Hygiene and Occupational Medicine · MU Sofia

25. Digestion and absorption of essential nutrients.

Covers how carbohydrates, proteins, and lipids are broken down and taken up across the gut, stage by stage from mouth or stomach to small intestine. It names the enzymes and transporters involved, such as SGLT1, GLUT5, GLUT2 and PepT1, and explains micelle formation and chylomicron transport for fats. It closes with absorption routes for fat-soluble and water-soluble vitamins, including vitamin B12 with intrinsic factor and folate.

Inside: 4 sections · 15 flashcards · 2 min

Topic 25 of 78 in the MU Sofia syllabus for Hygiene and Occupational Medicine (Medicine, Year 4). The free AceMed note covers it in 4 sections, about 320 words (2 min of reading), with 15 flashcards.

In this note

  1. Digestion and absorption of essential nutrients.
  2. Proteins
  3. Lipids (Fats)
  4. Vitamins

Digestion and absorption of essential nutrients.

1. Overview

Digestion breaks down macronutrients and micronutrients into absorbable units.

Absorption occurs mainly in the small intestine, with some nutrients absorbed in the stomach or large intestine. Enzymes, bile salts, and transporters facilitate this process.

2. Carbohydrates

Digestion:

  • Begins in mouth: Salivary amylase breaks starch → maltose.
  • Small intestine: Pancreatic amylase continues starch digestion → maltose.
  • Brush-border enzymes (maltase, sucrase, lactase) break disaccharides → monosaccharides.

Absorption:

  • Monosaccharides (glucose, galactose) → active transport via SGLT1 transporter (active, sodium-dependent)
  • Fructose → facilitated diffusion via GLUT5 transporter
  • All monosaccharides exit enterocytes into blood via GLUT2.

Proteins

Digestion:

  • Begins in stomach: Pepsin breaks proteins → peptides.
  • Small intestine: Pancreatic proteases (trypsin, chymotrypsin, carboxypeptidase) break peptides → smaller peptides.
  • Brush-border peptidases break peptides → amino acids and di/tripeptides.

Absorption:

  • • Amino acids: Absorbed actively using sodium-dependent transporters.
  • • Di- and tripeptides: Taken up by PepT1 transporter, then broken down into amino acids inside enterocytes.
  • • To blood: Amino acids exit enterocytes and enter blood via facilitated diffusion.

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