{"id":332,"date":"2017-10-23T20:06:57","date_gmt":"2017-10-23T20:06:57","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=332"},"modified":"2017-11-10T18:45:32","modified_gmt":"2017-11-10T18:45:32","slug":"3-44-lipid-digestion-in-the-small-intestine","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/chapter\/3-44-lipid-digestion-in-the-small-intestine\/","title":{"raw":"3.44 Lipid Digestion in the Small Intestine","rendered":"3.44 Lipid Digestion in the Small Intestine"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nThe small intestine is the major site for lipid digestion. There are specific enzymes for the digestion of triglycerides, phospholipids, and cleavage of esters from cholesterol. We will look at each in this section.\r\n\r\n<b>Triglycerides<\/b>\r\n\r\nThe pancreas secretes pancreatic lipase into the duodenum as part of pancreatic juice. This major triglyceride digestion enzyme preferentially cleaves the sn-1 and sn-3 fatty acids from triglycerides. This cleavage results in the formation of a 2-monoglyceride and two free fatty acids as shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"609\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200606\/1000000000000261000001D59A13835A.png\" alt=\"\" width=\"609\" height=\"469\" \/> Figure 3.441 Pancreatic lipase cleaves the sn-1 and sn-3 fatty acids of triglycerides[\/caption]\r\n\r\n<\/div>\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"635\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200608\/100000000000027B00000270E9294E4A.png\" alt=\"\" width=\"635\" height=\"624\" \/> Figure 3.442 The products of pancreatic lipase are a 2-monoglyceride and two free fatty acids[\/caption]\r\n\r\n<\/div>\r\nTo assist lipase, colipase serves as an anchor point to help lipase attach to the triglyceride droplet.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"852\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200609\/1000000000000354000001B309F92672.png\" alt=\"\" width=\"852\" height=\"435\" \/> Figure 3.443 Colipase helps anchor lipase to the triglyceride droplet[\/caption]\r\n\r\n<\/div>\r\n<b>Phospholipids<\/b>\r\n\r\nThe enzyme phospholipase A2 cleaves the C-2 fatty acid of lecithin, producing lysolecithin and a free fatty acid.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"609\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200611\/1000000000000261000000F890A9F02A.png\" alt=\"\" width=\"609\" height=\"248\" \/> Figure 3.444 Phospholipase A2 cleaves the C-2 fatty acid of lecithin[\/caption]\r\n\r\n<\/div>\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"611\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200613\/1000000000000263000001DF36ED6DC1.png\" alt=\"\" width=\"611\" height=\"479\" \/> Figure 3.445 Products of phospholipase A2 cleavage[\/caption]\r\n\r\n<\/div>\r\n<b>Cholesterol Esters<\/b>\r\n\r\nThe fatty acid in cholesterol esters is cleaved by the enzyme, cholesterol esterase, producing cholesterol and a free fatty acid.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"759\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200615\/10000000000002F7000001EF3CB9ED4C.png\" alt=\"\" width=\"759\" height=\"495\" \/> Figure 3.446 Cholesterol esterase cleaves fatty acids off of cholesterol[\/caption]\r\n\r\n<\/div>\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"802\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200618\/10000000000003220000022871365284.png\" alt=\"\" width=\"802\" height=\"552\" \/> Figure 3.447 Products of cholesterol esterase[\/caption]\r\n\r\n<\/div>\r\n<b>Formation of Mixed Micelles<\/b>\r\n\r\nIf nothing else happened at this point, the 2-monoglycerides and fatty acids produced by pancreatic lipase would form micelles. The hydrophilic heads would be outward and the fatty acids would be buried on the interior. These micelles are not sufficiently water-soluble to cross the unstirred water layer to get to the brush border of enterocytes. Thus, mixed micelles are formed containing cholesterol, bile acids, and lysolecithin in addition to the 2-monoglycerides and fatty acids, as illustrated below<sup>1<\/sup>.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"1094\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200620\/10000000000004460000022B2A6BBD5A.png\" alt=\"\" width=\"1094\" height=\"555\" \/> Figure 3.448 Normal (left) and mixed (right) micelles[\/caption]\r\n\r\n<\/div>\r\nMixed micelles are more water-soluble, allowing them to cross the unstirred water layer to the brush border of enterocytes for absorption.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"575\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200622\/100000000000023F00000247884E8B28.png\" alt=\"\" width=\"575\" height=\"583\" \/> Figure 3.449 Mixed micelles can cross the unstirred water layer for absorption into the enterocytes[\/caption]\r\n\r\n<\/div>\r\n<b>References &amp; Links<\/b>\r\n\r\n1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>The small intestine is the major site for lipid digestion. There are specific enzymes for the digestion of triglycerides, phospholipids, and cleavage of esters from cholesterol. We will look at each in this section.