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PBDII Exam 5
Dr.Ellis Digestion and Absorption
48
Other
Professional
04/21/2011

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Cards

Term
Glucose, Fructose and Galactose are all examples of ?
Definition
Monosaccharides
Term
Sucrose, Lactose and maltose are all examples of ?
Definition
Dissacharides
Term
T/F: There is only receptors in the S.I. for monosaccharides so all other sugars have to be broken down into monomers.
Definition
True
Term
List the different types of Carbohydrates.
Definition

1. Sugar

2. Sugar EtOH

3. Starches

4. Dietary Fiber

Term
Starches are large polysaccharides. Give the name of the branched chain polymers and the straight chains that make up starch.
Definition

Branched = Amylopectin

Straight = Amylose

Term
T/F: Dietary fibers are starchy polysaccharides.
Definition
False; they are non-starchy.  Made of cellulose that humans cannot digest
Term
What does bacteria in the colon do to dietary fibers?
Definition
They ferment it and create short fatty acids.  The short FAs can then supply energy to the cells in the colon.
Term
What process causes the digestion of carbohydrates?
Definition

Hydrolysis

(Add H2O)

Term
Digestion of Carbs in the mouth occurs because
Definition
Saliva contains alpha amylase which is the enzyme that breaks starch down into simpler structures like maltose and glucose
Term
In the _______________ there is minimal amount of digestion.
Definition
Stomach
Term
_____________% of food swallowed is of starch hydrolyzed to maltose.  In the stomach it mixes with ___________.
Definition

30-40%

Stomach secretions

Term
What inactivates Salivary Amylase?
Definition
Low pH
Term
Where does the majority of digestion of carbohydrates occur? And by which enzyme?
Definition
In the SI by pancreatic amylase
Term
Which enzymes can be found lining the microvilli brush border of Enterocytes?
Definition

1. Lactase

2. Maltase

3. Sucrase

4. Alpha Dextrinase

Term
What is the function of enterocytes in digestion of carbs?
Definition
They allow absorption of Gluc.
Term
Describe the absorption of Glucose.
Definition
Glucose enters enterocyte via a Na+ dependent Gluc co-transporter. It exits the enterocyte via GLUT 2 on the basolateral membrane and now enters the blood capillary.
Term
What is different about the absorption of Fructose by the enterocytes?
Definition
Instead of using the Na+/Gluc Co-transporter to enter the enterocyte, Fructose uses GLUT5.
Term
T/F: The digestion of proteins occur via dehydration.
Definition
False; it occurs via hydrolysis. Removing water will create peptide linkages whereas adding water breaks these bonds.
Term
What causes the digestion of proteins in the stomach?
Definition

Pepsin

Digests about 10-20% of dietary protein

 

 

Term
What causes the digestion of proteins in the SI?
Definition

Proteolytic enzymes that are secreted from the pancreas. Those include:

 

1. Trypin and Chymotrypsin

2. Carboxypolypeptidase

P3. roelastase--->Elastase

Term
What causes digestion of peptides in the Enterocytes?
Definition
In the Duodenum and Jejunum, the brush border has microvilli that contains peptidases in the membrane. These include Aminopolypeptidase and dipeptidase.
Term
99% of digest protein results into _______.
Definition

Amino Acids

 

(can hae some small peptides)

Term
Describe the absorption of A.A by the enterocytes.
Definition
Enterocytes has a Na+/A.A. co transported on the Apical membrane.  Once Na+ binds then A.A. will bind and both get transported into the cell.  The A.A. will leave via an A.A. only transporter located on the B.M..  Goes to the blood.
Term
Describe the absorption of Peptides by enterocytes?
Definition
Peptides enter the enterocyte cell via a H+/Peptide Co-transporter called PepT1.  Once inside the cell peptidases break down the peptides into A.A. Which then exit on the B.M via A.A. only transporter. Now goes to the blood.
Term
What 2 things can emulsify fats?
Definition

Lecithin

Bile Salts

Term
How does bile salts accelerate fat digestion?
Definition
They form michelles which then transport the digested fat products to the brush border of enterocytes for absorption.
Term
T/F: Digestion of fats can start in the mouth.
Definition
True, there is lingual lipase that can breakdown some fats.
Term
Emulsification of fat begins in the ________________, but most of it occurs in the _______________.
Definition

