Important to Digestion and Absorption

The two important fuels for colonocytes are glutamine and short-chain fatty acids. The oxidation of both fuels provides ATP for the cells, which is important not only to maintain digestive and absorptive functions but also to maintain membrane structure and hence the physical barrier between the lumen and the blood and peritoneal cavity. This barrier normally prevents significant rates of translocation of bacteria into the peritoneal cavity and thence into the blood. If this barrier is breached, translocation of pathogens and... 

These agents are administered to aid in the digestion of food. The primary digestant preparations contain pancreatic enzymes or bile salts. Pancreatic enzymes such as amylase, trypsin, and lipase are responsible for digestion of carbohydrates, proteins, and lipids, respectively. These enzymes are normally synthesized in the pancreas and secreted into the duodenum via the pancreatic duct. Bile salts are synthesized in the liver, stored in the gallbladder, and released into the duodenum via the common bile duct. Bile salts serve to emulsify lipids in the intestinal tract and are important in lipid digestion and absorption. 

The digestion and absorption of dietary lipid can be completed only in the presence of adequate amounts of bile salts that are synthesized in the liver and pass, via the bile duct, into the duodenum and thence into the jejunum. Reabsorption of the bile salt micelles occurs in the ileum, from which a large proportion return via the blood to the liver. The bile ducts carry bile salts from the liver to the gallbladder, where they are stored excreted (excess) cholesterol is dissolved in the bile salt micelles. Overall, 90 percent of the bile salts involved in absorption of lipid in the jejunum are recycled, in a process called the enterohepatic circulation, and 10 percent are lost in the feces. Replacement of this amount necessitates conversion from cholesterol. Thus, de novo synthesis of cholesterol itself plays an important part in maintaining the supply of bile salts. 

Archeological evidence shows that pahn oil has been consumed by humans for more than 5000 years (145). Its digestion and absorption rates in the human body are in excess of 97%, which is very similar to other common edible oils and fats. In many communities pahn oil is an important source of dietary energy and provides sufficient quantities of the essential fatty acid, linoleic acid (18 2, n-6) for normal healthy metabolic functions. Like all other edible oils of vegetable origin, palm oil is considered cholesterol free. 

End Products of TAG, DAG, and MAG Digestion Intestinal digestion and absorption are interrelated phenomena that go on simultaneously. The chemical form in which fatty acids present in food fats are taken up depends on rates of digestion and isomerization relative to rates of uptake. The chemical form in which a fatty acid is present in the intestinal lumen or is taken up in the intestinal cells is of utmost importance because it influences its further metabolism. 

In addition to Its structural role In membranes, discussed In Chapter 5, cholesterol Is the precursor for several Important bloactive molecules. They Include bile acids (see Figure 18-6), which are made In the liver and help emulsify dietary fats for digestion and absorption In the Intestines, steroid hormones produced by endocrine cells (e.g., adrenal gland, ovary, testes), and vitamin D produced In the skin and kidneys. Arthropods need cholesterol or other sterols to produce membranes and ecdysterold hormones, which control development however, they cannot make the precursor sterols themselves and must obtain these compounds In their diet. Another critical function of cholesterol Is Its covalent addition to Hedgehog protein, a key signaling molecule In embryonic development (Chapter 15). 

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