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Digestion and Absorption

Digestion of Fats and


LECTURE 7 Nucleic acids
AIR- 1 (AIIMS)
AIR - 1 (AIPMT)
AIR - 1 (DPMT)

Dr. Sachin Kapur


M.Phil, Phd.

20+ years Teaching Experience

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Digestion and Absorption
Digestion of Fats and
LECTURE 7 Nucleic acids
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Digestion and Absorption

Digestion of Lipids (Fats)

➔ Most abundant lipids in diet are triglycerides, which consist of


a molecule of glycerol bonded to three fatty acid molecules.
Digestion and Absorption

Lipases

➔ Enzymes that split triglycerides and phospholipids are called lipases.


Digestion and Absorption

Types of Lipases

➔ There are three types of lipases that can participate in lipid


digestion.

Lingual lipase

Gastric lipase

Pancreatic lipase
Digestion and Absorption

Digestion of Lipids (Fats)

➔ Some lipid digestion occurs in stomach through the action of


lingual and gastric lipases.
➔ Most lipid digestion occurs in small intestine through action of
pancreatic lipase.
Digestion and Absorption

Digestion of Lipids (Fats)

➔ Triglycerides are broken down by pancreatic lipase into fatty


acids and monoglycerides.
➔ The liberated fatty acids can be either
◆ Short chain fatty acids (with fewer than 10–12 carbons)
◆ Long-chain fatty acids.
Digestion of Fats

Buccal Cavity

➔ Negligible fat digestion occurs here.


➔ Lingual lipase of saliva digests approximately 20% fats in
stomach and small intestine.
Digestion of Fats

Oesophagus

➔ No fat digestion occurs here.


➔ It does not secrete any digestive enzyme.
Digestion of Fats

Stomach

➔ Gastric lipase secreted by chief cells digest small amount of fats in case of infants only.
Digestion of Fats

Small Intestine

➔ It is the chief site for digestion of fats.


➔ It receives three digestive juices.
◆ Bile juice
◆ Pancreatic juice
◆ Intestinal juice
Digestion of Fats

Bile Juice

➔ It is produced by liver and stored in gallbladder.


➔ It contains bile salts
◆ Sodium taurocholate
◆ Sodium glycocholate.
➔ These help in emulsification of fats.
Digestion and Absorption

Bile Duct System

➔ Right and left hepatic ducts collect bile from all


bile ducts of liver lobes.
➔ These ducts unite to form common hepatic duct
which leaves liver.
Digestion and Absorption

Emulsification of Fats

➔ Fats are insoluble in water but fat digesting enzymes are soluble in water.
➔ So by emulsification water insoluble fats are made water soluble.
Digestion and Absorption

Role of Bile Salts

➔ Bile salts have two terminals.


◆ Hydrophilic carboxy or polar terminal which is soluble in water
◆ Hydrophobic sterol terminal which is soluble in fats.
Digestion and Absorption

Role of Bile Salts

➔ Bile salts are amphipathic.


➔ It means that each bile salt has a hydrophobic (nonpolar) region and a hydrophilic
(polar) region.
Digestion and Absorption

Role of Bile Salts

➔ Amphipathic nature of bile salts allows them to emulsify a


large lipid globule.
➔ Hydrophobic regions of bile salts interact with the large lipid
globule, while the hydrophilic regions of bile salts interact
with the watery intestinal chyme.
Digestion and Absorption

Role of Bile Salts

➔ Bile salts form a layer around fat globules to produce micelles.


Digestion and Absorption

Emulsification of Fats

➔ Consequently, the large lipid globule is broken apart into


several small lipid globules, each about 1 m in diameter.
➔ The small lipid globules formed from emulsification provide a
large surface area that allows pancreatic lipase to function
more effectively.
Digestion and Absorption

Emulsification of Fats
Digestion and Absorption

Pancreatic Juice

➔ It is richest digestive juice.


