24. GI physiol. 4.doc

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D’YOUVILLE COLLEGE

BIOLOGY 659 - INTERMEDIATE PHYSIOLOGY I

DIGESTIVE SYSTEM

Lecture 24: Digestion & Absorption

1. Digestion:

• hydrolysis: breakdown of complex foodstuffs entails hydrolysis - addition of

water to cleave chemical bonds of polymers (e.g. polysaccharides, proteins) and also of smaller food molecules (e.g. triglycerides, dipeptides, disaccharides, etc.); enzymes

that catalyze these reactions are hydrolases

• carbohydrate digestion (fig. 65 – 1 & ppt. 1): main forms are sucrose & lactose

(disaccharides) and starches (polysaccharides)

- starches are hydrolyzed by salivary amylase (ptyalin) in oral cavity & temporarily in stomach (until inactivation of amylase by gastric juice); digestion is

continued by pancreatic amylase in small intestine; main product is maltose (a disaccharide)

- disaccharides are hydrolyzed in small intestine by disaccharidases located in

brush border (microvilli) of intestinal epithelial cells; sucrose yields glucose & fructose, lactose yields galactose & glucose and maltose yields glucose

• protein digestion (fig. 65 – 2 & ppt. 2): proteins are polymers of amino acids linked together by peptide bonds

- digestion begins in stomach where pepsin breaks down longer chains of amino acids to shorter chains; process is continued in small intestine where pancreatic enzymes – trypsin, chymotrypsin & carboxypolypeptidase – produce mainly dipeptides & tripeptides

- digestion to amino acids is completed by peptidases

(aminopolypeptidase & dipeptidases) located in brush border of enterocytes

Bio 659 lec. 24 - p. 2 -

• fat digestion (figs. 65 – 3, 65 – 4 & ppts. 3 & 4): mainly triglycerides; also

cholesterol and phospholipids

- emulsificationdispersal of fats into microdroplets; accomplished by bile

salts & lecithin (a phospholipid) from liver; greatly increases accessibility for fat-

digesting enzymes

- triglycerides digested to fatty acids and monoglycerides mainly by pancreatic

lipase in small intestine; products are sequestered in micelles by bile salts

- cholesterol esters and phospholipids digested by cholesterol esterase and phospholipases, respectively, from pancreas; products also sequestered in micelles

2. Absorption:

• surface area: small intestine, site of most absorption, has several features that extend surface area of absorbing epithelium (ppt. 5):

- circular folds of submucosa & mucosa (fig. 65 – 5 & ppt. 6)

- finger-like folds of mucosa (villi) with core of blood & lymphatic supply (fig.

65 – 6 & ppt. 7)

- finger-like folds of apical membrane of absorbing epithelium (microvilli) (fig. 65 –

7 & ppt. 8)

- surface area is extended approx. 1000-fold

• water absorption: occurs by osmosis; any solute absorption that creates an osmotic gradient promotes water absorption; small intestine absorbs 7 – 8 liters/day

• ion absorption (fig. 65 – 8 & ppt. 9): sodium is absorbed via active transport on basal and side walls of epithelial cells; this maintains a low sodium concentration in absorbing cell to facilitate diffusion from intestinal lumen through apical border

- sodium pumps are stimulated by aldosterone (adrenal corticosteroid)

- sodium absorption provides osmotic gradient to promote water absorption

- chloride ions are concurrently absorbed by electrochemical ‘drag’ effect of sodium absorption

- bicarbonate ions combine with hydrogen ions (exchanged for absorbed sodium) to

form carbonic acid that splits to CO

2

(absorbed into bloodstream) & H

2

O

- other ions are absorbed in much smaller amounts (by active transport)

Bio 659 lec. 24 - p. 3 -

• carbohydrate absorption: absorbed as monosaccharides, mainly glucose; active transport of sodium establishes a sodium concentration gradient from intestinal lumen to absorbing cell cytoplasm & sodium enters by facilitated diffusion; the

sodium gradient provides motive force for glucose transport via the same transport protein

(cotransport or secondary active transport)

- galactose is absorbed in essentially the same manner as glucose

- fructose transport is by facilitated diffusion (fructose transport protein)

- monosaccharides pass by facilitated diffusion from absorbing cell to blood

• protein absorption: absorbed as dipeptides, tripeptides or amino acids

- many amino acids and peptides cotransport with sodium (similar to glucose)

- other amino acids enter by facilitated diffusion (variety of specific transport proteins involved) (ppt. 10)

• fat absorption: absorbed as fatty acids & monoglycerides; micelles ‘ferry’ these materials to the luminal border of the absorbing cell where the fatty acids and monoglycerides penetrate the lipid bilayer

- new triglycerides formed within absorbing cell from freshly absorbed fatty acids and monoglycerides; these are bundled with small amount of protein to form chylomicrons (extremely low density lipoproteins) that are absorbed into the lymphatic vessel (lacteal) (fig. 65 – 6 & ppts. 7 & 11)

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