3. Digestion of LIPIDS Flashcards

1
Q

What percentage of energy comes from fats? and from carbs?

A

At rest 60% energy comes from fats, 40% from carbs

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2
Q

Explain digestion and absorption

A

Digestion
• Chemical digestion of ingested food into absorbable molecules & is due to enzymes secreted into the lumen (salivary, gastric and pancreatic enzymes, bile) or bound to the apical membranes of enterocytes
• Mechanical digestion – peristalsis
Absorption
• Movement of nutrients, water & electrolytes through the epithelial cell lining into the blood or lymph

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3
Q

How much lipid should we eat?
What is the basic structure of lipids?
How do we store lipid in the body?

A

Lipids
• How much lipid should we eat? 30% diet by weight
o 9 calories/gram
• Structure of lipids: basic units omega end, triglyceride ***
• Storage form in the body: triglyceride
o Glycerol backbone (3C) each with a fatty acid tail (combination of lengths, saturations)

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4
Q

What are the main functions of lipid?

A
Main functions:
•	Energy store
•	Phospholipids – cell membrane
•	Cholesterol
•	Omega 3, 6 (carbon 18 molecules) - essential fatty acids
o	Bonds every 3 carbons
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5
Q

How do lipase enzymes act?

A

o Preferentially remove fatty acids at C1 and C3 of the TG
o Lingual lipase & gastric lipase do about 20%
• Lingual lipase – parotid glands
• Gastric lipase – gastric mucosa
• Churning & mixing in stomach as well as presence of proteins helps to digest some of the TG
o Pancreatic lipase – secreted into SI

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6
Q

Why is the digestion of TG more complex than protein or starch digesiton?

A
  • Digestion of TG is more complex than protein or starch digestion, due to very low solubility of TG & Fatty acids in aqueous medium
  • Due to the hydrophobic nature of lipids, they aggregate together to form globules, and enzymes (lipase) can only attack the surface of the molecule
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7
Q

In order for TG to be digested and absorbed adequately, 2 processes must occur.. what are these?

A
o	Emulsification (in small intestine)
o	Enzymatic digestion
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8
Q

Describe Emulsification

A

Emulsification
Is not digestion, because there are no bonds to be broken - pulling the molecules apart
• Bile – made in liver, stored in gall bladded
o Alkaline solution
o Cholesterol
o Phospholipids
o Electrolytes
o Pigments
o Bile acids (cholesterol derivatives)
• Consist of sterol ring (chenodeoxycholic acid & cholic acid), with a side chain to which a molecule of glycine or taurine is covalently attached
• One side hydrophobic, one side is hydrophilic
• Amphipathic – therefore have both a hydrophobic and hydrophilic region. The hydrophobic side will be attracted to hydrophobic fat globules
• Bile acids (and phospholipids) surround lipid globules (aggregates of TG)
• Fat is physically broken down into ‘blobs’ and held in suspension
• Greatly increases the surface area of fat, making it available for digestion by lipases which cannot access the inside of lipid droplets

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9
Q

Emulsification + Enzymatic Digestion

A
  • Co-lipase is the mediator => It pulls the lipase into the fat molecules where it can act
  • Pancreatic lipase can then effectively enzymatically digest TG into FFA & monoglycerides
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10
Q

Describe absorption: the Micelle

A

• Triglycerides are still hydrophobic, so they will try and reform the globules once they have been broken down.
• Bile salts will again surround them to form a micelle
• The mixed micelle carries products of digestion through the aqueous lumen & the unstirred aqueous layers adjacent to the enterocyte
o Micelle = digested products in the middle, surrounded by bile salts, phospholipids (heads are polar) and they solubilize
o Micelles are far more soluble

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11
Q

Describe absorption of lipids

A

• Upon reaching the brush border, the fatty acids & monoglycerides leave the micelle & move through the lipid phase of the membrane by simple diffusion
o Cholesterol (relatively poorly absorbed) is transported across the apical membrane on specific energy dependent membrane transporters
• Hence can target these to decrease cholesterol
• Micelle solubilize the lipids, then must get close enough to layer so fats can diffuse across membrane & into intestine

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12
Q

In the Enterocyte what happens?

