The nutrition of manChittenden, R. H. (Russell Henry)
Science
The nutrition of man
Chittenden, R. H. (Russell Henry)
Nutrition
For years, physiologists assumed that the ordinary physical laws of
osmosis, imbibition, and diffusion were quite adequate to explain
the passage of digested food materials into the blood and lymph.
If a substance was soluble and diffusible, that was sufficient; it
would quite naturally be absorbed in harmony with its diffusion
velocity. This, however, is not wholly true, since experiment shows
that the rapidity of absorption of diffusible substances through
the wall of the intestine is by no means always proportional to the
diffusion velocity of the substance. The lining membrane of the
small intestine, where absorption mainly takes place, is not to be
compared to a dead parchment membrane. On the contrary, it is made
up of living protoplasmic cells; absorption is not a physical, but a
physiological, process, in which the living epithelium cells stand as
guardians of the portals, ready to challenge and, if need be, modify
the rate of passage. Osmosis and diffusion undoubtedly play some part
in absorption, but they alone are not sufficient to account for what
actually takes place in the absorption of digestion products, and other
substances from the living intestine.
The primary products formed in the digestion of proteid foods--the
proteoses and peptones--afford another illustration of physiological
peculiarity in absorption. These bodies are readily soluble and
quite diffusible, yet they are never found to any extent in the
circulating blood and lymph during health. It is of course possible,
as has been previously suggested, that as soon as formed they undergo
transformation into simpler decomposition products in the small
intestine; but this is by no means certain. If proteoses and peptones
are injected directly into the blood, they cause a marked disturbance,
influencing at once blood-pressure, affecting the coagulability of
the blood, and in many other ways exhibiting a pronounced deleterious
action which at once indicates they are out of their normal
environment. They are not at home in the circulating blood, and the
latter medium gets rid of them as speedily as possible; they behave
like veritable poisons, and yet they are the primary products formed
in the digestion of all proteid foodstuffs. On the basis of all
physical laws governing diffusion they should be absorbed, and help to
renew the proteids of the blood and later the proteids of the tissues.
Yet, as we have said, they are not normally present in the blood or
lymph. Apparently, in the very act of absorption, as they pass through
the epithelial cells of the intestinal wall, before they gain entrance
to the blood stream, they undergo transformation into serum-albumin
and globulin, the characteristic blood proteids. The other alternative
is that, as previously mentioned, they are completely broken down
in the intestine into amino-acids, etc., and these simpler products
synthesized, as they pass through the intestinal wall toward the blood,
into serum-albumin and globulin.
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