Nutrient digestion and absorption 2 Flashcards

1
Q

What form is almost all ingested fat in?

A

Triacyglycerol

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2
Q

What is fat digestion in the small intestine carried out by?

A

Pancreatic lipases

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3
Q

What is triacyglycerol broken down into?

A

Monoglyceride + 2 fatty acid

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4
Q

What is emulsification?

A

Dividing large lipid droplets into smaller droplets

This increases surface area and accessibility to lipase action

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5
Q

What does emulsification require?

A

Mechanical distruption of large lipid droplets into small droplets

Emulsifying agent

Smooth muscle contraction grinds and mixes lumenal contents

Bile salts + phospholipids

Amphipathic molecules

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6
Q

What does an emulsifying agent do?

A

It prevents small droplets reforming into large droplets

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7
Q

What does polar portions repelling other small lipid droplets do?

A

Prevents reforming into large droplets

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8
Q

How is absorption of lipase digestion products enhanced?

A

By formation of micelles

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9
Q

What is a micelle composed of?

A

Micelle = bile salt + monoglycerides + fatty acids + phospholipids

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10
Q

What parts of the micelle are polar and non-polar?

A

Polar portions of molecules at micelle surface

Non-polar portions of molecules form micelle core

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11
Q

What does micelle breakdown cause?

A

Release of small amounts of free fatty acids and monoglycerides into solution

  • causing diffusion across plasma membrane of absorbing cells
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12
Q

Are micelles themselves absorbed?

A

NO

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13
Q

Where do fatty acids and monoglycerides go after entering epithelial cells?

A

They enter smooth endoplasmic reticulum (sER) where they are reformed into triacylglycerols

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14
Q

What do chylomicrons pass into between endothelial cells?

A

They pass into lacteals between endothelial cells

  • They cannot pass through capillary basement membrane
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15
Q

What is used to break down fat droplets?

A

Bile salts
Phospholipids
Pancreatic lipases

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16
Q

What happens to free molecules of fatty acids and monoglycerides?

A

They diffuse across the epithelial cell

Then triacylglycerol synthetic enzymes in ER form droplets of triacylglycerol enclosed by membrane from the ER

Then it forms a chylomicron

17
Q

What are the 2 classes of vitamins?

A

Fat-soluble vitamins

Water-soluble vitamins

18
Q

What are the fat-soluble vitamins?

A

A D E K

  • Follow same absorptive path as fat
19
Q

What are the water-soluble vitamins?

A

B group, C and folic acid

  • They are absorbed by passive diffusion or carrier-mediated transport
20
Q

What is vitamin B12?

A

Large charged molecule

Binds to intrinsic factor in stomach to form complex which is absorbed via specific transport mechanism in distal ileum

21
Q

What does vitamin B12 deficiency result in?

A

Pernicious anaemia

failure of red blood cell maturation

22
Q

What percentage of daily ingested iron is absorbed across intestine into the blood?

A

10%

23
Q

How does iron transport across brush border membrane into duodenal enterocytes?

A

Via DMT1

24
Q

What are iron ions incorporated into?

A

Ferritin

25
Q

What does iron in blood bind to?

A

Transferrin

26
Q

What is Hyperaemia?

A

Increased ferritin levels > more iron bound in enterocytes

27
Q

What is Anaemia?

A

Decreased ferritin levels > more iron released to blood