Protein digestion and absorption in man
Identifieur interne : 003434 ( Istex/Corpus ); précédent : 003433; suivant : 003435Protein digestion and absorption in man
Auteurs : Hugh J. Freeman ; Young S. Kim ; Marvin H. SleisengerSource :
- The American Journal of Medicine [ 0002-9343 ] ; 1979.
Abstract
Protein is an essential nutrient normally assimilated in an efficient manner following the action of gastric, pancreatic and small intestinal enzymes. After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.
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DOI: 10.1016/0002-9343(79)90645-4
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Sleisenger</name><affiliation><mods:affiliation>San Francisco, California USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:17D696C010ABBFE532E6DAFA90787C78D974B9AB</idno><date when="1979" year="1979">1979</date><idno type="doi">10.1016/0002-9343(79)90645-4</idno><idno type="url">https://api.istex.fr/document/17D696C010ABBFE532E6DAFA90787C78D974B9AB/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003434</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Protein digestion and absorption in man</title><author><name sortKey="Freeman, Hugh J" sort="Freeman, Hugh J" uniqKey="Freeman H" first="Hugh J." last="Freeman">Hugh J. Freeman</name><affiliation><mods:affiliation>San Francisco, California USA</mods:affiliation></affiliation></author><author><name sortKey="Kim, Young S" sort="Kim, Young S" uniqKey="Kim Y" first="Young S." last="Kim">Young S. 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Sleisenger</name><affiliation><mods:affiliation>San Francisco, California USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Medicine</title><title level="j" type="abbrev">AJM</title><idno type="ISSN">0002-9343</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1979">1979</date><biblScope unit="volume">67</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1030">1030</biblScope><biblScope unit="page" to="1036">1036</biblScope></imprint><idno type="ISSN">0002-9343</idno></series><idno type="istex">17D696C010ABBFE532E6DAFA90787C78D974B9AB</idno><idno type="DOI">10.1016/0002-9343(79)90645-4</idno><idno type="PII">0002-9343(79)90645-4</idno><idno type="ArticleID">79906454</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9343</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Protein is an essential nutrient normally assimilated in an efficient manner following the action of gastric, pancreatic and small intestinal enzymes. After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Hugh J. Freeman M.D.</name><affiliations><json:string>San Francisco, California USA</json:string></affiliations></json:item><json:item><name>Young S. Kim M.D.</name><affiliations><json:string>San Francisco, California USA</json:string></affiliations></json:item><json:item><name>Marvin H. Sleisenger M.D.</name><affiliations><json:string>San Francisco, California USA</json:string></affiliations></json:item></author><articleId><json:string>79906454</json:string></articleId><language><json:string>eng</json:string></language><abstract>Protein is an essential nutrient normally assimilated in an efficient manner following the action of gastric, pancreatic and small intestinal enzymes. After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.</abstract><qualityIndicators><score>6.369</score><pdfVersion>1.2</pdfVersion><pdfPageSize>576 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>985</abstractCharCount><pdfWordCount>4701</pdfWordCount><pdfCharCount>34988</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>139</abstractWordCount></qualityIndicators><title>Protein digestion and absorption in man</title><pii><json:string>0002-9343(79)90645-4</json:string></pii><genre><json:string>conference</json:string></genre><serie><volume>19</volume><pages><first>151</first></pages><genre></genre><language><json:string>unknown</json:string></language><title>International Review of Physiology. Gastrointestinal Physiology. 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Hartford Foundation, Inc., the Medical Research Service of the Veteran's Administration and the U.S. Public Health Service (AM-17938).</note><note type="content">Section title: Symposium on malabsorption</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Protein digestion and absorption in man</title><title level="a" type="sub" xml:lang="en">Normal mechanisms and protein-energy malnutrition</title><author><persName><forename type="first">Hugh J.</forename><surname>Freeman</surname></persName><roleName type="degree">M.D.</roleName><note type="biography">Requests for reprints should be addressed to Dr. Hugh J. Freeman.</note><note type="biography">Present address: Gastrointestinal Cancer and Nutrition Laboratory, U.B.C. Cancer Research Center, 601 West 10th Avenue, Vancouver, British Columbia, Canada.</note><affiliation>Requests for reprints should be addressed to Dr. Hugh J. Freeman.</affiliation><affiliation>Present address: Gastrointestinal Cancer and Nutrition Laboratory, U.B.C. Cancer Research Center, 601 West 10th Avenue, Vancouver, British Columbia, Canada.</affiliation><affiliation>San Francisco, California USA</affiliation></author><author><persName><forename type="first">Young S.</forename><surname>Kim</surname></persName><roleName type="degree">M.D.</roleName><note type="biography">From the Gastrointestinal Research Laboratory and Department of Medicine, Veteran's Administration Hospital and University of California, San Francisco, California 94121.</note><affiliation>From the Gastrointestinal Research Laboratory and Department of Medicine, Veteran's Administration Hospital and University of California, San Francisco, California 94121.