The major functions of enterocytes include: •
Ion uptake, including
sodium,
calcium,
magnesium,
iron,
zinc, and
copper. This typically occurs through
active transport. •
Water uptake. This follows the osmotic gradient established by
Na+/K+ ATPase on the basolateral surface. This can occur
transcellularly or
paracellularly. •
Sugar uptake. Polysaccharidases and
disaccharidases in the
glycocalyx break down large sugar molecules, which are then absorbed.
Glucose crosses the
apical membrane of the enterocyte using the
sodium-glucose cotransporter. It moves through the
cytosol (cytoplasm) and exits the enterocyte via the
basolateral membrane (into the
blood capillary) using
GLUT2.
Galactose uses the same transport system.
Fructose, on the other hand, crosses the apical membrane of the enterocyte, using
GLUT5. It is thought to cross into the blood capillary using one of the other
GLUT transporters. •
Peptide and amino acid uptake. Peptidases in the glycocalyx cleave proteins to amino acids or small peptides.
Enteropeptidase (also known as enterokinase) is responsible for activating
pancreatic trypsinogen into
trypsin, which activates other pancreatic
zymogens. They are involved in the
Krebs and the
Cori Cycles and can be synthesized with
lipase. •
Lipid uptake. Lipids are broken down by
pancreatic lipase aided by
bile, and then diffuse into the enterocytes. Smaller lipids are transported into intestinal capillaries, while larger lipids are processed by the
Golgi and
smooth endoplasmic reticulum into lipoprotein
chylomicra and
exocytosed into
lacteals. •
Vitamin B12 uptake. Receptors bind to the
vitamin B12-
gastric intrinsic factor complex and are taken into the cell. •
Resorption of unconjugated bile salts. Bile that was released and not used in emulsification of lipids are reabsorbed in the
ileum. Also known as the
enterohepatic circulation. •
Secretion of immunoglobulins.
Immunoglobulin A from
plasma cells in the
mucosa are absorbed through receptor-mediated
endocytosis on the basolateral surface and released as a receptor-IgA complex into the intestinal lumen. The receptor component confers additional stability to the molecule. ==Clinical significance==