Digestion (Homo sapiens)

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3912, 20, 3235254120, 343320, 3420, 345, 17, 315, 17, 312, 6, 18, 19, 42...12, 2014, 21, 23, 28, 30...1524, 37273, 20, 26, 29, 40...8, 20, 22, 447, 10, 13, 36, 3820, 3416, 359, 1116, 35nucleoplasmcytosolH2ON-seryl-glycosylphosphatidylinositolethanolamine-TREHMGAM dimerAlcoholH2Odigestive LIPsAMY2B glycerolPiPNLIPRP2 ALPI:2Ca2+:Mg2+dimersucrase-isomaltasedimerPNLIPRP2-likeproteinsH2OCOPIRH2OH2OH2OGalPNLIP LCFAsstarch (amylopectin)alpha,alpha-trehaloseLCFAsCEL LCT dimerGCCA DAGsPNLIPRP1 SucAMY2A GlcNAc-beta1,4-GlcNAcSI(1-1006) CHITGUCY2C trimerCDCA Zn2+ PNLIP:CLPSLCT chitinADGPMalSI(1007-1826) quercetinMAGSI(1007-1826) atROLMGAM Ca2+ MGAM dimerH2OPALMiMalCCA MGAM LacGUCY2Ctrimer:GUCA2A,BCHIATCCA phosphate monoesterGlcNAc-beta1,4-GlcNAc-beta1,4-GlcNAcsucrase-isomaltasedimer2PCPGCACHIT1CHESTH2OPNLIPRP3 GUCA2B(97-112) maltotrioseSI(1007-1826) GUCA2B(97-112) TAGsO2GUCA2A,BH2Olimit dextrinsAMY1A GCDCA DAGsFrusucrase-isomaltasedimerGUCY2C H2OALPI H2OCLPS AMY1B(16-511) GUCA2A(22-115) GUCY2C H2Ostarch (amylose)alpha-amylaseRPALMGlcSI(1-1006) SI(1-1006) PNLIP CHOLLIPF GUCA2A(22-115) MAGdimerized CEL:bilesalt complexTCDCA 2222262922


Description

Dietary carbohydrates, fats, and proteins must be broken down to their constituent monosaccharides, fatty acids and sterols, and amino acids, respectively, before they can be absorbed in the intestine.
Dietary lipids such as long-chain triacylglycerols and cholesterol esters are hydrolyzed in the stomach and small intestine to yield long-chain fatty acids, monoacylglycerols, glycerol and cholesterol through the action of a variety of lipases, and are then absorbed into enterocytes.
Carbohydrates include starch (amylose and amylopectin) and disaccharides such as sucrose, lactose, maltose and, in small amounts, trehalose. The digestion of starch begins with the action of amylase enzymes secreted in the saliva and small intestine, which convert it to maltotriose, maltose, limit dextrins, and some glucose. Digestion of the limit dextrins and disaccharides, both dietary and starch-derived, to monosaccharides - glucose, galactose, and fructose - is accomplished by enzymes located on the luminal surfaces of enterocytes lining the microvilli of the small intestine.
Dietary protein is hydrolyzed to dipeptides and amino acids by the action of pepsin in the stomach and an array of intestinal hydrolases. All of these enzymes are released in inactive (proenzyme) forms and activated by proteolytic cleavage within the gastrointestinal lumen (Van Beers et al. 1995; Yamada 2015). View original pathway at Reactome.

Comments

Reactome-Converter 
Pathway is converted from Reactome ID: 8935690
Reactome-version 
Reactome version: 75
Reactome Author 
Reactome Author: Jassal, Bijay

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Bibliography

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History

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CompareRevisionActionTimeUserComment
115013view16:54, 25 January 2021ReactomeTeamReactome version 75
113457view11:53, 2 November 2020ReactomeTeamReactome version 74
112657view16:04, 9 October 2020ReactomeTeamReactome version 73
101573view11:44, 1 November 2018ReactomeTeamreactome version 66
101109view21:27, 31 October 2018ReactomeTeamreactome version 65
100638view20:01, 31 October 2018ReactomeTeamreactome version 64
100188view16:46, 31 October 2018ReactomeTeamreactome version 63
99738view15:13, 31 October 2018ReactomeTeamreactome version 62 (2nd attempt)
99305view12:46, 31 October 2018ReactomeTeamreactome version 62
93549view11:26, 9 August 2017ReactomeTeamNew pathway

