Membranes & epithelial cells divide "inside" from "outside"
digestive tract is a term for the complete path from the mouth to the anus
can be considered in some sense to be outside the body
job reduce complex foodstuffs ---> small molecules
Amino acids, glucose, fatty acids
that can cross cell membranes
Liver and pancreas are exocrine glands that secrete digestive enzymes
enzymes are specific to pH and temperature
Proper nutrition is essential to supply energy
and essential AAs, fatty acids, vitamins and minerals
Mouth
Mastication of food. Limited digestion of starch
pharynx
swallowing reflex
esophagous
peristalsis
stomach
Stores food and grinds it up
very muscular walls
Alcohol is absorbed here but not other food substances
Mucus protects stomach from HCL
Ulcers - heliobacter pylori
gastric glands produce HCL + pepsin digest proteins
food becomes "chyme"
pyloric valve meters out chyme to small intestine
esophageal sphincter prevents backflow into esophagous
malfunctions -> heartburn
gastrin is a hormone (produced gastric glands) that is released into the bloodstream if protein is present in stomach
gastric glands release HCL and pepsin
small intestine
6 m long
location where most digestion and absorption of nutrients occurs
pancreas and gall bladder are exocrine glands emptying into duodenum
Contain NaHCO3 ( a weak base) to neutralize Hcl and create a basic environment
"brush border membranes"
microvilli increase surface area for absorption
Active transport is used for maximum absorption
lipids broken down to glycerol and fatty acids which cross epithlieal membraneand coverted to lipoprotein droplets which are then concentrated in the lacteals
Hormones controlling small intestine activity
Secretin stimulated when acidic chyme present duodenum
Increase Secretin levels in blood --> increased releaseby pancreas of NaHCO3
Cholecystokinin (CKK)
stimulated presence of fat
elevated CCK levels blood -> increased production pancreatic juice and bile (gall bladder)
large intestine
about 1.6 m long, 6.5 cm diameter vs 1.5 (small intestine)
absorbs water, salts. some vitamins
concentrates remaining material into feces
indigestible remains
bile pigments
bacteria thought predominantly e.coli but now known to be 99% facultative anaerobes
bacteria are symbiotic
breakdown some indigestible products
produce some vitamins and make some minerals available in forms that can be absorbed.
feces concentrated and stored temporailiy in rectum and expelled through anus
Bowel Complaints
Diarrhea
Most often caused by infection of lower tract
Usually "self limiting" since water is not absorbed by the large intestine and peristalsis expels the offending organisms
sooner ot later things are back to normal
Often caused by nervous stimulation
"irritable bowel syndrome"
Constipation
Overly civilized people ignore desire to defecate
Feces become dry and hard
Fiber and water can help pervent this
If must take laxative "bulk laxatives"best
these supply large masses of cellulose mimic the effect of natural fiber
also good paradoxically for irritable bowel syndrome
other common laxatives work as lubricants, osmotic agents, or irritants.
Chronic constipation can lead to hemorrhoids.
Pancreas
Produces pancreatic juice
contains enzymes to digest, CHO, proteins, and fats
empties into duodenum
level controlled by CCK
Liver
Produces bile
contains bile pigments bilirubin and biliverder???
pigments derive from Hemoglobin, waste products from dead blood cells
Also contain bile salts
Derived from cholesterol
job is to emulsify fats i.e. make soluble
necessary forpancreatic
digestive enzymes to work
Hepatic Portal System
monitors incoming blood from intestine
glucose & glycogen ??
