46.1
Types of Digestive Systems
p. 1024- Heterotrophs split three ways by food source: herbivores (plants only — snails, sapsucking insects, cows, horses, rabbits, sparrows), carnivores (crabs, squid, cats, eagles, trout, frogs), and omnivores (humans, pigs, bears, crows).
- Single-celled organisms and sponges digest intracellularly. All other multicellular animals digest extracellularly, releasing enzymes into a cavity that is continuous with the outside environment.
- Cnidarians and flatworms have a gastrovascular cavity: one opening acts as both mouth and anus. Because every cell is exposed to every stage of digestion, no regional specialization is possible. Watch The Digestive System: CrashCourse Biology #28 on YouTube, from CrashCourse
- An alimentary canal has a separate mouth and anus, so food moves one way and each region can specialize. Nematodes show the simplest version — a plain tube. Earthworms already have regions for ingestion, storage, fragmentation, digestion, and absorption. Watch The Digestive System: CrashCourse Biology #28 on YouTube, from CrashCourse
- Physical fragmentation comes from teeth (most vertebrates) or from pebbles in a gizzard (earthworms, birds). Chemical digestion is hydrolysis, liberating monosaccharides, amino acids, and fatty acids.
- Digestion products cross the gut epithelium into blood — absorption. What is not absorbed cannot be used and is excreted.
- The vertebrate GI tract runs: mouth and pharynx → esophagus → stomach → small intestine → large intestine → cloaca or rectum → anus. (from the Chapter Review, p. 1041 — p. 1025 was not photographed)
- The tract has four tissue layers from the lumen outward: mucosa, submucosa, muscularis, serosa. Watch Digestive System, Part 1: Crash Course Anatomy & Physiology #33 on YouTube, from CrashCourse
46.2
The Mouth and Teeth: Food Capture and Bulk Processing
p. 1026- Birds have no teeth; they use a two-chambered stomach where the gizzard churns swallowed pebbles against food. Food is stored in the crop.
- Chewing is mastication. Carnivores have pointed teeth for cutting and shearing and barely chew, because digestive enzymes act directly on animal cells. Herbivores must pulverize cellulose cell walls first, so they have large flat ridged grinding teeth.
- Human dentition — "carnivore in the front, herbivore in the back": four chisel-shaped incisors per jaw for biting, pointed canines for tearing, then two premolars and three molars per side with flat ridged surfaces for grinding. Watch Digestive System, Part 1: Crash Course Anatomy & Physiology #33 on YouTube, from CrashCourse
- The tongue mixes food with saliva. Humans have three pairs of salivary glands emptying through ducts into the mouth. Saliva moistens and lubricates so the bolus does not abrade the esophagus. Watch Digestive System, Part 1: Crash Course Anatomy & Physiology #33 on YouTube, from CrashCourse
- Saliva carries salivary amylase, which begins hydrolysis of starch into the disaccharide maltose. In humans this is usually minimal because people do not chew long. Watch Digestive System, Part 1: Crash Course Anatomy & Physiology #33 on YouTube, from CrashCourse
- Baseline salivation is about 0.5 mL per minute with an empty mouth. Taste and smell input drives it higher. Acidic solutions are the most potent stimulus — lemon juice can raise the rate eightfold. Sight, sound, smell, even thinking about food can trigger it.
46.3
The Esophagus and the Stomach: The Early Stages of Digestion
pp. 1027–1029- Swallowing begins voluntarily and finishes involuntarily. The soft palate elevates against the back of the pharynx, sealing the nasal cavity. Watch Gastrointestinal | Deglutition (Swallowing) on YouTube, from Ninja Nerd
- Pressure on the pharynx triggers the swallowing reflex — once started it cannot be stopped. The swallowing center in the brain raises the larynx so the glottis is pressed against the epiglottis, keeping food out of the trachea. Watch Gastrointestinal | Deglutition (Swallowing) on YouTube, from Ninja Nerd
- The human esophagus is about 25 cm. Upper third = skeletal muscle (voluntary); lower two-thirds = smooth muscle (involuntary).
- Peristalsis — successive one-directional waves of contraction — pushes the bolus to the stomach. This is why swallowing works upside down. Watch Gastrointestinal | Deglutition (Swallowing) on YouTube, from Ninja Nerd
- A sphincter of circular smooth muscle guards the stomach entrance. Rodents and horses have a true esophageal sphincter and therefore cannot regurgitate; humans lack a true one, which is why reflux and vomiting are possible.