External references

DataNodes

View all...
NameTypeDatabase referenceComment
2PCPGCAMetaboliteCHEBI:16068 (ChEBI)
ADGPMetaboliteCHEBI:47977 (ChEBI)
ALPI ProteinP09923 (Uniprot-TrEMBL)
ALPI:2Ca2+:Mg2+ dimerComplexR-HSA-8878786 (Reactome)
AMY1A ProteinP04745 (Uniprot-TrEMBL)
AMY1B(16-511) ProteinQ5T084 (Uniprot-TrEMBL)
AMY2A ProteinP04746 (Uniprot-TrEMBL)
AMY2B ProteinP19961 (Uniprot-TrEMBL)
AlcoholMetaboliteCHEBI:30879 (ChEBI)
CCA MetaboliteCHEBI:16359 (ChEBI)
CDCA MetaboliteCHEBI:16755 (ChEBI)
CEL ProteinP19835 (Uniprot-TrEMBL)
CHESTMetaboliteCHEBI:17002 (ChEBI)
CHIAProteinQ9BZP6 (Uniprot-TrEMBL)
CHIT1ProteinQ13231 (Uniprot-TrEMBL)
CHITMetaboliteCHEBI:84373 (ChEBI)
CHOLMetaboliteCHEBI:16113 (ChEBI)
CLPS ProteinP04118 (Uniprot-TrEMBL)
COMetaboliteCHEBI:17245 (ChEBI)
Ca2+ MetaboliteCHEBI:29108 (ChEBI)
DAGsMetaboliteCHEBI:18035 (ChEBI)
FruMetaboliteCHEBI:15824 (ChEBI)
GCCA MetaboliteCHEBI:17687 (ChEBI)
GCDCA MetaboliteCHEBI:36274 (ChEBI)
GUCA2A(22-115) ProteinQ02747 (Uniprot-TrEMBL)
GUCA2A,BComplexR-HSA-8936209 (Reactome)
GUCA2B(97-112) ProteinQ16661 (Uniprot-TrEMBL)
GUCY2C trimer:GUCA2A,BComplexR-HSA-8936204 (Reactome)
GUCY2C ProteinP25092 (Uniprot-TrEMBL)
GUCY2C trimerComplexR-HSA-8936213 (Reactome)
GalMetaboliteCHEBI:17118 (ChEBI)
GlcMetaboliteCHEBI:17925 (ChEBI)
GlcNAc-beta1,4-GlcNAc-beta1,4-GlcNAcMetaboliteCHEBI:86362 (ChEBI)
GlcNAc-beta1,4-GlcNAcMetaboliteCHEBI:86361 (ChEBI)
H2OMetaboliteCHEBI:15377 (ChEBI)
LCFAsMetaboliteCHEBI:15904 (ChEBI)
LCT ProteinP09848 (Uniprot-TrEMBL)
LCT dimerComplexR-HSA-189026 (Reactome)
LIPF ProteinP07098 (Uniprot-TrEMBL)
LacMetaboliteCHEBI:17716 (ChEBI)
MAGMetaboliteCHEBI:17408 (ChEBI)
MGAM ProteinO43451 (Uniprot-TrEMBL)
MGAM dimerComplexR-HSA-189009 (Reactome)
MalMetaboliteCHEBI:17306 (ChEBI)
N-seryl-glycosylphosphatidylinositolethanolamine-TREHProteinO43280 (Uniprot-TrEMBL)
O2MetaboliteCHEBI:15379 (ChEBI)
PALMMetaboliteCHEBI:15756 (ChEBI)
PIRProteinO00625 (Uniprot-TrEMBL)
PNLIP ProteinP16233 (Uniprot-TrEMBL)
PNLIP:CLPSComplexR-HSA-192466 (Reactome)
PNLIPRP1 ProteinP54315 (Uniprot-TrEMBL)
PNLIPRP2 ProteinP54317 (Uniprot-TrEMBL)
PNLIPRP2-like proteinsComplexR-HSA-3902875 (Reactome) This CandidateSet contains sequences identified by William Pearson's analysis of Reactome catalyst entities. Catalyst entity sequences were used to identify analagous sequences that shared overall homology and active site homology. Sequences in this Candidate set were identified in an April 24, 2012 analysis.
PNLIPRP3 ProteinQ17RR3 (Uniprot-TrEMBL)
PiMetaboliteCHEBI:43474 (ChEBI)
RPALMMetaboliteCHEBI:17616 (ChEBI)
SI(1-1006) ProteinP14410 (Uniprot-TrEMBL)
SI(1007-1826) ProteinP14410 (Uniprot-TrEMBL)
SucMetaboliteCHEBI:17992 (ChEBI)
TAGsMetaboliteCHEBI:17855 (ChEBI)
TCCA MetaboliteCHEBI:28865 (ChEBI)
TCDCA MetaboliteCHEBI:9407 (ChEBI)
Zn2+ MetaboliteCHEBI:29105 (ChEBI)
alpha,alpha-trehaloseMetaboliteCHEBI:16551 (ChEBI)
alpha-amylaseComplexR-HSA-189046 (Reactome)
atROLMetaboliteCHEBI:17336 (ChEBI)
chitinR-ALL-6786438 (Reactome)
digestive LIPsComplexR-HSA-8979998 (Reactome)
dimerized CEL:bile salt complexComplexR-HSA-192480 (Reactome)
glycerolMetaboliteCHEBI:17754 (ChEBI)
iMalMetaboliteCHEBI:28189 (ChEBI)
limit dextrinsMetaboliteCHEBI:28912 (ChEBI)
maltotrioseMetaboliteCHEBI:27931 (ChEBI)
phosphate monoesterMetaboliteCHEBI:7794 (ChEBI)
quercetinMetaboliteCHEBI:16243 (ChEBI)
starch (amylopectin)R-ALL-189071 (Reactome)
starch (amylose)R-ALL-189075 (Reactome)
sucrase-isomaltase dimerComplexR-HSA-189082 (Reactome)

