The nutrition of manChittenden, R. H. (Russell Henry)
Science
The nutrition of man
Chittenden, R. H. (Russell Henry)
Nutrition
Pancreatic juice is an alkaline fluid, rather strongly alkaline
in fact, from its content of sodium carbonate, and is especially
characterized by the presence of at least three distinct enzymes;
viz., trypsin, a proteid-digesting ferment; lipase, a fat-splitting
enzyme; and amylopsin, a starch-digesting enzyme. It has already been
pointed out how dependent the secretion of pancreatic juice is upon the
co-operation of the intestinal mucous membrane. A similar dependence
is found when the digestive activity of the secretion is studied. As
just stated, pancreatic juice contains a proteid-digesting enzyme.
This statement, however, is not strictly correct, for if the secretion
is collected through a cannula so that it does not come in contact
with the mucous membrane of the intestine, it is found free from any
digestive action on proteids. The secretion is activated, however, by
contact with the duodenal membrane. Expressed in different language,
pancreatic juice as it is secreted by the gland does not contain
ready-formed trypsin; it does contain, however, an inactive pro-enzyme,
which, under the influence of a specific substance contained in the
intestinal mucous membrane, known as enterokinase, is transformed
into the active enzyme trypsin. There is thus seen another suggestive
example of the close physiological relationship between the small
intestine and the activity of the pancreatic gland, or its secretion.
The chemical changes taking place in the small intestine are many
and varied. The acid chyme, with its admixture of semi-digested food
material, as it passes through the pyloric sphincter into the small
intestine, is at once brought into immediate contact with bile,
pancreatic juice, and intestinal juice, all of which are more or less
alkaline in reaction. As a result, the acidity of the gastric juice
is rapidly overcome, and the enzyme pepsin, which up to this point
could exert its characteristic digestive action, is quickly destroyed
by the accumulating alkaline salts. Pepsin digestion thus gives way
to trypsin digestion,--most effective in an alkaline medium,--and the
proteids of the food, already semi-digested by pepsin-acid, are further
transformed by trypsin; aided and abetted by another enzyme, known as
erepsin, secreted by the mucous membrane of the intestine. These two
enzymes are much more powerful agents than pepsin. It is true that they
begin work where pepsin left off, but most striking is the character
of the end-products which result from their combined action, since they
are small molecules and there is a surprising diversity of them. In
other words, while gastric digestion breaks down the proteid foodstuffs
into soluble bodies, such as proteoses and peptones closely related
to the original proteids, in pancreatic digestion as it takes place
in the intestine there is a profound breaking down, or disruption of
the proteid molecule into a row of comparatively simple nitrogenous
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