</affiliation><affiliation>San Francisco, California USA</affiliation></author><author><persName><forename type="first">Marvin H.</forename><surname>Sleisenger</surname></persName><roleName type="degree">M.D.</roleName><note type="biography">From the Gastrointestinal Research Laboratory and Department of Medicine, Veteran's Administration Hospital and University of California, San Francisco, California 94121.</note><affiliation>From the Gastrointestinal Research Laboratory and Department of Medicine, Veteran's Administration Hospital and University of California, San Francisco, California 94121.</affiliation><affiliation>San Francisco, California USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Medicine</title><title level="j" type="abbrev">AJM</title><idno type="pISSN">0002-9343</idno><idno type="PII">S0002-9343(00)X0528-1</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1979"></date><biblScope unit="volume">67</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1030">1030</biblScope><biblScope unit="page" to="1036">1036</biblScope></imprint></monogr><idno type="istex">17D696C010ABBFE532E6DAFA90787C78D974B9AB</idno><idno type="DOI">10.1016/0002-9343(79)90645-4</idno><idno type="PII">0002-9343(79)90645-4</idno><idno type="ArticleID">79906454</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1979</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Protein is an essential nutrient normally assimilated in an efficient manner following the action of gastric, pancreatic and small intestinal enzymes. After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.</p></abstract></profileDesc><revisionDesc><change when="1979">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="cnf" xml:lang="en"><item-info><jid>AJM</jid><aid>79906454</aid><ce:pii>0002-9343(79)90645-4</ce:pii><ce:doi>10.1016/0002-9343(79)90645-4</ce:doi><ce:copyright type="other" year="1979"></ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>This study was supported by the Medical Research Council of Canada, the John A. Hartford Foundation, Inc., the Medical Research Service of the Veteran's Administration and the U.S. Public Health Service (AM-17938).</ce:note-para></ce:article-footnote><ce:dochead><ce:textfn>Symposium on malabsorption</ce:textfn></ce:dochead><ce:title>Protein digestion and absorption in man</ce:title><ce:subtitle>Normal mechanisms and protein-energy malnutrition</ce:subtitle><ce:author-group><ce:author><ce:given-name>Hugh J.</ce:given-name><ce:surname>Freeman</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="FN1"><ce:sup loc="post">1</ce:sup></ce:cross-ref><ce:cross-ref refid="COR1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref><ce:cross-ref refid="FN2"><ce:sup loc="post">★</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Young S.</ce:given-name><ce:surname>Kim</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="FN1"><ce:sup loc="post">1</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Marvin H.</ce:given-name><ce:surname>Sleisenger</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="FN1"><ce:sup loc="post">1</ce:sup></ce:cross-ref></ce:author><ce:affiliation><ce:textfn>San Francisco, California USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Requests for reprints should be addressed to Dr. Hugh J. Freeman.</ce:text></ce:correspondence><ce:footnote id="FN2"><ce:label>★</ce:label><ce:note-para>Present address: Gastrointestinal Cancer and Nutrition Laboratory, U.B.C. Cancer Research Center, 601 West 10th Avenue, Vancouver, British Columbia, Canada.</ce:note-para></ce:footnote><ce:footnote id="FN1"><ce:label>1</ce:label><ce:note-para>From the Gastrointestinal Research Laboratory and Department of Medicine, Veteran's Administration Hospital and University of California, San Francisco, California 94121.</ce:note-para></ce:footnote></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">Protein is an essential nutrient normally assimilated in an efficient manner following the action of gastric, pancreatic and small intestinal enzymes. After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Protein digestion and absorption in man</title><subTitle>Normal mechanisms and protein-energy malnutrition</subTitle></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Protein digestion and absorption in man</title><subTitle>Normal mechanisms and protein-energy malnutrition</subTitle></titleInfo><name type="personal"><namePart type="given">Hugh J.</namePart><namePart type="family">Freeman</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>San Francisco, California USA</affiliation><description>Requests for reprints should be addressed to Dr. Hugh J. 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After hydrolysis, protein digestion products in the form of amino acids and small peptides undergo mucosal uptake by distinct transport mechanisms. Although gastric and pancreatic enzymes are important, the small intestine appears to be the critical rate-limiting tissue in this process. Impaired intake, assimilation or excessive enteric protein loss may occur with several diseases leading to protein-energy malnutrition. Although the clinical and laboratory features of this condition are nonspecific and wide ranging in spectrum, their presence may provide a clue to underlying disease and serve as an index of patient nutritional status. Disease of the exocrine pancreas or small intestine may cause significant protein-energy malnutrition which, in turn, can cause major structural and functional abnormalities in these tissues.</abstract><note>This study was supported by the Medical Research Council of Canada, the John A. 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