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Digestive System Chemical Processes of Digestion 1 Salivary Glands Saliva contains two major types of protein secretion: (1)a serous secretion that contains ptyalin (an αamylase), which is an enzyme for digesting starches, and (2)mucus secretion that contains mucin for lubricating and for surface protective purposes. 2 Digestion of carbohydrates begins in the mouth and stomach (body and fundus) Alpha-amylase secreted mainly by the parotid glands. In the small intestine, carbohydrates are digested by pancreatic amylase. Most converted to maltose and/or other small polymers. Intestinal epithelial enzymes (lactase, sucrase, maltase and alpha-dextrinase) in the enterocytes covering the intestinal microvilli brush border split disaccharides into monosaccharides 3 Gastric Gland It is composed of three types of cells: (1) mucous neck cells, which secrete mainly mucus; (2) peptic (or chief) cells, which secrete large quantities of pepsinogen; and (3) parietal (or oxyntic) cells, which secrete hydrochloric acid and intrinsic factor. A major part of the stomach’s ability to prevent backleak of acid can be attributed to the gastric barrier due to the formation of alkaline mucus and to tight junctions between epithelia cells. 4 Pepsinogen Several slightly different types of pepsinogen are secreted by the peptic and mucous cells of the gastric glands, but all the pepsinogens perform the same basic functions. When pepsinogen is first secreted, it has no digestive activity. However, as soon as it comes in contact with hydrochloric acid, it is activated to form active pepsin. Pepsin functions as an active proteolytic enzyme in a highly acidic medium (optimum pH 1.8 to 3.5), but above a pH of about 5 it has almost no proteolytic activity and becomes completely inactivated in a short time. 5 Proteins Proteins are broken down to peptide fragments in the stomach by pepsin, and in the small intestine by trypsin and chymotrypsin, the major proteases secreted by the pancreas. These fragments are further digested to free amino acids by carboxypeptidase from the pancreas, which cleaves individual amino acids from the carboxyl ends of polypeptides. 6 Pancreas • The pancreas has both exocrine and endocrine functions. • The exocrine portion produces “pancreatic juice.” This is rich in bicarbonate as well as digesting enzymes. – Bicarbonate ions help neutralize the acidity of the chyme emptied from the stomach into the duodenum. The combined product of enzymes and sodium bicarbonate then flows through a long pancreatic duct that normally joins the hepatic duct immediately before it empties into the duodenum through the papilla of Vater, surrounded by the sphincter of Oddi. 7 The most important of the pancreatic enzymes for digesting proteins are trypsin, chymotrypsin, and carboxypolypeptidase. By far the most abundant of these is trypsin. Trypsin and chymotrypsin split whole and partially digested proteins into peptides of various sizes but do not cause release of individual amino acids The pancreatic enzyme for digesting carbohydrates is pancreatic amylase, which hydrolyzes starches, glycogen, and most other carbohydrates (except cellulose) to form mostly disaccharides and a few trisaccharides. The main enzymes for fat digestion are (1) pancreatic lipase, which is capable of hydrolyzing neutral fat into fatty acids and monoglycerides; (2) cholesterol esterase, which causes hydrolysis of cholesterol esters; and (3) phospholipase, which splits fatty acids from phospholipids. 8 Bile secretion by the liver • One of the many functions of the liver is to secrete bile. • First, bile plays an important role in fat digestion and absorption. – Bile acids in the bile perform two functions: (1) They help emulsify the large fat particles of the food into many minute particles, the surface of which can then be attacked by lipase enzymes secreted in pancreatic juice, and (2) they aid in absorption of the digested fat end products through the intestinal mucosal membrane. • Second, bile serves as a means for excretion of several important waste products from the blood. – These waste products include in particular bilirubin, an end product of hemoglobin destruction, and excesses of cholesterol. 9 Fats The most abundant fats in the diet are triglycerides, each is composed of a glycerol and three fatty acids. Other fats include phospholipids, cholesterol, and cholesterol esteres. Digestion of fats occurs mainly in the small intestine. The first step in fat digestion is emulsification by bile acids and lecithin. 10 Three basic stimuli are important in causing pancreatic secretion: 1. Acetylcholine, which is released from the parasympathetic vagus nerve endings and from other cholinergic nerves in the enteric nervous system 2. Cholecystokinin, which is secreted by the duodenal and upper jejunal mucosa when food enters the small intestine 3. Secretin, which is also secreted by the duodenal and jejunal mucosa when highly acidic food enters the small intestine Control of Pancreatic Secretion 11 Pancreas: Insulin and Glucagon The pancreas, in addition to its digestive functions, secretes two important hormones, insulin and glucagon, that are crucial for normal regulation of glucose, lipid, and protein metabolism Beta Cell Insulin Alpha Cell Glucagon the islets of Langerhans secrete insulin and glucagon directly into the blood 12