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vivo
real life
vitro
studies in control setting or lab
4 types of biomolecules
proteins, nucleic acids, lipids, carbs
ester
acid + alcohol
ethers
alcohol + alcohol
amides
acid + amine
thioesters
thiol + ester
what makes a compound organic
hydrocarbon
why is isomerization important
determines how a molecule will fit or interact with other molecule
what is the difference structural isomers and steroisomers
structural- same make up different order
stereoisomers- same make up different 3D configuration
how are enantiomers and diastereomers different
enantiomers- mirror images
diastereomers- not mirror images
why are geometric isomers important to health
cis and trans fatty acids
trans increase all cause mortality
cis are healthy and lower heart disease and cvd mortally
oxidation-reduction (LEO)
oxidation: loss of electron (increase charge)
reduction: gain of electron (reduce charge)
dehydration
water is a product
hydrolysis
water is a reactant
break a single bond
hydration
water is a reactant
water breaks a double bond
methylation
gain methyl group
phosphorylation
gain phosphate group
does a reaction or pathway proceed on its own when gibbs free energy is positive or negative
gibbs free energy needs to be negative to happen on its own
what does it mean when enthalpy is negative
entropy- randomness of reactions happening
when negative less random
positive more random
what does positive entropy mean
more random
what is the difference between exergonic and endergonic
exergonic - releases energy
endergonic - requires energy
what is energy coupling
combining gibbs and exergonic/endergonic
what determines if a substance can dissolve in water
polar or non polar
polar biomolecules dissolve easily
what is required for hydrogen bonds to occur
hydrogen donor and acceptor
electrostatic
between two charged particles or ions
attractive and repulsive
london dispersion forces and van der waals
weakest, interaction any two atoms in close proximity, between 2 uncharged compounds
hyrophobic
non-polar - non-polar
what are examples of passive transport across membranes
passive - no energy
osmosis
facilitated diffusion
passive or simple
which types of compounds are more likley to permeate through a cellular membrane
small non polar and uncharged
how is H+ related to pH
higher H+ = lower pH
lower H+ = high pH
why is pH important in the body
affects structures and activity of macronutrients
small changes in pH can cause lage change in protein structure and function
are weak acids proton donors or acceptors
weak acids are donors, bases are acceptors
what is the difference between monoprotic, diprotic and tripotic acids
amount of H+ ions they lose
mono = 1
di = 2
tri = 3
what does it mean when the pH is below the pKa? What about when the pH is above pKa? What are the biochemical acids and biochemical bases
pH below pKa - going to hold onto their H+ ions
pH above - going to lose their H+ ions
what is the difference between acidosis and alkalosis
acidosis- high pH
alkalosis - low pH
what are the main intracellular and extracellular buffers
intracellular- protein buffer system (proteins can act like a base or a acid)
extracellular - bicarbonate-carbonic acid buffer system (respiratory and renal system)
how is pH regulated in body
buffers
what is the difference between respiratory and metabolic buffers
respiratory - dictate breathing rate to control pH
metabolic - excrete or use renal to control pH
what is respiratory acidosis/alkalosis
acidosis - CO2 concentration high, breathing rate speeds up
alkalosis - CO2 concentration low, breathing rate slows
what is metabolic acidosis/alkalosis
acidosis - loss of bicarbonate or excessive nonvolatile acids
alkalosis - excessive bicarbonate production
which types of study designs are better than opinions and case studies
meta analysis, systematic reviews, randomized control trail
what is the difference between absolute risk, relative risk, odds ratio
AR- true incidence (absolute difference)
RR- probability of risk
OR- odds ratio
what is NNT
number of people that need to be treated for one to have the effect or benefit
want NNT below 10
what is the difference between correlation and causation
correlation means there is an associate
causation means a direct effect is there (only determined through RCT)
what are the functions of the GI tract
mobility, secretion, digestion, absorption, excretion
what are the 4 layers of the GI tract
muscularis, submucosal, mucosal, lumen
function of muscularis
move and mixes food
what are the 4 types of communication in the gut
endocrine
gastrin
CCK
ghrelin
