradient (driving force) generated by the absorption of nutrients and ions (e.g. Na+)

▪ 90% of water re/absorbed (bulk re/absorption)
▪ MOSTLY re/absorbed via the paracellular pathway
▪ Some re/absorbed via the transcellular pathway - via aquaporins

19
Q

How is water absorbed in the large intestine?

A

ALL water re/absorbed via the transcellular pathway - via aquaporins

‘Tight’ tight junctions do not allow movement via the paracellular pathway

20
Q

How is sodium absorbed in the small intestine?

A

90% of sodium absorption (bulk absorption) occurs in the small intestine

TWO mechanisms:
1. PASSIVE absorption (some) - paracellular pathway down concentration gradient
2. ACTIVE absorption (MOST)

21
Q

How is sodium transported across the cell membranes in the small intestine?

A

ACTIVE absorption via the transcellular pathway

Driving force:
▪ Sodium gradient generated by Na+/K+-ATPase

Apical membrane:
▪ Secondary active transport coupled with monosaccharides (e.g. glucose)
▪ Secondary active transport coupled with amino acids (e.g. glucose)

Basolateral membrane:
▪ Pumped out by Na+/K+-ATPase

22
Q

How is sodium absorbed in the large intestine?

A

Variable amounts of sodium absorption depending on
how much sodium the body needs (regulated/finetuning absorption)

Only ACTIVE absorption via the transcellular pathway

Driving force:
▪ Sodium gradient generated by Na+/K+-ATPase

Apical membrane:
▪ Sodium channels: sodium diffuses down its concentration gradient

Basolateral membrane:
▪ Pumped out by Na+/K+-ATPase

23
Q

Which statement about absorption of the products of
fat digestion is CORRECT?
1. Absorption of the products of fat digestion does not require a driving force.
2. The products of fat digestion are primarily absorbed via the paracellular pathway.
3. Absorption of the products of fat digestion is dependent on sodium.
4. Absorption of the products of fat digestion occurs by passive diffusion.

A

4

24
Q

How are fat soluble vitamins (KADE) absorbed and how do they move across cell membranes?

A

PASSIVE absorption via the transcellular pathway

Driving force:
▪ Chemical (concentration) gradient

Dissolved in micelles with fat

Apical membrane:
▪ lipid soluble, diffuses through the cell membrane

Basolateral membrane:
▪ packaged into chylomicrons with fat

25
Q

How are water soluble vitamins (C and most of group B) absorbed and how do they move across cell membranes?

A

Active absorption via the transcellular pathway

Driving force:
▪ Sodium gradient generated by Na+/K+-ATPase

Apical membrane:
▪ Secondary active transport via sodium cotransporter (e.g. sodium-vitamin C cotransporter)

Basolateral membrane:
▪ Transporter

26
Q

How is vitamin B12 absorbed?

A

Absorbed in the ileum
▪ Binds to intrinsic factor (Made by the parietal cells in the stomach)

Binds to receptor on epithelial cells in the ileum
▪ Enter the cells via endocytosis
▪ released from the cell and travels in the blood bound to transcobalamin (IMPORTANT)

27
Q

What happens to the stuff we do not absorb?

A

Everything that is not absorbed is eliminated in the faeces

▪ Expulsion of residues of digestion
▪ Faeces formed in large intestine
▪ Transferred to rectum via peristaltic waves
▪ Mass movements
▪ Elimination from body by defecation reflex