6.1 Digestion and Absorption Flashcards

1
Q

What are the two major groups of organs which comprise the human digestive system?

A
  • The alimentary canal consists of organs through which food actually passes (oesophagus, stomach, small & large intestine)
  • The accessory organs aid in digestion but do not actually transfer food (salivary glands, pancreas, liver, gall bladder)
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2
Q

What organs are part of the alimentary canal?

A

Oesophagus, stomach, small intestine, large intestine

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3
Q

What are the accessory organs?

A

Salivary glands, pancreas, liver, gall bladder

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4
Q

What is the oesophagus and what does it do?

A
  • A hollow tube connecting the oral cavity to the stomach (separated from the trachea by the epiglottis)
  • Food is mixed with saliva and then is moved in a bolus via the action of peristalsis
  • Movement of food by peristalsis from the mouth to the stomach
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5
Q

What is the stomach and what does it do? What pH?

A
  • Churning and mixing with secreted water and acid which kills foreign bacteria and other pathogens in food, plus initial stages of protein digestion
  • A temporary storage tank where food is mixed by churning and protein digestion begins
  • It is lined by gastric pits that release digestive juices, which create an acidic environment (pH ~2)
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6
Q

What is the small intestine and what does it do?

A

Small Intestine

  • A long, highly folded tube where usable food substances (nutrients) are absorbed
  • Consists of three sections – the duodenum, jejunum and ileum
  • Final stages of digestion of lipids, carbohydrates, proteins and nucleic acids, neutralising stomach acid, plus absorption of nutrients
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7
Q

What doess the salivary gland do?

A
  • Release saliva to moisten food and contains enzymes (e.g. amylase) to initiate starch breakdown
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8
Q

What is the pancreas and what does it do?

A
  • Produces a broad spectrum of enzymes that are released into the small intestine via the duodenum
  • Secretion of lipase, amylase, and protease
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9
Q

What is the liver and what does it do?

A
  • Secretion of surfactants in bile to break up lipid droplets
  • Its role includes detoxification, storage, metabolism, bile production and haemoglobin breakdown
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10
Q

What is the gall bladder and hat does it do?

A
  • Store and regulate release of bile produced by the liver
  • Bile stored in the gall bladder is released into the small intestine via the common bile duct
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11
Q

What are the two methods food can be digested in?

A

Mechanical and chemical digestion

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12
Q

What is involved in mechanical digestion?

A

Chewing (Mouth)

  • Food is initially broken down in the mouth by the grinding action of teeth (chewing or mastication)
  • The tongue pushes the food towards the back of the throat, where it travels down the esophagus as a bolus
  • The epiglottis prevents the bolus from entering the trachea, while the uvula prevents the bolus from entering the nasal cavity

Churning (Stomach)

  • The stomach lining contains muscles which physically squeeze and mix the food with strong digestive juices (‘churning’)
  • Food is digested within the stomach for several hours and is turned into a creamy paste called chyme
  • Eventually the chyme enters the small intestine (duodenum) where absorption will occur
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13
Q

How does the food move?

A

Peristalsis

  • Peristalsis is the principal mechanism of movement in the oesophagus, although it also occurs in both the stomach and gut
  • The contraction of circular and longitudinal smooth muscle layers of the small intestine mixes the food with enzymes and moves it along the gut
  • Food is moved unidirectionally along the alimentary canal in a caudal direction (mouth to anus)
  • Exerts continuous moderate force, interspersed with short periods of more vigorous contraction, rather than remaining relaxed unless stimulated to contract
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14
Q

What is segmentation? Where does it occur? What do it do? How does it help?

A
  • Segmentation involves the contraction and relaxation of non-adjacent segments of circular smooth muscle in the intestines
  • Segmentation contractions move chyme in both directions, allowing for a greater mixing of food with digestive juices
  • While segmentation helps to physically digest food particles, its bidirectional propulsion of chyme can slow overall movement
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15
Q

In chemical digestion, how is food broken down?

A

by the action of chemical agents (such as enzymes, acids and bile)

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16
Q

How is stomach acid released?

A
  • The stomach contains gastric glands which release digestive acids to create a low pH environment (pH ~2)
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17
Q

Where is bile produced and stored?

What does bile interact with?

A
  • Produced by liver
  • Stored in gall bladder
  • Release into the intestine
  • Bile contains bile salts which interact with fat globules and divide them into smaller droplets (emulsification)
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18
Q

Why is emulsification needed?

A

Bile emulsifies the fat globules and it increases the total surface area available for enzyme activity (lipase)

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19
Q

What are enzymes? What do they do?

