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Carbohydrate Digestion and Absorption

Jul 10, 2025

Overview

This lecture covers the digestion and absorption of carbohydrates, explaining the breakdown of complex polysaccharides into absorbable monosaccharides and their transport into the body.

Types of Dietary Carbohydrates

  • Main digestible carbs in foods are amylopectin and amylose.
  • Cellulose (from plants) cannot be digested due to the lack of the enzyme cellulase and acts as dietary fiber.

Carbohydrate Digestion: Enzymes and Locations

  • Digestion starts in the oral cavity with salivary alpha-amylase (also called ptyalin), which breaks alpha 1-4 glycosidic bonds.
  • Salivary amylase converts amylopectin and amylose into maltose, malto-triose, and alpha-limit dextrins.
  • Only about 10-15% of carbohydrate digestion is due to salivary amylase; most digestion happens after swallowing.
  • Pancreatic amylase (from the pancreas) continues breaking alpha 1-4 bonds in the duodenum, producing the same products as salivary amylase.

Brush Border Enzymes and Final Carbohydrate Breakdown

  • Brush border enzymes on small intestine enterocytes (microvilli) include lactase, maltase (glucoamylase), sucrase, and isomaltase.
  • Lactase breaks lactose into glucose and galactose.
  • Maltase splits maltose and malto-triose into glucose.
  • Sucrase splits sucrose into glucose and fructose and can also help break down maltose/malto-triose.
  • Isomaltase specifically breaks alpha 1-6 glycosidic bonds in alpha-limit dextrins, aiding complete glucose release.

Absorption of Monosaccharides

  • Fructose enters enterocytes via facilitated diffusion using GLUT5 transporter.
  • Glucose and galactose enter by secondary active transport using SGLT (sodium-glucose transporter) with sodium.
  • All three monosaccharides exit the enterocyte into blood via GLUT2 transporters on the basolateral membrane.

Transport to the Liver

  • Monosaccharides are absorbed into the hepatic portal vein (combining several veins) and transported to the liver for metabolism (e.g., glycogenesis, glycolysis).

Key Terms & Definitions

  • Amylopectin — Branched polysaccharide with alpha 1-4 and alpha 1-6 glycosidic bonds.
  • Amylose — Linear polysaccharide with only alpha 1-4 glycosidic bonds.
  • Cellulose — Indigestible plant polysaccharide; source of fiber.
  • Alpha 1-4 glycosidic bond — Linkage between carbon 1 of one glucose and carbon 4 of another.
  • Alpha 1-6 glycosidic bond — Branch point linkage between carbon 1 and carbon 6 of glucose units.
  • Salivary amylase — Oral enzyme that starts starch digestion.
  • Pancreatic amylase — Pancreatic enzyme that continues starch breakdown.
  • Brush border enzymes — Enzymes on intestinal microvilli for final carb digestion.
  • GLUT5 — Transporter for fructose absorption.
  • SGLT — Sodium-glucose cotransporter for glucose/galactose absorption.
  • GLUT2 — Basolateral monosaccharide transporter to blood.

Action Items / Next Steps

  • Review the structure and function of carbohydrate enzymes and transporters.
  • Study further details of liver metabolism of monosaccharides in upcoming liver lectures.