1993
DOI: 10.1159/000201097
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Fate of Pancreatic Enzymes in the Human Intestinal Lumen in Health and Pancreatic Insufficiency

Abstract: The activities of pancreatic enzymes decrease during their passage from the duodenum to the terminal ileum, but degradation rates of individual enzymes are different. Whereas lipase activity is lost most rapidly, proteases and amylase are more stable. The mechanism by which lipase activity is destroyed is proteolysis, mainly by the action of chymotrypsin. This mechanism is also operative in patients with chronic exocrine pancreatic insufficiency. It explains why fat malabsorption develops earlier compared with… Show more

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Cited by 36 publications
(13 citation statements)
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“…25 It is well known that the lipolytic capacity in the ileum is smaller compared with the duodenum. 26 A lack of lipase in the ileum may have limited the hydrolysis of the high fat dose. However, as plasma CCK-concentrations increased dose dependently, this is unlikely.…”
Section: Discussionmentioning
confidence: 99%
“…25 It is well known that the lipolytic capacity in the ileum is smaller compared with the duodenum. 26 A lack of lipase in the ileum may have limited the hydrolysis of the high fat dose. However, as plasma CCK-concentrations increased dose dependently, this is unlikely.…”
Section: Discussionmentioning
confidence: 99%
“…Addition of SBTI totally inhibited trypsin digestion of all other enzymes tested, proving that it was trypsin that digested the other enzymes and not some unknown factor in the luminal fluid. Trypsin autolysis and digestion of lipase and amylase also occurs in vertebrates (Layer & Gröger, ). The enzymes released by the rat pancreas lose much of their activity during passage through the small intestine (Pelot and Grossman, 1961), and in humans 25% of the amylase activity, about 80% of the trypsin activity, and almost all of the lipase activity is lost (DiMagno, 1990).…”
Section: Discussionmentioning
confidence: 99%
“…Direct measurement (pg mg 1) Radiochromatogr. measurement (pg mg 1) Tp The relative standard deviation (RSD) values (n = 15) of the migration time and peak area corrected were 1.03 1.58 and 2.1 4.0, respectively 9…”
Section: Cze Experimentsmentioning
confidence: 99%