➔ It contains pancreatic lipase.
Digestion and Absorption
Digestion and Absorption

Pancreatic Lipase

➔ Pancreatic lipase is most important fat digesting enzyme.


➔ It acts on emulsified fats and breaks it into fatty acids and glycerol.
Digestion and Absorption

Emulsification of Fats
Digestion and Absorption

Emulsification of Fats
Digestion and Absorption

End Products of Fat Digestion

➔ End products of fat digestion are fatty acid and glycerol.


➔ These do not enter into blood capillary because capillary has
a basement membrane, which prevents their entry.
Digestion and Absorption

Digestion of Fats
Digestion and Absorption

End Products of Fat


Digestion

➔ End products of fat digestion are fatty acid and glycerol.


➔ These enter into small lymph vessels called lacteals.
Digestion and Absorption

Absorption of Fats
Digestion and Absorption

Role of Colipase

➔ Colipase is also secreted in the pancreatic juice.


➔ It binds to the –COOH-terminal domain of the pancreatic
lipase.
➔ It is secreted in an inactive proform and is activated in the
intestinal lumen by trypsin.
Digestion and Absorption

Role of Colipase

➔ It is critical for action of lipase because it allows lipase to


remain associated with droplets of dietary lipid even in the
presence of bile acids.
Digestion and Absorption

Cholesterol Esterase

➔ It is activated by bile acids.


➔ It catalyzes the hydrolysis of
◆ Cholesterol esters.
◆ Esters of fat-soluble vitamins.
◆ Phospholipids.
◆ Triglycerides.
Digestion and Absorption

Intestinal Juice

➔ Intestinal lipase of intestinal juice also digests small amount


of emulsified fats.
Digestion and Absorption

Steatorrhea

➔ Pancreatectomized animals and patients with diseases that destroy the exocrine portion
of the pancreas have fatty, bulky, clay-colored stools (steatorrhea).
➔ This is because of impaired digestion and absorption of fats.
Digestion and Absorption
Digestion and Absorption

Steatorrhea

➔ It is mostly due to lipase deficiency.


➔ Lack of alkaline secretion from pancreas also contributes
by lowering the pH of intestine contents.
➔ Hypersecretion of gastric acid can cause steatorrhea.
➔ Another cause of steatorrhea is defective reabsorption of
bile salts in the distal ileum
Digestion and Absorption

Digestion of Nucleic acids

➔ Pancreatic juice contains two nucleases:


◆ Ribonuclease, which digests RNA
◆ Deoxyribonuclease, which digests DNA.
Digestion and Absorption

Digestion of Nucleic acids

➔ Intestinal juice has

Nucleotidases

Nucleosidases
Digestion and Absorption

Digestion of Nucleic acids

➔ Nucleotides that result from the action of two nucleases are


further digested by brush-border enzymes called
nucleotidases and nucleosidases into pentoses, phosphates,
and nitrogenous bases.
➔ These products are absorbed via active transport.
Digestion and Absorption

Intestinal Movements

➔ Peristalsis is involuntary wave of contraction, which passes from oral


to anal region and propels the food forward.
➔ It is so strong that we can swallow even while hanging upside-down.
➔ It is regulated by medulla oblongata of brain, which sends impulses
to myenteric plexus.
Digestion and Absorption

Intestinal Movements
Digestion and Absorption

Intestinal Movements
Digestion and Absorption

Intestinal Movements
Digestion and Absorption

Intestinal Movements
Digestion and Absorption

Intestinal Movements
Digestion and Absorption

Intestinal Movements

➔ Contraction during peristalsis is produced by contraction of


circular muscles and relaxation of longitudinal muscles.
➔ Relaxation during peristalsis is produced by relaxation of
circular muscles and contraction of longitudinal muscles.
➔ Wave of peristalsis passes through stomach after every 20
seconds.
Digestion and Absorption

Segmental Movements

➔ These occur in intestine and can propel food in forward as well as backward
direction.
➔ These result in formation of haustra in colon.
Digestion and Absorption

