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

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430<br />

Chapter | 14 Gastrointestinal Function<br />

TABLE 14-7 Relationship between Results <strong>of</strong> the Glutaraldehyde Coagulation Test, Serum (-Globulin)<br />

Concentration, and Death Rate<br />

Source <strong>of</strong> Calves No. Glutaraldehyde<br />

Reaction<br />

Serum (-Globulin (/dl))<br />

Mean ( SD) Extremes<br />

Death Rate (%)<br />

Calves before ingestion <strong>of</strong> colostrums 10 Negative 0.18 ( 0.06) 0.1–0.25 —<br />

a<br />

Calves from production unit 60 Negative 0.35 ( 0.13) 0.11–0.63 16.7<br />

b<br />

13 Incomplete 0.60 ( 0.13) 0.42–0.85 7.7<br />

208 Positive 1.46 ( 0.63) 0.42–4.4 3.4<br />

a<br />

Samples <strong>of</strong> serum were obtained at birth, but no follow-up <strong>of</strong> calves was made.<br />

b<br />

The death rate <strong>of</strong> calves that were test-negative was signifi cantly (p 0.01) greater than that <strong>of</strong> test-positive calves, using t-test for signifi cance <strong>of</strong> differences between two percentages.<br />

D . Lipids<br />

1 . Absorption <strong>of</strong> Fats<br />

a . Luminal Phase<br />

The fat in the diet is primarily in the form <strong>of</strong> triglycerides<br />

or long-chain fatty acids. In the dog, gastric lipase<br />

plays a credible role in fat digestion, leading to the formation<br />

<strong>of</strong> fatty acids, which help coordinate gastric emptying<br />

and pancreatic secretions. In other species, the initial<br />

step in utilization <strong>of</strong> triglycerides occurs in the lumen <strong>of</strong><br />

the proximal small intestine, where hydrolysis is catalyzed<br />

by pancreatic lipase. The pancreas secretes lipase in active<br />

form. The enzyme requires an oil-water interface for activity,<br />

so only emulsions <strong>of</strong> fat can be hydrolyzed. Enzyme<br />

activity is directly related to the surface area <strong>of</strong> the emulsion,<br />

so the smaller the emulsion particle, the greater the<br />

total surface area <strong>of</strong> a given quantity <strong>of</strong> triglyceride and the<br />

greater the rate <strong>of</strong> hydrolysis ( Benzonana and Desnuelle,<br />

1965 ). Bile salts are not an absolute requirement but favor<br />

hydrolysis by their detergent action, which causes formation<br />

<strong>of</strong> emulsions with small particle sizes and by stimulating<br />

lipase activity within the physiological pH range<br />

<strong>of</strong> the duodenum. A colipase is present in the pancreatic<br />

secretion, which facilitates the interaction <strong>of</strong> lipase with its<br />

triglyceride substrate and protects lipase from inactivation<br />

( Borgstrom and Erlanson, 1971 ).<br />

Pancreatic lipase splits the ester bonds <strong>of</strong> triglycerides<br />

preferentially at the 1 and 3 positions so that the major end<br />

products <strong>of</strong> hydrolysis are 2-monoglycerides and free fatty<br />

acids. Both compounds are relatively insoluble in water but<br />

are brought rapidly into micellar solution by the detergent<br />

action <strong>of</strong> bile salts. The mixed micelles so formed have a<br />

diameter <strong>of</strong> approximately 2 nm and are believed to be the<br />

form in which the products <strong>of</strong> fat digestion are actually<br />

taken up by the mucosal cell ( H<strong>of</strong>mann and Small, 1967 ).<br />

The intraluminal events that occur in fat absorption are<br />

schematically summarized in Figure 14-6 .<br />

Conjugated<br />

bile salts<br />

(liver)<br />

Lipase<br />

(pancreas)<br />

Reabsorbed<br />

(ileum)<br />

Lumen<br />

Diglycerides<br />

Monoglycerides<br />

Fatty acids<br />

Micelle<br />

Triglycerides<br />

(stomach)<br />

Chylomicrons<br />

(lymphatics)<br />

FIGURE 14-6 Intraluminal events during fat absorption. From<br />

Isselbacher (1967) .<br />

b . Mucosal Phase<br />

The initial step in intestinal transport <strong>of</strong> fat is the uptake <strong>of</strong><br />

fatty acids and monoglycerides by the mucosal cell from<br />

micellar solution. The precise mechanism is yet unclear,<br />

but present evidence suggests that the lipid contents <strong>of</strong> the<br />

micelle are somehow discharged at the cell surface and<br />

enter the mucosal cell in molecular rather than micellar<br />

form ( Isselbacher, 1967 ). The net effect is the absorption <strong>of</strong><br />

the end products <strong>of</strong> lipolysis and the exclusion <strong>of</strong> bile salts,<br />

which are absorbed farther down the intestine, primarily<br />

in the ileum. Uptake <strong>of</strong> fatty acids appears to be a passive<br />

process having no requirement for metabolic energy.

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