Digestion and Absorption of Lipids - DEM Y2
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Questions and Answers

What is the primary role of bile salts in lipid digestion?

  • Produce fatty acids in the mouth
  • Inhibit the action of lipases
  • Emulsify large lipid droplets (correct)
  • Increase the acidity of the stomach

Which enzyme is secreted by the chief cells of the stomach for lipid digestion?

  • Salivary amylase
  • Pancreatic lipase
  • Gastric lipase (correct)
  • Lingual lipase

What is the end product of lipid digestion in the stomach?

  • Phospholipids
  • Diacylglycerides and fatty acids (correct)
  • Saturated fats
  • Triglycerides

Which type of fats are suggested to be consumed in moderation?

<p>Saturated fats (D)</p> Signup and view all the answers

What are the products of lipid digestion initiated in the mouth?

<p>Diglycerides, monoglycerides, and fatty acids (A)</p> Signup and view all the answers

Which mechanism facilitates the mechanical digestion of lipids in the small intestine?

<p>Peristalsis (B)</p> Signup and view all the answers

Which type of fats are considered 'good' fats?

<p>Monounsaturated and polyunsaturated fats (A)</p> Signup and view all the answers

What role does lingual lipase play in lipid digestion?

<p>Hydrolyzing triglycerides in the mouth (A)</p> Signup and view all the answers

What condition might be explained by understanding the mechanisms of lipid absorption?

<p>Malabsorption syndromes (D)</p> Signup and view all the answers

What is the main purpose of emulsification during lipid digestion?

<p>To facilitate absorption of fats (D)</p> Signup and view all the answers

What is the primary result of the action of pancreatic lipase and co-lipase on triglycerides?

<p>Hydrolysis to monoacylglycerol and fatty acids (C)</p> Signup and view all the answers

How does cholesterol esterase function in lipid digestion?

<p>Hydrolyzes cholesteryl esters to free cholesterol and fatty acids (A)</p> Signup and view all the answers

What is required for the optimal activity of phospholipase A2?

<p>Bile salts (C)</p> Signup and view all the answers

What component is NOT a primary product of lipid digestion?

<p>Triglycerides (C)</p> Signup and view all the answers

What role do mixed micelles play in the absorption of lipids?

<p>They facilitate transportation of hydrophobic lipids across the unstirred water layer (A)</p> Signup and view all the answers

What component do chylomicrons typically contain after formation in enterocytes?

<p>Triglycerides and vitamins (C)</p> Signup and view all the answers

Which pancreatic enzyme is activated by trypsin?

<p>Phospholipase A2 (C)</p> Signup and view all the answers

What is the function of lysophospholipase in lipid degradation?

<p>To remove a remaining fatty acid from lyso-phospholipid (A)</p> Signup and view all the answers

Which process does NOT take place during lipid digestion?

<p>Synthesis of proteins (B)</p> Signup and view all the answers

What is the result of the hydrolysis of phospholipids by phospholipase A2?

<p>Conversion to lyso-phospholipids (A)</p> Signup and view all the answers

Which of the following types of fats are considered 'good' fats?

<p>Monounsaturated and polyunsaturated (A)</p> Signup and view all the answers

Which of the following statements about lipid digestion in the mouth are correct? (Select all that apply)

<p>Lingual lipase hydrolyzes medium and long-chain triglycerides (A), Products are diglycerides, monoglycerides, and fatty acids (B)</p> Signup and view all the answers

Which of the following enzymes are involved in lipid digestion in the stomach?

<p>Gastric lipase (B)</p> Signup and view all the answers

Which of the following statements about gastric lipase is true?

<p>Secreted by the chief cells of the stomach (A)</p> Signup and view all the answers

What do the two enzymes acting on lipids in the stomach do?

<p>They hydrolyse the ester bonds in medium and long chain triglycerides (A)</p> Signup and view all the answers

Which of the following processes are involved in lipid digestion in the small intestine? (Select all that apply)

<p>Further increase surface area of lipid droplets (A), Mechanical mixing (B), Bile salts (C)</p> Signup and view all the answers

Which of the following statements about chemical digestion in the small intestine is true?

<p>Pancreatic lipase binds to the surface of the droplet in the presence of pancreatic co-lipase (A), Enzymes hydrolyse triglycerides to monoacylglycerol and fatty acids (B)</p> Signup and view all the answers

Which of the following pancreatic enzymes are involved in lipid degradation? (Select all that apply)

<p>Cholesterol esterase (A), Phospholipase A2 (B), Lysophospholipase (C)</p> Signup and view all the answers

Cholesterol esterase hydrolyzes cholesteryl esters to which of the following?

<p>Cholesterol and free fatty acids (A)</p> Signup and view all the answers

What does Phospholipase A2 digest phospholipid into?

