Lecture 42 11/28/23 Flashcards

1
Q

What are the characteristics of absorption?

A

-process of moving digested nutrients/water/ions across intestinal mucosa and into bloodstream
-requires transporters for most substances

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2
Q

Which molecules are transported via co-transport with sodium?

A

-glucose
-amino acids
-vitamins
-bile acids

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3
Q

What allows for basal-lateral facilitated diffusion of glucose?

A

high glucose conc. within the cell

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4
Q

What are the two types of passive transport?

A

-transcellular through ion channels
-paracellular through tight junctions

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5
Q

What are the major ions absorbed?

A

-sodium
-bicarbonate
-potassium
-chloride

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6
Q

What are the mechanisms of sodium absorption?

A

-co-transport with proteins via secondary active transport
-Na+/H+ exchanger
-simple diffusion through ion channels

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7
Q

What are the characteristics of the Na+/H+ exchanger?

A

-high H+ drives Na+ exchange
-occurs at the same time as HCO3-/Cl- exchange
-occurs in ileum and colon

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8
Q

What are the mechanisms of chloride absorption?

A

-HCO3-/Cl- exchange coupled with Na+ transport
-paracellular absorption coupled with sodium co-transport
-direct HCO3-/Cl- exchange without Na+ transport

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9
Q

What are the products of the sodium bicarb. and HCl reaction?

A

-NaCl
-water
-CO2

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10
Q

What are the steps of bicarbonate absorption?

A

-H+ and HCO3- are formed in the cell
-H+ is neutralized in the lumen with HCO3-
-Na+ charge balances HCO3- in cell
-Na+ and HCO3- absorbed into bloodstream

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11
Q

What are the characteristics of potassium absorption?

A

-potassium conc. is often higher than sodium conc.
-as water and other solutes are absorbed, K+ conc. increases
-conc. gradient forms, favoring absorption
-paracellular
-coupled with water absorption
-some active reabsorption in distal colon

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12
Q

Where does sodium co-transport primarily occur?

A

duodenum and upper jejunum

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13
Q

Where does chloride-coupled sodium absorption primarily occur?

A

ileum and colon

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14
Q

Where does HCO3-/Cl- exchange occur?

A

ileum and colon

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15
Q

Where does bicarbonate absorption occur?

A

ileum and colon

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16
Q

Where does potassium absorption occur?

A

ileum and colon

17
Q

What are the characteristics of water absorption?

A

-passive through osmosis
-can be transcellular through aquaporins
-can be paracellular through tight junctions

18
Q

What are the basic characteristics of cobalamin?

A

-central cobalt atom
-synthesized by microbes
-meat-containing diets provide sufficient amounts

19
Q

What are the characteristics of R-protein/Haptacorrin?

A

-produced in saliva or gastric juice
-binds to cobalamin in stomach to prevent degradation
-released from B12 in duodenum by pancreatic enzymes

20
Q

What are the characteristics of vitamin B12 absorption?

A

-R-protein transfers cobalamin to intrinsic factor in duodenum
-ileum is major site of absorption
-transported systemically with transcobalamin

21
Q

What is the main function of cobalamin?

A

function in coenzymes

22
Q

What are the characteristics of cobalamin deficiency?

A

-bacterial overgrowth leads to decreases in absorption
-main symptoms are megaloblastic anemia, weight loss, diarrhea, and vomiting