Physio 8: SI, Absorption Flashcards

1
Q

What 3 sugars are absorbed in small intestine?

A

glucose, fructose, galactose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are brush border enzymes? Name 3.

A

Enzymes anchored to enterocyte cell membrane. Sucrase, lactase, maltase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What transporter cotransports sugars with Na+ on the luminal side?

A

SGLT 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What transporter transports fructose into the cell?

A

GLUT 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What transporter gets sugars into blood?

A

GLUT 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does insulin regulate GLUT2?

A

Binds to enterocyte receptor and traffics GLUT 2 transporters away from membrane to slow absorption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What sugar is a dimer of glucose?

A

Trehalase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How are proteins absorbed and digested in SI?

A
  1. AA and oligopeptides absorbed via Na and H+ transporters

2. Intracellular peptidases and blood peptidases break down peptides further

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Are transporters more efficient with di and tri-peptides or single AA’s?

A

Di and tri peptides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Hartnup’s disease?

A

Impaired absorption of AA’s like histidine, tryp, phenylalanine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is cystinuria? Why don’t patients develop lysine deficiency?

A

Disorder of SI - defect in proximal tubule’s reabsorption of filtered cysteine and basic AA’s

No lysine deficiency b/c get essential lysine from diet through PEPT1 transporter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How are lipids digested and absorbed in SI?

A
  1. Gastric lipolysis through gastric lipase (from Chief cells)
  2. Intestinal lipolysis - bile acids emulsify, pancreatic enzymes digest
  3. Digested products (cholesterol, MAGs, lysolethicin, FFAs) absorbed in lumen
  4. Fats repackaged into chylomicrons and sent to lymphatic system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What type of lipases breaks down triglycerides? What are the end products?

A

Lingual, gastric, and pancreatic lipases

Products: Monoglyceride, 2 FAs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What type of lipase breaks down cholesterol ester? End products?

A

Cholesterol ester hydrolase

Cholesterol and FA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of lipase breaks down phospholipids? End products?

A

Phospholipase A - lysolecithin and FA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the pancreatic enzymes involved in lipid digestion?

A

Pancreatic lipase, carboxyl ester lipase, phospholipase A, colilipase

17
Q

What size fatty acids are packaged into chylomicrons? What happens to the rest?

A

14-18 carbon chains

Small-medium chains are more soluble, go directly to liver via portal circulation

18
Q

How is calcium absorbed?

A
  1. Ca enters via channels and binds calbindin
  2. Ca pump and Na-Ca exchanger on basolateral membrane of duodenal cell expel Ca into interstitial space

Active absorption of Ca is only in duodenum (passive throughout the rest)

19
Q

How is iron absorbed?

A

Free iron is toxic - always bound to carrier protein

Transferrin in plasma carries Fe and binds to receptors elsewhere to deliver it

20
Q

Where in SI is iron typically absorbed?

A

Duodenum

21
Q

Where in SI are fat soluble vitamins (ADEK), Zn ,Ca, and folate absorbed?

A

Jejunum

22
Q

Where in SI are B12 and bile acids/salts typically absorbed?

A

Ileum

23
Q

Where in SI is cobalamin absorbed?

A

Ileum

24
Q

What part of SI will people have surgically removed for obesity or high cholesterol?

A

Ileum