Protects from pathogenic microbes that enter the tract
Intrinsic nervous system
Controls the function, opening and closing of valves, etc.
Processes of GI tract
Motility
Secretion
Digestion
Absorption
Cephalic digestion
1. Starts in mouth
2. Chemical and mechanical chewing
3. Sensory stimuli (sight, smell, taste)
4. Saliva under autonomic control softens food, provides enzymes
Gastric digestion
1. Occurs when food is relaxed in stomach
2. Relaxes sphincter
3. Digestion of protein and fat, not carbohydrate
Small intestine digestion
1. Pancreas is main contributor
2. Inactive enzyme trypsinogen becomes active enzyme trypsin
3. Bile stored in gallbladder
4. Villi increase surface area
5. Bicarbonate from epithelial cells
6. Digestive enzymes from pancreas
Celiac disease
Caused by flattened villi
Carbohydrates
Simple vs complex based on amount of sugar molecules
Monosaccharides are building blocks (glucose, fructose, galactose)
Monosaccharides form disaccharides (sucrose, maltose, lactose)
Complex polysaccharides include starches, fibers, glycogen
Enzymes
Secreted through brush border into bloodstream
Celiac disease
Deficiency in lactase enzyme causes lactose intolerance
Protein
Peptides and aminoacids transported through bloodstream for energy
Lipid digestion
1. Emulsified in mouth, stomach, small intestine
2. Lipases can only act on lipids when broken down
3. Bile produced in liver, stored in gallbladder, aids digestion of lipids
4. Lipids absorbed as fatty acids and monoglycerides, then reassembled into triglycerides and chylomicrons
Large intestine
Colonic epithelium absorbs water and simple ions
Resident microbes digest chemicals through fermentation, produce vitamins and gas
ATP
Medium of energy exchange, energy currency of cell
Glucose and fatty acid metabolism
1. Create most ATP
2. Little ATP from amino acids
3. Some by glycolysis and Krebs cycle, produce reducing equivalents NADH and FADH2
4. Supply H+ to ETC where most ATP is made
Anaerobic ATP
Produced without oxygen, during high levels of exercise and sprints
Energy storage
Fat stored as triglycerides in adipocytes
Carbohydrates stored as glycogen in liver and muscle
Protein is a large potential energy source
Fuel
Carbohydrates generate ATP faster aerobically and anaerobically
Carbohydrates hold a lot of water, fat cannot hold water
Fat is the most abundant energy reserve but needs oxygen
Absorptive state
4 hours after meal, energy is stored, macronutrients in anabolic state
Postabsorptive state
Fasting, stored macronutrients are mobilized for energy, glucose spared for nervous system
Fasting hyperglycemia
Blood glucose too high, over 7 mmol/L
Fasting hypoglycemia
Blood glucose too low, less than 3.5 mmol/L
Insulin
Released when blood glucose rises after a meal
Glucagon
Released when glucose is low during fasting
Genetic variation
May influence longevity
SNPs
Single nucleotide polymorphisms, a single difference in a DNA nucleotide, frequent source of polymorphic changes
Increase in inflammatory cytokines
Leads to aging and contributes to age-related disorders like Alzheimer's
Interleukin 6
Increased death rate, released from immune cells
Mitochondrial damage
Contains components of ETC genes, damage occurs frequently due to reactive oxygen species, DNA polymerase gamma replicates and proofreads but more errors occur with age
Mutations in mitochondrial DNA cause aging, which can be modeled in mice
Intense food restriction extends healthy lifespan in rats, not proven in humans