Nutrient digestion and absorption 2 Flashcards

1
Q

in what form is almost all fat ingested

A

triacylglycerol

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2
Q

where does all fat digestion take place

A

small intestine

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3
Q

what enzyme is responsible for digestion of fats in the small intestine

A

pancreatic lipase

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4
Q

what do triacylglycerols present as

A

large lipid droplets which are insoluble

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5
Q

what is a water soluble enzyme

A

lipase

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6
Q

where is the only place digestion can take place for a droplet

A

on the surface
slow process

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7
Q

when triacylglycerol is digested by lipase what is formed

A

monoglyceride and 2 fatty acids

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8
Q

what do bile salts act as

A

emulsifiers or surfactants

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9
Q

emulsification

A

ividing large lipid droplets into smaller droplets (~1 mm diameter) ⇒ increased surface area and accessibility to lipase action.

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10
Q

what does emulsification require

A

Mechanical disruption of large lipid droplets into small droplets.

Emulsifying agent - prevents small droplets reforming into large droplets.

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11
Q

mechanical disruptor

A

Smooth muscle contraction grinds and mixes lumen contents.

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12
Q

Emulsifying agent

A

Amphiphatic molecules (ie polar (charged) and non-polar portions)

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13
Q

where is bile released

A

duodenum

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14
Q

what prevents fats reforming into large droplets

A

Polar portions repel other small lipid droplets (also coated with bile salts/phospholipids) ⇒ prevent reforming into large droplets

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15
Q

what can enhance absorption of lipid digestion

A

formation of micelles

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16
Q

what are micelles

A

similar to emulsion droplets but much smaller

Micelle = bile salt + monoglycerides + fatty acids + phospholipids

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17
Q

what makes up a micelle surface

A

polar portions (bile salts)

18
Q

what makes up a micelle core

A

non polar portions

19
Q

Micelle breakdown

A

release of small amounts of free fatty acids (FFA) and monoglycerides into solution

then diffuse acriss plasma membrane of absorbing cells

20
Q

Dynamic equilibrium

A

between fatty acids and monoglycerides in solution and in micelles - retains most of fat digestion products in solution while constantly replenishing supply of free molecules for absorption.

21
Q

what does the ER contain

A

triacylglycerol synthetic enzymes

22
Q

what is released from basolateral membrane of epithelial cells

A

chylomicron

23
Q

chylomicron

A

Chylomicrons are composed of a main central lipid core that consists primarily of triglycerides, however like other lipoproteins, they carry esterified cholesterol and phospholipids

doesnt absorb through blood, to move in blood they must go in certain forms eg low density lipoprotein or HDL

24
Q

what happens after entering epithelial cells

A

fatty acids and monoglycerides enter smooth endoplasmic reticulum (sER) where they are reformed into triacylglycerols (by enzymes located within the sER)

25
what happens inside the epithelial cell
Triacylglycerol droplets coated with amphiphatic protein (inside the cells) ⇒ emulsification
26
how are Triacylglycerol droplets transported through cell
in vesicles formed from sER membrane
27
what happens after Triacylglycerol droplets are transported through vesciles
processed through Golgi apparatus and exocytosed into extracellular fluid at serosal membrane (basolateral membrane)
28
how are chylomicrons transported
pass into lacteals between endothelial cells (cannot pass through capillary basement membrane)
29
what are the two classes of vitamins
Fat-soluble vitamins: A, D, E, K Water-soluble vitamins: B group, C and folic acid
30
how are fat soluble vitamins absorbed
Follow same absorptive path as fat
31
how are water soluble vitamins absorbed
Either absorbed by passive diffusion or carrier-mediated transport.
32
how is vitamin B12 absorbed
Binds to intrinsic factor in stomach to form complex which is absorbed via specific transport mechanism in distal ileum.
33
what is vitamin B12 deficiency known as
pernicious anaemia
34
pernicious anaemia
(failure of red blood cell maturation)
35
Pernicious
delayed / harmful effect / comes over different stages / happens over time - can take 3 years to have symptoms - failure of red blood cell to mature hard for blood cells to carry O2
36
how much of daily ingested iron is absorbed
10% the rest in faeces
37
how is iron transported
across brush border membrane (via DMT1) into duodenal enterocytes
38
what are iron ions incorporated into
ferritin (protein-iron complex ⇒ intracellular iron store)
39
what does unbound iron after transporting across serosal membrane bind to
transferrin
40
hyperaemia
too much iron in blood increased ferritin levels ⇒ more iron stored and bound in enterocytes
41
anaemia
⇒ decreased ferritin levels ⇒ more iron released to blood
42
why is unbound iron harmful
Free iron is iron that is not bound; it is the most dangerous kind of iron because free iron can cause oxidative damage to organs, nourish harmful bacteria, change DNA or help to spread cancer.