A
  • Enzymes are biological catalysts which speed up the rate of a chemical reaction (i.e. digestion) by lowering activation energy
  • Enzymes allow digestive processes to therefore occur at body temperatures and at sufficient speeds for survival requirements
  • Enzymes are specific for a substrate and so can allow digestion of certain molecules to occur independently in distinct locations
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20
Q

What are some examples of digestive enzymes from the pancreas and liver?

A
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21
Q

Where are digestive enzymes secreted from?

A

Digestive enzymes are secreted predominantly by the pancreas, although other organs also contribute (salivary gland, stomach)

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22
Q

What does carbohydrate digestion begin?

What is the enzyme secreted by?

Can be digest cellulose?

A
  • begins in the mouth with the release of amylase from the salivary glands (starch digestion)
  • secreted by the pancreas in order to continue carbohydrate digestion within the small intestine
  • Humans do not possess an enzyme capable of digesting cellulose (cellulase) and hence passes through the body undigested
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23
Q

What enzymes are often immobilised and where?

A

Enzymes for disaccharide hydrolysis are often immobilised on the epithelial lining of the small intestine, near channel proteins

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24
Q

Where does protein digestion begin? What does it release? What pH?

A
  • Begins in the stomach with the release of proteases that function optimally in an acidic pH (e.g. pepsin = pH2)
  • Then in the small intestine, the smaller polypeptide chains are broken down by endopeptidases released by the pancreas
  • Endopeptidases work optimally in neutral environments (pH 7) as the pancreas neutralises the acids in the intestine
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25
Q

Where do lipids break down? With what enzyme?

A
  • Lipid breakdown occurs in the intestine, beginning with emulsification of fat globules by bile released from the gall bladder
  • The smaller fat droplets are then digested by lipases released from the pancreas
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26
Q

What enzyme released from where digests nucleic acids (DNA,RNA) and into what?

A
  • The pancreas releases nucleases which digest nucleic acids into smaller nucleosides
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27
Q

What specialised structures do the human intestine have to absorb the products of digestion?

A
  • The small intestine absorbs usable food substances (i.e. nutrients – monosaccharides, amino acids, fatty acids, vitamins, etc.)
  • The large intestine absorbs water and dissolved minerals (i.e. ions) from the indigestible food residues
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28
Q

What are the 4 main tissue layers of the small intestine?

Identify them in this image

A

From the outside of the wall going inwards:

  • Serosa – a protective outer covering composed of a layer of cells reinforced by fibrous connective tissue
  • Muscle layer – outer layer of longitudinal muscle (peristalsis) and inner layer of circular muscle (segmentation)
  • Submucosa – composed of connective tissue separating the muscle layer from the innermost mucosa
  • Mucosa – a highly folded inner layer which absorbs material through its surface epithelium from the intestinal lumen
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29
Q

What are the finger-like projections in the inner epithelial lining of the intestine?

A

Villi (singular: villus)

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30
Q

What are the features in villi?

A
  • Microvilli – Ruffling of epithelial membrane further increases surface area
  • Rich blood supply – Dense capillary network rapidly transports absorbed products
  • Single layer epithelium – Minimises diffusion distance between lumen and blood
  • Lacteals – Absorbs lipids from the intestine into the lymphatic system
  • Intestinal glands – Exocrine pits (crypts of Lieberkuhn) release digestive juices
  • Membrane proteins – Facilitates transport of digested materials into epithelial cells

Mnemonic: MR SLIM

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31
Q

Why is the inner epithelial lining of the intestine highly folded?

A

The vili increase the available surface area for material absorption

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32
Q

What are some structural features which optimise villi’s ability to absorb materials?

A

Tight Junctions

  • Occluding associations between the plasma membrane of two adjacent cells, creating an impermeable barrier
  • They keep digestive fluids separated from tissues and maintain a concentration gradient by ensuring one-way movement

Microvilli

  • Microvilli borders significantly increase surface area of the plasma membrane (>100×), allowing for more absorption to occur
  • The membrane will be embedded with immobilised digestive enzymes and channel proteins to assist in material uptake

Mitochondria

  • Epithelial cells of intestinal villi will possess large numbers of mitochondria to provide ATP for active transport mechanisms
  • ATP may be required for primary active transport (against gradient), secondary active transport (co-transport) or pinocytosis

Pinocytotic Vesicles

  • Pinocytosis (‘cell-drinking’) is the non-specific uptake of fluids and dissolved solutes (a quick way to translocate in bulk)
  • These materials will be ingested via the breaking and reforming of the membrane and hence contained within a vesicle
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33
Q

During absorption, where must the digested food monomers pass through?

