Lecture 5 Nutrient Digestion and Absorption Flashcards

1
Q

What is the majority of digested fat in the form of

A

Triacylglycerol

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2
Q

Where does all fat digestion occurs

A

In the small intestine by pancreatic lipase

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3
Q

What type of enzyme is lipase

A

Water soluble

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4
Q

Why is digestion a very slow process

A

It can only take place at surface level of droplet

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5
Q

Define Emulsification

A

dividing large lipid droplets into smaller droplets (~1mm diameter) which increases surface area and accessibility to lipase action and prevent them forming large droplets again

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6
Q

What are the requirements of emulsification

A
  1. Mechanical Disruption of large lipid droplets to small
  2. Smooth muscle contractions
  3. Emulsifying agents
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7
Q

How does emulsifying agents such as bile prevent large droplets reforming

A

Non-polar portions of amphiphatic molecules (bile salts and phospholipids) associated with non-polar interior of lipid droplet leaving polar portions exposed at water surface

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8
Q

What enhances absorption of fat

A

Formation of Micelles

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9
Q

What are micelles

A

Bile salt + monoglycerides + 2 fatty acids + phospholipids (smaller than emulsion droplets)

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10
Q

What forms the polar portion and non-polar portion of micelle

A

Polar portion of molecules at micelle surface; non-polar portion form micelle core

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11
Q

What is critical for the transport of fat soluble minerals

A

Bile acids

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12
Q

What does the breakdown of micelles lead to

A

Free fatty acids (FFA) and monoglycerides that diffuse across the plasma membrane

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13
Q

What happens when FFA and monoglycerides when they enter epithelial cells

A

They enter smooth Endoplasmic Reticulum where they are reformed as tricylglycerols by enzymes located there and processed through Golgi apparatus and exocytosed to ECF

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14
Q

What are chylomicrons

A

Extracellular fat droplets

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15
Q

Where do chylomicrons pass through

A

Lacteals (lymphatic vessels) as they cannot pass through capillary basement membrane

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16
Q

What are the 2 classes of Vitamins

A

Fat soluble -Follow same absorptive path as fat and

Water-soluble Vitamins- • Either absorbed by passive diffusion or carrier-mediated transport

17
Q

Name Fat soluble vitamins

A

A,D,E,K

18
Q

Name Water soluble vitamins

A

B group, C and Folic acid

19
Q

How is Vitamin B12 absorbed

A

It is a charged molecule that binds to an intrinsic factor in the stomach to form a complex via a specific transport mechanism in the distal ileum

20
Q

How much daily digested iron is absorbed into the blood

A

10%

21
Q

How is iron absorbed

A
  • Iron transported across brush border to membrane (via DMT1) into duodenal enterocytes (simple columnar epithelial cells which line the inner surface of the small intestine)
  • Iron ions incorporated into ferritin (protein-iron complex  intracellular iron store)
22
Q

What is iron in the blood bound to

A

Transferrin

23
Q

Define Hyperaemia

A

increased ferritin levels more iron bound to enterocytes

24
Q

Define Anaemia in terms of iron

A

decreased ferritin levels- more iron released to blood