VISUALIZING NUTRITION CANADIAN EDITION Mary B. Grosvenor • Lori A. Smolin • Diana Bedoya Chapter 3: Digestion – from meals to molecules CHAPTER 3: DIGESTION – FROM MEALS TO MOLECULES LEARNING OBJECTIVES At the end of this chapter, you should be able to: • Describe the levels of structural organization of the human body • Compare and contrast how different nutrient classes are digested and absorbed by the gastrointestinal system • Predict how changes to digestive structures and functions contribute to disease Levels of organization ecosystems populations organisms organ systems organs tissues cells organelles molecules atoms ions Levels of organization Organ systems Organ systems Organ systems Organ systems Concept check Which is the smallest? a) Tissue b) Molecule c) Cell d) Organ Concept check Which is the largest? a) Tissue b) Molecule c) Cell d) Organ Concept check Which is the largest? a) b) c) d) Glucose Carbon Neuron Heart Concept check Which is the smallest? a) b) c) d) Glucose Carbon Neuron Heart Concept check Place the following in order from the smallest to the largest: • • • • • • Organ system Atom Organ Cell Molecule Tissue Gastrointestinal system Digestive system secretions • Mucus is secreted from mucosal cells lining the digestive tract. It moistens, lubricates and protects. • Enzymes speed up reactions. In the digestive tract, they help to break down larger molecules into smaller ones. • Hormones are chemical messengers produced by cells in one body location, and delivered by blood to cells in another location, where they elicit specific physiological response. Digestive enzymes Mouth • Mechanical and chemical digestion begins. • Saliva is secreted from salivary glands in response to the sight, smell, or presence of food. It contains lubricants, enzymes (example: amylase to digest starch), and other substances. • Teeth break down food particles. • Taste buds detect food chemicals. • Tongue helps mix food and aids chewing. Pharynx • Part of digestive and respiratory systems. • Epiglottis blocks food from entering the passageway to the lungs (the larynx, the trachea, etc.) during swallowing. • If food enters the airway, it can be removed by coughing or the Heimlich maneuver Pharynx Heimlich maneuver Esophagus • Connects pharynx to stomach • Bolus of food is moved by rhythmic muscle contractions called peristalsis • Food passes through a muscular ring called a sphincter at the end of the esophagus to enter the stomach Esophagus Stomach • Temporary storage of food • Stomach (gastric) glands produce gastric juice containing: • Water • Pepsinogen, inactive form of protein-digesting enzyme pepsin • Hydrochloric acid that kills microorganisms, unfolds proteins, activates pepsinogen to pepsin, and inhibits amylase • Mucus protects stomach lining from pepsin and hydrochloric acid Stomach • Muscular stomach lining helps mix food into semiliquid chyme • Little absorption; water, alcohol, aspirin, acetaminophen (Tylenol) are absorbed • Chyme leaves the stomach to enter the small intestine through a pyloric sphincter • Stomach emptying is regulated by signals from the small intestines and is affected by meal size and composition Stomach Stomach Small intestine • Main site for digestion and absorption • Chyme moved (pushed forward) by peristalsis and mixed by rhythmic constrictions called segmentation • About 6 metres long and large surface area due to circular folds, villi, and microvilli (brush border) • Undigested substances pass from the small intestines to the large intestines through a sphincter Small intestine Small intestine secretions • Pancreas secretes pancreatic juice containing: • Bicarbonate: neutralizes the acid in the chyme (from the stomach) • Pancreatic amylase: digests carbohydrates into sugars • Pancreatic proteases: digests proteins into amino acids • Pancreatic lipases: digests fats into fatty acids • Brush border secretes enzymes that complete digestion of carbohydrates and proteins • Liver secretes bile which emulsifies fat (breaks down droplets) so lipases can access fat molecules • Gall bladder stores bile Small intestine chemical digestion Transport across membranes • Diffusion: movement of substances from areas of higher concentration to areas of lower concentration (down a concentration gradient) • Simple diffusion: diffusion across membranes; no energy required • Osmosis: diffusion of water across membranes; no energy required • Facilitated diffusion: diffusion through a membrane; no energy but protein carriers are required • Active transport: movement of substances across membranes against concentration gradients; requires energy input (ATP) and a membrane protein Small intestine absorption Large intestine • Colon and rectum • Ends at the anus • 1.5 metres long • Absorption of water, some vitamins and minerals • Bacteria digest some nutrients (for example, fiber) and make vitamin K and some B vitamins Rectum • Last 20 centimetres of large intestines • Stores feces • Feces = undigested, unabsorbed matter, dead cells, secretions from the gastrointestinal tract, water, and bacteria What a scientist sees • Probiotics: food containing beneficial bacteria • Prebiotics: food ingredients that stimulate growth of beneficial bacteria Digestive system summary Gastrointestinal tract Mouth Saliva lubricates Amylase starts starch digestion Chewing breaks down food Pharnyx Epiglottis keeps food from airways Esophagus Peristalsis starts Stomach Food storage Acid kills bacteria, unfolds proteins, activates pepsin Produces chyme Small intestines Most digestion & absorption Pancreatic enzymes digest food & bicarbonate neutralizes acid Bile breaks fat Large intestines Absorb water Bacteria digest fiber, make vitamins Rectum Stores feces Concept check Place the following in order starting at the lips: • • • • • • • • Colon Esophagus Pharynx Small intestine Anus Stomach Mouth Rectum Concept check For each of the following portions of the digestive tract, name one function: • • • • • • Mouth Pharynx Esophagus Stomach Small intestine Large intestine Digestive system & immune system • Food contains antigens, molecules recognized by the immune system as foreign • Disease causing organisms (pathogens) have antigens on their surfaces • White blood cells in digestive system recognize and destroy foreign antigens • Phagocytes engulf and break down foreign organisms • Lymphocytes either destroy infected cells or secrete antibodies which bind to antigens leading to their destruction Digestive system & immune system Food allergies • Immune system reacts to antigens called allergens (substances causing allergic reaction) • First exposure begins the process with production of antibodies • Second exposure: allergens bind to antibodies and cause release of histamine • Symptoms: redness, swelling, hives, tingling on tongue or lips, difficulty breathing, decreased blood pressure, vomiting, cramps Food allergies Celiac disease • Inherited disease • Gluten in wheat, barley, or rye acts as an antigen • Immune response damages or destroys villi • Symptoms and complications: abdominal pain, diarrhea, fatigue, malnutrition, weight loss, anemia, osteoporosis, intestinal cancer, and other chronic illnesses Debate Should you be gluten free? Heartburn & GERD • Heartburn occurs when stomach contents including acid moves from the stomach up into the esophagus through the sphincter • GERD = gastroesophageal reflux disease (gastro means stomach) = recurring heartburn • Symptoms and complications: burning sensation, pain, bleeding, ulcers, cancer Peptic ulcers • Gastrointestinal tract lining is normally protected from acid and pepsin by mucus • Ulcers occur in esophagus, stomach, or small intestine from damage to lining by stomach acid and pepsin • Caused by: bacterium Helicobacter pylori (H. pylori), aspirin and other pain relievers • Symptoms and complications: pain, bleeding Gallstones • Solid material accumulates in the gall bladder and/or bile ducts and blocks bile • Symptom: pain • After gall bladder removal, bile drips into the small intestine rather than being secreted when fat is consumed so fat content of meals needs to be reduced Diarrhea • Frequent, watery stools • Occurs when substances move too quickly through the large intestine for water to be absorbed or when water is drawn from cells into the lumen of the intestines • Caused by: infections, irritants, medications, diseases. • Symptoms and complications: pain, dehydration, malnutrition Constipation • Hard, dry stools which are difficult to pass • Caused by: too little water and fiber in the diet, lack of exercise; decreased strength of large intestinal muscles, medications Digestive system disorders Digestive system disorders Apply to your life What are digestive problems you have experienced (personally or with a family member or friend) in the past? To which foods are you, your family, or your friends allergic? Thinking it through Digestive & cardiovascular systems • Water-soluble nutrients are absorbed into small blood vessels called capillaries • Lipid-soluble nutrients are absorbed into lymph vessels called lacteals • Blood from the digestive system enters the portal circulation and first travels to the liver for detoxification and conversion and storage of some nutrients Liver & portal system Cardiovascular system • Nutrient-rich blood and lymph return to the heart to be pumped out to the body • Arteries carry blood away from the heart and branch into arterioles and deliver blood to capillaries • Capillaries drain into venules which fuse to form veins which return blood to the heart Cardiovascular system • Pulmonary circuit: the heart pumps blood to the lungs for removal of carbon dioxide and to pick up oxygen • Systemic circuit: the heart pumps blood to body tissues and cells to deliver oxygen and nutrients and pick up carbon dioxide and wastes • Gases, nutrients and metabolic waste products are exchanged across capillary walls Removal of wastes Cardiovascular system Interpreting data Based on this chart, to which area does exercise cause the greatest reduction in blood flow? a) b) c) d) Skeletal muscle Abdomen Other organs There is no change Lymphatic system • Absorbs fat-soluble nutrients • Removes fluid from tissues and filters it before returning it to the blood • Contains immune cells to fight antigens Metabolism • Breakdown (catabolism) or synthesis (anabolism) of molecules • Changes to molecules occur in a series of reactions within metabolic pathways • Cells use nutrients for energy or to build structures and regulatory molecules • Excess nutrients can be stored in the body as fat Metabolism example: cellular respiration • Cells use oxygen to convert glucose, fatty acids, and amino acids into carbon dioxide, water, and energy in the form of ATP • ATP (adenosine triphosphate) contains high-energy bonds the cell can break to release energy to do work (such as muscle contraction, active transport across membranes, etc.) Metabolism What are similarities and differences between the: • Mouth and small intestine • Esophagus and stomach • Esophagus and small intestine • Stomach and small intestine • Small intestine and large intestine • Colon and rectum Nutrition in the news • Gluten-free diets • Gastric bypass and lap band surgery Checking student learning outcomes • What is the correct order for the body’s levels of organization from smallest to largest? • As food moves from the mouth to the anus, through which structures does it pass? What are the functions of each? • What can go wrong with the structures and functions of the digestive system? COPYRIGHT Copyright © 2014 John Wiley & Sons Canada, Ltd. All rights reserved. Reproduction or translation of this work beyond that permitted by Access Copyright (The Canadian Copyright Licensing Agency) is unlawful. Requests for further information should be addressed to the Permissions Department, John Wiley & Sons Canada, Ltd. The purchaser may make back-up copies for his or her own use only and not for distribution or resale. The author and the publisher assume no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information contained herein.