Lipid digestion, absorption and transport Flashcards

1
Q

name the structural components of lipids and lipid classification

A
  • COOH (carboxyl group)
  • Steroids - ring structure that doesn’t contain enough hydroxyl groups to make them water soluble
  • phospholipids
  • triglyceride
  • fatty acids
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2
Q

why are lipids hydrophobic?

A
  • are made up of ring structure - steroids which do not contain enough hydroxyl groups to make them water soluble
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3
Q

what are phospholipids

A
  • made up of 2 fatty acids and a phosphate group
  • major component of the cell membrane
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4
Q

what is the main dietary neutral fat

A

triglyceride/ treacly glycerols (TAG)
- made up of 3 carbon backbone and 3 fatty acids

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5
Q

what are the major components of all types of fats

A

fatty acids

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6
Q

what are 3 types of fatty acids

A

saturated
monounsaturated
polyunsaturated

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7
Q

what is a saturated fatty acid

A

has maximum possible number of hydrogen atoms attached to every carbon atom
- ‘saturated’ with hydrogen atoms and all of the carbons are attached to each other with single bonds

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8
Q

what are unsaturated fatty acids

A
  • a pair of hydrogen atoms in the middle of a chain is missing creating a gap that leaves two carbon atoms connected by a double bond rather then a single bond
  • chain has fewer hydrogen atoms- unsaturation
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9
Q

what is a monounsaturated fatty acid

A

a fatty acid with one double bond because it has one gap

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10
Q

what are polyunsaturated fatty acids

A

fatty acids having more than one gap are called polyunsaturated

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11
Q

what type of fatty acids are present usually in foods of animal and plant origin

A

in animal origin- a large proportion of fatty aces are saturated
in plant origin and some seafood- large proportion of fatty acids are monounsaturated and polyunsaturated

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12
Q

which types of food are saturated fats found in

A
  • butter, cheese,while milk, ice cream, lard and fatty meats
  • found in some vegetable producs such as coconut, palm and palm kernel oil
  • saturated fats are solid at room temperature
  • raise your cholesterol
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13
Q

where do monounsaturated fats come from

A

seeds or nuts such as avocado, olive, peanut and canola oils
- may reduce total cholesterol and LDL cholesterol
- liquid at room temperature

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14
Q

where do polyunsaturated fats come form?

A

vegetables, seeds or nuts such as corn safflower,sunflower,soybean, cotton seed and sesame seed oils
- lower cholesterol
- use them in place of saturated fats
- ;liquid at room temperature

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15
Q

how are trans fats made?

A
  • vegetable oils are processed or hydrogenated into shortening and stick margarine
  • sources of trans fats include snack foods, baked foods and fired foods made with ‘ partially hydrogenated vegetable oil’
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16
Q

what are the 7 functions of lipids?

A
  • fat is one of the body fuels for energy, it serves as a source of energy once calories form carbohydrates are used up
  • fat helps the body absorb important fat-soluble vitamins (Vitamins, A,D,E,and K)
  • fat supports key body processes such as acting as biosynthetic precursors (steroid hormones form cholesterol)
  • fat cushions internal organs and protects them from being damaged (kidneys are shielded with fat in fed state)
  • the fat layer below the skin also insulates the body from heat loss
  • fat plays a vital role in maintaining healthy skin and hair
  • Fat (phophsolipids) form part of the myelin sheath around nerve and nervous tissue including brain and spinal cord
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17
Q

how many calories does each gram of fat provide

A

9 calories

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18
Q

what health problems is associated with excessive dietary fat?

A

obesity, diabetes, cancer,hypertension and atherosclerosis

19
Q

what is the FDA advice for fats and energy intake

A

not more than 35% of energy intake should come from fat. Saturated fat should not make up more than 10% of the total fat intake

20
Q

what is the daily value for total fat?

A

65g per day
based on a 2,000 calorie diet

21
Q

what does Omega 3-fattya acids (20 carbons) from fish protect?

A

protect against atherosclerosis. American heart association recommends 2-3 fish meals per week
- fish supplements should be avoided because they may contain concentrated toxins accumulated by the fish

22
Q

describe lipid digestion

A
  • oral cavity : lingual lipase and chewing
  • stomach - lingual lipase and gastric lipase split triglyceride into diglycerides and fatty acids , only 30% break down occurs after 2-4 Hours in stomach
  • lingual lipases and gastric lipases are also known the acidic lipases as their activity is stimulated and increased by an acidic environment
  • Small intestine - acid chyme stimulates mucosa cells to release a hormone (choleocytsokinin) which stimulate gall bladder and pacreas to release bile and digestive enzymes respectively
23
Q

what does bile help in breaking down fats

A

bile salts help emulsify fat droplets thus increasing their surface area exposed for digestion and pancreatic lipase breaks down triglycerides and diglycerides to 2- monoglycerides and fatty acids

24
Q

how does emulsification of lipids occur?

