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Which pancreatic enzymes digest lipids used,is probiotic yogurt good for diverticulitis x ray,enzymes for digesting carbohydrates - Step 3

In order to avoid breaking down the proteins that make up the pancreas and small intestine, pancreatic enzymes are released as inactive proenzymes that are only activated in the small intestine.
The urea cycle is a set of biochemical reactions that produces urea from ammonium ions in order to prevent a toxic level of ammonium in the body.
Metabolism: Pyruvate Dehydrogenase Complex Deficiency and Phenylketonuria Pyruvate dehydrogenase complex deficiency (PDCD) and phenylketonuria (PKU) are genetic disorders.
Digestion of proteins begins in the stomach, where HCl and pepsin begin the process of breaking down proteins into their constituent amino acids. Digestion of proteins begins in the ________ where ________ and ________ mix with food to break down protein into ________.
Release of trypsin and chymotrypsin in their active form can result in the digestion of the pancreas or small intestine itself.
Large food molecules (for example, proteins, lipids, nucleic acids, and starches) must be broken down into subunits that are small enough to be absorbed by the lining of the alimentary canal. In the small intestine, pancreatic amylase does the ‘heavy lifting’ for starch and carbohydrate digestion ([link]). The digestion of protein starts in the stomach, where HCl and pepsin break proteins into smaller polypeptides, which then travel to the small intestine ([link]). The three lipases responsible for lipid digestion are lingual lipase, gastric lipase, and pancreatic lipase.
The mechanical and digestive processes have one goal: to convert food into molecules small enough to be absorbed by the epithelial cells of the intestinal villi.
Absorption can occur through five mechanisms: (1) active transport, (2) passive diffusion, (3) facilitated diffusion, (4) co-transport (or secondary active transport), and (5) endocytosis. Because the cell’s plasma membrane is made up of hydrophobic phospholipids, water-soluble nutrients must use transport molecules embedded in the membrane to enter cells. In contrast to the water-soluble nutrients, lipid-soluble nutrients can diffuse through the plasma membrane. Active transport mechanisms, primarily in the duodenum and jejunum, absorb most proteins as their breakdown products, amino acids. The large and hydrophobic long-chain fatty acids and monoacylglycerides are not so easily suspended in the watery intestinal chyme. The free fatty acids and monoacylglycerides that enter the epithelial cells are reincorporated into triglycerides. The products of nucleic acid digestion—pentose sugars, nitrogenous bases, and phosphate ions—are transported by carriers across the villus epithelium via active transport.
The electrolytes absorbed by the small intestine are from both GI secretions and ingested foods.
In general, all minerals that enter the intestine are absorbed, whether you need them or not. Iron—The ionic iron needed for the production of hemoglobin is absorbed into mucosal cells via active transport. Bile salts and lecithin can emulsify large lipid globules because they are amphipathic; they have a nonpolar (hydrophobic) region that attaches to the large fat molecules as well as a polar (hydrophilic) region that interacts with the watery chime in the intestine. Intrinsic factor secreted in the stomach binds to the large B12 compound, creating a combination that can bind to mucosal receptors in the ileum. The pancreas is an elongated, somewhat flattened organ that is posterior to the stomach and behind the parietal peritoneum.
The primary focus of the Islets of Langerhan is really in the beta cells, which secrete insulin. NOTE 1: If the pancreatic juice cannot be released because of blockage, it creates a painful disease called acute pancreatitis.
NOTE 2: Cystic fibrosis is a disease where toxins cause water to be drawn into the cells from the surrounding tissues.
People have been taught that fat is more fattening than sugar, and, although fat contains nine calories per gram and sugar only contains four, excess sugar is converted to glycogen and stored in the muscles as fat.
Indulge in the sweetness of life (jokes and laughter); the things that make happiness, good memories and dreams.
They represent cell signaling receptors, signaling molecules, structural members, enzymes, intracellular trafficking components, extracellular matrix scaffolds, ion pumps, ion channels, oxygen and CO2 transporters (hemoglobin). In the pancreas, vesicles store trypsin and chymotrypsin as trypsinogen and chymotrypsinogen.