Annotated Interactions

View all...
SourceTargetTypeDatabase referenceComment
2PCPGCAArrowR-HSA-8953398 (Reactome)
ADGPArrowR-HSA-6786652 (Reactome)
ALPI:2Ca2+:Mg2+ dimermim-catalysisR-HSA-8878787 (Reactome)
AlcoholArrowR-HSA-8878787 (Reactome)
CHESTR-HSA-192417 (Reactome)
CHIAmim-catalysisR-HSA-6786421 (Reactome)
CHIT1mim-catalysisR-HSA-6786652 (Reactome)
CHITR-HSA-6786652 (Reactome)
CHOLArrowR-HSA-192417 (Reactome)
COArrowR-HSA-8953398 (Reactome)
DAGsArrowR-HSA-192422 (Reactome)
DAGsArrowR-HSA-192430 (Reactome)
DAGsArrowR-HSA-192475 (Reactome)
DAGsArrowR-HSA-8979996 (Reactome)
DAGsR-HSA-192434 (Reactome)
FruArrowR-HSA-189069 (Reactome)
GUCA2A,BR-HSA-8936214 (Reactome)
GUCY2C trimer:GUCA2A,BArrowR-HSA-8936214 (Reactome)
GUCY2C trimerR-HSA-8936214 (Reactome)
GalArrowR-HSA-189062 (Reactome)
GlcArrowR-HSA-188985 (Reactome)
GlcArrowR-HSA-189053 (Reactome)
GlcArrowR-HSA-189062 (Reactome)
GlcArrowR-HSA-189069 (Reactome)
GlcArrowR-HSA-189102 (Reactome)
GlcArrowR-HSA-191101 (Reactome)
GlcArrowR-HSA-191108 (Reactome)
GlcArrowR-HSA-191116 (Reactome)
GlcArrowR-HSA-5659861 (Reactome)
GlcNAc-beta1,4-GlcNAc-beta1,4-GlcNAcArrowR-HSA-6786421 (Reactome)
GlcNAc-beta1,4-GlcNAcArrowR-HSA-6786421 (Reactome)
H2OR-HSA-188979 (Reactome)
H2OR-HSA-188985 (Reactome)
H2OR-HSA-189053 (Reactome)
H2OR-HSA-189062 (Reactome)
H2OR-HSA-189069 (Reactome)
H2OR-HSA-189102 (Reactome)
H2OR-HSA-191101 (Reactome)
H2OR-HSA-191108 (Reactome)
H2OR-HSA-191114 (Reactome)
H2OR-HSA-191116 (Reactome)
H2OR-HSA-192417 (Reactome)
H2OR-HSA-192422 (Reactome)
H2OR-HSA-192425 (Reactome)
H2OR-HSA-192430 (Reactome)
H2OR-HSA-192434 (Reactome)
H2OR-HSA-192475 (Reactome)
H2OR-HSA-5659861 (Reactome)
H2OR-HSA-6786421 (Reactome)
H2OR-HSA-6786652 (Reactome)
H2OR-HSA-8878787 (Reactome)
H2OR-HSA-8979996 (Reactome)
H2OR-HSA-975593 (Reactome)
LCFAsArrowR-HSA-192417 (Reactome)
LCFAsArrowR-HSA-192422 (Reactome)
LCFAsArrowR-HSA-192425 (Reactome)
LCFAsArrowR-HSA-192430 (Reactome)
LCFAsArrowR-HSA-192434 (Reactome)
LCFAsArrowR-HSA-192475 (Reactome)
LCFAsArrowR-HSA-8979996 (Reactome)
LCT dimermim-catalysisR-HSA-189062 (Reactome)
LacR-HSA-189062 (Reactome)
MAGArrowR-HSA-192434 (Reactome)
MAGR-HSA-192425 (Reactome)
MGAM dimermim-catalysisR-HSA-189102 (Reactome)
MGAM dimermim-catalysisR-HSA-191116 (Reactome)
MalArrowR-HSA-188979 (Reactome)
MalArrowR-HSA-189053 (Reactome)
MalArrowR-HSA-191101 (Reactome)
MalArrowR-HSA-191114 (Reactome)
MalArrowR-HSA-191116 (Reactome)