- The stomach holds about 50 mL empty and stretches to 2–4 L full. It has a third layer of smooth muscle for churning.
- Gastric glands in the mucosa contain three secretory cell types: mucus-secreting cells (protective coating), parietal cells (HCl plus intrinsic factor), and chief cells (pepsinogen). Watch Digestive System, Part 2: Crash Course Anatomy & Physiology #34 on YouTube, from CrashCourse Watch Parietal Cell: Gastric Acid Production on YouTube, from Robinson Visual Science
- Pepsinogen carries 44 extra amino acids that block its active site. HCl removes them and unfolds the protein, exposing the site — now active pepsin. Secreting the inactive form and activating it outside the cell is what stops chief cells from digesting themselves. Watch Digestive System, Part 2: Crash Course Anatomy & Physiology #34 on YouTube, from CrashCourse
- Intrinsic factor from parietal cells is required to absorb vitamin B12 in the intestine. Too little intrinsic factor → pernicious anemia, because B12 is needed to make red blood cells.
- The stomach makes about 2 L of HCl and gastric secretions daily. HCl concentration ≈ 10 mM, roughly pH 2 — about 250,000 times more acidic than blood at pH 7.4. Watch Parietal Cell: Gastric Acid Production on YouTube, from Robinson Visual Science
- Low pH denatures food proteins and keeps pepsin maximally active. Pepsin hydrolyzes proteins into shorter polypeptides. In adult humans only proteins are partially digested here — carbohydrates and fats are not significantly digested in the stomach. Watch Digestive System, Part 2: Crash Course Anatomy & Physiology #34 on YouTube, from CrashCourse
- The mixture of partly digested food and gastric juice is chyme.
- Stomach acid kills most ingested bacteria. Survivors multiply in the large intestine; bacteria are a major component of feces.
- Peptic ulcer = acid eating a hole through the stomach or duodenal wall. The usual cause is not spicy food but infection with Helicobacter pylori, which survives the acid by buffering its own surroundings. About 20% of Americans under 40 and 50% over 60 are infected, though most never ulcerate. Antibiotics often cure it.
- Chyme exits via the pyloric sphincter. Only some water plus aspirin and alcohol are absorbed through the stomach wall itself.
46.4
The Intestines: Breakdown, Absorption, and Elimination
pp. 1029–1031- The small intestine is about 4.5 m long in a living person (6 m at autopsy once muscles relax). First 25 cm = duodenum, then jejunum, then ileum. Watch Small intestine 3: Absorption | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
- The duodenum receives acidic chyme from the stomach, enzymes and bicarbonate from the pancreas, and bile from the liver and gallbladder. Most digestion happens in the duodenum and jejunum.
- The wall carries fingerlike villi; each epithelial cell has microvilli on its apical surface — collectively the brush border. Total surface area reaches 300 m², larger than a tennis court. Watch Small intestine 3: Absorption | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
- Brush border enzymes are embedded in the epithelial membrane with active sites facing the chyme — including the disaccharidases. Many adults lose lactase and become lactose intolerant.
- Proteins are absorbed as amino acids, carbohydrates as monosaccharides, using active transport and facilitated diffusion.
- Glucose uses coupled transport with Na+ (secondary active transport). Fructose uses facilitated diffusion. Most amino acids use active transport, some cotransported with Na+. Watch Small intestine 3: Absorption | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
- Sugars and amino acids cross the basolateral membrane into blood capillaries in the villus, then travel by the hepatic portal vein to the liver. A portal vein connects two capillary beds instead of returning to the heart — so the liver screens almost everything absorbed, except fat. Watch Liver Physiology on YouTube, from Armando Hasudungan
- Fats take a separate route: triglycerides are hydrolyzed to fatty acids and monoglycerides, which are nonpolar and enter by simple diffusion. Inside the cell they are rebuilt into triglycerides, coated with protein to form chylomicrons, which are too big for blood capillaries and enter lymphatic capillaries instead, emptying into veins near the neck. That is why plasma looks cloudy after a fatty meal. Watch Bile Acids, Bile Salts — Lipid Emulsification — Liver & Gallbladder — GI Physiology & Biochemistry on YouTube, from Medicosis Perfectionalis
- About 9 L of fluid passes through the small intestine daily. Roughly 8.5 L is absorbed there and 350 mL more in the large intestine; only about 50 g of solid and 100 mL of liquid leave as feces — nearly 99% efficiency.