If amino acids exist in excess, the body has no capacity or mechanism for their storage; thus, they are converted into glucose or ketones, or they are decomposed. Because the processing of amino acids results in the creation of metabolic intermediates, including pyruvate, acetyl CoA, acetoacyl CoA, oxaloacetate, and ?-ketoglutarate, amino acids can serve as a source of energy production through the Krebs cycle ([link]). Pyruvate dehydrogenase is the enzyme that converts pyruvate into acetyl CoA, the molecule necessary to begin the Krebs cycle to produce ATP.
People afflicted with PKU lack sufficient activity of the enzyme phenylalanine hydroxylase and are therefore unable to break down phenylalanine into tyrosine adequately.
The individual amino acids are broken down into pyruvate, acetyl CoA, or intermediates of the Krebs cycle, and used for energy or for lipogenesis reactions to be stored as fats. They are only activated in the small intestine, where they act upon ingested proteins in the food. Glucose, galactose, and fructose are the three monosaccharides that are commonly consumed and are readily absorbed.
After amylases break down starch into smaller fragments, the brush border enzyme ?-dextrinase starts working on ?-dextrin, breaking off one glucose unit at a time.
Chemical digestion in the small intestine is continued by pancreatic enzymes, including chymotrypsin and trypsin, each of which act on specific bonds in amino acid sequences.
The most common dietary lipids are triglycerides, which are made up of a glycerol molecule bound to three fatty acid chains.
However, because the pancreas is the only consequential source of lipase, virtually all lipid digestion occurs in the small intestine. Two types of pancreatic nuclease are responsible for their digestion: deoxyribonuclease, which digests DNA, and ribonuclease, which digests RNA. As you will recall from Chapter 3, active transport refers to the movement of a substance across a cell membrane going from an area of lower concentration to an area of higher concentration (up the concentration gradient). Moreover, substances cannot pass between the epithelial cells of the intestinal mucosa because these cells are bound together by tight junctions. Once inside the cell, they are packaged for transport via the base of the cell and then enter the lacteals of the villi to be transported by lymphatic vessels to the systemic circulation via the thoracic duct.
The small intestine is highly efficient at this, absorbing monosaccharides at an estimated rate of 120 grams per hour. Bile salts not only speed up lipid digestion, they are also essential to the absorption of the end products of lipid digestion. However, bile salts and lecithin resolve this issue by enclosing them in a micelle, which is a tiny sphere with polar (hydrophilic) ends facing the watery environment and hydrophobic tails turned to the interior, creating a receptive environment for the long-chain fatty acids. The triglycerides are mixed with phospholipids and cholesterol, and surrounded with a protein coat.
Since electrolytes dissociate into ions in water, most are absorbed via active transport throughout the entire small intestine. Once inside mucosal cells, ionic iron binds to the protein ferritin, creating iron-ferritin complexes that store iron until needed.
When blood levels of ionic calcium drop, parathyroid hormone (PTH) secreted by the parathyroid glands stimulates the release of calcium ions from bone matrices and increases the reabsorption of calcium by the kidneys.
Fat-soluble vitamins (A, D, E, and K) are absorbed along with dietary lipids in micelles via simple diffusion.

Chemical digestion breaks large food molecules down into their chemical building blocks, which can then be absorbed through the intestinal wall and into the general circulation. It is attached to the first section of the small intestine (duodenum) by a duct, which transports its digestive juice into the intestine. When the small intestine detects proteins and fats in the chyme, the mucous cells of the small intestine release cholecystokinin into the blood.
It helps regulate the secretion of glucagons and insulin so glucose metabolism stays at optimum levels. Fat is not what you need to avoid; sugar is, and, technically, if you eat sugar in the form of complex carbohydrates, the food contains the minerals needed to burn them up by increasing the metabolic rate.