MalR-HSA-189102 (Reactome)
MalR-HSA-191108 (Reactome)
N-seryl-glycosylphosphatidylinositolethanolamine-TREHmim-catalysisR-HSA-188985 (Reactome)
O2R-HSA-8953398 (Reactome)
PALMArrowR-HSA-975593 (Reactome)
PIRmim-catalysisR-HSA-8953398 (Reactome)
PNLIP:CLPSmim-catalysisR-HSA-192422 (Reactome)
PNLIP:CLPSmim-catalysisR-HSA-192434 (Reactome)
PNLIP:CLPSmim-catalysisR-HSA-975593 (Reactome)
PNLIPRP2-like proteinsmim-catalysisR-HSA-192475 (Reactome)
PiArrowR-HSA-8878787 (Reactome)
R-HSA-188979 (Reactome) Extracellular amylose starch, linear polymers of glucose joined by alpha-1,4 linkages, is digested by the endoglucosidase activity of alpha-amylases, yielding maltose, maltotriose, and longer maltosides. The human genome contains five functional alpha-amylase genes, encoding structurally closely related isoenzymes (Gumucio et al. 1988). Three of these genes encode proteins synthesized in the parotid glands and released into the saliva (amylase 1A, B, and C), and the other two encode proteins synthesized in the exocrine pancreas and released into the small intestine (amylase 2A and B). In the human body, starch digestion thus commences in the mouth, mediated by salivary amylases, and is continued in the small intestine, mediated by the pancreatic ones.

X-ray crystallographic studies of amylase 1A and 2A proteins show them to be monomers, complexed with single calcium and chloride ions (Ramasubbu et al. 1996; Brayer et al. 2000). Biochemical characterization of amylase 2A indicates that the enzyme efficiently cleaves poly-glucose chains so as to release maltose - a glucose disaccharide - from the reducing end of the chain (Braun et al. 1993; Brayer et al. 2000).

R-HSA-188985 (Reactome) Extracellular trehalose, a disaccharide, is cleaved by trehalase associated with the plasma membrane to yield two molecules of glucose. Trehalase has been purified to homogeneity from rabbit intestine and shown to be a monomer attached to the plasma membrane by a GPI anchor (Galand 1984; Ruf et al. 1990). A human cDNA encoding a closely homologous protein has been cloned and its protein product has been shown to have trehalase activity in vitro (Ishihara et al. 1997). The human enzyme has not been characterized further, and so both the posttranslational modifications of the human enzyme and its activity in vivo have been inferred from the properties of the well studied rabbit enzyme.

