PhysiologyTier 1Medical Sciences concept

Carbohydrate digestion - disaccharidase products (lactose, sucrose)

Core concept

  • Only MONOSACCHARIDES are absorbed - all dietary carbohydrate must be reduced to glucose, galactose or fructose
  • Two stages
    • Luminal: salivary and pancreatic alpha-amylase -> starch to maltose, maltotriose, alpha-limit dextrins
    • Brush border: membrane-bound disaccharidases on the microvilli of the small intestinal enterocyte
DisaccharidaseSubstrateProducts
LactaseLactoseGlucose + GALACTOSE
SucraseSucroseGlucose + FRUCTOSE
Maltase / glucoamylaseMaltose, maltotrioseGlucose + glucose
Isomaltase (alpha-dextrinase)Alpha-1,6 limit dextrinsGlucose
TrehalaseTrehalose (mushrooms)Glucose + glucose
  • Transport across the enterocyte
    • Glucose and galactose -> SGLT1 (apical, Na-coupled secondary active transport)
    • Fructose -> GLUT5 (apical, facilitated - no sodium, no energy)
    • All three exit basolaterally via GLUT2

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