- The large intestine (colon) occupies the last meter or so. It is "large" in diameter, not length. At the junction sit two vestigial structures, the cecum and appendix. Watch Colon, rectum, and anus | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
- No digestion happens in the large intestine, and only about 4% of intestinal fluid absorption. It has no villi and under 1/30 the absorptive surface of the small intestine. Its jobs: absorb water, remaining electrolytes, and bacterial products including vitamin K. Watch Colon, rectum, and anus | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
- Colonic bacteria ferment fiber, producing about 500 mL of gas per day, much more after beans or other high-fiber vegetables.
- The human colon evolved for a high-fiber diet. Low-fiber diets slow transit and are thought to be linked to the very high U.S. rate of colon cancer.
- Feces pass to the rectum and out the anus, which has two sphincters: an inner smooth muscle one that opens involuntarily with rectal pressure, and an outer striated muscle one under voluntary control. Watch Colon, rectum, and anus | Gastrointestinal system physiology | NCLEX-RN | Khan Academy on YouTube, from khanacademymedicine
46.5
Accessory Organ Function
pp. 1032–1033- The accessory organs are the pancreas, liver, and gallbladder (plus salivary glands). They empty secretions through ducts into the small intestine. Watch Endocrinology | Pancreas: Overview on YouTube, from Ninja Nerd
- As an exocrine gland the pancreas sends pancreatic fluid down the pancreatic duct into the duodenum: trypsin and chymotrypsin (proteins), pancreatic amylase (starch), and lipase (fat). Watch Endocrinology | Pancreas: Overview on YouTube, from Ninja Nerd
- Pancreatic fluid also carries bicarbonate, which neutralizes stomach HCl and makes duodenal chyme slightly alkaline. Enzymes and bicarbonate come from secretory cell clusters called acini. Watch Endocrinology | Pancreas: Overview on YouTube, from Ninja Nerd
- Enzymes leave as inactive zymogens so the pancreas does not digest itself. Trypsinogen is cleaved by the brush border enzyme enterokinase into active trypsin; trypsin then activates the rest. Carboxypeptidases and aminopeptidases finish polypeptides. Watch Endocrinology | Pancreas: Overview on YouTube, from Ninja Nerd
- As an endocrine gland the pancreas secretes hormones from the islets of Langerhans — β cells make insulin, α cells make glucagon. Watch Endocrinology | Pancreas: Overview on YouTube, from Ninja Nerd Watch Insulin and glucagon | Chemical Processes | MCAT | Khan Academy on YouTube, from khanacademymedicine
- The liver is the largest internal organ, about 1.5 kg. It detoxifies, synthesizes proteins, and stores glycogen. Chronic alcohol abuse overwhelms it → cirrhosis → liver failure. Watch Liver Physiology on YouTube, from Armando Hasudungan
- Its main exocrine product is bile: bile pigments (waste from destroying old red blood cells — no digestive role) plus bile salts. Blocked pigment excretion stains tissues yellow — jaundice. Watch Bile Acids, Bile Salts — Lipid Emulsification — Liver & Gallbladder — GI Physiology & Biochemistry on YouTube, from Medicosis Perfectionalis
- Bile salts are partly lipid-soluble and partly water-soluble, so they act like detergents, breaking large fat drops into a fine suspension. This emulsification multiplies the surface area available to lipase. Watch Bile Acids, Bile Salts — Lipid Emulsification — Liver & Gallbladder — GI Physiology & Biochemistry on YouTube, from Medicosis Perfectionalis
- Bile is stored and concentrated in the gallbladder. Fatty food in the duodenum triggers gallbladder contraction, pushing bile down the common bile duct. Gallstones are hardened cholesterol precipitates; a blocked duct makes contraction intensely painful, often felt in the back. Watch Bile Acids, Bile Salts — Lipid Emulsification — Liver & Gallbladder — GI Physiology & Biochemistry on YouTube, from Medicosis Perfectionalis
- Because the hepatic portal vein delivers gut blood straight to the liver, the liver chemically modifies absorbed substances before the rest of the body sees them — including alcohol and drugs, which is why it takes the damage. Watch Liver Physiology on YouTube, from Armando Hasudungan
- The liver converts toxic ammonia from intestinal bacteria into urea, which blood can carry safely at higher concentration. It also converts steroid hormones into less active water-soluble forms for excretion in bile or urine. Watch Liver Physiology on YouTube, from Armando Hasudungan