A

Pass from the lumen into the epithelial lining of the small intestine

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34
Q

What do the tight junctions between epithelial cells do?

A

It occlude any gaps between cells - all monomers must cross the membrane

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35
Q

Do different monomers/nutrients undertake different membrane transport?

A

Yes, different methods of membrane transport are required to absorb different nutrients

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36
Q

What is secondary active transport and what monomers uses this method to be absorbed?

A
  • A transport protein couples the active translocation of one molecule to the passive movement of another (co-transport)
  • Glucose and amino acids are co-transported across the epithelial membrane by the active translocation of sodium ions (Na+)
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37
Q

What is facilitated diffusion and what monomers use this method?

A
  • Channel proteins help hydrophilic food molecules pass through the hydrophobic portion of the plasma membrane
  • Channel proteins are often situated near specific membrane-bound enzymes (creates a localised concentration gradient)
  • Certain monosaccharides (e.g. fructose), vitamins and some minerals are transported by facilitated diffusion
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38
Q

What is osmosis and which monomers use this method?

A
  • Water molecules will diffuse across the membrane in response to the movement of ions and hydrophilic monomers (solutes)
  • The absorption of water and dissolved ions occurs in both the small and large intestine
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39
Q

What is simple diffusion and which monomers use this method?

A
  • Hydrophobic materials (e.g. lipids) may freely pass through the hydrophobic portion of the plasma membrane
  • Once absorbed, lipids will often pass first into the lacteals rather than being transported via the blood
40
Q

How is bulk transport achieved?

A

Using endocytosis

41
Q

What does endocytosis involve? How do vesicles form? Does it require energy? What is it known as in the intestine?

A
  • Endocytosis involves the invagination of the plasma membrane to create an internal vesicle containing extracellular material
  • Vesicle formation requires the breaking and reforming of the phospholipid bilayer and hence is an energy-dependent process
  • In the intestines, vesicles commonly form around fluid containing dissolved materials (pinocytosis – cell ‘drinking’)
  • Pinocytosis allows materials to be ingested en masse and hence takes less time than shuttling via membrane proteins
42
Q

Summary of absorption methods

A
43
Q

What is starch? In what forms can it exist?

A

A polysaccharide composed of glucose monomers and accounts for ~ 60% of the carbohydrates consumed by humans

  • Starch can exist in one of two forms – linear chains (amylose) or branched chains (amylopectin)
44
Q

What is the digestion of starch initiated by and where

A

The digestion of starch is initiated by salivary amylase in the mouth and continued by pancreatic amylase in the intestines

45
Q

Why doesnt starch digestion by amylase occur in the stomach?

A

Starch digestion by amylase does not occur in the stomach as the pH is unsuitable for amylase activity (optimal pH ~ 7)

46
Q

What does amylase digest amylose into? (2)

A

into maltose subunits (disaccharide) and digests amylopectin into branched chains called dextrins

47
Q

How are both maltose and dextrin digested? What do they form?

A
  • Both maltose and dextrin are digested by enzymes (maltase) which are fixed to the epithelial lining of the small intestine
  • The hydrolysis of maltose/dextrin results in the formation of glucose monomers
48
Q

What can glucose produce when hydrolysed?

A

Glucose can be hydrolysed to produce ATP (cell respiration) or stored in animals as the polysaccharide glycogen

49
Q

Overview of starch hydrolysis

A
50
Q

What is the two functions of the pancreas in the breakdown of starch?

A
  • It produces the enzyme amylase which is released from exocrine glands (acinar cells) into the intestinal tract
  • It produces the hormones insulin and glucagon which are released from endocrine glands (islets of Langerhans) into the blood
51
Q

What do the hormones insulin and glucagon regulate?

A

the concentration of glucose in the bloodstream (controls availability to cells)

  • Insulin lowers blood glucose levels by increasing glycogen synthesis and storage in the liver and adipose tissues
  • Glucagon increases blood glucose levels by limiting the synthesis and storage of glycogen by the liver and adipose tissues
52
Q

What are the two key functions of the process of digestion?

A
  • It breaks down insoluble molecules into smaller subunits which can be readily absorbed into body tissues
  • It breaks down inert molecules into usable subunits which can be assimilated by cells and reassembled into new products
53
Q

Why must large molecules be broken down in digestion?

