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Long Answer Questions · Q30

Q.Explain how the end products of carbohydrate, protein and fat digestion are absorbed across the wall of the small intestine, describing the transport routes (blood versus lymph) by which each is carried away.

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Glucose and galactose, the end products of carbohydrate digestion, are absorbed across the intestinal brush border by Na+-dependent active transport via the SGLT1 carrier, which couples their uphill movement to the downhill movement of sodium ions; fructose instead uses passive facilitated diffusion via the GLUT5 carrier. Amino acids, the end products of protein digestion, are similarly absorbed chiefly by an active transport mechanism coupled to the sodium gradient across the epithelial membrane. In both cases, once inside the absorptive cell, these small, water-soluble molecules pass out on the blood-facing side into the capillaries running through the core of the villus, and are carried by the hepatic portal vein directly to the liver before reaching the general circulation. Fat digestion products -- fatty acids and monoglycerides -- follow an entirely different route: being fat-soluble, they simply diffuse passively into the absorptive cell (delivered to its surface within bile-salt micelles, needing no active-transport carrier), but once inside, they are re-synthesised back into triglycerides by the smooth endoplasmic reticulum and packaged, with cholesterol and phospholipid, inside a thin protein coat as chylomicrons; being too large to enter the narrow blood capillaries, chylomicrons are instead exocytosed into the wider lacteal (lymphatic capillary) at the centre of the villus, and travel via the lymphatic vessels a …

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