Stomach

Duodenum

Term
Digestion of fats use lipolytic enzymes that are secreted from the pancreas.  What are these enzymes and what do they do?
Definition

1. Pancreatic lipase = Hydrolyzes TG to FFA and 2-MG

2. Cholesterol Esterase Hydrolase = Hydrolyzes FA from Cholesterol esters

3. Phospholipase A2 = Hydrolyzes FA from Phospholipids

Term
Describe the absorption of lipids by the enterocytes.
Definition
The majority of lipids are in FA and MG form. They enter the enterocyte by simple diffusion. Once inside it goes to the ER where it makes more TGs. The TGs become surround by apolipoprotiens thus forming a Chylomicron.  The Chylomicron goes to the golgi, and eventually exits the enterocyte via exocytosis.  It does not go to the blood immediately.  It first goes into the lymphatic system then to the blood system.
Term

____________ mL of H2O enter the GI a day.

_____________ mL is lost in feces and

______________ mL must be absorbed.

Definition

9200 mL

50-100 mL

9100 mL

Term
What are the 3 mechanisms that absorb Na+ and Cl-?
Definition

1. Active electrogenic transport of Na+

2. Na+ coupled to water soluble organic solutes such as Glucose or A.A.

3. Neutral Na/Cl co-transporter

Term
Where is HCO3- absorbed?
Definition
Indirect absorption in the duodenum and jejunum
Term
T/F: All HCO3- gets absorbed
Definition
False; the HCO3- that makes up the gastric mucus layer is localized to the stomach and will not leave to get absorbed.  It protects us from excoriation of pepsin and HCl so we dont want it to get absorbed.
Term
Absorption of Ca2+ occurs actively in all segments.  Which channels allow for the absorption of Ca2+?
Definition

Transient Receptor Potential Vanilloid Type 6

(TRPV6 Channels)

Term
What sequesters Ca2+ into enterocyte and increases the transport across the cell to the B.M?
Definition
Calbindin
Term
What increases the Ca2+ absorption from the intestine?
Definition
Vit D
Term
How does Ca2+ exit the B.M. of the enterocyte?
Definition
 Leaves via a Ca-ATPase or a Na+/Ca2+ exchanger.
Term
Describe the absorption of Iron by the enterocytes.
Definition

1. Fe3+ is reduced to Fe2+ via Reductase located in brush border of enterocyte.

2. Fe2+ cotransported with H+ into cell via Divalent Metal Transporter (DMT1)

3. If there is an high # of Fe, then it gets incorporated to Ferritin and will not reach the blood. Instead the enterocyte dies and sheds, so lose Iron.

4. If there is a low # of Fe it will exit the BM via Ferroportin transporter.

5. Hephaestin first binds to Fe2+ and  converts it back to Fe3+ then exits thru B.M 

6. Fe3+ binds to Transferrin for transport throughout body

Term
Which kinds of foods provide us with Heme?
Definition
Meats
Term
Describe the absorption of Vit B12.
Definition
Vit B12-R protein complex are in the gatric lumen. So Pancreatic proteases degrade the R proteins and leave free Vit. B12.  The B12 then binds to intrisinc factors that is needed for absorption.  The brush border receptor binds the B12-IF complex and allows absorption in the ileum.
Term
Which vitamines are fat soluble and what do they need for absorption?
Definition

Vit A, D, K, E

Bile

Term
How are water soluble vitamins absorbed?
Definition
By carriers that are Na+ co-transporters
Term
T/F: If not bound to intrinsic factor, Vit. B12 can still be absorbed just to a smaller extent.
Definition
False; if there is no intrinsic factor bound to Vit. B12 then it will not get absorbed.  It is very important for its absorption.
Term
The Large intestine reabsorbs water and electrolytes.  This occurs in the ________________ (proximal).  the Large intestine can also store feces, this occurs in the ___________________(distal).
Definition

Absorbing colong

Storage colon

Term
What gives feces its brown color?
Definition

Derivatives of bilirubin

(Sterocobilin and Urobilin)

Term
Feces is ____________water and ___________ solid material.
Definition

3/4

1/4

Term
What things make up the solid material of feces?
Definition

1. 30% dead bacteria

2. 10-20% of undigested fats

3. 2-3% protein

4. 10-20% inorganic material

5. 30% of undigested roughage

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