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Digestion and Absorption Of Proteins Prof. Dr. Arzu SEVEN • Total protein load received by the gut is derived from 2 sources: • 70-100 g dietary protein per day • 35-200 g of endogenous protein secreted into the gut (enzymes) or shed from the epithelium as a result of cell turnover. • The digestion and absorption of protein is extremely efficient: • only 1-2 g of nitrogen=equivalent to 6-12 of protein is lost into the feces daily. • Proteins are hydrolyzed by peptidases • • • • Endopeptidases (cleave internal peptide bonds) Exopeptidases Carboxypeptidases Aminopeptidases • Endopeptidases break down large polypeptides to smaller oligopeptides which can be acted upon by exopeptidases to produce amino acids and di- and tripeptides which are absorbed by enterocytes. • Depending on the source of peptidases, the protein digestive process can be divided into 3 phases: • 1-Gastric • 2-Pancreatic • 3-Intestinal • Protein digestion begins in the stomach. • Entry of dietary protein into the stomach stimulates the gastric mucosa to secrete gastrin. • HCI secreted by the parietal cells reduces the pH of stomach to 1-2 • The acidic gastric juice is both an antiseptic agent, killing most bacteria and other foreign cells, and a denaturating agent, unfolding globular proteins. • Denaturation unfolds polypeptide chains, making proteins more accesible to protease activity. • Pepsins are secreted by the chief cells of the gastric mucosa, as inactive precursors, pepsinogen I and II, and are activated either by autoactivation at ph<5 or by autocatalysis. (a cleavage mediated by pepsinogen itself) • At ph>2.0, the liberated peptide remains bound to pepsin and acts as an inhibitor of pepsin activity. • This inhibition is removed either by a drop in pH below 2.0 or by further pepsin action. • Pepsin hydrolyzes ingested proteins at peptide bonds on the amino-terminal side of aromatic amino acid residues-Phe, Trp and Tyr • The end product of protein digestion in the stomach is peptide. • As the acidic stomach contents pass into the small intestine, the low pH triggers secretion of the hormone secretin into the blood. • Secretin stimulates the pancreas to secrete bicarbonate into the small intestine to neutralize gastric HCI, abruptly increasing pH to about 7. • Gastric protein digests stimulate cholecytokinin release in the duodenum, triggering the release of main digestive enzymes by the pancreas. • Proteolytic enzymes ,released from the pancreas,are inactive zymogens. • Duodenal enteropeptidase converts trypsinogen to active trypsin. • This enzyme is capable of autoactivation and activation of all other pancreatic zymogens chymo-trypsinogen, proelastase, procarboxypeptidases (A and B) • Because of this prime role of trypsin in activating other pancreatic enzymes, its activity is controlled within the pancreas and pancreatic ducts by a small molecular weight inhibitory peptide.(pancreatic trypsin inhibitor) • Synthesis of enzymes as inactive precursors protects the exocrine cells from destructive proteolytic attack. • Pancreatic proteases have different substrate specificity with respect to peptide bond cleavage. • Trypsin arginine and Iysine residues • Chymotrypsin aromatic amino acids • Elastase hydrophobic amino acids • Carboxypeptidases are zinc containing enzymes that remove successive carboxyl-terminal residues from peptides. • The combined effect of these pancreatic enzymes produces free amino acids and peptides of 2-8 residues. • .Sodium bicarbonate, produced by the pancreas, neutralizes the acid contents of the stomach as they pass into duodenum, thus promoting pancreatic protease activity. • The final digestion of di- and oligopeptides is carried by small intestinal membranebound endopeptidases, dipeptidases and aminopeptidases. • The end products of this surface enzyme activity are free amino acids, and di-and tripeptides which are absorbed across the enterocyte membrane by specific carrier-mediated transport. • Di-and tri-peptides are further hydrolyzed to their constituent amino acids within the enterocyte. • Final step is the transfer of amino acids out of the enterocyte into portal blood. • In humans, most globular proteins from animal sources are almost completely hydrolyzed to amino acids in the GI tract, some fibrous proteins, such as keratin, are only partly digested. • Acute pancreatitis is a disease caused by obstruction of the normal pathway by which pancreatic enzymes enter the intestine. • The zymogens of the proteolytic enzymes are converted to their catalytically active forms,prematurely, inside the pancreatic cells and attact the pancreatic tissue itself.