Recording 55-53

Overview of Lipid Digestion

  • 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.

Role of Colipase and Bile

  • 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.

Hydrolysis and Absorption of Lipids

  • 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).

Chylomicron Formation

  • 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 Function and Transport

  • 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.

Lipid Delivery 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.

Chylomicron Remnants

  • 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.

Conclusion on Triglyceride Management

  • Importance of Triglyceride Breakdown

    • Essential for proper absorption of lipids and preventing potential fatty liver disease if triglycerides accumulate.