Lipid Digestion and Absorption
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Questions and Answers

What is the primary function of chylomicrons in the body?

  • To transport cholesterol from tissues back to the liver.
  • To activate hormone-sensitive lipase in adipocytes.
  • To synthesize cholesterol esters for storage in the liver.
  • To deliver triglycerides to skeletal muscle and adipose tissue. (correct)
  • Which apoprotein is essential for activating lipoprotein lipase, facilitating the breakdown of triglycerides in capillaries?

  • ApoCII (correct)
  • ApoE
  • ApoB-48
  • ApoA-I
  • What is the ultimate fate of chylomicron remnants after they have delivered their triglyceride cargo?

  • They are taken up by the liver. (correct)
  • They are broken down by lipoprotein lipase in the bloodstream.
  • They are excreted from the body via the kidneys.
  • They are converted into VLDLs for further transport.
  • Which lipoprotein primarily functions to transport triglycerides synthesized within the liver to peripheral tissues?

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

    What is the role of HDL in reverse cholesterol transport?

    <p>Scavenging cholesterol from cells and returning it to the liver. (D)</p> Signup and view all the answers

    During fasting, what enzyme within adipocytes is responsible for breaking down stored triglycerides?

    <p>Hormone-sensitive lipase (A)</p> Signup and view all the answers

    What is the role of ApoE in lipoprotein metabolism?

    <p>Aiding in lipoprotein recognition and clearance by the liver. (B)</p> Signup and view all the answers

    What is the metabolic fate of glycerol released from triglycerides during lipolysis in adipose tissue?

    <p>It is transported to the liver for gluconeogenesis or glycolysis. (A)</p> Signup and view all the answers

    Which of the following enzymes is active in the stomach and exhibits increased activity in infants due to their lower stomach acidity?

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

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

    <p>To emulsify lipids, increasing the surface area for enzymatic activity (A)</p> Signup and view all the answers

    Which enzyme is responsible for breaking down cholesterol esters into cholesterol and one fatty acid?

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

    What are Micelles?

    <p>Tiny complexes of lipid catabolites and bile salts that facilitate lipid absorption (C)</p> Signup and view all the answers

    What is the role of fatty acyl CoA synthase in the context of lipid absorption within the mucosal cells?

    <p>It converts free fatty acids into fatty acyl CoA, a necessary step for triglyceride resynthesis. (A)</p> Signup and view all the answers

    Why can't triglycerides be directly absorbed in the intestine?

    <p>They are too large to pass directly through the membrane. (B)</p> Signup and view all the answers

    Which of the following is the correct sequence of events for long-chain fatty acid processing after they are absorbed into the intestinal mucosal cells?

    <p>Conversion to fatty acyl CoA → incorporation into triglycerides → packaged into chylomicrons. (D)</p> Signup and view all the answers

    Flashcards

    Triacylglycerols

    The main type of dietary lipids, making up 90% of lipids consumed.

    Lingual Lipase

    An acid-stable enzyme secreted in the mouth that starts fat digestion.

    Emulsification

    A process that increases the surface area of lipids for digestion by breaking them into smaller droplets.

    Micelles

    Tiny complexes formed by bile salts and lipid components for absorption in the intestine.

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    Bile Salts

    Emulsifiers secreted by the liver that help break down fats for digestion.

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    Pancreatic Lipase

    The major enzyme responsible for digesting triglycerides in the intestine.

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    Lipid Absorption

    Process where fatty acids and monoacylglycerols are absorbed by mucosal cells after being broken down.

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    Chylomicrons

    Repackaged long-chain fatty acids that enter the lymphatic system after lipid absorption.

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    Chylomicron Structure

    Inside: Triglycerides, cholesterol esters. Outside: Phospholipids, apoproteins (apolipoprotein B-48).

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    Transport Pathway of Chylomicrons

    Exocytosed from mucosal cells, enter lymphatic system via intestinal lacteals, and enter blood circulation via left subclavian vein.

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    Primary Function of Chylomicrons

    Deliver triglycerides to skeletal muscle for energy and adipose tissue for storage.

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    Triglyceride Breakdown

    Lipoprotein lipase breaks triglycerides into 3 free fatty acids and glycerol.

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    Chylomicron Remnants

    After delivering triglycerides, they are taken up by the liver.

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    Function of HDL

    Scavenges cholesterol from cells and returns it to the liver; also a reservoir for ApoCII and ApoE.

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    Liver's Role with Cholesterol

    Converts cholesterol from chylomicron remnants into LDL, HDL, or VLDL.

