Monoglyceride micelles, mixed bile salt-fatty acid

A micellar phase is formed in the intestinal lumen when the bile salt concentration exceeds the critical micellar concentration (approximately 3-4 mM). This concentration of bile salts is usually exceeded during normal digestion. Mixed micelles contain bile salts, fatty acids, monoglycerides, cholesterol, and other lipid-soluble molecules (including fat-soluble vitamins) and are considered to be the major route of delivery of the products of fat digestion to the absorptive mucosal cell. Other nonmicellar phases may coexist in the intestinal lumen with the micellar phase these include an oil phase and a viscous isotropic phase. 

In response to a meal, cholecystokinin is released from the intestine and causes relaxation of the sphincter of Oddi and contraction of the gallbladder (see Chapter 48). This allows a concentrated solution of micelles (consisting of bile salts, lecithin, and cholesterol) to enter the intestine. In the intestinal lumen, dietary cholesterol and the products of triglyceride digestion (predominantly free fatty acids and monoglycerides) are incorporated into mixed micelles. Micelles deliver lipolytic products to the mucosal surface. To carry out these functions, a critical micellar bile acid concentration of 2ramoI/L is necessary. 

In an earlier review [3], mixed micelles formed by bile salts were classified into those with (i) non-polar lipids (e.g., linear or cyclic hydrocarbons) (ii) insoluble amphiphiles (e.g., cholesterol, protonated fatty acids, etc.) (iii) insoluble swelling amphiphiles (e.g., phospholipids, monoglycerides, acid soaps ) and (iv) soluble amphiphiles (e.g., mixtures of bile salts with themselves, with soaps and with detergents) and the literature up to that date (1970) was critically summarized. Much recent work has appeared in all of these areas, but the most significant is the dramatic advances that have taken place in our understanding of the structure, size, shape, equilibria, and thermodynamics of bile salt-lecithin [16,18,28,29,99-102,127, 144,218,223,231-238] and bile salt-lecithin-cholesterol [238,239] micelles which are of crucial importance to the solubihty of cholesterol in bile [1]. This section briefly surveys recent results on the above subclasses. Information on solubilization, solubilization capacities or phase equilibria of binary, ternary or quaternary systems or structures of liquid crystalline phases can be found in several excellent reviews [5,85,207,208,210,211,213,216,217] and, where relevant, have been referred to earlier. 

Fat-soluble vitamins such as retinol and )3-carotene are readily dissolved in mixed lipid-bile salt micelles in vitro. Retinol is approximately 10 times more readily dissolved in such micelles than /3-carotene [105]. It is likely that these two substances occupy different regions of the micelle. The difference in solubility, therefore, may reflect the limited capacity of the nonpolar core of the micelle for the relatively bulky /3-carotene molecule. Retinol, on the other hand, may occupy a more hydrophilic region of the micelle. In a mixed oil/micellar system, a-tocopherol distributes between the two phases, its concentration in the micellar phase being enhanced by expansion of the micelles with monoglycerides and lecithin of long-chain fatty acids. However, lipids containing medium-chain fatty acids do not expand the micelles as effectively as their long-chain counterparts such that there is less solubilization of a-tocopherol in the micellar phase [106]. 

Stages of lipid digestion in the intestinal tract. Step 1 is the emulsification of fat droplets by bile salts. Step 2 is the hydrolysis of triglycerides in emulsified fat droplets into fatty acids and monoglycerides. Step 3 involves dissolving fatty acids and monoglycerides into micelles to produce "mixed micelles."... 

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