Once released into the small intestine, an enzyme found in the wall of the small intestine, called enterokinase, binds to trypsinogen and converts it into its active form, trypsin.
With low levels of the pyruvate dehydrogenase complex (PDC), the rate of cycling through the Krebs cycle is dramatically reduced. Because of this, levels of phenylalanine rise to toxic levels in the body, which results in damage to the central nervous system and brain. The bicarbonate neutralizes the acidic HCl, and the digestive enzymes break down the proteins into smaller peptides and amino acids. Chemical digestion, on the other hand, is a complex process that reduces food into its chemical building blocks, which are then absorbed to nourish the cells of the body ([link]). At the same time, the cells of the brush border secrete enzymes such as aminopeptidase and dipeptidase, which further break down peptide chains.
Pancreatic lipase breaks down each triglyceride into two free fatty acids and a monoglyceride. The nucleotides produced by this digestion are further broken down by two intestinal brush border enzymes (nucleosidase and phosphatase) into pentoses, phosphates, and nitrogenous bases, which can be absorbed through the alimentary canal wall. Each day, the alimentary canal processes up to 10 liters of food, liquids, and GI secretions, yet less than one liter enters the large intestine. In this type of transport, proteins within the cell membrane act as “pumps,” using cellular energy (ATP) to move the substance.
Thus, substances can only enter blood capillaries by passing through the apical surfaces of epithelial cells and into the interstitial fluid. The absorption of most nutrients through the mucosa of the intestinal villi requires active transport fueled by ATP. All normally digested dietary carbohydrates are absorbed; indigestible fibers are eliminated in the feces. Short-chain fatty acids are relatively water soluble and can enter the absorptive cells (enterocytes) directly.
During absorption, co-transport mechanisms result in the accumulation of sodium ions inside the cells, whereas anti-port mechanisms reduce the potassium ion concentration inside the cells.
When the body has enough iron, most of the stored iron is lost when worn-out epithelial cells slough off. PTH also upregulates the activation of vitamin D in the kidney, which then facilitates intestinal calcium ion absorption. This is why you are advised to eat some fatty foods when you take fat-soluble vitamin supplements.
Intestinal brush border enzymes and pancreatic enzymes are responsible for the majority of chemical digestion. With the help of bile salts and lecithin, the dietary fats are emulsified to form micelles, which can carry the fat particles to the surface of the enterocytes.
Insulin instructs the liver to convert glucose to glycogen and inhibit conversion of noncarbohydrates into glucose. Blockage can result from alcoholism, physical trauma to the area, gallstones, certain infections and as the resulting side effect of some drugs.
If you eat sugar in the form of refined sugar as found in cakes, cookies, candy, pie and most prepared foods (high fructose corn syrup), you are eating sugar with no mineral content, and it is simply stored as fat.
In these reactions, an amine group, or ammonium ion, from the amino acid is exchanged with a keto group on another molecule. This results in a decrease in the total amount of energy that is produced by the cells of the body. Symptoms include delayed neurological development, hyperactivity, mental retardation, seizures, skin rash, tremors, and uncontrolled movements of the arms and legs.
Digestive hormones secretin and CCK are released from the small intestine to aid in digestive processes, and digestive proenzymes are released from the pancreas (trypsinogen and chymotrypsinogen). In this section, you will look more closely at the processes of chemical digestion and absorption.
Your bodies do not produce enzymes that can break down most fibrous polysaccharides, such as cellulose. The fatty acids include both short-chain (less than 10 to 12 carbons) and long-chain fatty acids. Almost all ingested food, 80 percent of electrolytes, and 90 percent of water are absorbed in the small intestine. Passive diffusion refers to the movement of substances from an area of higher concentration to an area of lower concentration, while facilitated diffusion refers to the movement of substances from an area of higher to an area of lower concentration using a carrier protein in the cell membrane.
Water-soluble nutrients enter the capillary blood in the villi and travel to the liver via the hepatic portal vein.
