Nutrition and Energy (Lipid Absorption and Metabolism) Flashcards

1
Q

What forms of lipid digestion occur in the mouth?

A

Mechanical digestion: Teeth and jaws

Chemical digestion: Lingual lipase cuts fatty acids from glycerol backbone

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2
Q

What forms of lipid digestion occur in the stomach?

A

Mechanical digestion: Fat sits on top of stomach acid, peristalsis mixes and pushes fat towards small intestine

Chemical digestion: Gastric lipase stimulated by gastrin and cholecystokinin (limited due to hydrophobic nature of fat)

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3
Q

What forms of lipid digestion occur in the small intestine?

A

Mechanical digestion: Peristalsis

Chemical digestion: Pancreatic lipase secreted in response to entry of fats into small intestine

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4
Q

Can monoglycerides and large fatty acid chains be absorbed directly into the bloodstream?

A

No. they must combine with bile to create a micelle to enter enterocytes

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5
Q

Can small fatty acid chains and glycerol backbones be absorbed directly into the bloodstream?

A

Yes

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6
Q

What happens to monoglycerides and long fatty acid chains when absorbed into enterocytes?

A

They are reformed into triglycerides

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7
Q

What happens to the triglycerides in enterocytes?

A

They are packaged with cholesterol and phospholipids to form a chylomicron

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8
Q

Do chylomicrons enter directly into the bloodstream?

A

No. They are too large so they enter the lymphatic system, entering the thoracic duct to enter the blood stream

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9
Q

How do cells get triglycerides from chylomicrons?

A

Lipoprotein lipase in capillary walls takes triglycerides from chylomicrons as they flow through the bloodstream

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10
Q

What does a chylomicron become when it has run out of triglycerides? Where does it go?

A

It becomes a chylomicron remnant which goes to the liver

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11
Q

When a chylomicron remnant reaches the liver, what happens to it?

A

It is given fatty acids from the liver (from excess glucose) and converted into a VLDL (very low density lipoprotein) particle

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12
Q

As a VLDL (very low density lipoprotein) particle runs out of triglycerides, what happens to it?

A

It becomes an LDL (low density lipoprotein) particle, which is typically measured in blood tests

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13
Q

How are LDL (low density lipoprotein) particles removed from the blood? What happens if they aren’t removed?

A

Liver LDL receptors remove them from the blood. If not removed, LDL becomes sticky and can obscure blood vessels

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14
Q

Where are HDL (high density lipoprotein) particles made?

A

In the liver

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15
Q

What do HDL (high density lipoprotein) particles do?

A

They remove cholesterol from blood vessel walls and carry it back to the liver for recycling or disposal

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16
Q

How is cholesterol recycled and disposed of?

A

Cholesterol can be recycled to make bile or bound to dietary fibre and excreted

17
Q

Between meals, what happens to lipids?

A

Glycerol can be converted into glucose through gluconeogenesis and fatty acids can be used by the muscles as an energy source

18
Q

What happens to fatty acids during prolonged fasting?

A

They are converted into ketones in the liver via beta oxidation, which can then be used by some brain cells as fuel