Large intestine, normal flora

In contrast to segmentation contractions in the small intestine (9 to 12 per minute), haustral contractions occur much less frequently (up to 30 min between contractions). These very slow movements allow for the growth of bacteria in the large intestine. Normally, the bacterial flora in this region is harmless. In fact, some of the bacteria produce absorbable vitamins, especially vitamin K. 

Humans and other mammals do not synthesize the biotin that is brought from dietary source and from microorganisms of the normal micro flora colonizing the large intestine. In vivo studies have shown that the human large intestine is capable of absorbing installed biotin, but the contribution of biotin from microorganisms to the totally absorbed biotin has not been fully estabhshed and needs to be further clarified (Said 2009). 

Some vitamin K is provided m the normal diet but a large proportion of that required by humans is produced by their intestinal flora... 

There is considerable enterohepatic circulation of folate, equivalent to about one-third of the dietary intake. Methyl-tetrahydrofolate is secreted in the bUe, then reabsorbed in the jejunum together with food folates. In experimental animals, bUe drainage for 6 hours results in a reduction of serum folate to 30% to 40% of normal (Steinberg et al., 1979). There is very litde loss of folate jejunal absorption is very efficient, and the fecal excretion of 450 nmol (200 /xg) of folates per day largely represents synthesis by intestinal flora and does not reflect intake to any significant extent. 

Vitamin B12 is synthesized in large quantities by the intestinal flora, particularly in ruminants. The exact amount of vitamin B12 required by the normal human is not known. The absorption of vitamin B12 from the gastrointestinal tract is dependent on the presence of a gastric mucoprotein called intrinsic factor. Calcium ions seem to be necessary for the interaction of vitamin B12 with this intrinsic factor. Vitamin B12, which is absorbed only in the ileum, is stored in the liver. There are two transport proteins for vitamin Bj2 transcobalamin I and II, the latter being physiologically more important. Vitamin B12 plays an important role in the metabolism of functional groups with one carbon atom such as the methyl group... 

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