The monosaccharides glucose and galactose are transported into the epithelial cells by common protein carriers via secondary active transport (that is, co-transport with sodium ions). Despite being hydrophobic, the small size of short-chain fatty acids enables them to be absorbed by enterocytes via simple diffusion, and then take the same path as monosaccharides and amino acids into the blood capillary of a villus.
Without micelles, lipids would sit on the surface of chyme and never come in contact with the absorptive surfaces of the epithelial cells. After being processed by the Golgi apparatus, chylomicrons are released from the cell ([link]). To restore the sodium-potassium gradient across the cell membrane, a sodium-potassium pump requiring ATP pumps sodium out and potassium in.
When the body needs iron because, for example, it is lost during acute or chronic bleeding, there is increased uptake of iron from the intestine and accelerated release of iron into the bloodstream. Most water-soluble vitamins (including most B vitamins and vitamin C) also are absorbed by simple diffusion. Water absorption is driven by the concentration gradient of the water: The concentration of water is higher in chyme than it is in epithelial cells. Pancreatic amylase is used for digesting carbohydrates, and pancreatic lipase is used to digest fat. In other words, glucagon stimulates the body to release more sugar into the blood, and insulin stimulates it to stop the release of sugar into the blood. When the food-gastric juice mixture (chyme) enters the small intestine, the pancreas releases sodium bicarbonate to neutralize the HCl. Trypsin and chymotrypsin break down large proteins into smaller peptides, a process called proteolysis. This transamination event creates a molecule that is necessary for the Krebs cycle and an ammonium ion that enters into the urea cycle to be eliminated.
PDC deficiency results in a neurodegenerative disease that ranges in severity, depending on the levels of the PDC enzyme. Pregnant women with PKU are at a high risk for exposing the fetus to too much phenylalanine, which can cross the placenta and affect fetal development. Enterokinase, an enzyme located in the wall of the small intestine, activates trypsin, which in turn activates chymotrypsin.

While indigestible polysaccharides do not provide any nutritional value, they do provide dietary fiber, which helps propel food through the alimentary canal.
Although the entire small intestine is involved in the absorption of water and lipids, most absorption of carbohydrates and proteins occurs in the jejunum. Co-transport uses the movement of one molecule through the membrane from higher to lower concentration to power the movement of another from lower to higher. The monosaccharides leave these cells via facilitated diffusion and enter the capillaries through intercellular clefts.
Short chains of two amino acids (dipeptides) or three amino acids (tripeptides) are also transported actively. Too big to pass through the basement membranes of blood capillaries, chylomicrons instead enter the large pores of lacteals. Since women experience significant iron loss during menstruation, they have around four times as many iron transport proteins in their intestinal epithelial cells as do men. The fats are then reassembled into triglycerides and mixed with other lipids and proteins into chylomicrons that can pass into lacteals. Pancreatic juice also contains trypsin, chymotrypsin and carboxypeptidase, which are used to split proteins into amino acids. Thus insulin decreases the concentration of blood glucose (sugar) and it promotes transport of amino acids into cells (needed for tissue-building and repair).
Amid all these necessary functions, proteins also hold the potential to serve as a metabolic fuel source. These smaller peptides are catabolized into their constituent amino acids, which are transported across the apical surface of the intestinal mucosa in a process that is mediated by sodium-amino acid transporters. These enzymes liberate the individual amino acids that are then transported via sodium-amino acid transporters across the intestinal wall into the cell. Finally, endocytosis is a transportation process in which the cell membrane engulfs material. The monosaccharide fructose (which is in fruit) is absorbed and transported by facilitated diffusion alone. However, after they enter the absorptive epithelial cells, they are broken down into their amino acids before leaving the cell and entering the capillary blood via diffusion. Intrinsic factor secreted in the stomach binds to vitamin B12, preventing its digestion and creating a complex that binds to mucosal receptors in the terminal ileum, where it is taken up by endocytosis. Other absorbed monomers travel from blood capillaries in the villus to the hepatic portal vein and then to the liver.
