α-D-glucose OH CH₂OH OH O CH₂OH OH β-D-glucose O.

58
Digestion and absorption Carbohydrates

Transcript of α-D-glucose OH CH₂OH OH O CH₂OH OH β-D-glucose O.

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Digestion and absorption

Carbohydrates

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DIETCarbohydrates

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Dietary carbohydrates

• Largest source of calories – 40-45%

• Plant– starch ( grains, tubers, veggies )

sucroseglucose fructosedietary fiber

• Animal– glycogen

glycolipidslactose

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Carbohydrates in our diet

α-D-glucose

OH

OH

OH

CH₂OH

OH

O OH

OH

OH

CH₂OH

OH

β-D-glucose

O

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Carbohydrates in our diet

α-D-glucose

OH

OH

OH

CH₂OH

OH

OH

OH

OH

CH₂OH

OH

β-D-galactose

O O

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Carbohydrates in our diet

β-D-fructose

OH

OH

CH₂OH

OHOCH₂

OH

α-D-glucose

OH

OH

OH

CH₂OH

OH

O

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Carbohydrates in our diet

α-D-glucoseβ-D-glucose

OH

OH

CH₂OH

OH

OH

CH₂OH

O O

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Carbohydrates in our diet

α-D-glucoseβ-D-galactose

O

OH

OH

CH₂OH

OH

OH

CH₂OH

O

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Carbohydrates in our diet

β-D-fructose α-D-glucose

OH

CH₂OH

OHOCH₂

OH

O

OH

OH

CH₂OH

OH

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Carbohydrates in our diet

α-D-glucose

O

OH

OH

CH₂OH

α-D-glucose

O

OH

OH

CH₂

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Carbohydrates in our diet

O

O

O

β-D-fructose

α-D-glucose

Sucrose

So what’s our relationship?

Its called α-1—2 glycosidic bond

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Carbohydrates in our diet

Lactose

O OO

So what’s our relationship?

Its called β-1—4 glycosidic bond

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Carbohydrates in our diet

Maltose

OO

O

So what’s our relationship?

Its called α-1—4 glycosidic bond

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Carbohydrates in our diet

Maltotriose

OO

O

O

O

So what’s our relationship?

Of course! It’s the α-1—4 glycosidic

linkages

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Carbohydrates in our diet

Iso- maltose

O

O

O

So what’s our relationship?

Its called α-1—6 glycosidic bond

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Carbohydrates in our diet

Trehalose

OO

O

So what’s our relationship?

Its called α-1—1 glycosidic bond ,

is’nt it cool?

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Carbohydrates in our diet

Lactulose

OO

O

O OO

So what’s our relationship?

Its called β-1—2 glycosidic bond

I don’t understand!

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Carbohydrates in our diet

OO

O

O

OO O

Amylose

We’ve got a strong

relashionship, the α-1—4 glycosidic

linkage

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Carbohydrates in our diet

OO

O

O

OO O

Amylo-pectin

O

O

O

OWe are stronger, we

have got α-1—4 glycosidic linkages

as well α-1—6 branch points

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Carbohydrates in our diet

Cellulose

O O

OO

O

O

OO

We are a team, we have got the β-1—4 glycosidic linkages!

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DIGESTIONCarbohydrates

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Digestion of carbohydrates

• Endoglycosidases / exoglycosidases– specific for sugar, type of bond, number of

saccharide units• Glycosidases– Enzymes that hydrolyze glycosidic bonds b/w

sugars

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Mouth

• Salivary alpha amylase– Endoglycosidase• internal alpha 1,4 bonds• random intervals

– No activity against• Alpha 1,6 bonds• Little or no activity against Alpha 1,4 bond at non

reducing ends

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Salivary α-amylase

O

O

OO

OO

OO

OO

OO

OO

OO

OO

OO

α-limit dextrins

Shortened polysaccharides

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Stomach

• Salivary alpha amylase– Inactivated by gastric HCl

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Small intestine

• Pancreatic alpha amylase• Bicarbonate• Intestinal disaccharidases

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Pancreatic α-amylase

• Endoglycosidase– Continues digestion of starch and glycogen• Limit dextrins • Maltotriose • Maltose