- The liver makes most plasma proteins. These maintain osmotic balance between blood and interstitial fluid; if they drop too low (as in cirrhosis) fluid pools in tissues — edema. Watch Liver Physiology on YouTube, from Armando Hasudungan
- Blood glucose control: after a carbohydrate meal, insulin from β cells drives liver and skeletal muscle to store glucose as glycogen. Watch Insulin and glucagon | Chemical Processes | MCAT | Khan Academy on YouTube, from khanacademymedicine
- Between meals, glucagon from α cells drives glycogenolysis — glycogen → glucose 6-phosphate, then the phosphate is removed and free glucose enters the blood. Watch Insulin and glucagon | Chemical Processes | MCAT | Khan Academy on YouTube, from khanacademymedicine
- Skeletal muscle lacks the enzyme to remove that phosphate, so muscle glycogen can never raise blood glucose. Muscle can still burn it, because glucose 6-phosphate is already the product of the first step of glycolysis.
- If fasting continues, the liver makes glucose from amino acids and lactic acid — gluconeogenesis. The amino acids come from muscle protein, which is why prolonged fasting wastes muscle. Watch Insulin and glucagon | Chemical Processes | MCAT | Khan Academy on YouTube, from khanacademymedicine
46.6
Neural and Hormonal Regulation of the Digestive Tract
p. 1034- The nervous system triggers salivary and gastric secretion from the sight, smell, and taste of food, and from food arriving in the stomach.
- Protein in the stomach stimulates gastrin, which drives the gastric glands to secrete pepsinogen and HCl. The resulting drop in pH then inhibits further gastrin release — a negative feedback loop keeping acid under tight control. Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd
- Chyme entering the duodenum inhibits stomach contractions so no more arrives until the last batch is processed. This is done by a neural reflex plus duodenal hormones collectively called enterogastrones. Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd
- The three major enterogastrones are cholecystokinin (CCK), secretin, and gastric inhibitory peptide (GIP). Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd
- Stimulus split worth memorizing: high fat content is the strongest stimulus for CCK and GIP; rising acidity is what triggers secretin. Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd
- All three inhibit gastric motility and gastric secretion. The consequence: fatty meals sit in the stomach longer, buying time to digest complex fats.
- CCK additionally stimulates pancreatic digestive enzyme secretion and makes the gallbladder contract, injecting bile for emulsification. Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd Watch Bile Acids, Bile Salts — Lipid Emulsification — Liver & Gallbladder — GI Physiology & Biochemistry on YouTube, from Medicosis Perfectionalis
- Secretin additionally stimulates the pancreas to release bicarbonate, neutralizing chyme acidity. Secretin holds the distinction of being the first hormone ever discovered (1902). Watch Gastrointestinal | Gastric Secretion: The Intestinal Phase on YouTube, from Ninja Nerd
46.7
Food Energy, Energy Expenditure, and Essential Nutrients
pp. 1035–1038- Food does two things: supplies energy, and supplies raw materials the animal cannot make itself.
- Basal metabolic rate (BMR) is the minimum energy consumption under defined resting conditions. It is fairly constant per individual, depending on age, sex, and body size.
- Exercise does not change BMR, but it adds to total daily expenditure. Excess intake is stored first as glycogen, but glycogen reserves are limited, so sustained excess becomes fat.
- Energy is measured in kilocalories (1 kcal = 1000 calories; the nutritionists' "Calorie" with a capital C). Measured by burning food in a calorimeter. Human daily expenditure ranges roughly 1300–5000 kcal.
- Obesity results when intake exceeds expenditure for a sustained period. About 39% of U.S. adults aged 40–59 are classified obese; including 20–40 year olds it is about 35%.
- Rodent work: the ob gene encodes leptin. Mice homozygous for the recessive mutant become obese; injecting leptin makes them stop overeating and lose about 30% of body weight in two weeks. The db gene encodes the leptin receptor, expressed in hypothalamic neurons.
