Lipid Digestion and Absorption

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Questions and Answers

What is the primary function of lingual lipase in the initial stages of digestion?

  • To facilitate the absorption of cholesterol in the stomach.
  • To synthesize new triglycerides from absorbed lipids.
  • To emulsify large lipid drops into smaller droplets.
  • To break down triglycerides into monoglycerides and fatty acids. (correct)

Why is the emulsification of lipids by bile salts important for lipid digestion?

  • It neutralizes the acidic environment of the stomach.
  • It increases the solubility of lipids in the intestinal lumen.
  • It directly transports lipids into the intestinal cells.
  • It provides a larger surface area for pancreatic lipase to act on. (correct)

What are micelles and what role do they play in lipid absorption?

  • They are protein coats that surround triglycerides for transport in blood.
  • They are lipid-bile salt complexes that transport digested lipids to the intestinal epithelium. (correct)
  • They are enzymes that break down triglycerides.
  • They are hormones that stimulate the release of pancreatic lipase.

What is the function of chylomicrons in the context of lipid digestion and absorption?

<p>Transporting triglycerides and other lipids from intestinal cells into the lymphatic system. (C)</p> Signup and view all the answers

Why do chylomicrons enter the lacteals of the lymphatic system rather than diffusing directly into blood capillaries?

<p>The size of chylomicrons prevents them from diffusing through the basement membranes and endothelial cell gaps of capillaries. (B)</p> Signup and view all the answers

How does the acidic environment of the stomach affect the activity of lingual lipase?

<p>It allows lingual lipase to continue functioning, but only at the surface of lipid drops. (B)</p> Signup and view all the answers

What stimulates the release of CCK (cholecystokinin) and what is its role in lipid digestion?

<p>The arrival of chyme in the duodenum; stimulates the secretion of pancreatic enzymes and gallbladder contraction. (D)</p> Signup and view all the answers

After lipids diffuse into intestinal epithelial cells, what happens to the monoglycerides, fatty acids, and glycerol?

<p>They are used to synthesize new triglycerides. (B)</p> Signup and view all the answers

What is the approximate percentage of triglycerides broken down in the stomach before chyme moves into the duodenum?

<p>20% (C)</p> Signup and view all the answers

Which enzyme is primarily responsible for breaking down triglycerides into fatty acids, monoglycerides, and glycerol in the small intestine?

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

If a person's gallbladder is removed, how would this affect their ability to digest and absorb fats?

<p>They would have difficulty digesting and absorbing fats because bile is no longer available for emulsification. (A)</p> Signup and view all the answers

A patient is diagnosed with a deficiency in pancreatic enzyme secretion. How would this condition most likely affect lipid digestion?

<p>Impaired breakdown of triglycerides into absorbable components. (A)</p> Signup and view all the answers

What would happen if the intestinal cells were unable to synthesize triglycerides from monoglycerides, fatty acids, and glycerol?

<p>Chylomicron formation would be impaired, affecting lipid transport. (C)</p> Signup and view all the answers

In a scenario where a patient has impaired lacteal function, how would the absorption of lipids be affected?

<p>The absorption of lipids would be significantly reduced as chylomicrons cannot effectively enter the lymphatic system. (B)</p> Signup and view all the answers

A drug inhibits the production of bile salts in the liver. What direct effect would this have on fat digestion?

<p>Reduced emulsification of fats in the small intestine. (A)</p> Signup and view all the answers

What is the initial step in lipid digestion that occurs in the oral cavity?

<p>Hydrolysis of triglycerides by lingual lipase. (B)</p> Signup and view all the answers

Which process is directly facilitated by the mechanical action of chewing in the mouth?

<p>Increasing the surface area of food particles for enzymatic action. (B)</p> Signup and view all the answers

How does the transport of lipids differ from the transport of carbohydrates and proteins after absorption from the small intestine?

<p>Lipids are transported via chylomicrons into the lymphatic system, while carbohydrates and proteins are transported directly into the bloodstream. (D)</p> Signup and view all the answers

What is the role of exocytosis in the absorption of dietary fats?

<p>It secretes chylomicrons from intestinal cells into the interstitial fluid. (B)</p> Signup and view all the answers

If a person has a genetic defect that prevents the formation of micelles, what would be the most likely consequence?

<p>Decreased fat absorption due to impaired transport to intestinal cells. (C)</p> Signup and view all the answers

Flashcards

Lingual Lipase

Enzyme found in saliva that initiates the breakdown of triglycerides into monoglycerides and fatty acids in the mouth.

Emulsification

Process in the duodenum where bile salts break large lipid drops into smaller droplets, increasing the surface area for enzyme action.

Pancreatic Lipase

Enzyme secreted by the pancreas into the duodenum to further break down triglycerides into fatty acids, monoglycerides, and glycerol.

Micelle

Lipid-bile salt complexes that transport fatty acids, monoglycerides, and glycerol to the intestinal epithelium for absorption.

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Chylomicrons

Newly synthesized triglycerides, combined with cholesterol and phospholipids, coated with proteins for transport from intestinal cells.

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Chylomicron Secretion

Secretion of chylomicrons from intestinal cell into interstitial fluid.

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Lacteals

Specialized lymphatic vessels in the small intestine that absorb fats and are the entry point for chylomicrons into the lymphatic system.

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Study Notes

  • Chewing breaks food into smaller pieces and disrupts connective tissues.
  • Saliva containing lingual lipase saturates the bolus, which splits triglycerides into monoglycerides and fatty acids.

Lipid Digestion

  • Dietary lipids are generally not water-soluble.
  • Chyme mixing in the stomach forms large lipid drops.
  • Lingual lipase functions in the acidic environment of the stomach but only breaks down triglycerides on the surface of lipid drops.
  • Approximately 20% of triglycerides are broken down by the time chyme exits the stomach.

Role of CCK and Bile

  • When chyme enters the duodenum, CCK is released, triggering secretion of pancreatic enzymes like pancreatic lipase.
  • CCK also stimulates gallbladder contraction, releasing bile into the duodenum.
  • Bile salts emulsify large lipid drops into smaller droplets for better pancreatic lipase access.
  • Pancreatic lipase breaks triglycerides into fatty acids, monoglycerides, and glycerol.
  • Released molecules interact with bile salts, forming lipid-bile salt complexes known as micelles.

Micelle and Lipid Absorption

  • Micelles contact intestinal epithelium, and lipids diffuse across the plasma membrane into the cytosol.
  • Intestinal cells synthesize new triglycerides from monoglycerides, fatty acids, and glycerol.
  • These triglycerides combine with absorbed cholesterol, phospholipids, and other lipid-soluble materials, and are coated with proteins, forming chylomicrons.

Chylomicron Transport

  • Intestinal cells secrete chylomicrons into interstitial fluid via exocytosis.
  • The protein coating keeps chylomicrons suspended in interstitial fluid.
  • Size of chylomicrons prevents them from diffusing into capillaries.
  • Instead, chylomicrons diffuse into intestinal lacteals of the lymphatic system, which lack basement membranes and have gaps between endothelial cells.

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