VI- Digestion and Absorption Flashcards

1
Q

where Ca absorbed at

A

duodenum only

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2
Q

where iron absorbed at

A

duodenum only

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3
Q

where carbs absorbed at

A

duodenum and jejunum

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4
Q

where fats absorbed at

A

entire small intestine

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5
Q

where protein absorbed at

A

entire small intestine

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6
Q

where bile salts absorbed at

A

terminal ileum only

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7
Q

where vit B12 absorbed at

A

terminal ileum only

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8
Q

carb digestion pathway

A
  1. polysaccharides digested by a-amylase @ lumen of intestine
  2. oligosaccharides dig by carb-ases @ brush border
  3. monosaccharides dig/transported by SGLT1 and GLUT5 @ brush border
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9
Q

substrates of SGLT1

A
  1. glucose
  2. galactose

coupled to sodium

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10
Q

substrate of GLUT5

A

fructose

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11
Q

substrates of GLUT2

A

all 3 monosaccharides
-glucose, galactose, fructose

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12
Q

protein digestion pathway

A
  1. protein from diet dig by pepsin @lumen of the stomach
  2. oligopeptides and amino acids dig by trypsin @lumen of intestine + peptidase @brush border
  3. absorbed as oligos and AAs
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13
Q

amino acid absorption mechanism

A

nutrient-sodium coupled transporter
-highly functional during fed state

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14
Q

oligopeptide absorption mechanism

A
  1. transport across membrane by H+ linked cotransporters like PEPT1
  2. further dig to AAs by intracellular peptidases
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15
Q

lipid digestion pathway

A
  1. lipids aka triglycerides and cholesterol get emulsified @lumen of stomach
  2. FFAs, cholesterol, tri/diglycerides more emulsified with bile + pancreatic lipase + co-lipase @ lumen of duodenum
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16
Q

effects of CCK

A
  1. gallbladder for contraction by Ach
  2. pancrease for acinar secretion
  3. stomach for reduced emptying
  4. sphincter of oddi to relax by Ach

all lead to protein, carb, lipid digestion

17
Q

emulsification process

A

emulsion lipid droplet reduced in size by lipases and bile acids until micelle formed

18
Q

colipase function

A

required for activation of pancreatic lipase
-anchors lipase to emulsion droplets

19
Q

fat soluble vitamins

A

vit A, D, E, K

also partition into micelles with lipids

20
Q

B12 absorption

A
  1. B12-IF through intestine
  2. IF receptors in ileum uptake to blood
  3. B12-transcobalamin through blood to liver
21
Q

methods of iron uptake

A
  1. heme associated endocytosis
  2. transferrin receptor mediated
  3. divalent cation transporter 1 DCT1

all require ferrous form of iron

22
Q

how iron is reduced

A

low pH in stomach OR associated with vitamin C OR reductase at brush border

23
Q

calcium absorption mechansim

A

thru Ca channel on duodenum apical membrane
-requires vit D for transcription

24
Q

lactose intolerance

A

an absorption disorder so def in lactase = lactose in lumen broken down by bacteria instead so gas and cramping/bloating
-unabsorbed lactose in lumen causes water retention = diarrhea