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    Study Notes

    Lipid Digestion, Absorption, and Transport

    • Dietary Lipids: Primarily triglycerides (90%), with cholesterol, phospholipids, and free fatty acids also present.

    Lipid Digestion

    • Enzymes:
      • Lingual lipase (mouth, activated in stomach).
      • Gastric lipase (stomach, activated in duodenum).
      • Pancreatic lipase (primary intestinal enzyme).
    • Digestion Locations:
      • Mouth: Minimal lipid digestion.
      • Stomach: Lingual lipase action begins; infants have more stomach lipase activity due to less acidic stomach environment.
      • Small Intestine (Duodenum): Major site of lipid digestion; requires emulsification for efficient enzyme action.

    Lipid Emulsification

    • Necessity: Lipids are hydrophobic; emulsification increases surface area for enzyme action.
    • Bile Salts: Key emulsifiers;
      • Structure: Hydrophobic region interacts with lipids, hydrophilic region interacts with water.
      • Origin: Produced by the liver, stored in the gall bladder, and secreted into the duodenum.
      • Precursors: Bile acids converted to bile salts.

    Pancreatic Enzyme Action

    • Triglyceride Breakdown: Pancreatic lipase converts triglycerides into 2 fatty acids and 2-monoacylglycerol.
    • Cholesterol Ester Breakdown: Cholesterol esterase converts cholesterol esters to cholesterol and a fatty acid.
    • Phospholipid Breakdown: Phospholipase A2 converts phospholipids to lysophospholipid and a fatty acid; further broken down by lysophospholipase.
    • Trypsin: Activates phospholipase A2.

    Lipid Absorption

    • Micelles: Tiny complexes of lipid digestion products and bile salts.
      • Function: Transport lipid products to the intestinal mucosa (jejunum) for absorption.
    • Bile Salt Recycling: Bile salts are reabsorbed in the ileum and return to the liver via the hepatic portal system.
    • Absorption Limitation: Triglycerides are too large for direct absorption, so they need breakdown by pancreatic lipase.
    • Lipid Reconstruction:
      • Fatty acids are converted to fatty acyl CoA.
      • Monoacylglycerol and fatty acyl CoA are reassembled into triglycerides.
      • Short-chain fatty acids enter the blood directly.
      • Long-chain fatty acids are packaged into chylomicrons.

    Chylomicrons

    • Definition: Lipoproteins transporting dietary lipids from the intestines to tissues.
    • Structure: Interior: triglycerides and cholesterol esters; exterior: phospholipids and apoproteins (apolipoprotein B-48).
    • Pathway: Exocytosed from intestinal mucosal cells → lymphatic system (intestinal lacteals) → blood circulation (left subclavian vein).
    • Function: Deliver triglycerides to skeletal muscle (energy) and adipose tissue (storage).
    • Triglyceride Breakdown in Capillaries: Lipoprotein lipase on endothelial cells breaks down triglycerides; fatty acids enter cells or circulate bound to albumin; glycerol used by the liver for glycolysis or gluconeogenesis.
    • Chylomicron Remnants: Taken up by the liver.

    Lipoprotein Metabolism & Cholesterol Transport

    • Lipoproteins: Transport lipids in blood.
    • Types: Chylomicrons (dietary triglycerides), VLDLs (liver triglycerides), LDLs (cholesterol to tissues), HDLs (scavenge cholesterol, return to liver).
    • LDL Formation: VLDLs lose triglycerides, becoming LDLs.
    • HDL Functions: Reservoir of ApoCII and ApoE for chylomicron & VLDL maturation; scavenges cholesterol from cells; converts cholesterol to cholesterol esters.
    • Lipoprotein Apoproteins: ApoCII (activates lipoprotein lipase); ApoE (lipoprotein recognition and clearance).
    • Liver Role: Converts cholesterol from chylomicron remnants into LDL, HDL, or VLDL.

    Lipid Mobilization During Fasting

    • Hormone-sensitive lipase (adipocytes): Breaks down stored triglycerides when energy is needed.
    • Fatty Acid Release: Free fatty acids are released into circulation, bound to albumin.
    • Glycerol Utilization: Glycerol is utilized by the liver for gluconeogenesis.

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    Description

    This quiz covers the processes involved in lipid digestion, absorption, and transport, focusing on dietary lipids such as triglycerides, cholesterol, and phospholipids. It discusses the role of various enzymes and the importance of emulsification in the digestive system.

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