- Leptin is produced by adipose tissue in proportion to body fat and is the main afferent satiety signal into the CNS. Fasting lowers it (signalling "eat"); refeeding raises it fast (killing appetite).
- Critical human twist: obese people have higher leptin and their leptin is normal. Human obesity mostly reflects reduced sensitivity to leptin in the brain, not a shortage of it.
- Insulin also signals satiety; its levels fall with fasting and rise with obesity, though its primary job is glucose homeostasis.
- Gut hormones give short-term control: GIP and CCK have hypothalamic receptors and inhibit feeding like leptin; ghrelin does the opposite and stimulates feeding. Ghrelin rises before meals and may initiate eating. Gastric bypass surgery lowers ghrelin, one proposed reason appetite drops afterward.
- In the hypothalamus two antagonistic neuropeptides act: neuropeptide Y (NPY) induces feeding, and α-melanocyte-stimulating hormone (α-MSH) suppresses it. Leptin stimulates α-MSH and suppresses NPY.
- High leptin and insulin → more α-MSH, less NPY → less appetite, more energy expenditure, reproduction and growth allowed. Persistently low leptin inhibits reproduction and growth.
- Essential nutrients are substances the body needs but cannot synthesize. Humans need at least 13 vitamins. Watch Introduction to vitamins and minerals | Biology foundations | High school biology | Khan Academy on YouTube, from Khan Academy
- Humans, apes, monkeys, and guinea pigs cannot make ascorbic acid (vitamin C); deficiency causes scurvy, degeneration of connective tissue. Watch Introduction to vitamins and minerals | Biology foundations | High school biology | Khan Academy on YouTube, from Khan Academy
- Humans require 9 essential amino acids. Strict vegetarians must combine foods so one complements another, and may need supplements for some B vitamins.
- All vertebrates need certain long-chain unsaturated fatty acids from food. Interestingly vertebrates can make cholesterol while some carnivorous insects cannot.
- Minerals (calcium, magnesium, phosphorus) and trace elements (zinc, molybdenum) come ultimately from plants. Watch Introduction to vitamins and minerals | Biology foundations | High school biology | Khan Academy on YouTube, from Khan Academy
46.8
Variations in Vertebrate Digestive Systems
pp. 1039–1041- No animal makes cellulase. Animals that live on cellulose host bacteria and protists that do — a mutually beneficial symbiosis. Watch Digestive Physiology of the Ruminant on YouTube, from Mike Hutjens
- Because cellulose resists digestion, herbivores have much longer digestive tracts than carnivores, buying time.
- Ruminants (cows, deer) have a four-chambered stomach: rumen, reticulum, omasum, then the true stomach, the abomasum — the only chamber that secretes gastric juice. Watch Digestive Physiology of the Ruminant on YouTube, from Mike Hutjens
- The rumen can hold up to 50 gallons and works as a fermentation vat. Because it sits at the front, contents can be regurgitated and rechewed — rumination, "chewing the cud" — which shreds fiber and increases surface area for microbes. Watch Digestive Physiology of the Ruminant on YouTube, from Mike Hutjens
- Foregut fermentation evolved convergently many times: hippopotamuses, langur monkeys, sloths, kangaroos, and the hoatzin all enlarged the stomach, though the four-chambered version evolved only once.
- Striking molecular convergence: lysozyme, normally an antibacterial enzyme in saliva and tears, was repurposed to digest stomach bacteria in both ruminants and the leaf-eating langur monkey — via the same five amino acid changes. Their lysozymes resemble each other more than those of closer relatives.
- Rodents, horses, and lagomorphs instead ferment in a greatly enlarged cecum. Because the cecum is beyond the stomach, regurgitation is impossible. Watch Digestive Physiology of the Ruminant on YouTube, from Mike Hutjens
- Rodents and lagomorphs solve this with coprophagy — eating nutrient-rich feces so food passes through twice, absorbing what cecal microbes produced. Prevented from doing so, they cannot stay healthy.
- Insectivores and carnivores have little or no cecum.
- All mammals rely on intestinal bacteria to synthesize vitamin K, needed for blood clotting. Birds lack these bacteria and must eat it. Prolonged antibiotics can require vitamin K supplementation. Watch Introduction to vitamins and minerals | Biology foundations | High school biology | Khan Academy on YouTube, from Khan Academy