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    The Digestive SystemBiology 12

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    Intro The human bodys gastrointestinal tract or

    alimentary canal is up to 10m long

    Along this pathway:

    Ingestion Digestion Absorption Egestion

    About 95% of ingested food is absorbed and

    made available to our body, the rest is egested

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    Digestion Defined Digestion is the breakdown of substances

    (other organisms!) into small molecules that

    can be absorbed by cells There are two classes of digestion:

    Physical

    Chemical

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    Physical Digestion The breakdown of food into small pieces

    without chemically changing them intodifferent substances

    Helps facilitate chemical digestion byincreasing surface area

    Increased surface area exposes food pieces to

    enzymes and other substrate molecules andincreases the rate of metabolic reactions

    Examples: teeth, stomach (HCl), intestines (bile)

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    Chemical Digestion The breakdown of food through chemical

    reactions into small soluble molecules that

    cells can absorb Lipids are broken down through hydrolysis

    reactionsassisted by enzyme activity:

    lipid + water glycerol + fatty acids

    (lipase enzyme)

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    Chemical Digestion Carbohydrates are also hydrolyzed with the help

    of enzymes into dissacharidesand then into

    glucose

    Starch + water maltose

    (amylase enzyme)

    Proteins are broken into shorter polypeptides by

    the enzyme pepsin, and then cleaved into aminoacids by other protease enzymes

    More on these processes later

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    Essential nutrients Amazingly, our body can construct most of

    the molecules necessary for proper function

    However, there are a number of substancesthat the body cannot synthesize and mustingest

    Essential Amino Acids (8)

    Essential Fatty Acids (2)

    Essential Vitamins (4 water and 5 fat soluble)

    Trace Elements (many)

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    Part 1: The Pathway to the Stomach

    Stomach

    Esophagus

    Mouth

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    The Mouth The mouth has a number of digestive features:

    Teeth

    Omnivores, like ourselves, have incisors (rip/shred),canines (hold/tear), premolars and molars (grind)

    Teeth mechanically break down food into pieces

    Saliva

    Secreted into mouth by salivary glands (roof of mouthand under tongue)

    Moistens food to allow taste sensations andlubricate it for transport through the digestive system

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    The Mouth Dissolves substances into aqueous solutions (water)

    for higher reaction rates

    Contains the enzyme amylase which converts starch

    into dissacharides Mucus

    Secreted into mouth (and other organs) to coatepithelial tissues/surfaces

    Made of water, mucins (glycoproteins), and salts Lubricates the movement of food

    Serves as a barrier against noxious substances

    Holds food together in a bolus (ball of food)

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    Swallowing

    Food entering the

    mouth is transported

    to the stomach by

    swallowing

    Swallowing is a very

    complex process

    controlled by nerveand muscle tissue

    coordination

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    Swallowing (Deglutition)1. Pressure of bolus on the pharynx stimulates muscle

    contractions in the pharynx

    2. The soft palate seals off the nasopharynx to prevent

    food from entering the nose3. The larynx (voice box) move up to stop the passage

    of food through the trachea (throat)

    4. This stops breathing and widens the esophagus for

    passage of the bolus5. Food passes the trachea to the stomach through

    muscle contractions called peristalsis

    6. The trachea is ultimately blocked by a small flapcalled the epiglottis

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    Part 2: The Stomach

    The stomach is a stretchable, muscular sac

    J-shaped organ (0.52L capacity)

    3 layers of muscle tissue Upper section dotted with deep depressions called

    gastric pitswhich secrete gastric juice andmucus (~500mL after a large meal!)

    Has two sphincter portals: (like draw strings) Entrance: cardiac sphincter

    Exit: pyloric sphincter

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    Stomach Wall Secretions

    Parietal Cells

    Secretes roughly 2L of concentrated (pH ~1-3)

    HCl each day HCl mechanically breaks down tissues and

    proteins into smaller pieces

    Acidic secretions make the stomach inhospitable

    to most bacteria (exception: heliobacter pyloria)

    Activates pepsinogen

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    Stomach Wall Secretions

    Peptic or Chief Cells

    Secrete the enzyme pepsinogen

    Pepsinogens shape is changed to an activestate by HCl (pH denatures the protein-basedenzyme into the desired form!)

