3. Learning Objectives:
• Understand the different classes of carbohydrates
• Understand the enzymes responsible for digestion of
carbohydrates
• What are sites for absorption
• Molecular basis of glucose transpotation
• Learn about the function of carbohydrates
4. Carbohydrates : provide a substantial energy
substrate for metabolism (4 kcals/g).
Approximately 45% to 60% of dietary carbohydrate is in
form of starch, which is a polysaccharide
• BALANCED DIET-Diet consisting of the proper quantities &
proportions of foods needed to maintain health or growth
• Simple sugars
• Complex (starch and fiber)
-Monosaccharide – One unit
-Disaccharides – Two units
-Oligosaccharides – 10 or fewer units
-Polysaccharides – Up to 1000 units
7. Polysaccharides
•
• Starch
– Amylose
– Amylopectin
Dextrins
– Produced when starch molecules are
partially broken down by enzymes, acid, or
heat.
-Less thickening power than starch
• Glycogen
• Plant Fiber Components
9. Digestion of Carbohydrates Begins in the
Mouth
• When food is chewed, it is mixed with saliva, which
contains the digestive enzyme ptyalin (an α-amylase)
secreted mainly by the parotid glands.
• This enzyme hydrolyzes starch into the disaccharide
maltose and other small polymers of glucose that
contain three to nine glucose molecules.
10. • However, the food remains in the mouth only a short
time, so probably not more than 5 percent of all the
starches will have become hydrolyzed by the time the
food is swallowed.
.Activity of the salivary amylase is then blocked by
acid of the gastric secretions because the
amylase
is essentially inactive as an enzyme once the pH of
as an enzyme falls below about 4.0
12. Starch digestion in the lumen of
intestine
• Pancreatic α-Amylase is an hydrolyzes internal α-1,4
linkages
• α-Amylase does not cleave terminal α-1,4
linkages, α-1,6 linkages (i.e., branch points), or α-
1,4 linkages that are immediately adjacent to α-1,6
linkages.
• As a result, starch hydrolysis products are
maltose, maltotriose, and α-limit dextrins.
14. Digestion at the brush border in the
lumen of intestine
• The intestine cannot absorb these products of amylase
digestion of starch, and thus further digestion is
required to produce monosaccharides
• The human small intestine has enzymes on
brush border oligosaccharidases: lactase,
glucoamylase (most often called maltase), and
sucrase-isomaltase.
15. Digestion at the brush border
of intestine
• The intestine cannot absorb
these products of amylase
digestion of starch, and thus
further digestion is required
to produce
monosaccharides
• The human small intestine
has enzymes on brush border
oligosaccharidases: lactase,
glucoamylase and sucrase-
isomaltase.
18. Absorption of carbohydrate
• There are three monosaccharide products of
carbohydrate digestion—glucose, galactose, and fructose
• They are absorbed by the small intestine in a two-step
process:
• Their uptake across the apical membrane into the
epithelial cell
• Their coordinated exit across the basolateral membrane
• The Na/glucose transporter 1 (SGLT1) is the membrane
protein responsible for glucose and galactose uptake at
the apical membrane
• the apical step of fructose absorption occurs by the
facilitated diffusion of fructose through GLUT5
• a single transporter (GLUT2) is responsible for the movement
of both monosaccharides across the basolateral membrane.
21. Absorption of glucose , galactose and sucrose
• The uptake of glucose across the apical membrane through
SGLT1 (secondary active transport,) because the glucose
influx occurs against the glucose concentration gradien
• Glucose uptake across the apical membrane is energized by the
electrochemical Na+ gradient, which, in turn, is maintained by
the extrusion of Na+ across the basolateral membrane by
the Na-K pump
• The apical step of fructose absorption occurs by the
facilitated diffusion of fructose through GLUT5
24. APPLIED
DIABETES MELLITUS
• It is a syndrome of impaired carbohydrates,fat
and protein metabolism due to either insulin
lack or decreased sensitivity of tissue to
insulin
TYPES- Type 1/IDDM
-Type 2/NIDDM
25. Lactose Intolerance
• In most mammals and in many races of humans,
intestinal lactase activity is high at birth, then declines to
low levels during childhood and adulthood.
• The low lactase levels are associated with intolerance to milk
( lactose intolerance).
• When such individuals ingest dairy products, they are
unable to digest lactose sufficiently, and so symptoms--such
as bloating, pain, gas, and diarrhea are produced
• The simplest treatment for lactose intolerance is to avoid
dairy products in the diet,
• Commercial lactase preparations, Yogurt is better to
administration
26. Oral rehydration therapy
In cholera massive amounts of fluid can be passed as watery
stools in a very short time ,resulting in severe dehydration and
possible death Oral rehydration therapy ,consist of primarly of
Nacl and glucose ,has been developed by World health
organization(WHO) the transport of glucose and Na+ across the
epithelium forces via (osmosis)movement of water from the
lumen of the gut into intestinal cells ,resulting in rehydration.
Glucose alone or Nacl alone would not be effective
27. References
• Lippincott’s Illustrated Reviews: BIOCHEMISTRY
• HARPER ILLUSTRATED BIOCHEMISTRY
• TEXTBOOK OF BIOCHEMISTRY FOR MEDICAL
STUDENTS BY DM VASUDEVAN (TENTH EDITION)