A

• In the enterocyte must repackage them (fatty acids must be in simplest form to diffuse through membrane, then must solubilize to travel through water environment)
o Monoglycerides + FA reform triglycerides
o FA + Cholesterol form cholesterol esters
• TG & CE are then packaged into lipoproteins called chylomicrons (a lipoprotein)
o Spherical with a core of TG & CE
o Surface is phospholipids, cholesterol & proteins (apolipoprotein B)
• Due to their large size, chylomicra leave the cell via exocytosis an dare absorbed into lacteals
• Chylomicra are exported into lymphatic vessels & enter blood stream via the thoracic duct

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13
Q

What happens to lipids: Chylomicron to cells

A

• In the blood as chylomicrons
• Triglyceride (TG) cant enter cells; FA can
• Lipoprotein lipase (LPL)
o Enzyme lines capillary walls (mainly in adipose & muscle)
o Converts TG back to FA and glycerol
• FA can enter cell
• Glycerol travels to the liver to be converted to glycerol-3-phosphate (this reaction doesn’t occur in the adipose tissue)
• The rest of the chylomicron (which is not free of TG) is broken down by the liver & repackaged
o VLDLs, LDLs, HDLs

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14
Q

Explain TG synthesis in adipose tissue

A

• FA enter the adipose cell & combine with glycerol-3-phosphate to form triglycerides
o In adipose cells, glycerol-3-p is made from glucose
• Insulin levels are increased after a meal
o Increased in response to increased blood nutrient concentration
• Insulin promotes TG synthesis by:
o Allowing glucose to enter adipose cells
• stimulates GLUT4 receptor to move to membrane)
• It may then form glycerol-3 phosphate
o Increases lipoprotein lipase levels
o Speeds up release of FA from chylomicrons
o Increases TG formation in adipose cell

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15
Q

Describe the release of FA from adipose tissue

A

• Hormone-sensitive lipase
o Enzyme in adipose tissue that increases TG breakdown
• TG are broken back to FFA and glycerol
o Activated by glucagon and epinephrine, inhibited by insulin
• When required, adipose cells release FFA into the blood
o FFA are transported in the blood stream by ALBUMIN

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16
Q

What are the different types of fat transport

A
  • Chylomicrons - transporting dietary fats from intestine
  • VLDL, LDL – made by the liver; package TG, cholesterol to take to cells
  • HDLs – pick up cholesterol & return it to the liver
17
Q

Explain the absorption of Vitamins and Minerals!

A

No digestion takes place, absorb them whole
• Fat soluble vitamins
o Absorbed in SI with other lipids ⇒ chylomicrons
• Water soluble vitamins
o Diffusion (largely unknown)
• Vitamin C: localized to the ileum via sodium-coupled co-transporters (SVCT1 & SVCT2)
• Vitamin B12: requires intrinsic factor to be absorbed
• Minerals
o Absorbed in ionic (2+ state)
o Ca, Mg, Fe, Cu and Zn are all absorbed in the ionic state, all have same ionic charge (2+) therefore vie for the same protein carriers.

18
Q

Explain the absorption of Alcohol

A

• Ethanol is rapidly absorbed by the stomach & small intestine (mainly jejunum)
o Stomach mucosa contains alcohol dehydrogenase which starts the metabolism of alcohol (first pass metabolism)
• Can appear in the blood 5mins after ingestion
o Delayed by presence of food
• Metabolism occurs:
o 60-90% in liver
o 5-25% in stomach (first pass metabolism)
• Less in women then men
• Enzyme in stomach metabolises alcohol as we consume it
o 2-10% will appear in breath, sweat & urine