    The active form of the enzyme, pepsin, catalyzes

    the chemical breakdown of protein into shortamino acid chains

    No effect on carbs and fats!

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    Stomach Wall Secretions

    Epithelial Mucus Cells

    Secrete mucus from gastric pits in stomach wall

    Lubricates and facilitates food transport Protects walls from abrasive food particles

    Protects the protein-based walls of the stomach

    from autodigestion by gastric juices!

    Failure of mucus results in ulcers (bacteria, stress,

    and diet causes)

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    Stimuli in the Stomach

    The nervous system controls the digestive

    activity of the stomach (secretions, muscle

    contractions) by releasing the hormone gastrinwhen protein-rich food is sensed or an

    inhibitor when the stomach is empty

    Other hormones stimulate the release of bileand pancreatic juices

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    Sowhere are we?

    It takes the bolus about 9 seconds to get from

    your mouth to your stomach

    In the stomach, the partially digested foodmass is called chyme

    This acid chyme remains in the stomach for

    2-6 hours (depending on the type of food)before release by the pyloric sphincter into the

    small intestine

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    Part 3: The Small Intestine

    Small refers to diameter, not length

    About 6m long in an adult human

    Tapers from ~3cm diameter at the pyloricsphincter to ~2cm diameter at the entrance to thelarge intestine (ileocecal valve)

    Three major sections of the small intestine:

    Duodenum (fixed C-shaped section ~25-30cm) Jejunum (4-5m long)

    Ileum (1-1.5m)

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    Big Events in the Small Intestine

    The acid chyme is neutralized in the small intestine

    by the bicarbonate ions in pancreatic juices

    A host ofenzymes from the pancreas are releasedin the first two sections of the small intestine to

    break down all four basic nutrients

    Bile salts are released from the liver

    gall bladder intestine to emulsify fats (mechanical digestion)

    Most digestion occurs in the duodenum

    Most absorption occurs in latter intestinal sections

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    Specialized Structure

    The small intestine has a number of special features

    that allows it to absorb nutrients:

    Length (increases surface area)

    Folding (slows the passage of food and increases surface

    area)

    Villi (finger-like projections, ~30 per mm2, ~1mm long,

    increases surface area)

    Microvilli (villi epithelial cell projections increase surface

    area)

    The surface area of the small intestine is about the size

    of a tennis court!

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    Starch Digestion and Absorption Pancreatic juice is released into the duodenum through the

    pancreatic duct

    This juice contains pancreatic amylase that helps hydrolyzestarch into disaccharides like maltose, lactose, and sucrose

    Additional enzymes such as maltase, lactase, and sucrasefurther reduce disaccharides into simple sugarsnamely,glucose

    Glucose is actively transported (against its concentrationgradient) into villi capillaries and taken directly to the liver

    The liver converts some glucose into fat, and some intoglycogen (and vice versa) in the hours between mealsmaintaining blood sugar levels

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    Protein Digestion and Absorption Pancreatic juice contains (trypsinactive form of

    trypsinogen) which, like pepsin in the stomach, aidsthe break down of proteins into shorter polypeptides

    The juice also contains peptidases which helphydrolyze short polypeptides into amino acids

    Amino acids are actively transported by proteins inthe villi wall and taken to the liver by capilliaries for

    processing

    The liver breaks down some amino acids to producecarbohydrates, fats, blood proteins, bile, etc.

    The break down of amino acids into glucose releasestoxic ammoniawhich is converted to ureawhich

    is transported to the kidneys for excretion!

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    Fat Digestion and Absorption

    The liver makes ~1L of bile each day

    Contains water, electrolytes, bile acids,cholesterol, phospholipids, and bilirubin

    Green color due to bilirubin

    Released into gall bladder for storage andconcentration (up to five-fold concentration!)

    Bile salts are able to form micelles to dissolvefat-soluble vitamins

    Many waste products (500mg of cholesterol perday) are eliminated from the body by secretion

    into bileif not gall stones!