DPP-1
Example 1. The enzyme enterokinase

A. Stimulates release of pancreatic secretions


B. Activates protein digesting enzymes
C. Functions in lipid digestion
D. Functions in carbohydrates digestion
Example 2. From outer to inner the location of Auerbach's plexus in the T.S.
of stomach wall is

A. Longitudinal muscle fibre—Auerbach's plexus-Circular muscle fibre


B. Circular muscle fibre—Auerbach's plexus-Longitudinal muscle fibre
C. Sub mucosa-Auerbach's plexus—Longitudinal muscle fibre
D. Sub mucosa— Auerbach's plexus—Circular muscle fibre
Example 3. All of the following statements concerning the esophagus are
true EXCEPT

A. The esophagus is a muscular tube, 25 cm in length, that originates at the


laryngopharynx and ends at the stomach
B. The esophagus transports food from the oral cavity to the stomach by
peristalsis
C. The esophagus produces mucus and digestive enzymes to initiate the
breakdown of proteins
D. The lower esophageal sphincter muscle contracts to prevent
regurgitation of gastric contents
Example 4. Taste buds are absent in

A. Foliate papillae
B. Circumvallate papillae
C. Fungiform papillae
D. Filiform papillae
Example 5. Which statement best describes the relationship between the
gastric mucosa and vitamin B12

A. The gastric mucosa secretes vitamin B12


B. The gastric mucosa stores vitamin B12
C. The gastric mucosa converts vitamin B12 into other B vitamins
D. The gastric mucosa secretes a substance that promotes the
absorption of vitamin B12
Example 6. Which of the following vitamin is required for synthesis of
collagen and its deficiency impairs wound healing

A. Vitamin K
B. Vitamin D
C. Vitamin A
D. Vitamin C
Example 7. In human beings monophyodont teeth are

A. 6 premolars + 6 molars
B. 8 premolars + 4 molars
C. 4 premolars + 8 molars
D. 12 premolars + 8 molars
Example 8. Match the following
(A) Parotid gland (i) Duct of Rivinus
(B) Submandibular gland (ii) Duct of Stenson
(C) Sublingual gland (iii) Duct of Wharton

A. A (i), B (ii), C (iii)


B. A (ii), B (iii), C (i)
C. A (iii), B (i), C (ii)
D. A (i), B (iii), C (ii)
Example 9. Pepsin, trypsin and chymotrypsin are similar because they are

A. All secreted with acid digestive juices


B. All secreted by pancreas, but activated by the secretions of duodenum
C. Specific endopeptidases acting upon peptide and polypeptide chains
D. Exopeptidases either carboxy-or amino peptidases
Example 10. Which of the following statement is true

A. Secretion of saliva in response to taste of food is acquired reflex


B. Secretion of saliva increases during sleep
C. Secretion of saliva in response to smell, sight or thought of food is
acquired or conditioned reflex
D. None of these
Example 11. At intervals throughout the G.I Tract, which layer is thickened
and modified to form sphincters?

A. Longitudinal muscle layer


B. Outermost serosa
C. Circular smooth muscles
D. Muscularis mucosa
Example 12. Secretion from which of the following cells is not a constituent
of gastric juice?

A. Zymogen cells
B. Parietal cells
C. Mucous neck cells
D. G-cells
Example 13. In stomach there is an additional layer of oblique muscles, it is
present between?

A. Mucosa and circular muscles


B. Circular and longitudinal muscles
C. Longitudinal muscles and serosa
D. Epithelium and muscularis mucosa
Example 14. Sphincters control the rate of movement of G.I Tract contents from
one part of gut to another. These are present at junction of?

A. Oesophagus and stomach


B. Stomach and duodenum
C. Ileum and caecum
D. All of the above
Example 15. Which of the following salivary gland contributes maximum to
the saliva in humans?

A. Parotid gland
B. Submaxillary gland
C. Sublingual gland
D. Infraorbital gland
Objective Question Discussion
Objective Question Discussion
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