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Biochemistry Carbohydrate Metabolism

Digestion, Absorption and Transport of Carbohydrates

Topic overview

Start with the big picture

Digestion is a staged process: salivary α-amylase starts starch and glycogen hydrolysis, gastric acid limits its activity, and pancreatic α-amylase continues breakdown in the small-intestinal lumen. Brush-border enzymes then release monosaccharides. At the intestinal surface, SGLT1 brings glucose and galactose into enterocytes with sodium, while GLUT5 transports fructose. The basolateral Na⁺/K⁺-ATPase maintains the sodium gradient that supports SGLT1, and GLUT2 carries monosaccharides toward the portal vein. The topic also connects these mechanisms to lactose and other carbohydrate malabsorption, oral rehydration, α-glucosidase inhibitors, fiber fermentation, and factors influencing glycemic index. Together, these concepts link normal digestion and absorption with clinical and dietary relevance.

Learning objectives

What you'll learn

  • Trace carbohydrate digestion from the oral cavity through the small intestine.
  • Distinguish the roles of pancreatic and brush-border carbohydrate-digesting enzymes.
  • Identify the intestinal transporters involved in monosaccharide uptake and exit.
  • Relate selected transporter or enzyme defects to carbohydrate malabsorption.
  • Describe clinical and dietary connections, including oral rehydration and fiber fermentation.
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