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Figure 23.17b Histology of Small Intestine MALT – mucosa-associated lymphoid tissue Solitary lymphatic nodules Aggregated lymphatic follicles (Peyer’s patches) Submucosa Duodenal (Brunner’s glands) Alkaline secretion Muscularis Serosa Adaptive Structures Small Intestine Circular folds / plicae circulares Villi Lacteal Microvilli Brush border Lymphatic capillary Brush border enzymes Intestinal juice 1-2 liters / day pH 7.6 Figure 23.18a Figure 23.18b Figure 23.18c Figure 23.18d Mechanical Digestion in Small Intestine Segmentation Localized Mix chyme with digestive juices Important for process of absorption Peristalsis Movement along the length of small intestine Chemical Digestion in Small Intestine Completes digestion of food from the stomach Carbohydrates Pancreatic amylase Glycogen and starch only -dextrinase Sucrase Lactase Maltase Chemical Digestion in Small Intestine Proteins Trypsin Chymotrypsin Elastase Carboxypeptidase Peptidases Chemical Digestion in Small Intestine Lipids Pancreatic lipase Emulsification Amphipathic bile salts Nucleic acids Nucleosidases Phosphatases Table 23.4 pt 1 Table 23.4 pt 2 Absorption in Small Intestine Passage of digested nutrients from gastointestinal tract into blood or lymph 90% of nutrients absorbed through small intestine Monosaccharides Facilitated diffusion Fructose Secondary active transport Glucose Galactose Enter blood through hepatic portal system Figure 23.19a Figure 23.19b Absorption in Small Intestine Amino acids Active transport Na+-dependent secondary active transport Dipeptides and tripeptides Symporter with H+ Absorption in Small Intestine Lipids by simple diffusion Micelles formed due to amphipathic nature of bile salts Chylomicrons Due to emulsification and digestion Triglycerides coated with proteins Leave cells via exocytosis Enter blood vessels via lymphatic system Enterohepatic circulation Absorption in Small Intestine Electrolytes Diffusion Active transport Secondary active transport Vitamins Water Osmosis Figure 23.20 Table 23.5 Concept 23.7 Large Intestine Anatomy of Large Intestine Mesocolon attaches to posterior abdominal wall 4. Regions Cecum Colon Rectum Anal canal Ileocecal sphincter (valve) 1. 2. 3. Allows passage into large intestine Figure 23.21a Figure 23.21b Anatomy of Large Intestine 1. 2. 3. 4. Cecum • Pouch • Attached appendix / veriform appendix Colon • Ascending • Transverse • Descending • Sigmoid • Right and Left colic (splenic) flexures Rectum Anal canal • Anal columns • Anus • Internal and external sphincter Histology of Large Intestine Mucosa Absorptive cells absorb mainly water Goblet cells secrete mucus Lymphatic nodules Submucosa Muscularis Haustra External longitudinal smooth muscle Teniae coli Internal circular smooth muscle Serosa Epiploic appendages Figure 23.22a Figure 23.22b Figure 23.22c Figure 23.22d Mechanical digestion in Large Intestine Gastroileal reflex Haustral churning Intensifies after a meal Occurs 3 or 4 times a day Distension and contraction of haustra Peristalsis Mass peristalsis Chemical Digestion in Large Intestine Bacteria: Ferment carbohydrates Gases produced are flatus or flatulence when excessive Break down proteins Decompose bilirubin Feces formed of dried chyme, inorganic salts, mucus, bacteria, undigested foods and other substances Defecation Reflex Empties the rectum Response to distention of rectal wall External anal sphincter voluntarily relaxed defecation occurs Table 23.6 Table 23.7 Concept 23.8 Phases of Digestion Phases of Digestion Cephalic Gastric Intestinal Cephalic Phase Stimulation of the senses activates CNS Prepares mouth and stomach for food Figure 23.23 Phases of Digestion Gastric Phase Begins with food in the stomach Neural regulation Negative feedback system Stretch receptors Chemoreceptors Hormonal regulation Gastrin Released by G cells of gastric glands Controlled by negative feedback mechanism (pH) Phases of Digestion Intestinal Phase Begins with food in the small intestine Inhibitory effects to slow exit of chyme Neural regulation Enterogastric reflex Distension of duodenum Phases of Digestion Intestinal Phase continued Hormonal regulation Cholecystokinin (CCK) Stimulates release of pancreatic juice Contraction of gallbladder wall Relaxes sphincter of hepatopancreatic ampulla Secretin Response to acidic chyme Stimulates flow of pancreatic juice for buffering Inhibits secretion of gastric juice Table 23.8 Concept 23.9 Food Molecules Six Main Types of Nutrients 1. 