<\/p>\n<p><b>Triglycerides<\/b><\/p>\n<p>The pancreas secretes pancreatic lipase into the duodenum as part of pancreatic juice. This major triglyceride digestion enzyme preferentially cleaves the sn-1 and sn-3 fatty acids from triglycerides. This cleavage results in the formation of a 2-monoglyceride and two free fatty acids as shown below.<\/p>\n<div>\n<div style=\"width: 619px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200606\/1000000000000261000001D59A13835A.png\" alt=\"\" width=\"609\" height=\"469\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.441 Pancreatic lipase cleaves the sn-1 and sn-3 fatty acids of triglycerides<\/p>\n<\/div>\n<\/div>\n<div>\n<div style=\"width: 645px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200608\/100000000000027B00000270E9294E4A.png\" alt=\"\" width=\"635\" height=\"624\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.442 The products of pancreatic lipase are a 2-monoglyceride and two free fatty acids<\/p>\n<\/div>\n<\/div>\n<p>To assist lipase, colipase serves as an anchor point to help lipase attach to the triglyceride droplet.<\/p>\n<div>\n<div style=\"width: 862px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200609\/1000000000000354000001B309F92672.png\" alt=\"\" width=\"852\" height=\"435\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.443 Colipase helps anchor lipase to the triglyceride droplet<\/p>\n<\/div>\n<\/div>\n<p><b>Phospholipids<\/b><\/p>\n<p>The enzyme phospholipase A2 cleaves the C-2 fatty acid of lecithin, producing lysolecithin and a free fatty acid.<\/p>\n<div>\n<div style=\"width: 619px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200611\/1000000000000261000000F890A9F02A.png\" alt=\"\" width=\"609\" height=\"248\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.444 Phospholipase A2 cleaves the C-2 fatty acid of lecithin<\/p>\n<\/div>\n<\/div>\n<div>\n<div style=\"width: 621px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200613\/1000000000000263000001DF36ED6DC1.png\" alt=\"\" width=\"611\" height=\"479\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.445 Products of phospholipase A2 cleavage<\/p>\n<\/div>\n<\/div>\n<p><b>Cholesterol Esters<\/b><\/p>\n<p>The fatty acid in cholesterol esters is cleaved by the enzyme, cholesterol esterase, producing cholesterol and a free fatty acid.<\/p>\n<div>\n<div style=\"width: 769px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200615\/10000000000002F7000001EF3CB9ED4C.png\" alt=\"\" width=\"759\" height=\"495\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.446 Cholesterol esterase cleaves fatty acids off of cholesterol<\/p>\n<\/div>\n<\/div>\n<div>\n<div style=\"width: 812px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200618\/10000000000003220000022871365284.png\" alt=\"\" width=\"802\" height=\"552\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.447 Products of cholesterol esterase<\/p>\n<\/div>\n<\/div>\n<p><b>Formation of Mixed Micelles<\/b><\/p>\n<p>If nothing else happened at this point, the 2-monoglycerides and fatty acids produced by pancreatic lipase would form micelles. The hydrophilic heads would be outward and the fatty acids would be buried on the interior. These micelles are not sufficiently water-soluble to cross the unstirred water layer to get to the brush border of enterocytes. Thus, mixed micelles are formed containing cholesterol, bile acids, and lysolecithin in addition to the 2-monoglycerides and fatty acids, as illustrated below<sup>1<\/sup>.<\/p>\n<div>\n<div style=\"width: 1104px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200620\/10000000000004460000022B2A6BBD5A.png\" alt=\"\" width=\"1094\" height=\"555\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.448 Normal (left) and mixed (right) micelles<\/p>\n<\/div>\n<\/div>\n<p>Mixed micelles are more water-soluble, allowing them to cross the unstirred water layer to the brush border of enterocytes for absorption.<\/p>\n<div>\n<div style=\"width: 585px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23200622\/100000000000023F00000247884E8B28.png\" alt=\"\" width=\"575\" height=\"583\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.449 Mixed micelles can cross the unstirred water layer for absorption into the enterocytes<\/p>\n<\/div>\n<\/div>\n<p><b>References &amp; Links<\/b><\/p>\n<p>1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-332\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":5759,"menu_order":9,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-332","chapter","type-chapter","status-publish","hentry"],"part":265,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/332","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/users\/5759"}],"version-history":[{"count":5,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/332\/revisions"}],"predecessor-version":[{"id":1689,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/332\/revisions\/1689"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/parts\/265"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/332\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/media?parent=332"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=332"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/contributor?post=332"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/license?post=332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}