secretion
motilin
nuerocrine
ach
norepinephrine
paracrine
histamine
somatostatin
immune
what neurotransmitters are released from the parasympathetic and sympathetic neurons and what impact do they have on the GI tract
acetylcholine stimulates
norepinephrine inhibits
does sympathetic activation have a stimulatory or inhibitory effect
inhibitory
where is the enteric system located and what is it function
submucosal (submucosal plexus) and muscularis externis (myenteric plexus)
submucosal plexus - controls secretions
myenteric plexus - controls peristalsis
what controls movement in the SI
myenteric plexus
what is the law of the gut
distention
know how peristalsis is controlled (frequency and strength of the contractions)
frequency - interstitial cells of cajal
strength - autonomic nervous system, hormones and neurotransmitters
what are segmental contractions and what are they important for
squeezing from the circular muscles on the chyme
important for exposure to absorptive surface and mixing of chyme
what is the difference between phasic and tonic contractions and where is each located
phasic - period contraction, followed by relaxation
esophagus, gastric antrum, SI and LI
tonic - constant contraction unless told not to (sphincters)
list the parts of the digestive tract
mouth, salivary glands, pharynx, esophagus, stomach, small intestine, liver, pancreas, gallbladder, Li, anus
what happens during the cephalic phase, gastric phase and intestinal phase of digestion
cephalic - carbs and lipids
stomach - lipids and proteins
gastrin stimulates most of stomach
cheif cells
parietal cells
g cells
mucous cells
SI - carbs, lipids, proteins
bile made from cholesterol in the liver that is stored in the gallbladder and released into the duedenum for digestion of lipids. duodenum also has a brush boarder enzyme that absorb carbs and proteins
jejunum recieves and absorbs through enterocytes that have a brush boarder enzymes that absorb carbs and proteins
ileum has absorption of specialized molecules such as B12 that is absorbed by intrinsic
factor - also has endocytosis (pinocytosis, phagocytosis, receptor mediated endocytosis (B12))
LI - no digestion or absorption only fermentation
fermentation is taking left over nutreints and converting them to gas for nutrients and creating short chain fatty acids
what is the function of saliva
digests carbs and lipid
dilute and buffer ingested foods
lubrication
know the stages of swallowing
oral - chewing
pharyngeal - opening sphincters and closing air way
esophageal - peristalisis
list the parts of the stomach
fundus
body
antrum
lost cells of the stomach and what they secrete
parietal - HCl (body)
chief - enzymes (body)
g cells - gastrin (antrum, caudad)
mucosus - mucus, little bit of bicarbonate (antrum, caudad)
list factors that can affect gastric emptying, secretions, and motility
solid or beverage (beverage digest faster)
presence of fat and amino acids that stimulate release of CCK
CCK inhibits gastric emptying
presence of H
where does retropulsion occur
gastric juice + bolus = chyme
hcl
enzymes
intrinsic factor
mucus
which hormones stimulate hunger? which stimulate satiety?
controlled by hypothalamus
hunger - ghrelin
satiety - insulin, leptin, CCK
which macronutrient is the strongest promoter of satiety
protein
what make sup the enteric nervous system
submucosal plexus and myenteric plexus
know what stimulates acinar and ductal cells of the pancreas, what they release and why they are important
stimulated by CCK
release bicarbonate
describe the functions of the liver
synthesis
conversion
storage
describe the function of bile
breaks down large fat globules into smaller ones allowing larger surface for digestion
what is the difference between a bile salt and bile acid
bile salts are amphipathic
describe functions of the liver
synthesis
conversion
storage
know the pathway for enterohepatic circulation
liver, gallbladder, pancreas, duodenum, jejunum, ileum, portal vein
what stimulates motility in the large intestine
acetylcholine from enteric nerves
what is colonic salvage
fermentation
know important factors in the development of the gut microbiome
developed in first 2 years
style of birth
breastfed vs formula
complementary food introduction
antibiotics
environmental exposure
what are probiotics and prebiotics
prebiotics - food for good bacteria
probiotics - live strains of microorganism
explain the 4 absorption mechanisms
passive
facilitated
active
endocytosis
describe transport of polar and nonpolar substances following absorption
polar - go through portal vein and to liver
non polar - go through sympathetic system