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Accessory Digestiion/Metabolism (GI Phys 3)
Solomon 3/24/11 lecture 1.5 hrs Guyton ch 65
48
Physiology
Undergraduate 4
03/21/2011

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Term
carbohydrates, proteins, fats
Definition
what are the macronutrients?
Term
Na+, K+, Ca++, Fe++, Cl-, PO4-
Definition
list the electrolytes
Term
1) motility
2) large SA
3) appropriate pH
4) hydrolytic enzymes
5) emulsifying factors
6) specialiezed cells
7) specific transport mechanisms (carriers, pumps, pores)
8) energy
9) blood or lymph flow
Definition
what are the essential factors for digestion?
Term
segmentation contraction, and peristaltic waves
Definition
what are the 2 types of small intestine motility?
Term
1) basal electrical rhythm (BER)
2) enteric nervous system
3) response to distention
4) intestinal transit time
5) ileo-cecal sphincter
Definition
what things control small intestine motility?
Term
90%
Definition
what % of nutrients are absorbed in the small intestine?
Term
5 minutes (then inhibitors kick in)
Definition
how long does it take to move food from the mouth to the jejunum?
Term
to increase the SA for absorbtion etc.
Definition
what is the purpose of villi and crypts in the small intestine?
Term
cells on the villi have folds in their apical membranes (microvilli)
Definition
what is the brush border?
Term
a double's tennis court
Definition
what is the surface area of the small intestine?
Term
H+ ions, bile HCO3-, pancreatic HCO3-
Definition
what factors change the luminal pH?
Term
amylase: salivary, pancreatic
lipase: pancreatic
proteases: pancreatic
disaccharidass: brush border
peptidases: brush border
Definition
where is amylase secreted? lipase? proteases? disaccharidases? peptidases?
Term
no, only monosaccharides
Definition
does the small intestine absorb disaccharides?
Term
(stomach?), bile acids and lecithin
Definition
what are the emulsifiers?
Term
milk is a carb(lactose is a disaccharide)
Definition
what type of macronutrient is milk considered?
Term
starch, glycogen, sucrose, lactose, fructose
Definition
what are the carb digestion dietary substances?
Term
amylase(with high capacity) rapidly hydrolyzes to form maltose, maltotriose, alpha limit dextrins, and glucose

starch is completely digested within the first meter of the small intestine
Definition
what is the first stage of starch/carb digestion? when does this take place?
Term
alpha limit dextrins = glu-glu-glu (3+ glucose)
maltose: glu-glu
maltotriose: glu-glu-glu
sucrose: fru-glu
lactose: gal-glu
Definition
describe the structure of alpha limit dextrins, maltose, maltotriose, sucrose, lactose
Term
sucrose, lactose, maltose, maltotriose, alpha limit dextrins are hydrolyzed by enzymes in the brush border of enterocytes yielding 99% glu, 0.5% gal, 0.5% fru
Definition
where does stage 2 carb digestion occur?
Term
BB lactase
Definition
what enzyme dissapears at weaning in most humans?
Term
the stomach: pepsin

then continues 2/3 through the small intestine via pancreatic proteases at the brush border yielding di, and tri-peptides and amino acids
Definition
where does protein digestion begin? what enzyme? what digests them from there?
Term
di/tri-peptids, hydrolases
Definition
proteases are secreted by the pancreas, yeilding ____, then the brush border ______, leades to amino acids and dipeptides & are transported through the cell
Term
fat: 30g, protein: 100g
Definition
what is the daily fat intake? the daily protein intake?
Term
triglycerides
Definition
what form is most dietary fat?
Term
stomach
Definition
where does emulsification for fat digestion begin?
Term
2 fatty acids and a monoglyceride
Definition
what does pancreatic lipase produce (acting as a "hydrolase" for fat)?
Term
makes solublized micelles
Definition
what does digestion do to fat?
Term
non-polar
Definition
proteins bind to _____ regions of fat molecules and coat the surface, the biles salts aid/enhance this process
Term
as micelles it diffuses based on a concentration gradient
Definition
how is fat absorbed by enterocytes?
Term
the micelles are recreated into TAG's and then packaged into a chylomicron (fat+ protein) then they diffuse out the basal side into the LYMPH
Definition
describe what happens to a micelle in an enterocyte, and where it goes from there.
Term
Sodium!! for the Na+/K+ pump to make a concentration gradient for secondary active transport
Definition
what is CENTRAL to absorbtion?
Term
the basal surface, uses ATP energy
Definition
where is the NA+/K+ pump on an enterocyte? does it use energy?
Term
secondary active transport
Definition
how do glucose and amino acids get into the enterocytes? (in general)
Term
facilitated diffusion down the concentration gradient (uses sodium cotransport

galactose is about the same as glucose

fructose uses facilitated diffusion all the way through the enterocyte but WITHOUT sodium, then it is converted to glucose before reaching the basal side
Definition
how does glucose get into an enterocyte? galactose? fructose?(more specific)
Term
lack of sanitation (dirty food and water), cholera, childhood diseases
Definition
what can cause deadly diarrhea?
Term
water + sugar + salt (stops electrolyte depletion)
Definition
what is the magic treatment of diarrhea?
Term
sugars (glu) is transported via secondary active transport with sodium, the water follows the sugar
Definition
how does water get into the cell?
Term
di/tri-peptides, they use H+ to co-transport into the cell

(H+ pumped back out with antiport Na+/H+ pump)
Definition
which diffuses more rapidly, amino acids or di/tri-peptides?
Term
calcium
Definition
what ion uses paracellular diffusion for absorbtion?
Term
calcium: first 1/3 of small intestine
iron: upper 1/2 of small intestine
Definition
where is calcium absorbed, iron?
Term
Na+, water
Definition
what does the colon have a high capacity to absorb?
Term
methane gas from carbs
Definition
what kind of gas forms in the colon? how?
Term
hyper: diarrhea
hypo: constipation
Definition
a hyper functioning colon causes what? a hypo functioning colon causes what?
Term
cecum and ascending (proximal) colon
Definition
where is most of the feces storage in the colon?
Term
slow segmentation (haustra)
peristalsis (mass movement = poop sensation)
Definition
what causes colonic motility?
Term
slow segmentation (haustra)
peristalsis (mass movement = poop sensation)
Definition
what causes colonic motility?
Term
contraction of the abdominal muscles against the diaphragm causes increased abdominal pressure and leads to removal of feces
Definition
what is the valsalva in regards to defecation?
Term
1)overflow: overwhelm the small intestine with H20 and salt

2)osmotic: non-absorbable substances go through the GI tract (like milk of magnesia)

3)inflammatory: disease of the intestinal lining such as ulcerative colitis, leading to epithelial death
Definition
what are the 3 types of diarrhea? describe each
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