Trehalase deficiency has been described in two isolated cases in Europe (Bergoz 1971; Madzarovovà-Nohejlova 1973) and at high frequency in a population of Greenland natives (Gudmand-Hoyer et al. 1988) but molecular defects responsible for the deficiency have not yet been described so it is not annotated in Reactome.

R-HSA-189053 (Reactome) The 1-6 linkages in extracellular limit dextrins are hydrolyzed by sucrase-isomaltase to yield maltose, maltotriose, longer maltosides, and glucose (Conklin et al. 1975; Nichols et al. 1998). In the body, this enzyme is found on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985), and acts on limit dextrins generated by the hydrolysis of amylopectin starch.
R-HSA-189062 (Reactome) Extracellular lactose is hydrolyzed to yield molecules of glucose and galactose, in a reaction catalyzed by the lactase activity of lactase-phlorizin hydrolase associated with the plasma membrane. In the body, lactase-phlorzin hydrolase is found on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985). Expression of the enzyme is developmentally regulated and subject to a genetic polymorphism: enzyme levels fall after weaning but the extent of the fall varies sharply between human populations (Grand et al. 2003; Swallow 2003). The lactase-phlorizin hydrolase polypeptide undergoes dimerization and two rounds of proteolytic cleavage in the course of its maturation and transport to the cell surface (Grunberg and Sterchi 1995; Wuthrich et al. 1996; Behrendt et al. 2010).
R-HSA-189069 (Reactome) Extracellular sucrose is hydrolyzed to yield glucose and fructose in a reaction catalyzed by the sucrase domain of sucrase-isomaltase (Conklin et al. 1975). In the body, this enzyme is found on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985). The sucrase-isomaltase polypeptide is cleaved into its sucrase and isomaltase domains, which remain associated and, by analogy to the corresponding pig enzyme, are thought to dimerize (Cowell et al. 1986).
R-HSA-189102 (Reactome) The alpha-1,4 linkages of extracellular maltose are hydrolyzed to yield glucose in a reaction catalyzed by maltase-glucoamylase (Nichols et al. 1998; Semenza et al. 2001). In the body, this enzyme is found as a dimer on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985), and acts on maltose derived directly from the diet and from the hydrolysis of starch.
R-HSA-191101 (Reactome) Maltotriose is representative of linear glucose oligomers containing more than two residues. The 1-4 linkages of extracellular maltotriose are hydrolyzed to yield maltose and glucose in a reaction catalyzed by the exoglucosidase activity of sucrase-isomaltase (Nichols et al. 1998). In the body, this enzyme is found as a heterodimer on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985), and acts on maltotriose derived directly from the diet and from the hydrolysis of starch, although with lower activity than maltase-glucoamylase.
R-HSA-191108 (Reactome) The alpha-1,4 linkages of extracellular maltose are hydrolyzed to yield glucose in a reaction catalyzed by sucrase-maltase (Nichols et al. 1998). In the body, this enzyme is found as a dimer on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985), and acts on maltose derived directly from the diet and from the hydrolysis of starch.
R-HSA-191114 (Reactome) The 1-4 linkages of extracellular amylopectin starch, a glucose polymer containing linear segments formed by alpha-1,4 linkages and a smaller number of alpha-1,6 linkages forming branch points, are digested by the endoglucosidase activity of alpha-amylases, yielding maltose, maltotriose, and longer maltosides from the alpha-1,4 linear segments and alpha-limit dextrins from the branch points. Alpha-limit dextrins are glucose (G) oligomers linked by 1-4 and 1-6 bonds. 1-6 branch points make up about 5% of all amylopectin glucose bonds - the exact fraction depends on the source of the starch. Mass spectroscopic analysis of alpha-limit dextrin shows it to be a mixture of maltosides and isomaltosides containing two to forty G residues, but the most common contain fewer than seven. Maltose (G2) is the shortest 1-4 maltoside produced by alpha-amylase. Isomaltose (G2) is the shortest 1-6 isomaltoside.

