The digestive system uses mechanical and chemical
methods to break food down into nutrient molecules that can be absorbed into
the blood.
movement: propels food through
the digestive system
secretion: release of digestive
juices in response to a specific stimulus
digestion: breakdown of food
into molecular components small enough to cross the plasma membrane
absorption: passage of the
molecules into the body's interior and their passage throughout the body
elimination: removal of
undigested food and wastes.
The human digestive system is a coiled, muscular
tube (6-9 meters long when fully extended) extending from the mouth to the
anus. Several specialised compartments occur along this length: mouth, pharynx,
oesophagus, stomach, small intestine, large intestine, and anus. Accessory
digestive organs are connected to the main system by a series of ducts:
salivary glands, parts of the pancreas, and the liver and gallbladder (bilary
system).

Mechanical breakdown begins in the mouth by
chewing (teeth) and actions of the tongue. Chemical breakdown of starch by
production of salivary amylase from
the salivary glands. This mixture of food and saliva is then pushed into the
pharynx and oesophagus. The oesophagus is a muscular tube whose muscular
contractions (peristalsis) propel food to the stomach.
In the mouth, teeth, jaws and the tongue begin
the mechanical breakdown of food into smaller particles. Most vertebrates,
except birds (who have lost their teeth to a hardened bill), have teeth for
tearing, grinding and chewing food. The tongue manipulates food during chewing
and swallowing; mammals have tastebuds clustered on their tongues.
Salivary glands secrete salivary amylase, an enzyme that begins the
breakdown of starch into glucose. Mucus moistens food and lubricates the
oesophagus. Bicarbonate ions in saliva neutralise the acids in foods.
Swallowing moves food from the mouth through the
pharynx into the oesophagus and then to the stomach.
The Stomach (or Churn, Churn, Churn)
During a meal, the stomach gradually fills to a
capacity of 1 litre, from an empty capacity of 50-100 millilitres. At a price
of discomfort, the stomach can distend to hold 2 litres or more.
Epithelial cells line inner surface of the
stomach, and secrete about 2 litres of gastric juices per day. Gastric juice
contains hydrochloric acid, pepsinogen, and mucus; ingredients important in digestion.
Secretions are controlled by nervous (smells,
thoughts, and caffeine) and endocrine signals. The stomach secretes
hydrochloric acid and pepsin.
Hydrochloric acid (HCl) lowers pH of the stomach
so pepsin is activated. Pepsin is an enzyme that controls the hydrolysis of
proteins into peptides. The stomach also mechanically churns the food. Chyme,
the mix of acid and food in the stomach, leaves the stomach and enters the
small intestine.

Hydrochloric acid does not directly function in
digestion: it kills micro-organisms, lowers the stomach pH to between 1.5 and
2.5; and activates pepsinogen. Pepsinogen is an enzyme that starts protein
digestion. Pepsinogen is produced in cells that line the gastric pits. It is
activated by cleaving off a portion of the molecule, producing the enzyme
pepsin that splits off fragments of peptides from a protein molecule during
digestion in the stomach.
Epithelial cells secrete mucus that forms a
protective barrier between the cells and the stomach acids. Pepsin is
inactivated when it comes into contact with the mucus. Bicarbonate ions reduce
acidity near the cells lining the stomach. Tight junctions link the epithelial
stomach-lining cells together, further reducing or preventing stomach acids
from passing. Food is mixed in the lower part of the stomach by peristaltic
waves that also propel the acid-chyme mixture against the pyloric sphincter.
Increased
The small intestine is where final digestion and
absorption occur. The small intestine is a coiled tube over 3 meters long.
Coils and folding plus villi give
this 3m tube the surface area of a 500-600m long tube. Final digestion of
proteins and carbohydrates must occur, and fats have not yet been digested.
Villi have cells that produce intestinal enzymes which complete the digestion
of peptides and sugars. The absorption process also occurs in the small
intestine.
Food has been broken down into particles small
enough to pass into the small intestine. Sugars and amino acids go into the
bloodstream via capillaries in each villus. Glycerol and fatty acids go into
the lymphatic system. Absorption is an active transport, requiring cellular
energy. Contractions of the stomach push the food through the sphincter and
into the small intestine as the stomach empties over a 1 to 2 hour period. High
fat diets significantly increase this time period.


The small
intestine is the major site for digestion and absorption of nutrients. The
small intestine is up to 6 meters long and is 2-3 centimetres wide. The upper
part, the duodenum, is the most active in digestion. Secretions from the liver
and pancreas are used for digestion in the duodenum. Epithelial cells of the
duodenum secrete a watery mucus. The pancreas secretes digestive enzymes and
stomach acid-neutralising bicarbonate. The liver produces bile, which is stored
in the gall bladder before entering the bile duct into the duodenum.
Digestion of carbohydrates, proteins, and fats
continues in the small intestine. Starch and glycogen are broken down into
maltose. Proteases (enzymes secreted from the pancreas) continue the breakdown
of protein into small peptide fragments and some amino acids.
Bile emulsifies fats, facilitating their
breakdown into progressively smaller fat globules until they can be acted upon
by lipases. Bile contains cholesterol, phospholipids and a mix of salts. Fats
are completely digested in the small intestine, unlike carbohydrates and
proteins.
Most absorption occurs in the duodenum and
jejeunum (second third of the small intestine). The inner surface of the intestine
has circular folds that more than triple the surface area for absorption. Villi
covered with epithelial cells increase the surface area by another factor of
10. The epithelial cells are lined with microvilli that further increase the
surface area; a 6 meter long tube has a surface area of 300 square meters.

Each villus has a surface that is adjacent to the
inside of the small intestinal opening covered in microvilli that form on top
of an epithelial cell known as a brush border. Each villus has a capillary
network supplied by a small arteriole. Absorbed substances pass through the
brush border into the capillary, usually by passive transport.

Maltose,
sucrose, and lactose are the main carbohydrates present in the small intestine;
they are absorbed by the microvilli. Starch is broken down into two-glucose
units (maltose) elsewhere. Enzymes in the cells convert these disaccharides
into monosaccharides that then leave the cell and enter the capillary
Digested fats are not very soluble. Bile salts
surround fats to form micelles that can pass into the epithelial cells. The
bile salts return to the lumen to repeat the process. Fat digestion is usually
completed by the time the food reaches the ileum (lower third) of the small
intestine. Bile salts are in turn absorbed in the ileum and are recycled by the
liver and gall bladder. Fats pass from the epithelial cells to the small lymph
vessel that also runs through the villus.
The pancreas sends pancreatic juice, which
neutralises the chyme, to the small intestine through the pancreatic duct.

The large intestine is made up by the colon,
cecum, appendix, and rectum. Material in the large intestine is mostly
indigestible residue and liquid. Movements are due to involuntary contractions
that shuffle contents back and forth and propulsive contractions that move
material through the large intestine.