Lipid digestion and absorption

From Iusmphysiology

  • started here on 02/23/11 at 11AM


Contents

[edit] Lipid digestion and absorption

[edit] Formulas of some common lipids

  • Lipids are anthrophilic
  • In bulk amounts, bilayers and micells are formed.
  • Most dietary lipids are TAGs
  • Some include vitamins
  • Typical western diet includes 100 g of fat which provides 40% of our diet.
    • Less than 70 g is healthy, less than 30%
  • Most of our diet is TAGs
  • Fat is important for postprandial satiety; it tells us we are full.

[edit] Dietary lipids

  • 90% from TAGs
  • The other 10% of fats:
    • Phospholipids from meat (like lesothin) is 5%
    • Sphingolipids about 5%
    • Cholesterol makes up less than 0.5 grams
      • Comes in esterified and unesterified
      • Comes from liver and things made with blood products
    • Lipovitamins and provitamins
    • Skin lipids; difficult to digest

[edit] Endogenous lipids

  • Mostly lecithin, cholesterol, from bile
  • Also membrane lipids from disquamated intestinal epith.
  • Bile:
    • Lots of lipids in the bile
  • Membrane lipids:
    • From shedd epithelial cells
  • ?

[edit] Emulsification of dietary fats

  • Key / preliminary step is transforming solid fats into emulsified droplets.
    • This begins with food prep as the hamberger is pounded out.
    • Then chewing helps break it up
    • Then gastric churning
    • Then instestinal peristalsis mixing
  • All these mechanical processes increase the ratio of surface area.
  • Generates lipid droplets = micelles
  • Emulsion droplets are covered with proteins, polysacchs, fatty acids, monoglicerides, biliary stuff, etc.
    • This keeps the lipis from coalescing

[edit] Lingual and gastric lipases

  • Lipase is water soluble, hydrolyzes ester bonds in the lipid.
  • First lipase is lingual lipase
    • From Ebner's grlands on dorsal side of the tongue
    • Starts in mouth, most active in stomach.
  • Gastric lipase
    • From gastric chief cells
  • Lipases have four properties:
    • Acidic pH optimal activit
    • stable at low pH
    • resistant to pepsin digestion
    • ?


  • Lipases release single fatty acid from TAGs
    • Carboxy terminal of long chain FAs are hydroxylated and therefore not absorbed.
    • Medium and short chains are solubleized at pH 4 so they can be absorbed in the stomach
      • 15% of the fat digestion occurs in the stomach in adults
      • Much more in infants b/c of high milk fat
      • In infants, gastric lipase much more important b/c lingual is expressed yet.

[edit] Pancreatic enzymes

  • Fat digestion fisished in proxmial si.
  • CCK stimulated in stomach, CCK stimulates release of Bile
  • Pancreatic enzymes are released in 1000 fold excess.


  • Pancreatic lipase is only active at water-lipid interface
  • But emulsifiers inhibit pancreatic lipase
    • Colipase reverses this inhibition by helping anchor it to the lipid
    • Por-colipase is cleaved by trypsin
  • Enterostatin decreases appetite
  • Pancreatic lipiase cuts TAGs into monoglyceride and diglyceride with glycerol backbone

[edit] Milke lipase and others

  • Missed this slide

[edit] Products of lypolysis

  • Several small vesicles come off of micelles
  • Multicellular vesicles
  • Lipases cut off chunks of the micelles.
  • ...

[edit] Micellar transport

  • Three phases:
    • Bulk phase: lipase works on surface and releases monoglyc and diglyc
      • Making mixed micilles
    • Acid microclimate dissequilibirum zone phase
      • Driven by exchange of Na and hydrogen
      • Protons protonate the lipids
      • Lipids then diffuse accors via non-ionic diffusion or coallesce with the bilayer to enter the enterocyte
    • 3rd:
      • Long chain fatty acids put back together as TAGs
      • Apoproteins are made in enterocyte, moved to reticulum, associate with lipid droplets.
      • Then VLDLs and chylomicrons are made
      • These two vesicles get glycosylated in golgi
      • Then go to membrane and get exported
      • 5 different lipoprotiens:
        • Chylomicrons are large
        • VLDL are pretty big too, so they go to the lymphatics

[edit] Summary

  • stopped here on 02/23/11 at 11:45AM.
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