A

Because they must pass through the cell membranes to be absorbed and they are impermeable to large molecules (polypeptides, polysaccharides) unless transport is facilitated by proteins

54
Q

What is the permeability of dialysis tubing?

A

Selectively-permeable

55
Q

What are the 5 stages of digestion?

A
  • Ingestion – food is taken into the body via the act of eating
  • Digestion – food is broken down both physically (e.g. mastication) and chemically (e.g. enzymatic hydrolysis)
  • Absorption – digested food products are absorbed into the bloodstream and transported to cells
  • Assimilation – digested food products are converted into the fluid and solid parts of a cell / tissue
  • Elimination – undigested food residues are egested from the body as semi-solid faeces
56
Q

Why are lipids insoluble?

A

Because they are hydrophobic

57
Q

How does bile divide the fat globule into smaller droplets (emulsification)

A

Bile is a watery fluid that contains bile salts and pigments (bilirubin) – it is made by the liver and released from the gall bladder

  • Bile salt molecules have both a hydrophobic surface and a hydrophilic surface
  • The hydrophobic end interacts with the lipid while the hydrophilic end faces out and prevents lipids from coalescing
  • This divides the fat globule into smaller droplets (emulsification), increasing the total surface area available for enzyme activity
58
Q

How is lipid absorbed?

A

After they are emulsified by bile salts, they can enter the epithelial cells. They are combined to form triglycerides

The triglycerides are combined with proteins inside the Golgi apparatus to form chylomicrons

Chylomicrons are released from the epithelial cells and are transported via the lacteals to the liver

59
Q

What do low density lipoproteins and high density lipoproteins do?

A

LD: They transport lipids via the bloodstream to cells

HD: scavenge excess lipids from the bloodstream and tissues and return them to the liver

60
Q

What is the large intestine and what does it do?

A

Large Intestine

  • The final section of the alimentary canal, where water and dissolved minerals (i.e. ions) are absorbed
  • Consists of the ascending / transverse / descending / sigmoidal colon, as well as the rectum
  • Re-absorption of water, further digestion especially of carbohydrates by symbiotic bacteria, plus formation and storage of feces
61
Q

What controls peristalsis?

A

The enteric nervous system, which is extensive and complex

62
Q

Which direction does peristalsis occur? What happens when it goes the opposite way and which muscle does it then use?

A

From mouth to stomach

When vomiting, abdominal muscles are used rather than the circular and longitudinal muscle in the gut wall

63
Q

Why is food moved slower in the intestine compared to the eosophagus?

A

Allow time for absorption

64
Q

What is the main function of peristalsis in the intestine?

A

To churn the semi-digested food and mix it with enzymes and thus speed up the process of digestion

65
Q

What does the pancreas do?

A

Secrete enzymes into the lumen of the small intestine

66
Q

What 2 types of gland tissues are in the pancreas?

A
  1. Small group of cells secrete the hormones insulin and glucagon into the blood.
  2. Synthesises and secretes digestive enzymes into the gut in response to eating a meal
67
Q

How are the digestive enzymes from the pancreas synthesised?

A

Synthesised in pancreatic gland cells on ribosomes on the rough endoplasmic reticulum. They are then processed in the Golgi apparatus and secreted by exocytosis. Ducts within the pancreas merge into larger ducts, finally forming one pancreatic duct. Then it is secreted into the lumen of the small intestine.

68
Q

Which 4 types of macromolecule found in food does enzymes from pancreatic juice digest?

A
  • Amylase to digest starch = Maltose
  • Lipases to digest triglycerides = fatty acids and glycerol or fatty acids and monoglycerides
  • Phospholipase to digest phospholipids = fatty acids, glycerol and phosphate
  • Proteases to digest proteins and peptides = shorter peptides
69
Q

What environment does stomach acid produce?

A

An acidic environment to denature proteins and other macromolecules, aiding in their overall digestion

70
Q

How is damage from stomach acid prevented to the organ?

A

The stomach epithelium contains a mucous membrane which prevents the acids from damaging the gastric lining

71
Q

What is added to the stomach acid when they enter the intestine?

A

The pancreas releases alkaline compounds (e.g. bicarbonate ions), which neutralise the acids as they enter the intestine

72
Q

What does maltase, lactase, sucrase and dipeptidases digest and give what product?

A

Maltase digest maltose = glucose

Lactase digest lactose = glucose and galactose

Sucrase digest sucrose = glucose and fructose

Dipeptidases digest dipeptides = amino acids

73
Q

What are exopeptidases and how do they work?

