KH

adv. nitrition lecture 20

  • Attendance and Participation

    • Attendance is mandatory for evaluations.

    • Medical documentation is required for absences due to illness.

    • Participation in peer evaluations is essential, as you will actively be involved in grading classmates' presentations.

  • Presentation Submission Guidelines

    • Groups of two must submit two files per person on the Moodle site.

    • Ensure both your name and your partner’s name are included on submissions for grading purposes.

    • Comments and evaluations of presentations are to be included as part of the submission process.

  • Evaluation Criteria

    • Avoid uniform grading (e.g., all 5’s). Provide thoughtful assessments based on individual contributions.

    • Aim for professionalism in grading; personal feelings should not influence evaluation results.

  • Course Schedule Adjustments

    • The instructor indicated potential changes in class schedules (e.g., Monday class) due to holiday considerations.

  • Digestive Processes Overview

    • Recap on digestion of lipids, specifically triglycerides and phospholipids.

    • Understanding of enzymes involved (e.g., pancreatic lipase) and digestion products (e.g., micelles).

  • Micelle Formation and Function

    • Micelles are negatively charged aggregates formed from digestion products.

    • Essential for the emulsification of lipids to facilitate further digestion.

    • Micelles allow products of lipid digestion to be absorbed into enterocytes (intestinal cells).

  • Absorption Mechanisms

    • Two mechanisms for lipid absorption into enterocytes:

      • Protein-Independent Diffusion:

        • Involves diffusion of lipid products without protein assistance.

        • Allows fatty acids, MAG, and lysophospholipids to enter through similar amphipathic nature of membranes.

      • Protein-Dependent Transport:

        • Requires transport proteins (e.g., CD36) to facilitate absorption.

        • Protein-dependent pathways help move fatty acids and some phospholipids across membranes.

  • Post-Absorption Processing

    • Once in enterocytes, dietary lipids are re-esterified and packaged for transport into the bloodstream via chylomicrons.

    • Chylomicrons are reassembled lipids (e.g., TAGs) combined with proteins for solubility in blood.

  • Cholesterol Absorption

    • Cholesterol is absorbed or secreted.

    • Efficiency of absorption is crucial for maintaining cholesterol balance in the body.

    • Some cholesterol can become incorporated into enterocyte membranes.

  • Chylomicrons

    • Chylomicrons are lipid-protein complexes that transport dietary fats through the bloodstream.

    • Their composition reflects dietary intake (triglycerides, cholesterol).

  • Lipoprotein Classes

    • Different types of lipoproteins, including very low-density lipoprotein (VLDL), intermediate density lipoprotein (IDL), and high-density lipoprotein (HDL), each with specific functions and lipid compositions.

    • Density of lipoproteins varies with lipid-to-protein ratios; higher lipid content leads to lower density.

  • Clinical Applications

    • Medium-chain fatty acids (MCFAs) can bypass normal absorption processes and be used in treatments for intestinal disorders.

    • Exploring strategies to lower blood cholesterol by using phytosterols or other blockers (e.g., ezetimibe) to prevent cholesterol absorption.

  • Key Points to Remember for Exams:

    • Importance of micelle in absorption, mechanisms of lipid absorption, roles of different proteins, and understanding of chylomicron functions.

    • Grading policies and participation in peer evaluations as part of course requirements.