Lipids and Solubility
Lipids are generally insoluble in water.
Enzymes that digest lipids are secreted in aqueous solutions, necessitating a specialized system.
Digestion Pathway
Starts in the mouth with lingual lipase, continues in the stomach with gastric lipase.
These lipases preferentially hydrolyze triglycerides containing short and medium-chain fatty acids.
The majority of dietary fats are long-chain fatty acids; 70% of fat entering the duodenum is composed of triglycerides.
Partial Lipolysis Result
Remaining mixture in the duodenum includes partially hydrolyzed lipids, free fatty acids, and 1,2-DAGs (diacylglycerol).
1,2-DAGs result from the hydrolysis of triglycerides at the 1 and 2 positions of glycerol.
Colipase Function
Colipase assists lipase by anchoring it to lipid droplets that bile emulsifies.
Bile emulsifies lipids, increasing the surface area for lipase action.
Emulsification Process
Lipids are broken into smaller droplets, preventing them from re-agglomerating.
Emulsified droplets allow lipase access to all lipid components for digestion.
Microvilli and Micelles Formation
Post-digestion, lipids are formed into micelles, allowing for absorption by enterocytes (small intestine cells).
Components include 1-MEGs, 2-MEGs, long-chain fatty acids, and cholesterol.
Transport into Enterocytes
Lipids can enter via diffusion or transport proteins (FATP 1-4, CD36 for fatty acids, NPC1L1 for cholesterol).
Reconstruction of Triglycerides
Inside enterocytes, free fatty acids and monoglycerides are reassembled into triglycerides and packaged into chylomicrons.
Chylomicrons also carry fat-soluble vitamins (A, D, E, K) and are marked by APOB48.
Chylomicron Release
Chylomicrons are released into the lymphatic system before entering circulation.
Due to their size, they cannot enter blood capillaries directly but can pass through lymphatic vessels.
Lipoprotein Interaction
Chylomicrons interact with HDL in circulation to acquire APO CII and APO E for efficient delivery of lipids to tissues.
Use of Lipoprotein Lipase (LPL)
LPL, activated by APO CII, hydrolyzes triglycerides in the capillaries, allowing fatty acids to enter tissues for energy storage or use.
Adipose Tissue Function
Fatty acids are converted back into triglycerides for storage.
Glycerol produced can enter the liver for gluconeogenesis.
Insulin is crucial for lipid storage; absence directs fatty acids to oxidation instead.
Post-Delivery Processing
After fat delivery, chylomicrons become chylomicron remnants, exchanging proteins again with HDL.
These remnants signal the liver for uptake via receptors, after which they are disassembled for recycling of their components.
Importance of Triglyceride Breakdown
Essential for proper absorption of lipids and preventing potential fatty liver disease if triglycerides accumulate.