Lecture 41 11/27/23 Flashcards

1
Q

What is digestion?

A

breaking down complex nutrients to simple molecules

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2
Q

What is absorption?

A

transporting simple molecules across intestinal epithelium

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3
Q

Which three features increase intestinal surface area?

A

-plicae circulares
-villi
-brush border

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4
Q

What are the characteristics of enterocytes?

A

-epithelial cells covering villi and crypts
-apical membrane faces intestinal lumen and contains microvilli
-basolateral membrane allows nutrients to exit into the bloodstream

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5
Q

What are the characteristics of enterocyte tight junctions?

A

-connect the apical half of enterocytes
-allow passage of water and electrolytes

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6
Q

Which substances are found at the small intestinal surface/diffusion layer?

A

-mucus
-glycocalyx
-unstirred water layer

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7
Q

What are the functions of physical breakdown of food?

A

-allows food to flow through intestinal space
-enlarges surface area for chemical digestion

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8
Q

What is hydrolysis?

A

splitting of chemical bond through insertion of water

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9
Q

What are the characteristics of the luminal phase of digestion?

A

-occurs first
-enzymes originate from major GI glands
-mix with ingesta in gut lumen
-incomplete hydrolysis

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10
Q

What are the characteristics of the membranous phase of digestion?

A

-occurs second
-enzymes bound to epithelial surface
-complete hydrolysis

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11
Q

How do simple and complex carbohydrates differ?

A

-simple carbs have one molecular unit
-complex carbs have 2+ molecular units

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12
Q

What is a starch?

A

-polymeric carbohydrate
-large number of glucose units
-alpha [1,4] glycosidic bonds

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13
Q

What is a fiber?

A

-non-starch polysaccharide
-beta [1,4] glycosidic bonds
-undigestible by mammals

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14
Q

Which enzyme mediates luminal starch digestion?

A

alpha-amylase from the pancreas/salivary glands

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15
Q

Which type of breakdown happens in the luminal phase?

A

breakdown of starch by amylase

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16
Q

Which type of breakdown happens in the membranous phase?

A

breakdown of sugars into glucose by specific enzymes (ex. maltose broken down by maltase)

17
Q

Which nutrient is provided by proteins?

A

amino acids

18
Q

What are the characteristics of luminal protein digestion?

A

-HCl begins the process
-requires a large number of different enzyme types due to the different AA combinations

19
Q

What are the characteristics of dietary fats?

A

-triglycerides are the most abundant type
-most digestion occurs in small intestine

20
Q

What are the four phases of lipid assimilation?

A

-emulsification
-hydrolysis
-micelle formation
-absorption

21
Q

What is emulsification?

A

physical breakdown of fat globules into a smaller size to promote contact with digestive enzymes

22
Q

How is emulsification done in the stomach?

A

grinding and mixing

23
Q

How is emulsification done in the intestines?

A

bile salts and phospholipids

24
Q

How do bile salts and phospholipids emulsify fats?

A

-fat soluble ends break down the fat globule surface
-hydrophilic ends stick out and make the globules more water soluble/easier to break apart

25
Q

Which enzyme is used to emulsify triglycerides?

A

pancreatic lipase

26
Q

What does pancreatic lipase emulsify triglycerides into?

A

2-MAG and FFAs

27
Q

What is the role of cholesterol esterase?

A

cholesterol digestion

28
Q

What is the role of phospholipase A2?

A

phospholipid digestion

29
Q

What are the characteristics of triglyceride breakdown?

A

co-lipase makes a path for lipase to penetrate bile-coated triglycerides
-lipase hydrolyzes the triglycerides into FFAs and 2-MAG

30
Q

What is a micelle?

A

globular structure with polar head groups on the outside and hydrophobic fatty acyl chains on the inside

31
Q

How are micelles formed?

A

bile salts bind with hydrolyzed lipid products to form micelles

32
Q

What happens to dietary fat in the stomach?

A

warming and mixing to form liquid fat globules

33
Q

What happens to dietary fat in the duodenum?

A

exposure to bile leads to production of emulsified fat droplets

34
Q

What happens to dietary fat in the jejunum?

A

-lipase, co-lipase, and bile components lead to micelle formation
-diffusion of micelles through unstirred water layer allows direct transport of micelle components (except bile acids) into enterocytes

35
Q

What happens to dietary fat in the ileum?

A

bile acid absorption occurs through sodium co-transport

36
Q

What is the main function of micelle formation?

A

to allow small lipids to cross the unstirred water layer

37
Q

What are the characteristics of bile acid absorption?

A

-occurs in ileum
-co-transport with sodium
-portal circulation to the liver allows for recycling

38
Q

What are the characteristics of chylomicron formation?

A

-occurs within enterocyte
-micelle lipids go to ER and are reformed into triglycerides and phospholipids
-packaged with cholesterol and other proteins to form chylomicrons

39
Q

Where are chylomicrons absorbed?

A

into lymphatic circulation