Digestion and Absorption Flashcards

1
Q

What is paracellular transport?

A

Substances diffuse between adjacent cells of the epithelium
Quite restrictive - tight junctions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is transcellular transport?

A

Substances move into an epithelial cell across either the luminal or basolateral surface, diffuse through the cytosol and exit across opposite membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is glucose?

A

Aldose containing 5 carbon sugar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do carbohydrates form chains?

A

Via alpha or beta linked OH groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the type of linkage determined by?

A

Presence of an alpha or beta carbon on one monosaccharide and position of disaccharide bond on the adjacent monosaccharide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How is starch broken down?

A

By salivary and pancreatic enzymes
1:4 alpha linkages broken down by glucoamalyse
1:6 alpha linkages broken down by alpha limit dextrinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why must carbohydrates be digested in their simplest form?

A

Only monosaccharides can cross epithelial barrier

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some carbohydrate digestion disorders?

A

Lactose malabsorption syndrome
Congenital lactose intolerance
Isomaltose deficiency
galactose malabsorption syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are sodium gradients crucial for?

A

Absorption of glucose
Generated by Na+/K+-ATPase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the Na+/K+ ATPase pumps located?

A

Basolateral membrane of intestinal epithelial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does the sodium bind to on the apical membrane?

A

SLGT1 transporter
Only works if glucose and sodium are both present
Glucose coupled to sodium gradient (secondary active transport)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What transporter does glucose use on the basolateral membrane?

A

GLUT2 - facilitated diffusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What sugar has a separate transporter?

A

Fructose - on proximal tubule S3 segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does the sodium gradient affect water?

A

Causes water to pass from lumen of the gut by osmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What substances digest peptides?

A

Pancreatic, brush border and intracellular proteases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are large polypeptides absorbed by?

A

They can’t except in neonatal receptor mediated endocytosis

17
Q

How are dipeptides, tripeptides and amino acids absorbed?

A

Across brush border
stereospecific -high affinity for L-type amino acids

18
Q

How do amino acids and small peptides cross the epithelia?

A

Sodium gradient
Neutral AA coupled to sodium channel SNAT

19
Q

How do AA cross the basolateral membrane?

A

By facilitated absorption

20
Q

What are the 3 lipases involved in lipid digestion?

A

Triacylglycerol hydrolase
Cholesterol ester hydrolase
Phospholipase

21
Q

What do bile salts facilitate?

A

Micelle formation at the epithelial surface

22
Q

What are the 6 steps of fat emulsification?

A
  1. Large fat globule
  2. Smaller emulsion droplets
  3. Micelle formation
  4. Passive Diffusion across epithelial
  5. Re-synthesis of lipids in ER
  6. Chylomicron formation and transport
23
Q

What must be added to bile to emulsify lipids?

A

lecithin
2- monoglycerides

24
Q

What are bile salts?

A

Flat molecules with a polar face and a non-polar face

25
Where are hydrophobic molecules digested?
Interior of the micelle of the bile salt
26
What is the significance of the critical micelle concentration?
Any concentration below critical micelle formation, micelle formation will not occur
27
Where are lipids reformed?
Smooth Endoplasmic Reticulum
28
What happens to reformed lipids?
Packaged into chylomicrons coated with beta-lipoproteins and exocytosed into lacteal system
29
Where are short free fatty acids absorbed?
Directly into portal vein
30
What do micelles transport?
Monoglycerides, cholesterol and fat soluble vitmains
31
Where are bile salts recycled?
Terminal ileum by enterohepatic circulation
32
What is ASBT?
Apical sodium dependent bile salt transporter
33
What is OSTa/b?
Basolateral sodium independent bile acid transporter
34
Do dietary lipids enter the faeces?
no
35
What can lead to increased fat in the faeces?
Removal of the gall bladder
36
Where are remanent chylomicrons processed/
In the liver where new liposomes are formed
37
How are triglycerides processed?
Delivered to adipose tissue via chlyomicrons from the GIT