Nutrient Digestion 2 (Fats, Vitamins and Minerals) Flashcards

1
Q

What is the function of Lipase?

A

Conversion of ingested fat (in the form of triacylglycerol) to Monoglyceride and 2 FAs

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2
Q

Why does Lipase digest fats very slowly?

A

Because it is a water-soluble enzyme and therefore can only digest at the surface of the molecule

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3
Q

What is the purpose of Emulsification of fats?

A

▷Divides large lipid droplets into smaller droplets

▷This increases the surface area and allows the water-soluble Lipase to effectively break down lipid molecules quicker

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4
Q

How are fats emulsified?

A

▷Via Bile salts and Phospholipids secreted in Bile

Amphipathic molecules -> non-polar portion dissolves inside the lipid molecule and the polar heads exposed at the water surface -> polar heads repel the polar heads of other emulsified lipid droplets -> prevent reformation into large lipid droplets

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5
Q

What is the function of Micelles?

A

Smaller emulsion droplets formed from the breakdown products of lipid digestion (bile salts + phospholipids + monoglycerides + FAs)

▷Amphipathic molecules (polar + non-polar portions)

▷Responsible for retaining the products of Lipid digestion in solution, while constantly replenishing supply of free molecules for absorption -> Dynamic equilibrium between FFAs and Monoglycerides in solution and in Micelles

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6
Q

How are Monoglycerides + FFAs released from Enterocytes into the Lymphatic System?

A

▷After entering Enterocytes: reformed into Triacylglycerols in the sER

▷In sER: coated with amphipathic protein, and packaged into vesicles made from sER membrane -> cholesterol and fat-soluble vitamins added to form Chylomicrons

▷In Golgi apparatus: Chylomycrons are processed into secretory vesicles and exocytosed into ECF from basolateral membrane

▷From ECF: Chylomicrons pass into Lacteals
(NB. too big to pass through capillary BM)

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7
Q

What are the fat-soluble vitamins, and how are they absorbed?

A

▷Vitamins A, D, E and K

▷Absorbed via the same Absorptive pathway as Fat

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8
Q

What are the water-soluble vitamins?

A

▷B- Group

▷C

▷Folic Acid

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9
Q

How is Vitamin B12 absorbed?

A

▷Requires Intrinsic Factor which is secreted by Parietal cells in the Stomach

▷Vit B12 forms a complex with IF and they are both absorbed at the Distal/Terminal Ileum

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10
Q

What is Pernicious Anaemia and why is it “pernicious”?

A

▷Failure of maturation of RBCs due to Vit B12 deficiency

▷It is “pernicious” bc it takes a while to develop as your Liver contains a large store of Vit B12 (about 3 years worth), so symptoms develop gradually over time

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11
Q

Where and how is Iron absorbed into enterocytes?

A

▷Via DMT1 into the Duodenum

NB. Iron is a MINERAL not a vitamin!

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12
Q

What is the difference between Ferritin and Transferrin?

A

▷Ferritin: intracellular store of iron

▷Transferrin: main iron transporting protein in the bloodstream -> binds unbound iron which has been released from ferritin inside cells

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13
Q

What would happen to Transferrin and Ferritin levels during Iron-deficiency Anaemia?

A

▷Ferritin: levels would decrease -> bc ferritin is expressed depending on the body’s iron status (iron deficiency = low ferritin, hyperaemia = increased ferritin)

▷Transferrin: levels would increase -> bc in iron-deficiency, ferritin would release more iron into the bloodstream (ie. more “unbound” iron), necessitating increased transferrin levels!

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