The human genome contains five functional alpha-amylase genes, encoding structurally closely related isoenzymes (Gumucio et al. 1988). Three of these genes encode proteins synthesized in the parotid glands and released into the saliva (amylase 1A, B, and C), and the other two encode proteins synthesized in the exocrine pancreas and released into the small intestine (amylase 2A and B). In the human body, starch digestion thus commences in the mouth, mediated by salivary amylases, and is continued in the small intestine, mediated by the pancreatic ones.

X-ray crystallographic studies of amylase 1A and 2A proteins show them to be monomers, complexed with single calcium and chloride ions (Ramasubbu et al. 1996; Brayer et al. 2000). Biochemical characterization of amylase 2A indicates that the enzyme efficiently cleaves poly-glucose chains so as to release maltose - a glucose disaccharide - from the reducing end of the chain (Braun et al. 1993; Brayer et al. 2000).

R-HSA-191116 (Reactome) Maltotriose is representative of linear glucose oligomers containing more than two residues. The 1-4 linkages of extracellular maltotriose are hydrolyzed to yield maltose and glucose in a reaction catalyzed by the exoglucosidase activity of maltase-glucoamylase (Nichols et al. 1998). In the body, this enzyme is found as a dimer on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985), and acts on maltotriose derived directly from the diet and from the hydrolysis of starch. This reaction can also be catalyzed by sucrase-isomaltase, but maltase-glucoamylase is about a hundredfold more active.
R-HSA-192417 (Reactome) CEL (bile salt-dependent lipase) catalyzes the hydrolysis of extracellular cholesterol esters to yield cholesterol and a long-chain fatty acid. This reaction, in the lumen of the small intestine, is part of the process of digestion of dietary fats.

While alternative splicing gives rise to two CEL isoforms, only the longer one encodes all of the residues that form the active site of the enzyme (Reue et al. 1991). In vitro, monomeric CEL protein is active even in the absence of bile salts. Its activity is greatly increased when it is complexed with two molecules of cholate, chenodeoxycholate, or their glycine or taurine conjugates (Lombardo and Guy 1980), and the predominant form of the enzyme active on lipid micelles in the gut is a dimer of two such complexes (Aubert-Jousset et al. 2004).

CEL is synthesized in pancreatic acinar cells and released into the small intestine. It is also synthesized in the mammary gland and is a constituent of breast milk. The milk CEL is thought to play a role in digestion of milk fat in newborn infants, whose own pancreatic synthesis of the enzyme is low (Lombardo 2001; Bernback et al. 1990).

R-HSA-192422 (Reactome) Pancreatic lipase catalyzes the hydrolysis of extracellular triacylglycerols to yield diacylglycerols and long-chain fatty acids. The enzyme is active only when complexed with colipase protein and plays a major role in the digestion of dietary triacylglycerols in the small intestine (Carriere et al. 2000; Giller et al. 1992).
R-HSA-192425 (Reactome) CEL (bile salt-dependent lipase) catalyzes the hydrolysis of extracellular monoacylglycerols to yield glycerol and a long-chain fatty acid. This reaction, in the lumen of the small intestine, is essential for the complete digestion of milk-derived triacylglycerols in the nursing infant (Bernback et al. 1990). Its importance in adult fat digestion is unclear.

While alternative splicing gives rise to two CEL isoforms, only the longer one encodes all of the residues that form the active site of the enzyme (Reue et al. 1991). In vitro, monomeric CEL protein is active even in the absence of bile salts. its activity is greatly increased when it is complexed with two molecules of cholate, chenodeoxycholate, or their glycine or taurine conjugates (Lombardo and Guy 1980), and the predominant form of the enzyme active on lipid micelles in the gut is a dimer of two such complexes (Aubert-Jousset et al. 2004).

CEL is synthesized in pancreatic acinar cells and released into the small intestine. It is also synthesized in the mammary gland and is a constituent of breast milk (Lombardo 2001; Bernback et al. 1990).

R-HSA-192430 (Reactome) CEL (bile salt-dependent lipase) catalyzes the hydrolysis of extracellular monoacylglycerols to yield glycerol and a long-chain fatty acid. This reaction, in the lumen of the small intestine, is essential for the complete digestion of milk-derived triacylglycerols in the nursing infant (Bernback et al. 1990). Its importance in adult fat digestion is unclear.