A

Bile salts/ acids are secreted from the gall bladder and contain cholesterol
- bile salts/acids have hydrophobic and hydrophilic side
- the hydrophobic side attaches itself to the lipid and emulsifies it increasing the surface area that can be acted upon by pancreatic lipase

25
Q

name the different enzymic digestions of lipids in small intestine

A
  • triglyceride uses pancreatic lipase to break down to 2 FA and 2-monoacylglycerol
    (2 FA from carbon 1&3 are removed leaving 1 FA attached to carbon 2 of the glycerol)
  • cholesterol ester is broken down by cholesterol ester hydrolase to cholesterol and fatty acid
  • phospholipids is broken down by phospholipase A2 to lysophospholipid + fatty acid which uses lysophosplipase to form glcyerolphosphoryl base + fatty acid
26
Q

what medication is used to treatment of obesity

A

-Orlistat or Xenical
- inhibits action of pancreatic lipase which inhibits digestion and absorption of lipid (only 30% of lipid intake)

27
Q

how are lipids absorbed

A
  • as fatty acids are released from TAGs by digestion, they retain their association with bile acid and complex with other lipid to form structures called micelle.
  • this will make them have a water soluble coat that will aid their transport into the mucosal lining of the intestines
  • the ingest containing the micelles approach the brush border of the intestinal lining cells the lipid,monoglycerides and micelles are taken up by the epithelaila cells enterocytes
28
Q

describe lipids absorption

A
  • the micelles and phospholipids enter the enterocytes via simple diffusion
  • if fats are not absorbed properly as is seen in some medical conditions, a persons stool will contain high amounts of fat
  • if fat malabsopriton persist the condition is known as steatorrhea
29
Q

what is steatorrhea

A
  • fats not absorbed properly
  • result from diseases that affect absorption such as Crohn’s disease and cystic fibrosis
  • higher solubility
  • enter brush border by simple diffusion
30
Q

how are lipids transported

A
  • triglycerides are reassembled inside enterocytes and are combined with apoproteins, phospholipids and cholesterol to form CHYLOMICORNS
  • CHYLOMICORNS are lipoprotein particles made of apoproteins,triglycerides ,phospholipids and small amount of cholesterol
  • chylomicrons are packaged into vesicles in the Golgi apparatus
  • they leave the intestinal cells basolateral border by exocytosis
31
Q

what to chylomicrons do

A
  • help transport lipids into lymph vessels n the intestine Calle the central lacteal, they are transported through the lymph vessels and enter the blood circulation via the thoracic duct
32
Q

determine the classes of lipoproteins

A

Chylomicrons formed in intestine

Glycoproteins - mixture of lipids and proteins

Classified according to the density

High density- high protein density

33
Q

describe the composition of the different lipoproteins

A
34
Q

where are chylomicorsn assembled

A

intestinal mucosal cells

35
Q

what is the largest lipoprotein

A

chylomicrons with diameters of 75-600 nm
- lowest protein to lipid ratio
- lowest density

36
Q

where are chylomicrons synthesised and secreted by

A

chylomicrons are synthesised by absorptive cells of the intestinal lining and are secreted by these cells into the lymphatic system which joins the blood circulation at the subclavian or by the jugular vein.

37
Q

where is the primary destination in peripheral areas for cholymicrons

A
  • Their primary destinations in peripheral areas are heart muscle, skeletal muscle, adipose tissue, and lactating mammary tissue.
    -The transfer of triglycerides and cholesteryl esters to the tissues depletes the lipid-protein aggregates of these substances and leaves remnant chylomicrons, which are eventually taken up by the liver. The lipid and protein remnants are used to form VLDL and LDL, described later
38
Q

what are VLDL - very low density lipoproteins

A
  • synthesised by liver
  • analogous to the chylomicrons secreted by the intestine
  • deliver triglycerides, cholesterol esters, and cholesterol to peripheral tissues
  • VLDL largely depleted of its triglyceride content in these tissues and gives rise to an intermediated density lipoprotein remnant which is returned to the liver in the blood stream
39
Q

what are low density lipoproteins (LDL)

A
  • derived form VLDL and IDL in the plasma
  • contain a large amount of cholesterol and cholesterol esters
  • role is to deliver these 2 forms of cholesterol to peripheral tissues
    = almost 2/3 if cholesterol and its ester found in plasma is associated with LDL
40
Q

describe HDL- high density lipoprotein

A
  • lipoproteins of this class are the smallest and the highest protein - to lipid ratio
  • the resulting high density gives this class its name
    -HDL plays primary role in the removal of excess cholesterol from cells and returning it to the liber , where it is metabolised to bile acids/sakts
    -LDL and HDL together are the major factors in maintain the cholesterol balance of the body
  • Because of the high correlation between blood cholesterol levels and atheroscleroisis, high ratios of HDL to cholesterol correlate well with lower incidence of this disease in humans
41
Q

what are health implications of LDL

A
  • carries cholesterol form liver tot he cells around the body where its needed, if level of LDL in the blood is too high, can form fatty deposits in the arteries and damage their linings
  • increases risk of coronary heart disease and stroke, LDL is called bad cholesterol
42
Q

what is good cholesterol ?

A
  • HDL
  • helps removes other forms of cholesterol form the blood stream
    -higher levels of HDL cholesterol are associated with a lower risk of heart disease
    example: Omega 3 and fish oils are of LDL type and highly recommended to lower risk of CVS
43
Q

how is hyperlideamia treated?

A

Natural way of treatment of increased blood cholesterol levels:
- Lowering fat intake and increasing fiber intake.
- Cholesterol absorption is aided by an increase in dietary fat components and is hindered by high fiber content. This is the reason that a high intake of fiber is recommended to decrease blood cholesterol.
- Foods high in fiber such as fresh fruits, vegetables, and oats can bind bile salts and cholesterol, preventing their absorption and carrying them out of the colon as waste .

44
Q

how are statins used to treat hyperlipidaemia?

A
  • cholesterol is synthesised in the liver by a HMG CoA reductase enzyme
  • statins act by competitively inhibiting HMG-CoA reductase, the first and key rate limiting enzyme of the cholesterol biosynthetic pathway
  • Statins mimic the natural substrate molecules, HMG-CoA and compete for binding to HMGCoA-R enzyme