A

Exopeptidase are proteases that digest peptides by removing single amino acids either from the carboxy or amino terminal of the chain until only a dipeptide is left

74
Q

What are the 6 enzymes produced by gland cells in the intestine wall that mostly remain immobilised in the plasma membrane of epithelium cells lining the intestine?

A

Nucleases, Maltase, Lactase, Sucrase, Exopeptidases, Dipeptidases

75
Q

Why are some substances undigested?

A

Because humans cannot synthesize the necessary enzymes

76
Q

What forms a barrier to harmful substances for villi?

A

The epithelium that covers it

77
Q

What products of digestion of macromolecules in food can villus cells absorb?

A
  • Glucose, fructose, galactose and other monosaccharides
  • Any of the 20 amino acids used to make proteins
  • Fatty acids, monoglycerides and glycerol
  • Bases from digestion of nucleotides
78
Q

What products from food is absorbed but doesnt need digestion?

A
  • mineral ions such as calcium, potassium and sodium
  • Vitamins such as ascorbic acid (vitamin c)
79
Q

What happens to harmful substances that pass through the epithelium? How about harmless but unwanted substances?

A

They are subsequently removed from the blood and detoxified by the liver

Harmless unwanted substances are also absorbed, including many of those that give food its colour and flavour. They pass out in urine.

80
Q

How are small amounts of bacteria that pass through the epithelium removed?

A

Small numbers of bacteria pass through the epithelium but are quickly removed from the blood by phagocytic cells in the liver

81
Q

What must nutrients do to be absorbed into the body?

A

They must pass from the lumen of the small intestine to the capillaries or lacteals in the villi. The nutrients must be first absorbed into epithelium cells through the exposed part of the plasma membrane that has its surface area enlarged with microvilli. The nutrients must then pass out of this cell through the plasma membrane where it faces inwards towards the lacteal and blood capillaries of the villus.

82
Q

What 4 different mechanisms move nutrients into and out of the villus epithelium cells?

A
  • Simple diffusion
  • Facilitated diffusion
  • Active transport
  • Exocytosis
83
Q

Why must starch be digested in the small intestine to allow absorption?

A

Starch molecules cannot pass through membranes

84
Q

Are the reactions involved in the digestion of starch exo or endo?

A

Exothermic

85
Q

What happens when digestion of starch happens without a catalyst?

A

It happens at very slow rates.

86
Q

Which enzyme begins the digestion of both forms of starch?

A

Amylase digests both types of starch molecule: Amylose and Amylopectin

87
Q

Where is amylase found in the body?

A

Saliva
Then most starch digestion occurs in the small intestine, catalysed by pancreatic amylase.

88
Q

What does amylase do to amylose?

A

Breaks the 1,4 bonds as long as there is a chain of at least four glucose monomers. Amylose is therefore digested into a mixture of two- and three-glucose fragments called maltose and maltotriose

89
Q

Why can amylase break 1,6 bonds in amylopectin?

A

Because of the specificity of its active site.

90
Q

What are the fragments of the amylopectin molecule containing a 1,6 bond that amylase cannot digest called?

A

Dextrins

91
Q

Which 3 enzymes complete the digestion of starch?

A

Maltase, glucosidase and dextrinase digest maltose, maltotriose and dextrins into glucose

92
Q

Where are the enzymes that complete the digestion of starch located?

A

In the membranes of microvilli on villus epithelium cells

93
Q

How does the glucose from digested starch enter the blood system?

A
  1. Glucose is absorbed into villus epithelium cells by co-transport with sodium ions
  2. It then moves by facilitated diffusion into the fluid in interstitial spaces inside the villus
  3. The dense network of capillaries close to the epithelium ensures that glucose only has to travel a short distance to enter the blood system
94
Q

What feature of the capillary walls have that aids the entry of glucose?

A
  • Single layers of thin cells, with pores between adjacent cells
  • But these capillaries have larger pores than usual to aid entry of glucose
95
Q

Where does the blood carrying glucose and other products of digestion flow through and to where?

A

Flows through villus capillaries to venules in the sub-mucosa of the wall of the small intestine

96
Q

How does blood carrying glucose and other products of digestion end up as glycogen?

A
  1. The blood flows through villus capillaries to venules in the sub-mucosa of the wall of the small intestine
  2. The blood in the venules is carried via the hepatic portal vein to the liver, where excess glucose can be absorbed by liver cells and converted to glycogen for storage
97
Q

What is glycogen’s structure like?

A

Similar in structure to amylopectin, but with more 1,6 bonds and therefore more extensive branching