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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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426<br />

Chapter | 14 Gastrointestinal Function<br />

3 . Monosaccharide Transport<br />

a . Specificity <strong>of</strong> Monosaccharide Transport<br />

Regardless <strong>of</strong> whether monosaccharides originate in the<br />

lumen <strong>of</strong> the intestine or are formed at the surface <strong>of</strong> the<br />

mucosal cell, transport across the mucosa involves processes<br />

that have a high degree <strong>of</strong> chemical specificity. Glucose and<br />

galactose are absorbed from the intestine more rapidly than<br />

other monosaccharides. Fructose is absorbed at approximately<br />

half the rate <strong>of</strong> glucose, and mannose is absorbed at<br />

less than one-tenth the rate <strong>of</strong> glucose ( Kohn et al., 1965 ).<br />

Glucose and galactose can be absorbed against a concentration<br />

gradient. The monosaccharides that are transported<br />

most efficiently against gradients have common structural<br />

characteristics: (1) the presence <strong>of</strong> a pyranose ring, (2) a<br />

carbon atom attached to C-5, and (3) a hydroxyl group at<br />

C-2 with the same stereoconfiguration as D-glucose, but<br />

these features are not absolute requirements. Both D-xylose,<br />

which has no substituted carbon atom at C-5, and D-mannose,<br />

which lacks the appropriate hydroxyl configuration<br />

at C-2, can be transported against concentration gradients<br />

under specific experimental conditions ( Alvarado, 1966b ).<br />

Glucose transport is competitively inhibited by galactose<br />

( Fisher and Parsons, 1953 ) and by a variety <strong>of</strong> substituted<br />

hexoses that compete with glucose for carrier<br />

binding sites. The glucoside phlorizin is a potent inhibitor<br />

( Alvarado and Crane, 1962 ; Parsons et al., 1958 ). Phlorizin<br />

also competes for binding sites but has a much higher<br />

affinity for these sites than does glucose.<br />

The absorptive surface <strong>of</strong> the mucosal cell is the microvillous<br />

membrane, or brush border. It is through this part<br />

<strong>of</strong> the plasma membrane that glucose must pass during<br />

the initial phase <strong>of</strong> mucosal transport. Techniques have<br />

been developed for isolating highly purified preparations<br />

<strong>of</strong> microvillous membranes from mucosal homogenates<br />

( Forstner et al., 1968 ). Faust et al. (1967) studied the binding<br />

<strong>of</strong> various sugars to these isolated membrane fractions.<br />

They found that D-glucose was bound by the membrane<br />

preferentially to L-glucose or to D-mannose and that glucose<br />

binding was completely inhibited by 0.1 mM phlorizin.<br />

The specificity <strong>of</strong> their observations suggested that<br />

binding represented an initial step in glucose transport,<br />

namely, attachment to a membrane carrier.<br />

b . Sodium Requirement<br />

The absorption <strong>of</strong> glucose and other monosaccharides is<br />

influenced significantly by Na (Kimmich, 1973 ; Schultz<br />

and Curran, 1970 ). When Na is present in the solution<br />

bathing the intestinal mucosa, glucose is absorbed rapidly,<br />

but when Na is removed and replaced by equimolar<br />

amounts <strong>of</strong> other cations, glucose absorption virtually stops<br />

( Bihler and Crane, 1962 ; Bihler et al., 1962 ; Csaky, 1961 ;<br />

Riklis and Quastel, 1958 ). Glucose absorption is inhibited by<br />

ouabain, digitalis, and other cardiac glycosides that are also<br />

inhibitors <strong>of</strong> Na -K -ATPase activity and Na transport<br />

FIGURE 14-5 Model <strong>of</strong> a Na<br />

<br />

-activated glucose carrier <strong>of</strong> the intestinal<br />

brush border. (From Wright and Peerce, 1985 ).<br />

( Csaky and Hara, 1965 ; Schultz and Zalusky, 1964 ). These<br />

observations demonstrate the close relationship between<br />

the transport <strong>of</strong> glucose and Na .<br />

c . Characteristics <strong>of</strong> the Na -Glucose Transporter<br />

(Carrier)<br />

The concentrative step in the active transport <strong>of</strong> glucose<br />

occurs at the brush border membrane, and energy for this<br />

process is derived from an electrochemical Na gradient<br />

( Schultz, 1977 ; Schultz and Curran, 1970 ). Under conditions<br />

<strong>of</strong> net influx, Na and glucose enter in a ratio <strong>of</strong><br />

1:1 ( Goldner et al., 1969 ; Hopfer and Groseclose, 1980 ).<br />

Cotransport <strong>of</strong> glucose and Na involves a membrane<br />

transporter or carrier that is believed to be a 75-kd polypeptide<br />

( Wright and Peerce, 1985 ). Na activates glucose<br />

transport primarily by increasing the affinity <strong>of</strong> the carrier<br />

for glucose. A model showing two hypothetical forms <strong>of</strong><br />

the glucose carrier is presented in Figure 14-5 . A galent<br />

channel or pore mechanism has been proposed in which<br />

the glucose binding site is located within the membrane.<br />

The translocation <strong>of</strong> glucose in this model is believed to be<br />

the result <strong>of</strong> a Na -induced conformational change in the<br />

transporter ( Semenza et al., 1984 ).<br />

C . Proteins<br />

1 . Enzymatic Hydrolysis<br />

The initial step in protein digestion is the enzymatic<br />

hydrolysis <strong>of</strong> peptide bonds by proteases with formation<br />

<strong>of</strong> smaller peptides and amino acids. The endopeptidases<br />

hydrolyze peptide bonds within the protein molecule and<br />

also hydrolyze certain model peptides. Exopeptidases<br />

hydrolyze either the carboxy-terminal (carboxypeptidase)<br />

or the amino-terminal (aminopeptidase) amino acids <strong>of</strong><br />

peptides and certain proteins. Thus, a mixture <strong>of</strong> exopeptidases<br />

and endopeptidases cleaves long chain polypeptides<br />

from the ends as well as within the length <strong>of</strong> the chain<br />

resulting in sequentially shorter and shorter polypeptide<br />

chains and amino acids.<br />

Dietary proteins first come in contact with proteolytic<br />

enzymes in the stomach. The best known <strong>of</strong> the gastric<br />

proteases is the family <strong>of</strong> pepsins ( Saml<strong>of</strong>f, 1971 ), which

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