Protein digestion and absorption
Also known as: proteolysis, pepsin, trypsin, enteropeptidase, PepT1
Proteins are denatured by gastric acid and hydrolysed in turn by pepsin, then by pancreatic proteases activated through enteropeptidase and trypsin, and finally by brush-border peptidases. The products are absorbed as amino acids and di- and tripeptides.
Overview
Gastric phase. HCl denatures proteins, and pepsin, an endopeptidase working best at about pH 2, cleaves them into large polypeptides. Pepsin accounts for about 10–20% of protein digestion and is important for digesting collagen in meat. Protein digestion can still be completed without it.
Pancreatic phase. In the duodenum, brush-border enteropeptidase (enterokinase) converts trypsinogen to trypsin. Trypsin then activates more trypsinogen and the other zymogens. The endopeptidases cleave interior bonds: trypsin after basic residues (Arg, Lys), chymotrypsin after aromatic residues (Phe, Tyr, Trp), and elastase after small neutral residues. The exopeptidases remove C-terminal residues: carboxypeptidase A takes neutral and aromatic residues, and carboxypeptidase B takes basic ones. The result is a mix of oligopeptides and free amino acids.
Brush-border and cellular phase. Aminopeptidases, dipeptidyl peptidases and dipeptidases reduce oligopeptides to di- and tripeptides and free amino acids. Free amino acids enter enterocytes on several carriers, mostly Na⁺-coupled, with separate systems for neutral, basic, acidic and imino amino acids. Di- and tripeptides enter faster, on the H⁺-coupled transporter PepT1; NHE3 maintains the H⁺ gradient. Cytosolic peptidases hydrolyse them, and amino acids leave the basolateral membrane into the portal blood.
Digestion is extremely efficient. Endogenous protein from secreted enzymes and shed cells is digested and recycled along with dietary protein, and over 95% is absorbed, mainly in the duodenum and jejunum.
Parts & subdivisions
- Gastric endopeptidase (chief cells), active in acid.
- Pancreatic proteases secreted as zymogens.
- Duodenal brush-border enzyme that starts the activation cascade by converting trypsinogen to trypsin.
- Final hydrolysis and peptide uptake.
Function
- Converts dietary and endogenous proteins into absorbable amino acids and small peptides.
Clinical significance
Inherited amino-acid transport defects
In Hartnup disease the neutral amino-acid transporter B⁰AT1 (SLC6A19) is defective in gut and kidney. Tryptophan malabsorption leads to niacin deficiency with a pellagra-like rash and ataxia. In cystinuria the dibasic transporter for cystine, ornithine, lysine and arginine ("COLA") is defective, causing cystine kidney stones. Patients stay well nourished because the same amino acids can still be absorbed as peptides via PepT1.
Pancreatic insufficiency and enteropeptidase deficiency
Without pancreatic proteases, undigested protein appears in the stool (creatorrhoea) and malnutrition follows. Congenital enteropeptidase deficiency causes failure to thrive, diarrhoea and hypoproteinaemic oedema in infancy.
Test yourself
Which enzyme starts the activation cascade of pancreatic proteases?
- Enteropeptidase (enterokinase)
- Pepsin
- Chymotrypsin
- Carboxypeptidase B
Answer: Enteropeptidase (enterokinase)
Duodenal brush-border enteropeptidase converts trypsinogen to trypsin. Trypsin then activates more trypsinogen and all the other zymogens (chymotrypsinogen, proelastase, procarboxypeptidases, procolipase, prophospholipase).
Compiled from standard anatomy and physiology references — see the Digestive System sources. For education only; not medical advice.