Trypsin is secreted in an inactive form by the pancreas so digestion will not begin until the secretions have entered the small intestine, so enterokinase is released by the mucous cells in the small intestine to activate trypsin. It also converts non-carbohydrates, such as amino acids, into glucose if too much protein is supplied or not enough sugar is supplied in the diet. They are not antagonist to each other, though; they work together to keep the glucose levels constant rather than allowing spikes, which could cause coma. Proteins are not stored for later use, so excess proteins must be converted into glucose or triglycerides, and used to supply energy or build energy reserves.
The small intestine also releases digestive hormones, including secretin and CCK, which stimulate digestive processes to break down the proteins further. These transporters bind sodium and then bind the amino acid to transport it across the membrane.
Treatments can include diet modification, vitamin supplementation, and gene therapy; however, damage to the central nervous system usually cannot be reversed.
Every infant in the United States and Canada is tested at birth to determine whether PKU is present. The amino acids are then transported into the bloodstream for dispersal to the liver and cells throughout the body to be used to create new proteins. By the time chyme passes from the ileum into the large intestine, it is essentially indigestible food residue (mainly plant fibers like cellulose), some water, and millions of bacteria ([link]).
The monosaccharides combine with the transport proteins immediately after the disaccharides are broken down.
The chylomicrons are transported in the lymphatic vessels and empty through the thoracic duct into the subclavian vein of the circulatory system. The narrow end of the pancreas, called the tail, extends to the left side of the body. The pancreas makes pancreatic juices and hormones, including insulin. Although the body can synthesize proteins from amino acids, food is an important source of those amino acids, especially because humans cannot synthesize all of the 20 amino acids used to build proteins. Once in the bloodstream, the enzyme lipoprotein lipase breaks down the triglycerides of the chylomicrons into free fatty acids and glycerol. Alpha cells will become overstimulated if the blood sugar gets too low because they are stimulated to release extra glucagon so the liver will produce glucose (sugar). Remember that all carbohydrates are sugar, so you do not have to eat sugar to initiate insulin release, but sugar-containing products like candy will surely initiate release as well. The pancreas releases most of the digestive enzymes, including the proteases trypsin, chymotrypsin, and elastase, which aid protein digestion. The sodium can be reused in the transporter, whereas the amino acids are transferred into the bloodstream to be transported to the liver and cells throughout the body for protein synthesis.
The person must closely follow a strict diet that is low in phenylalanine to avoid symptoms and damage. The nitrogen waste that is liberated in this process is converted to urea in the urea acid cycle and eliminated in the urine. These breakdown products then pass through capillary walls to be used for energy by cells or stored in adipose tissue as fat.
It is not good to have high sugar concentrations in the blood (hyperglycemia), so insulin is released so the liver will convert the glucose to glycogen, the storable form of sugar. Together, all of these enzymes break complex proteins into smaller individual amino acids ([link]), which are then transported across the intestinal mucosa to be used to create new proteins, or to be converted into fats or acetyl CoA and used in the Krebs cycle. Phenylalanine is found in high concentrations in artificial sweeteners, including aspartame. In times of starvation, amino acids can be used as an energy source and processed through the Krebs cycle.
Liver cells combine the remaining chylomicron remnants with proteins, forming lipoproteins that transport cholesterol in the blood.
Both enzymes and hormones are needed to keep the body working right. As pancreatic juices are made, they flow into the main pancreatic duct.
This duct joins the common bile duct, which connects the pancreas to the liver and the gallbladder. Some animal products and certain starches are also high in phenylalanine, and intake of these foods should be carefully monitored. As insulin levels decrease, the liver does not convert the glucose into glycogen for storage, and this leaves more glucose (sugar) available for nerve cells. The common bile duct, which carries bile (a fluid that helps digest fat), connects to the small intestine near the stomach. This is why low blood sugar can cause you to become shaky and lose mental capabilities temporarily, or constantly if you don’t correct it. Thus weak beta cells would tend to indicate a high blood sugar level (not metabolizing, probably due to amylase deficiency or liver weakness, or you just eat too much sugar).

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