• Duodenum O

OO

OO

OO

O

4-9 glycosyl residues and 1 or more 1,6 branches

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Intestinal disaccharidases

• Glucoamylase• Sucrase isomaltase complex• Lactase glucosylceramidase/ β-glycosidase

complex • Trehalase

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Glucoamylase

• Really an oligosaccharidase– Hydrolyses 1,4 bonds of dextrins– Exoglucosidase– Begins at nonreducing end and sequentially

cleaves glycosyl units– It cleaves dextrins down to isomaltose

• Highest activity in ileum

OO

OO

OO

OO

OO

O OO

OO

OO O

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Sucrase-isomaltase complex

• Sucrase-maltase– Splits sucrose, maltose and maltotriose

• Isomaltase-maltase– Splits alpha 1,6 bonds in isomaltose and limit

dextrins– alpha 1,4 bonds in maltose and maltotriose

• Jejunum

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Sucrase-isomaltase complex

O

O

O

Sucrose

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Sucrase-isomaltase complex

Maltose

OO

O

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Sucrase-isomaltase complex

Iso- maltose

O

O

O

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Lactase glucosylceramidase/ β-glycosidase complex

• Glucosyl Ceramidase– Splits β-glycosidic bonds b/w glucose/galactose

and hydrophobic residues• Lactase– Splits β1,4 bonds b/w glucose and galactose

• Jejunum

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β-glycosidase complex

O OO

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Glycolipids

• Cerebrosides – Ceramide-monosaccharides

• Globosides – Ceramide-oligosaccharides

GLU CERAMIDE

GAL CERAMIDEGLU

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Glycolipids

• Forssman antigen – Ceramide-oligosaccharides

GAL CERAMIDEGLUGALGALNAcGALNAc

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Trehalase

• Splits α1,1 bond in trehalose• Found in mushrooms,insects and seafood

Trehalose

OO

O

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ABSORPTION Carbohydrates

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Absorption of monosaccharides

• Glucose • Fructose • Galactose

• Site – Duodenum– Upper jejunum

O

O

O

Hi!

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GLUT 5

GLUT 2

3Na+

2K+

O

Na+

O

Na+

Na+

Na+

Na+

Na+

O

SGLT-1

O

ONa+

O

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GLUT 5

GLUT 2

O

Na+

O

Na+

Na+

Na+

Na+

Na+

O

SGLT-1O

Na+

O

GLUT 2O

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INDIGESTIBLE Carbohydrates

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Indigestible carbohydrates

• Cellulose • Hemicelluloses • Gums • Mucilages • Pectin • Raffinose • Lignin

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Colon

• Dietary fibre and nondigested carbohydrates– Bacterial action• Gases

– H2, CO2, methane

• Lactate• Short chain FA

– Acetic acid– Propionic acid– Butyric acid

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• What is the cause of excessive flatulence after having a meal containing beans?

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DISORDERS Carbohydrates

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Abnormal degradation of disaccharides

• Disorders – Lactose intolerance– Disaccharide intolerance– Isomaltase sucrase deficiency– Defect in absorption of fructose

• Symptoms – Osmotic diarrhea – Bacterial fermentation • 2 and 3 carbon compounds • Gases

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Lactose intolerance

• Etiology – Deficiency of enzyme lactase

• Clinical features – Abdominal cramps– GI bloating– Intermittent diarrhea– 45min-1hr after eating dairy products

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Lactose intolerance

• Treatment – Reduce consumption of dairy products– Consume • Green veggies• Yogurts• Cheese • Lactase treated products

– Lactase pills

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• Yogurt is a dairy product, why is it recommended in lactose intolerance?

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Disaccharide intolerance

• Etiology – Hereditary deficiency– Injured Mucosa• Disease, drugs, malnutrition

• Clinical features – Osmotic diarrhea – Abdominal cramps– Flatulence

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Sucrase-isomaltase complex deficiency

• intolerance of ingested sucrose

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Defect in absorption of fructose

• Clinical features– Gas and distented abdomen after eating fruit,

sweets or juices

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DIAGNOSISCarbohydrate disorders

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Disorders of carbohydrate digestion and absorption

• Diagnosis – Oral tolerance tests– H2 breath test

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TREATMENT Carbohydrate disorders

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Treatment

• Avoid foods containing specific disaccharide• Tablets and capsules containing enzymes