Conservation of digestive enzymes.
Stephen Rothman1, Charles Liebow, Lois Isenman
1Dept. of Physiology, University of California-San Francisco, San Francisco, California 94143-0444, USA. rothman@itsa.ucsf.edu
Digestive enzymes may be reabsorbed and reused by the pancreas, challenging the idea that new enzymes are needed for every meal. This enteropancreatic circulation conserves valuable digestive enzymes.
Area of Science:
- Gastroenterology
- Digestive Physiology
- Pancreatic Function
Background:
- The pancreas secretes digestive enzymes into the small intestine for nutrient breakdown.
- Enzymes were traditionally believed to be fully degraded into amino acids after a single use.
- This necessitates continuous enzyme synthesis for each meal.
Purpose of the Study:
- To review experimental evidence questioning the traditional view of digestive enzyme turnover.
- To explore the concept of digestive enzyme reabsorption and reutilization.
Main Methods:
- Review of existing experimental studies on digestive enzyme fate.
- Analysis of data suggesting enzyme absorption and pancreatic reaccumulation.
Main Results:
- Evidence indicates that digestive enzymes can be absorbed from the intestine into the bloodstream.
- The pancreas can reaccumulate these enzymes for subsequent secretion.
- This suggests a cyclical process, termed enteropancreatic circulation.
Conclusions:
- The traditional model of complete digestive enzyme degradation may be incomplete.
- An enteropancreatic circulation of digestive enzymes exists, allowing for enzyme reutilization.
- This reutilization has significant implications for understanding digestive efficiency and pancreatic load.
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