Gets rid of nasties in blood
process called detoxification
Produces urea from the breakdown of amino acids
amino acids --> glucose + amino groups
amino groups --> urea which is removed in kidneys
liver also produces plasma proteins from amino acids
glucose balance
liver interconvert glucose --> glycogen
glycogen -->glucose
when you eat, glucose rises, pancreas secretes insulin
liver produces mainly glycogen from glucose
Between meals glucose levels in blood lower, insulin production goes down
example of a negative feedback system
Digestive Enzymes
Enzymes are hydrolytic
Food |
product |
enzyme |
pH |
Produced |
Site of Action |
Starch |
maltose |
Salivary amylase |
neutral |
Salivary Glands |
Mouth |
Starch |
maltose |
Pancreatic amylase |
Basic |
pancreas |
small intestine |
Maltose |
Glucose |
Maltase |
Basic |
small intestine |
small intestine |
protein |
peptides |
pepsin |
Acidic |
Gastric Glands |
Stomach |
protein |
peptides |
trypsin |
Basic |
small intestine |
small intestine |
peptides |
Amino acids |
peptidases |
Basic |
small intestine |
small intestine |
fats |
emulsified fat droplets |
Lipases |
Basic |
Pancreas |
small intestine |
Nutrition
Food pyramid = ideal diet
carbohydrates on the bottom, fats on the top
A balanced diet contains all necessary nutirents in the right proportions
Carbohydrates
found in breads pastas, tubers, grains
Carbohydrates are needed to maintain blood glucose levels
Complex carbohydrates generally better than simple (e.g. sugar) because they are typically complexed with other nutrients including fiber - nondigestabale plant material
A certain amount of fiber important for correct working of the digestive system
Proteins
foods rich in protein are meat fish poultry dry beans eggs, nuts, soy products
proteins are digested to amino acids which are normally used to build tissues and soluble proteins and not as an energy source
it is important to have a "complete" source of protein in diet
i.e. one that contains all 20 amino acids. Body is unable to synthesise 9 of these
Lipids
Fats are abundant i butter, margarine, oils as well in red meat, fish and poultry
fatty acids absorbed in the small intestine are packed as lipoproteins and enter tha lacteals of the lymphatic system & hence can move through cirulatory system to all parts of body
linoleic acid is an "essential" fatty acid i.e. must be provided in diet
liver can synthesise others
fat has highest energy content
9 Kcal/gram vs 4 Kcal/gram for CHO
Nationally we eat too much fat, typical diet 40% of calories from fat recommended reduce to 30% or less.
High fat diets may increase risk of cancer
Vitamins
vitamins are generally small organic compounds that are "essential" for metabolism.
Many of these form portions of coenzymes eg. niacin forms part of NAD
Riboflavin part of FAD
Best way to get enough vitamins is to eat a wide variety of fruits and vegetables
while C & A may prevent cancer
"Megadoses" of vitamins are discouraged
vitamin C --> kidney stone, oxalic acid (a toxin)
Vitamin A in excess --> hair loss, bone & joint pains
vitamin D in excess --> excess Ca in blood, retard growth in children
Minerals
Some"macro minerals" are required in relatively large amounts i.e greater than 100 mg/day others are "trace" elements i.e. less than 20 mg/day
Macrominerals include Na, P, K, Mg, Ca, Cl
Microminerals Zn, Fe, F, Cu, I
more are being discovered all the time eg.
Se, Cr, Ni, V, & even As
These are usually involved in the active sites of enzymes
"metalloproteins" and are needed in very small amounts
Tables 4.6 & 4.7 summarize roles of viamins and minerals required for adequate nutrition
Ca is needed for strong bones
Osteoporosis - weekens bones older people
drink lots of milk when youre young!
post menopausal women largely too late.
Many people eat too much Na
Recommended daily allowance of Na 500mg.
average American eats 4,000 - 7,000mg
sources typically 1/3 natural, 1/3 added processing. 1/3 from the salt shaker
Major bad effect of salt is hypertension
doesnt effect everybody but you wont find out until its too late!
Eating disorders
Obesity
20% above ideal weight
caused by endocrinal, metabolic, and social factors
Bullimia
can coexist with obesity or anorexia nervosa
Most common in young women who gorge themsleves and then purge by inducing vomiting or using laxatives
Usually associated with depression
Not easy to treat
Anorexia nervosa
individuals are extremely thin but still "feel fat" and continue to diet
can cause menstruation to cease if body weight gets too low.
Eating disorders can have complex psychological causes. Effected individuals shouls seek medical attention since potentially dangerous.