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Digestion, Absorption, Transport, and Excretion of Nutrients
Chapter 1 Digestion, Absorption, Transport, and Excretion of Nutrients
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Digestive System Reduces particle size
Helps to absorb micronutrients and trace elements Sets a physical and immunologic barrier
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The Digestive System
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Sites of Secretion, Digestion, and Absorption
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Digestion in the Stomach
Different nutrients leave the stomach at different rates: —Carbohydrates first, followed by protein, fat, and fibrous foods
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Summary of Enzymatic Digestion and Absorption
Secretion Enzyme Substrate Action Final Product Saliva Ptyalin Starch Hydrolysis to form dextrins Gastric juice Pepsin Protein Hydrolysis of peptide bonds Gastric lipase Fats Hydrolysis into free fatty acids
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Summary of Enzymatic Digestion and Absorption —cont’d
Secretion Enzyme Substrate Action Final Product Pancreatic exocrine secretion Lipase Fat Hydrolysis to mono- glycerides Fatty acids Cholesterol esterase Cholesterol Hydrolysis to esters of cholesterol and fatty acids Choles- terol alpha- Amylase Starch, dextrins Hydrolysis Dextrin, maltose
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Summary of Enzymatic Digestion and Absorption —cont’d
Secretion Enzyme Substrate Action Final Product Pancreatic exocrine secretion Trypsin Protein Hydrolysis Polypeptides Chymotrypsin Carboxy-peptidase Polypep-tides Amino acids Ribonuclease Ribonu-cleic acids Mono- nucleotides Elastase Fibrous protein
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Summary of Enzymatic Digestion and Absorption —cont’d
Secretion Enzyme Substrate Action Final Product Brush border enzymes Carboxy- peptidase; aminopep- tidase; dipeptidase Polypep- tides Hydrolysis Amino acids Entero- kinase Trypsino- gen Activates to trypsin Polypep- tidases and peptides Sucrase Sucrose Glucose, fructose
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Summary of Enzymatic Digestion and Absorption —cont’d
Secretion Enzyme Substrate Action Final Product Brush border enzymes Isomaltase Dextrin Hydrolysis Glucose Maltase Maltose Lactase Lactose Glucose, galactose Nucleotidases Nucleic acid Nucleotides Nucleosidases and phosphorylase Nucleosidases Purine and pyrimidine bases
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Features of Digestion and Absorption
92% to 97% of the diet is absorbed Small intestine—key role in digestion and absorption Intestines: 7 meters long —Villi and microvilli/brush border
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Diagram of Villi of the Human Intestine
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Refeeding after Starvation
GI tract compromised after starvation Feeding results in cellular proliferation, which restores normal gastrointestinal architecture and function after a few days
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Lipids The major portion of fat digestion takes place in the small intestine as a result of pancreatic lipase
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Summary of Fat Absorption
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Transport Pathways through the Cell Membrane
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Large Intestine 5 feet long
Bacterial action to produce gases and organic acids Nutrients formed here—vitamin K, thiamin, vitamin B12, riboflavin
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Colonic Fermentation of Malabsorbed Carbohydrate and Fiber
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The Gradual Breakdown of Large Starch Molecules
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Process of Digestion of Carbohydrate
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Sites of Secretion and Absorption into Gastrointestinal Tract
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Neuropeptide Hormones
There are more than 100 peptide hormones —GABA —Norepinephrine —Acetylcholine —Neurotensin —Neuropeptide Y —Serotonin (5-HT) —Nitric oxide —Substance P
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Hormones and Gastrointestinal Function
Gastrin Secretin Cholecystokinin (CCK) Gastric inhibitory polypeptide (GIP) Motilin Somatostatin
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