While alternative splicing gives rise to two CEL isoforms, only the longer one encodes all of the residues that form the active site of the enzyme (Reue et al. 1991). In vitro, monomeric CEL protein is active even in the absence of bile salts. its activity is greatly increased when it is complexed with two molecules of cholate, chenodeoxycholate, or their glycine or taurine conjugates (Lombardo and Guy 1980), and the predominant form of the enzyme active on lipid micelles in the gut is a dimer of two such complexes (Aubert-Jousset et al. 2004).

CEL is synthesized in pancreatic acinar cells and released into the small intestine. It is also synthesized in the mammary gland and is a constituent of breast milk (Lombardo 2001; Bernback et al. 1990).

R-HSA-192434 (Reactome) Pancreatic lipase catalyzes the hydrolysis of extracellular dicylglycerols to yield monoacylglycerols and long-chain fatty acids. The enzyme is active only when complexed with colipase protein and plays a major role in the digestion of dietary diacylglycerols in the small intestine (Carriere et al. 2000; Giller et al. 1992).
R-HSA-192475 (Reactome) Pancreatic lipase-related protein 2 catalyzes the hydrolysis of extracellular triacylglycerols to yield diacylglycerols and free long-chain fatty acids. This enzyme, unlike the closely related pancreatic lipase protein, does not require colipase protein for activity. The protein is synthesized in the pancreas, but its role in the digestion of dietary fat has not been established (Giller et al. 1992).
R-HSA-5659861 (Reactome) The alpha-1,6 linkages of extracellular isomaltose are hydrolyzed to yield glucose in a reaction catalyzed by sucrase-maltase (Sim et al. 2010). In the body, this enzyme is found as a dimer on the external face of enterocytes in microvilli of the small intestine (Hauri et al. 1985). The predominant form of mature SI in the membrane is a dimer, as established from a variety of studies of the processing of the porcine enzyme (Cowell et al. 1986; Danielsen 1994) and crystallographic studies of the human one (Sim et al. 2010).
R-HSA-6786421 (Reactome) Chitin is a linear polymer made up of repeating units of the sugar N-acetylglucosamine (GlcNAc) and is the second most abundant polysaccharide in nature after cellulose. It is found in the cell walls of bacteria and fungi, the exoskeleton of crustaceans and insects, and the microfilarial sheath of parasitic nematodes. Chitinases are evolutionarily ancient enzymes that hydrolyse the chitin polymer into di- and trisaccharides. This process produces differentially sized chitin fragments that can trigger the release of type 2 cytokines, including interleukin IL-4, IL-5, IL-13 by CD4 T helper (Th2) and other immune cells which play critical roles in the pathogenesis of asthma and allergic responses. Humans express two active chitinases; acidic mammalian chitinase (CHIA, AMCase) and chitotriosidase (CHIT1) . CHIA is a secreted enzyme that can randomly hydrolyse chitin (and chitotriose, not shown here) (Boot et al. 2001, Chou et al. 2006, Harti et al. 2008, Olland et al. 2009, Seibold et al. 2009).
R-HSA-6786652 (Reactome) Chitotriose (CHIT) is an amino trisaccharide comprising of three 2-amino-2-deoxy-beta-D-glucopyranose units. Chitotriosidase-1 (CHIT1) can mediate the hydrolysis of CHIT, as well as chitin and chitobiose (Renkema et al. 1995).
R-HSA-8878787 (Reactome) Alkaline phosphatases (ALPs) are ubiquitous membrane-bound glycoproteins that catalyse the hydrolysis of phosphate monoesters in alkaline conditions (Sharma et al. 2014). To date, little is known about the physiological function of ALPs in most tissues. In humans, four isozymes exist, named from their tissue localisations. One isozyme, intestinal-type alkaline phosphatase (ALPI, IAP), possesses alkaline phosphatase activity but has no specific physiological substrate defiend for it yet. It may be involved in the hydrolysis of pro-drugs in the intestine (Lowe et al. 1990).