2. 3. 4. 5. 6. Water Carbohydrates Lipids Proteins Minerals Vitamins Essential nutrients cannot be made in sufficient amounts by the body Guidelines for Healthy Eating Variety Maintain healthy weight Choose low fat foods Lots of vegetables, fruits, and grains Sugar in moderation Salt and sodium in moderation Alcohol in moderation Food Guide Pyramid Figure 23.24 Nutrients Minerals Inorganic elements constitute 4% of body mass Regulate enzymatic reactions Serve as coenzymes Vitamins Organic molecules required in small amounts Most function as coenzymes Most cannot be synthesized by body Provitamins Fat-soluble vitamins A, D, E, and K Water soluble vitamins B and C Antioxidant vitamins Concept 23.10 Metabolism Metabolic Reactions Metabolism Enzymes Catalyze chemical reactions May require coenzymes Anabolic reactions All the chemical reactions of the body Synthesis or building reactions Endergonic – energy consuming Catabolic reactions Decomposition reactions Exergonic – produce more energy than consumed Metabolic Reactions Coupling of catabolism and anabolism by ATP ATP is catabolized Provides energy for synthesis of other bonds Drives other anabolic reactions Anabolic reaction of ADP and a phosphate to produce ATP Approximately 40% of energy released in catabolism is used 60% converted to heat Some for body heat Most lost to environment Figure 23.25 Carbohydrate Metabolism Carbohydrates catabolized to monosaccharides After absorption monosaccharides are: Glucose Fructose Galactose Used to synthesize ATP Converted to glycogen Build triglycerides Glucose can be converted to several amino acids Glucose Metabolism Cellular respiration C6H12O6 + 602 + 36 or 38 ADP’s + 36 or 38 P → 6CO2 + 6 H2O + 36 or 38 ATP’s Glycolysis Transition step Acetyl coenzyme A production Krebs cycle Anaerobic cellular respiration Energy transfer to coenzymes NAD+ and FAD Electron transport chain ATP produced Aerobic cellular respiration Figure 23.26 Glucose Anabolism Glycogen Storage form of carbohydrates ~ 500 g can be stored Synthesis stimulated by insulin Gluconeogenesis Synthesis of new glucose molecules from protein and lipid decomposition Figure 23.27 Lipid Metabolism Catabolism Lipolysis Hormones enhance lipolysis Epinephrine Norepinephrine Cortisol Different mechanisms for lipid catabolism Ketone bodies Figure 23.28 Lipid Metabolism Anabolism Insulin stimulates liver and adipose cells to synthesize triglycerides All excess food types can be converted to triglycerides Other lipids produced: Phospholipids Lipoproteins Thromboplastin Myelin sheaths Lipid Transport in Blood Lipoproteins Lipids combined with proteins More water soluble Transportable in blood Categorized by size and density Lipoproteins Largest and lightest to smallest and heaviest 1. Chylomicrons • • Carried by lymph to blood Transport dietary lipids to adipose Very low-density lipoproteins (VLDLs) 2. • • Transport triglycerides to adipose Converted to LDLs Low-density lipoproteins (LDLs) 3. • • Transport 75% of cholesterol to cells Deposit cholesterol to smooth muscle and arteries High-density lipoproteins (HDLs) 4. • Transport cholesterol from body cells to liver for elimination Protein Metabolism Amino acids not stored as proteins Used to synthesize: ATP Structural proteins Enzymes Replace damaged proteins Antibodies Transporters Converted to triglycerides when in excess Protein Catabolism Catabolism Protein breakdown occurs regularly Some amino acids used to generate ATP Deamination Anabolism Formation of peptide bond to synthesize proteins Carried out by ribosomes Amino Acids 20 amino acids in body 10 essential 10 nonessential Cannot be synthesized by body Must be present in diet Able to be synthesized by body Complete protein Incomplete protein Table 23.9 End Chapter 23