Protein Digestion and Absorption

Learning Objectives

Digestion

Stomach

Enzymatic digestion of protein begins in the stomach. Hydrochloric acid (HCl), secreted by parietal cells, initiates protein denaturation by lowering the pH. This unfolds the quaternary, tertiary, and secondary structures, disrupting hydrogen and electrostatic bonds but leaving peptide bonds intact.

HCl also activates pepsinogen (from chief cells) into pepsin, which functions as an endopeptidase—hydrolyzing interior peptide bonds, particularly adjacent to hydrophobic or aromatic amino acids.

The result: linear polypeptide chains and oligopeptides.

Small Intestine

As chyme enters the small intestine, hormones secretin and CCK slow gastric digestion and stimulate pancreatic juice release. This juice contains bicarbonate and zymogens including:

Enteropeptidase activates trypsinogen to trypsin, which then activates the other zymogens.

Chymotrypsin targets peptide bonds next to tyrosine, phenylalanine, or tryptophan (large neutral amino acids). Reflection: What are the end products of chymotrypsinogen?

Carboxypeptidase is an exopeptidase that cleaves from the C-terminal, producing free amino acids and shorter peptides.

Brush border enzymes include:

Absorption

Small Intestine

Digestion products—free amino acids, dipeptides, and tripeptides—must cross:

Most absorption happens in the lower duodenum and upper jejunum. About 70% of apical absorption occurs as di/tripeptides via the PEPT1 transporter, co-transporting with H+ ions.

To maintain gradients:

Free amino acids use carrier-mediated systems. Their transport is influenced by:

Selected Free Amino Acid Transport Systems (Apical Membrane)
System Target Amino Acids
L System Branched-chain and aromatic AAs
X- System Acidic AAs
B0,+ System Neutral and basic AAs
ASC System Small neutral AAs

Reflection: How does amino acid competition affect absorption?

Inside the enterocyte, peptides are hydrolyzed to amino acids. These are then transported across the basolateral membrane into capillaries, ultimately reaching the liver via the portal vein.

Basolateral Membrane Transport Systems
System Notes
LAT1 Large neutral AAs
y+LAT1 Basic AAs
TAT1 Aromatic AAs
SNAT Sodium-dependent neutral AAs

Not all amino acids enter circulation—some are retained for:

Large Intestine

About 10–20 g of amino acids escape absorption daily. Gut bacteria use these for growth, and the rest are excreted in feces.

Reflection Questions

  1. A patient on long-term proton pump inhibitor (PPI) therapy has virtually no gastric acid secretion. Trace the downstream consequences for protein digestion, starting from the failure to activate pepsinogen and explaining how this affects the subsequent cascade of zymogen activation in the small intestine. Predict which protein structures would be most resistant to incomplete digestion under these conditions.

  2. Two athletes consume identical amounts of protein: one as a rapidly digested whey shake (yielding mainly di- and tripeptides), the other as whole egg whites (requiring complete digestion to free amino acids before absorption). Using your knowledge of PEPT1 transport vs. free amino acid carrier systems, predict which source would result in faster peak absorption and why — and explain whether speed of absorption has practical significance for muscle protein synthesis.

  3. Large neutral amino acids — including BCAAs, phenylalanine, and tryptophan — compete for the L-system transporter at the apical membrane. A PKU patient on a low-phenylalanine diet begins taking high-dose BCAA supplements. Evaluate how excess BCAAs in the intestinal lumen could affect absorption of other large neutral amino acids sharing the same transporter, and predict any potential downstream consequences.