Chapter 14 Digestion and Energy Metabolism

 

I.     Overview

1.     Digestion is a process to break down large particles and high-molecular-weight substances into small molecules.

2.     The epithelial cells of digestion that line the gastrointestinal tract (or GI tract) are composed of many cell types: absorptive cells that take up nutrients, glands that secrete chemicals (mucus, acid, ions, and enzymes), muscles that control the GI tract shape and motility, and nerves that regulate GI tract function.

3.     Egestion is the expulsion of undigested food (feces) from the digestive tract.

II.   Digestion

1.     The digestion system contains the GI tract (mouth, pharynx, larynx, esophagus, stomach, small intestine, large intestine, and anus) and accessary organs (salivary glands, liver, gallbladder, and pancreas).

2.     The early embryonic gut is derived from endoderm, and divided into 3 regions: foregut, midgut, and hindgut.

(1)  The foregut endoderm gives rise to the esophagus, stomach, anterior region of the duodenum of the small intestine, pancreas, and liver.

(2)  The midgut endoderm develops into the posterior part of the duodenum, the remainder of the small intestine (jejunum and ileum) and most of the large intestine.

(3)  The hindgut endoderm develops into the remainder of the colon and rectum.

3.     The surface of the gut has a complex topography that serves to maximize surface area.

(1)  The human small intestine's total surface area is about 300 m2, the area of a tennis court.

(2)  Villi (singular: villus) are fingerlike projections on the surface of small intestine. The surface of each enterocyte of a villus contains many microvilli.

(3) Vertebrates increase the surface area of the intestine by 4 ways:

      1) increasing the intestine length

      2) increasing circular folds

      3) increasing villi

      4) increasing microvilli

4.     Specialized compartments increase the efficiency of digestion.

(1)  Birds and bony fish possess ceca (singular: cecum) that branch from the GI tract and contain bacteria that help in digestion. The crop is an outpouching of the esophagus that enables a bird to store partially digested food.

(2)  Ruminants (cows, deer, giraffe, and sheep) possess a modified digestric stomach that allow vegetation to be more effectively digested.

1)    The modified stomach is composed of 4 chambers divided into 2 functional groups.

2)    Vegetation passes through the esophagus into the first pair of compartments: the rumen and reticulum. These two regions house the fermentative bacteria that digest cellulose. Ruminants can regurgitate food from the rumen back to the mouth, where it can chew the partially degraded material again.

3)    The second pair of compartments is the omasum and abomasum. The abomasum serves as the glandular stomach, secreting digestive enzymes.

5.     Salivary glands secrete water and digestive enzymes.

(1)  Saliva secreted from salivary glands can dissolve food molecules, including mucus to moisten food particles and amylase to partially digest polysaccharides.

(2)  At least 2 types of cells can be found in salivary glands: mucus-secreting cells (mucous cells) and serous cells to secreted the degradative enzymes.

(3)  A dog has 4 pairs of salivary glands: parotid glands, orbital glands, sublingual glands, and mandibular glands.

(4)  An average human may secrete more than 1 liter of water in saliva every day.

6.     The stomach secretes acid and mucus.

(1)  Stomach can store, dissolve, and partially digest food, and regulate the rate of movement.

(2)  The surface of the stomach is composed of columnar epithelial cells linked together via tight junctions.

(3)  There are 4 main types of cells cover the surface of the stomach (gastric pits in mucosa):

1)    Mucous (neck) cells, also known as goblet cells, are found near the gastric pit opening and secrete an acid type of mucus.

2)    Parietal cells in the middle of the pit secrete acid, mainly HCl (to dissolve food and kill bacteria).

3)    Chief cells are found near the base of the pit and secrete digestive enzymes, primarily the pepsinogen (an inactive proenzyme of pepsin).

4)    Enteroendocrine cells secrete several hormones into the blood in response to stomach contents, such as gastrin.

(4)  There are 4 layers of the stomach:

1)    Mucosa (mucous, parietal, chief, and enteroendocrine cells)

2)    Submucosa (connective tissues with blood and lymphatic vessels, and nerve cells)

3)    Muscularis (oblique, circular, and longitudinal smooth muscles, and nerve cells)

4)    Serosa (connective tissues)

7.     Most nutrients are hydrolyzed and absorbed in the small intestine.

(1)  There are 4 major layers of the intestine:

1)    Mucosa (enterocytes are the absorptive cells with microvilli, mucus-secreting goblet cells, enteroendocrine cells, Paneth cells which secrete antimicrobial molecules, and stem cells that divide and differentiate to other cell types)

2)    Submucosa (connective tissues with blood and lymphatic vessels, and nerve cells)

3)    Circular smooth muscles

4)    Longitudinal smooth muscles

(2)  The crypt of Lieberkühn is a pit at the base of intestinal villi (mucosa).

(3)  The center of each villus is occupied both by lacteal (absorb fat) and a capillary network (absorb others).

(4)  Duodenal glands in submucosa secrete basic mucus to neutralize the acid arriving from the stomach.

(5)  The smooth muscles control the movement of food along the GI tract.

(6)  Large intestine can absorb salt and water.

8.     Liver contains both endocrine and exocrine systems.

(1)  In the exocrine part, liver cells (hepatocytes) produce bile which is a complex solution containing bicarbonate ions, cholesterol, phospholipids, bile pigments, and bile salts.

(2)  Only 2 types of molecules in bile play a role in digestion: phospholipids and bile salts. Both are amphipathic molecules with nonpolar regions that bind to fats and polar regions that interact with water.

(3)  Phospholipids, such as lecithin, help in the uptake of lipids.

(4)  Bile salts help emulsify fats in the duodenum.

9.     The gallbladder stores and concentrates bile, and then empties into the duodenum via the bile duct.

10.  Pancreas contains both endocrine and exocrine systems.

(1)  In the exocrine part, pancreas secretes numerous digestive enzymes into the duodenum.

(2)  Proteases are produced in the form of inactive proenzymes. This reduces the risk that pancreas will digest itself. For example, trypsin is secreted as the inactive precursor trypsinogen. When trypsinogen enters the intestinal lumen, enterokinase converts trypsinogen to the active trypsin. Trypsin in turn activates two other pancreatic enzymes, (procarboxypeptidase into) carboxypeptidase and (chymotrypsinogen into) chymotrypsin.

11.  In conclusion, most nutrients are degraded and absorbed in the duodenum (and jejunum).