Fat Digestion and Absorption

Aug 23, 2025

Overview

This lecture explains the process of fat digestion and absorption in the human body, detailing the key enzymes, hormones, and transport mechanisms involved.

Structure and Breakdown of Fats

  • Fats in the diet consist mainly of triglycerides, which are three fatty acids attached to a glycerol backbone.
  • To be absorbed, triglycerides must be broken down into their building blocks.

Stages of Fat Digestion

  • Fat digestion starts in the mouth with lingual lipase and mastication.
  • In the stomach, gastric lipase continues breaking down triglycerides into smaller components.
  • Partially digested fats enter the duodenum along with stomach acidity.

Hormonal Regulation

  • Acidity and fat droplets in the duodenum stimulate the release of cholecystokinin (CCK) and secretin.
  • CCK stimulates bile production/secretion and pancreatic enzyme (pancreatic juice) release.
  • Secretin prompts the pancreas to release bicarbonate, raising the intestinal pH for optimal fat digestion.

Fat Emulsification and Absorption

  • Bile salts coat and emulsify fat droplets, making them accessible to pancreatic lipases.
  • Pancreatic lipase breaks triglycerides into fatty acids and monoglycerides, forming micelles.
  • Micelles contain bile salts, fatty acids, monoglycerides, cholesterol, and are coated by phospholipids.

Uptake and Transport

  • Fatty acids and monoglycerides in micelles are absorbed across enterocytes in the proximal jejunum.
  • Bile salts remain in the intestinal lumen and are reabsorbed in the terminal ileum, returning to the liver via enterohepatic circulation.
  • Absorbed fats are repackaged as chylomicrons, which enter lymphatics and then the general circulation.

Fat-Soluble and Water-Soluble Vitamins

  • Vitamins A, D, E, and K require fat for absorption in the jejunum.
  • Vitamins B and C are water-soluble and do not depend on fat digestion or absorption.

Key Terms & Definitions

  • Triglyceride — fat molecule with three fatty acids and a glycerol backbone.
  • Lipase — enzyme that breaks down lipids (fats).
  • Cholecystokinin (CCK) — hormone stimulating bile and pancreatic enzyme secretion.
  • Secretin — hormone prompting pancreatic bicarbonate release.
  • Bile salts — molecules aiding fat emulsification and digestion.
  • Micelle — structure of emulsified fat components ready for absorption.
  • Enterohepatic circulation — recycling pathway of bile salts from intestine to liver.
  • Chylomicron — fat-transport particle formed in enterocytes.

Action Items / Next Steps

  • Review fat digestion steps and related hormones for upcoming quiz.
  • Study the absorption mechanisms of fat-soluble vs. water-soluble vitamins.