<p>To lyso-phospholipid by removing 1 fatty acid (A)</p> Signup and view all the answers

Which of the following statements about phospholipase A2 are correct? (Select all that apply)

<p>Requires bile salts for optimum activity (A), Activated by trypsin (B), Removes 1 fatty acid (C)</p> Signup and view all the answers

What are the functions of lysophospholipase? (Select all that apply)

<p>Removes remaining fatty acid at C1 (A), Leaves glycerylphosphoryl base (B)</p> Signup and view all the answers

Which of the following substances do pancreatic enzymes digest? (Select all that apply)

<p>Triacylglycerol, cholesteryl esters, phospholipids (A)</p> Signup and view all the answers

The products of fat digestion form into which of the following?

<p>Mixed micelles (A)</p> Signup and view all the answers

Which components are included in a mixed micelle? (Select all that apply)

<p>Free fatty acids (B), Bile salts (A), Free cholesterol (C), 2-monoacylglycerol and Phospholipid (D)</p> Signup and view all the answers

Which of the following cells are primarily responsible for the absorption of lipids?

<p>Enterocytes (A)</p> Signup and view all the answers

Which of the following do not require mixed micelles for absorption?

<p>Short-medium chain fatty acids (A)</p> Signup and view all the answers

What is primarily involved in the formation in the enterocyte?

<p>Chylomicron (A)</p> Signup and view all the answers

Fatty acids and monoglycerides are transported into the ........ where they are used to synthesize ......

<p>endoplasmic reticulum, triglyceride (A)</p> Signup and view all the answers

After lipids are synthesized in the endoplasmic reticulum, what is their next step?

<p>Form into chylomicrons and go to the Golgi apparatus (A)</p> Signup and view all the answers

What happens to chylomicrons after they are extruded from the Golgi in enterocytes?

<p>Transported to the basolateral aspect of the enterocyte (B)</p> Signup and view all the answers

Where are chylomicrons dumped after absorption?

<p>Extracellular space and enter the lymph (A)</p> Signup and view all the answers

Study Notes

Learning Outcomes

  • Understand the digestion process of lipids in the body.
  • Identify key products generated from lipid digestion.
  • Explain the absorption mechanism for lipids.
  • Recognize the significance of malabsorption syndromes.

Sites of Lipid Digestion

  • Digestion occurs in the mouth, stomach, and small intestine.

Types of Fats

  • Good Fats: Include monounsaturated and polyunsaturated fats found in vegetable oils (e.g., olive, canola), nuts, seeds, and fish.
  • Bad Fats: Trans fats are found in processed foods with partially hydrogenated oils.
  • Saturated Fats: Found in red meat, butter, cheese, and ice cream; should be consumed in moderation.

Lipid Digestion in the Mouth

  • Mechanical Digestion: Begins with mastication; emulsification breaks down lipid droplets into smaller sizes.
  • Chemical Digestion: Lingual lipase in saliva hydrolyzes medium and long-chain triglycerides into diglycerides, monoglycerides, and fatty acids.

Lipid Digestion in the Stomach

  • Two active enzymes:
    • Lingual lipase (from the mouth)
    • Gastric lipase (secreted by stomach chief cells)
  • Both enzymes hydrolyze triglycerides, producing diacylglycerides and fatty acids.
  • Gastric lipase is part of the serine proteases family and is acid-stable.

Lipid Digestion in the Small Intestine

  • Mechanical Digestion: Continues emulsification, increasing the surface area for enzyme action, aided by peristalsis and bile salts.
  • Chemical Digestion:
    • Pancreatic lipase and co-lipase secreted by the pancreas, bind to lipid droplets.
    • These enzymes hydrolyze triglycerides into monoacylglycerol and fatty acids.

Other Pancreatic Enzymes Involved

  • Cholesterol Esterase: Hydrolyzes cholesteryl esters into cholesterol and free fatty acids, activity enhanced by bile salts.
  • Phospholipase A2: Digests phospholipids to lyso-phospholipids; activated by trypsin and requires bile salts.
  • Lysophospholipase: Removes the remaining fatty acid from lyso-phospholipid, yielding a glycerylphosphoryl base.

Lipid Digestion Overview

  • Pancreatic enzymes digest triacylglycerols, cholesteryl esters, and phospholipids.
  • Secretion of these enzymes is hormonally regulated.
  • Primary products of digestion: free fatty acids, free cholesterol, and 2-monoacylglycerol.

Formation of Mixed Micelles

  • Mixed micelles are composed of bile salts, free fatty acids, free cholesterol, 2-monoacylglycerol, and phospholipids.

Absorption of Lipids by Enterocytes

  • Hydrophilic surface of micelles aids in transporting hydrophobic lipids across the unstirred water layer to the brush border membrane.
  • Short and medium-chain fatty acids can directly be absorbed without mixed micelles.

Chylomicron Formation in Enterocytes

  • Fatty acids and monoglycerides enter the endoplasmic reticulum to synthesize triglycerides.
  • Triglycerides are combined with cholesterol esters, free cholesterol, phospholipids, vitamins, and apolipoprotein B48 to form chylomicrons.

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Description

This quiz covers the key concepts related to the digestion and absorption of lipids, tailored for the DEM Year 2 course at RCSI. You will explore lipid digestion processes, products of digestion, and the mechanisms involved in absorption. Additionally, the significance of malabsorption will be addressed.

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