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    Fat Digestion and Absorption

    Bile emulsifies fats (mechanically) intodroplets that are broken down further intofatty acids and glycerol by pancreatic lipaseenzymes

    Fatty acids are lipid soluble and pass throughthe villi membranes into lacteals (central

    lymph vessel of the villi) Solution called lymph is then carried to the

    heart and then distributed to the bodys cellsthrough blood circulation

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    Nucleic Acid Digestion and Absorption

    Pancreatic juice released into the smallintestine contains nuclease enzymes that helpbreak down RNA and DNA into nucleotides

    Nucleotidase enzymes secreted by the smallintestine itself further aid in the break downnucleotides into phosphate, sugars, and

    nitrogen bases These nucleotide components are then

    absorbed into capilliaries and taken to theliver

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    Part 4: Accessory Organs

    The Pancreas

    An elongated, flattened organ that lays partially

    behind the stomachdeep in the chest cavity Acts as both an endocrine (hormone releasing)

    gland and exocrine (digestive processes) gland

    Two key hormones released into blood from the

    islets of Langerhans (2000 of them!):

    Insulinreleased when blood glucose high

    Glucagonreleased when blood glucose low

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    Part 4: Accessory Organs

    The exocrine (digestive) aspect of the pancreas isstimulated when chyme enters the duodenum

    The hormones secretin (in response to acid) and

    cholecystokinin or CCK ( in response to proteinand fat) are sent by duodenum cells to pancreas

    Pancreatic juice is produced and released into theduodenum in response to these hormones

    A host of enzymes are released

    HCO3- (bicarbonate ions) in the juice change the

    chyme pH from ~2-3 to ~7-8 (slightly basic!)

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    Part 4: Accessory Organs

    The Liver

    The largest internal organ! (about 1.5 kg)

    Lobed (large right lobe, small left lobe),triangular shape

    All blood from the intestines is brought back tothe liver through the hepatic portal vein

    As we have seen Liver produces bile (emulsifies fats)

    Liver converts glucose glycogen in response topancreatic hormones

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    Part 4: Accessory Organs

    The liver also

    Converts toxic ammonia (from amino acid andnucleotide breakdown) into ureaexcreted in urine

    by the kidneys Detoxifies blood by breaking down: alcohol,

    hormones, antibiotics, drugs, excess vitamins, etc.

    Stores some vitamins

    Synthesizes blood proteins like albumin (regulatesosmotic pressure of blood) and fibrinogen (aids in

    blood clotting)

    Destroys old red blood cells (recycles iron) andconverts hemoglobin into bilirubin/biliverdin (bile

    pigments)

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    Part 5: The Large Intestine

    The last section of the gastrointestinal tract is largein diameter (6.5cm) and extend ~1.5m from the endof the ileum to the anus

    The entrance to the large intestine is called the ileo-caecal valve (another sphincter)

    There are four sections of the large intestine:

    Caecum and Ascending Colon

    Transverse Colon

    Descending Colon

    Rectum

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    Large Intestine Functions

    Movement and compaction of undigested food (soon

    to be called feces) toward the anus

    Absorption of water (about 10L of water per day!)

    and some salts (sodium, etc.)

    E. coli bacteria present in large intestine

    Produces feces (60% bacteria!)

    Synthesizes vitamin K for liver

    Defecationcontraction of muscles in the rectum

    that forces open the anal sphincter (anus)

    10x more

    bacteria in

    your gut than

    cells in your

    body!

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    Digestive System Issues

    Your turn! Put together a 5 minute presentation

    of a digestive issue of interest to you. Your

    presentation should meet the followingcriteria:

    1. Have clear linkage to digestion (approved)

    2. Provide a single page handout (1 side)

    3. Make use of visuals

    4. Be referenced

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    Ideas

    Ulcers

    Indigestion

    Heartburn

    Cirrhosis

    Jaundice

    Diarrhea

    Constipation Flatulence

    Incontinence

    Gall stones

    Diabetes

    Polyps

    Hepatitis

    Dysphasia

    Hernia

    Hemorrhoids Irritable Bowel

    Syndrome