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Lipids: Triacylglycerols Cholesterol esters Phospholipids Triacylglycerols Lingual Lipase 1a Lingual Lipase ("acid-stable") FFA + DAGs (miniscule amounts) MOUTH FFA + DAGs (small amounts) 1b STOMACH STEP 1: Digestion in the Mouth and Stomach Courtesy of Dr. Marc Tischler EXOCRINE PANCREAS CCK-PZ stimulates secretion trypsinogen, procolipase, lipase, esterase, HCO3-, proPLA2 Bile Acid Synthesis Conjugation FFA Bile Salt storage GALL BLADDER Pancreatic ProPLA2 Courtesy of Dr. Marc Tischler Endocrine cell Cholecystokinpancreozymin Trypsinogen (CCK-PZ) via bloodstream Pancreatic lipase SMALL INTESTINE duodenum/jejunum Pancreatic Procolipase LIVER CCK-PZ causes contraction from stomach Pancreatic esterase STEP 2: Enzymatic Digestion in the Duodenum/Jejunum – secretion of zymogens/bile salts SMALL INTESTINE duodenum/jejunum LIVER Enterohepatic circulation of bile acids 3b Mixed Micelles 4 3b Released bile acids Portal vein Reabsorbed by ileum STEP 3b: Bile Acid Recycling STEP 4: Lipid Absorption Courtesy of Dr. Marc Tischler FFA, 2MG cholesterol lysolecithin vitamin A Short/medium chain FFA Capillaries SMALL INTESTINE duodenum/jejunum B48 6b Chylomicron Triacylglycerol transfer protein 6a Coating with apolipoprotein (with TTP) Triacylglycerol 5 vitamins D, E, K Cholesterol ester Phospholipid ACAT reesterification FFA, 2MG STEP 5: Re-esterification STEP 6: Chylomicron Assembly and Export Courtesy of Dr. Marc Tischler To lacteals and thoracic duct (lymphatic system) cholesterol lysolecithin vitamin A Acyl CoA: cholesterol acyl transferase I N T E S T I N E Lymph system: Chylomicrons to capillaries via lymph chylomicron interacts with lipoprotein lipase removing FFA Nascent chylomicrons acquire apo CII (C) and E (E) from HDL non-hepatic tissues CE CE CECE CE CECE CE CE ApoB48 aids with chylomicron assembly LIVER Chylomicrons carry dietary fatty acids to tissues and the remnants take cholesterol to the liver I N T E S T I N E Lymph system: chylomicron interacts with lipoprotein lipase removing FFA chylomicron acquires apo CII (C) and E (E) from HDL non-hepatic tissues CE CE CECE CE CECE CE CE C E ApoB48 chylomicron remnants lose CII to HDL E C E E C EE E Liver: apo E receptor takes up remnants to deliver cholesterol LIVER Chylomicrons carry dietary fatty acids to tissues and the remnants take cholesterol to the liver Courtesy of Dr. Marc Tischler