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where is secretin produced?
enteroendocrine S cells of the duodenum
what are the effects of secretin?
inhibits gastric secretion and emptying, increases secretion of HCO3- rich fluid from the pancreatic duct cells, bile duct cells, and duodenal duct cells
what is the purpose of HCO3- in the duodenum?
neutralize pH
where is CCK (cholecystokinin) produced?
enteroendocrine I cells in duodenum
what is the stimulus for CCK prroduction?
partially digested food in the duodenum
what are the effects of CCK?
increase pancreatic acinar cells producing enzymes, gallbladder contraction, and relaxes the hepatopancreatic sphincter
what increases the surface area in the small intestine?
length, circular folds, villi, and microvilli
what is the purpose of the plicae circularis (circular folds)?
increase surface area and forces spiral movement of chyme to slow it down for better absorption
what is within villi?
capillaries/ lacteal
what are intestinal crypts?
between villi containing stem cells, enteroendocrine cells, and paneth cells
what are lacteals?
lymphatic capillaries that carry chyle (milky fluid of lymph + fat globules)
were are paneth cells?
at the bottom of an intestinal crypt
what do paneth cells secrete?
antimicrobials (lysozyme and defensisns), growth factors for stem cells
what is the life span of intestinal epithelial cells?
2-6 days
how many cells are shed daily in the intestine?
10^11 cells/ day
what cells are in microvilli?
enterocytes
what forms the brush border?
enterocytes
what enzymes are on the brush border?
maltase, lactase, sucrase (integral membrane proteins/ terminal enzymes)
what is contact digestion?
membranous phase using brush border enzymes + their matching transporters
what increases contact during the membraneous phase?
segmentation
what are examples of complex carbs?
starch, glycogen, and cellulose (indigestible)
what are the 2 kinds of starch?
amylose (spiral) and amylopectin (branched)
what enzymes do hydrolysis of starch?
salivary and pancreatic amylase
what are the products of the brush border enzymes?
monosaccharides
what are dual-activity enzymes?
brush border enzymes that have 1 protein but 2 active sites
what is corn syrup?
made from corn starch (amylase) including glucose, maltose, and oligosaccharides
what is high fructose corn syrup (HCFS)?
a sweeter version that uses glucose isomerase to convert glucose to fructose
what is the relative sweetness of carbs?
fructose (173)> sucrose (100)> glucose (74)
what is HFCS-55 used in?
soft drinks
what is HFCS-42 used in?
processed foods
what is the paracellular route of absorption in the small intestine?
pathway through semipermeable tight junctions
what is the transcellular route of absorption in the small intestine use?
secondary active transport and facilitated diffusion
how are glucose and galactose absorbed by the small intestine?
secondary active transport (symporters with Na+)
how is fructose absorbed by the small intestine?
facilitates diffusion (once in the cell most is converted to glucose)
where does reabsorbed glucose, fructose, and galactose go?
to the hepatic portal system
what flows through the paracellular route in the small intestine?
water and its dissolved solutes via osmosis
where does protein digestion begin?
stomach with pepsin
where is the propeptide cleaved off of zygomens?
duodenum
what 3 enzymes work in protein digestion to form oligopeptides in the small intestine?
trypsin, chymotrypsin, elastase
what enzyme does peptide bond hydrolysis in the small intestine?
carboxypeptidase
what are the brush border enzymes of protein digestion?
carboxypeptidase, aminopeptidase, dipeptidase
what is the function of the brush border enzymes in protein digestion?
break oligo-, tri-, and dipeptides down into individual AAs
how are AAs transported into the IEC?
Na+/ amino acid cotransorter/ symporter (secondary active transport)
how are AAs transported out of the IEC into the blood?
via amino acid transporters (facilitated diffusion)
what enzymes start lipid digestion?
lingual and gastric lipase
what action of the stomach makes lipids into smaller droplets?
mixing/ churning
what happens in the duodenum during lipid digestion?
lipid particles combine with bile micelles
what do micelles do?
collect more lipids
which enzyme inserts into micelle?
pancreatic lipase
what does not need digested?
cholesterol
how does the small intestine absorb fat?
micelles contact enterocyte membrane, simple and facilitated diffusion take place
when are carrier proteins needed for fat absorption?
fatty acids and cholesterol
what happens once monoglycerides and FFAs enter the enterocytes?
converted back into triglycerides
once the enterocyte reforms triglycerides, what happens?
they are repackaged into chylomicrons (coated with phospholipids and proteins in the Golgi)
after fats are packed into chylomicrons what happens?
exocytosis out of enterocyte and absorbed by the lacteal
what can the stomach absorb?
alcohol and some drugs
what is the primary site of absorption?
small intestine before ileum
what does the ileum reabsorb?
bile salts and vitamin B12
how are water and electrolytes reabsorbed?
osmosis (small intestine absorbs most)
what is intestinal flora?
microbes/ mainly bacteria within the large intestine
how many more microbes than human cells?
10x
what is the role of intestinal flora?
ferment some indigestible carbs
what do intestinal flora produce?
gases and short-chain fatty acids
what is an example of gases produces by intestinal flora?
CH4, CO2, dimethyl sulfide (farts)
what is an example of SCFAs produced by intestinal flora and why are they important?
acetic, propionic, and butyric acids: calories for colonocytes and have anti-inflammatory proliferative effects
what type of symbiosis do intestinal flora have?
mutualism
what vitamins do intestine flora produce?
vitamin B and K
how does intestinal flora aid in immunity?
communicate with immune cells for tolerance, and act as a barrier
what digestion takes place in the large intestine?
breakdown by bacteria only
what does the large intestine absorb?
bacterial products (SCFAs and vit B + K), water, and electrolytes
what does the colon do?
compacts waste
what does the rectum do?
stores wastes