R-HSA-8936214 (Reactome) Heat-stable enterotoxin receptor (GUCY2C, STAR) is the receptor for the endogenous peptides guanylin (GUCA2A) and uroguanylin (GUCA2B) and E.coli heat-stable enterotoxin. GUCY2C is an integral membrane protein composed of an extracellular ligand-binding domain, an intracellular domain and a guanylyl cyclase catalytic domain and functions in trimeric form (Vijayachandra et al. 2000). Once activated by its ligands, GUCY2C mediates fluid-ion homeostasis, intestinal inflammation, and cell proliferation in a cGMP-dependent manner (Arshad et al. 2013). In the intestine, salt and fluid secretion is stimulated by E.coli heat-stable enterotoxins through activation of CUCY2C. The endogenous peptides GUCA2A and GUCA2B have structural similarity to these bacterial enterotoxins and function as mediators of Cl- and water secretion in the intestine (Hamra et al. 1993, Forte et al. 1993, Basu et al. 2010).
R-HSA-8953398 (Reactome) Quercetin is an abundant flavonoid found in edible vegetables, grains and fruits and is used as an ingredient in supplements, beverages, or foods. Pirin (PIR) is a highly conserved nuclear protein (Wendler et al. 1997) which possesses quercetinase activity, transforming quercetin to 2-protocatechuoylphloroglucinol carboxylic acid (2PCPGCA) and carbon monoxide (CO) (Adams & Jia 2005). Quercetin supplements have been promoted for the treatment of a wide spectrum of diseases including cancer but there is insufficient evidence to draw any conclusive proof of its beneficial effects to date (Miles et al. 2014).
R-HSA-8979996 (Reactome) Lipases are enzymes that hydrolyse dietary lipids such as fats, oils and triglycerides. The majority of human lipases are secreted by the pancreas and function mainly in the digestive system. Humans not only digest fat with pancreatic lipases but also with gastric lipase (LIPF) (Roussel et al. 1999). The pancreatic lipase-related protein 3 (PNLIPRP3) is another candidate lipase included here.
R-HSA-975593 (Reactome) Part of nutritional vitamin A is in the form of retinyl esters (REs). The main fatty acids which can form esters with retinol are palmitate, oleate, stearate and linoleate. REs are digested together with other lipids, and by the same enzymes. Pancreatic lipase catalyses the hydrolysis of RE to all-trans-retinol (atROL) and fatty acid which are then both taken up by enterocytic cell membranes (Bennekum et al. 2000).
RPALMR-HSA-975593 (Reactome)
SucR-HSA-189069 (Reactome)
TAGsR-HSA-192422 (Reactome)
TAGsR-HSA-192430 (Reactome)
TAGsR-HSA-192475 (Reactome)
TAGsR-HSA-8979996 (Reactome)
alpha,alpha-trehaloseR-HSA-188985 (Reactome)
alpha-amylasemim-catalysisR-HSA-188979 (Reactome)
alpha-amylasemim-catalysisR-HSA-191114 (Reactome)
atROLArrowR-HSA-975593 (Reactome)
chitinR-HSA-6786421 (Reactome)
digestive LIPsmim-catalysisR-HSA-8979996 (Reactome)
dimerized CEL:bile salt complexmim-catalysisR-HSA-192417 (Reactome)
dimerized CEL:bile salt complexmim-catalysisR-HSA-192425 (Reactome)
dimerized CEL:bile salt complexmim-catalysisR-HSA-192430 (Reactome)
glycerolArrowR-HSA-192425 (Reactome)
iMalR-HSA-5659861 (Reactome)
limit dextrinsArrowR-HSA-191114 (Reactome)
limit dextrinsR-HSA-189053 (Reactome)
maltotrioseArrowR-HSA-188979 (Reactome)
maltotrioseArrowR-HSA-189053 (Reactome)
maltotrioseArrowR-HSA-191114 (Reactome)
maltotrioseR-HSA-191101 (Reactome)
maltotrioseR-HSA-191116 (Reactome)
phosphate monoesterR-HSA-8878787 (Reactome)
quercetinR-HSA-8953398 (Reactome)
starch (amylopectin)R-HSA-191114 (Reactome)
starch (amylose)R-HSA-188979 (Reactome)
sucrase-isomaltase dimermim-catalysisR-HSA-189053 (Reactome)
sucrase-isomaltase dimermim-catalysisR-HSA-189069 (Reactome)
sucrase-isomaltase dimermim-catalysisR-HSA-191101 (Reactome)
sucrase-isomaltase dimermim-catalysisR-HSA-191108 (Reactome)
sucrase-isomaltase dimermim-catalysisR-HSA-5659861 (Reactome)
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