Nutrient Digestion 2 (Fats, Vitamins and Minerals) Flashcards

1
Q

What form is almost all ingested fat in?

A

Triacylglycerol

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2
Q

What enzyme is responsible for all fat digestion in the small intestine?

A

Pancreatic lipase

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3
Q

What are triacylglycerols present as?

A

Large lipid droplets which are insoluble in water

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4
Q

Why is digestion of fats really slow?

A

Digestion can only take place at the surface of the droplet because the lipase is water-soluble

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5
Q

What is emulsification?

A

Dividing of large lipid droplets into smaller droplets

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6
Q

What is the benefit of emulsification?

A

Increased surface area and increased accessibility to lipase action

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7
Q

What are the 2 main requirements of emulsification?

A

Mechanical disruption of large lipids into small droplets

Emulsifying agent to prevent small droplets reforming into large droplets

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8
Q

How does mechanical disruption work?

A

Smooth muscle contraction grinds and mixes lumenal contents

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9
Q

How does emulsifying agent work?

A

Non-polar portions associate with non-polar interior of lipid droplet leaving polar portions exposed at water surface
Polar portions repel other small lipid droplets prevents them reforming into large droplets

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10
Q

What are emulsifying agents?

A

Bile salts and phospholipids secreted in bile

Amphiphatic molecules

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11
Q

How is absorption enhanced?

A

Micelles

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12
Q

What are micelles?

A

Bile salt + monoglycerides + fatty acids + phospholipids

Similar to emulsion droplets but smaller

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13
Q

What happens when micelles breakdown?

A

Release of small amounts of free fatty acids and monoglycerides into solution which causes diffusion across plasma membrane of absorbing cells
Dynamic equilibrium between fatty acids and monoglycerides in solution and in micelles - retains most of fat digestion products in solution while constantly replenishing supply of free molecules for absorption

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14
Q

Are micelles absorbed?

A

No

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15
Q

What happens to fatty acids and monoglycerides after they enter epithelial cells?

A

They enter smooth endoplasmic reticulum where they form back into triacylglycerols by enzymes

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16
Q

Describe the transport of triacylglycerol through the cell?

A

Transported in vesicles formed from smooth endoplasmic reticulum
Processes through golgi apparatus
Exocytosed into extracellular fluid at serosal membrane

17
Q

What are extracellular fat droplets? + content

A

Chylomicrons

Contain phospholipids, cholesterol and fat-soluble vitamins

18
Q

What is a lacteal?

A

A branch of the lymphatic system where the chylomicrons run directly up into the lymph circulation

19
Q

What are the 2 classes of vitamins? + examples

A

Fat-soluble: A, D, E, K

Water-soluble: B group, C and folic acid

20
Q

Describe the transport of fat and water-soluble vitamins?

A

Fat-soluble: follow some absorptive path as fat

Water-soluble: either absorbed by passive diffusion or carrier-mediated transport

21
Q

How is vitamin B12 absorbed?

A

Large charged molecule that binds to intrinsic factor in stomach to form complex which is absorbed via specific transport mechanism in distal ileum

22
Q

What is B12 deficiency called?

A

Pernicious anaemia - failure of red blood cell maturation

23
Q

What percentage of ingested iron is absorbed across intestine into blood?

A

10%

24
Q

How is iron transported?

A

Transported across brush border membrane via DMT1 into duodenal enterocytes

25
Q

How is iron stored?

A

Iron ions are incorporated into ferritin (protein-iron complex)

26
Q

What happens to unbound iron?

A

Transported across serosal membrane into blood

27
Q

What does iron bind to in the blood? + why

A

Transferrin

Keeps iron secured in blood

28
Q

How is ferritin expression regulated?

A

Depends on body’s iron status

Iron is the only nutrient regulated by the gut

29
Q

What happens when hyperaemia occurs?

A

Increased ferritin levels lead to more iron bound in enterocytes

30
Q

What happens when anaemia occurs?

A

Decreased ferritin levels leads to more iron released to blood